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靶向IL13RA2的α粒子疗法治疗胶质母细胞瘤。

IL13RA2 targeted alpha particle therapy against glioblastomas.

作者信息

Sattiraju Anirudh, Solingapuram Sai Kiran Kumar, Xuan Ang, Pandya Darpan N, Almaguel Frankis G, Wadas Thaddeus J, Herpai Denise M, Debinski Waldemar, Mintz Akiva

机构信息

Department of Radiology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.

Brain Tumor Center of Excellence, Wake Forest University Comprehensive Cancer Center, Winston-Salem, NC 27157, USA.

出版信息

Oncotarget. 2017 Jun 27;8(26):42997-43007. doi: 10.18632/oncotarget.17792.

Abstract

Glioblastoma (GBM) is the most aggressive primary malignant brain cancer that invariably results in a dismal prognosis. Chemotherapy and radiotherapy have not been completely effective as standard treatment options for patients due to recurrent disease. We and others have therefore developed molecular strategies to specifically target interleukin 13 receptor alpha 2 (IL13RA2), a GBM restricted receptor expressed abundantly on over 75% of GBM patients. In this work, we evaluated the potential of Pep-1L, a novel IL13RA2 targeted peptide, as a platform to deliver targeted lethal therapies to GBM. To demonstrate GBM-specificity, we radiolabeled Pep-1L with Copper-64 and performed in vitro cell binding studies, which demonstrated specific binding that was blocked by unlabeled Pep-1L. Furthermore, we demonstrated real-time GBM localization of [64Cu]Pep-1L to orthotopic GBMs using small animal PET imaging. Based on these targeting data, we performed an initial in vivo safety and therapeutic study using Pep-1L conjugated to Actinium-225, an alpha particle emitter that has been shown to potently and irreversibly kill targeted cells. We infused [225Ac]Pep-1L into orthotopic GBMs using convection-enhanced delivery and found no significant adverse events at injected doses. Furthermore, our initial data also demonstrated significantly greater overall, median and mean survival in treated mice when compared to those in control groups (p < 0.05). GBM tissue extracted from mice treated with [225Ac]Pep-1L showed double stranded DNA breaks, lower Ki67 expression and greater propidium iodide internalization, indicating anti-GBM therapeutic effects of [225Ac]Pep-1L. Based on our results, Pep-1L warrants further investigation as a potential targeted platform to deliver anti-cancer agents.

摘要

胶质母细胞瘤(GBM)是最具侵袭性的原发性恶性脑癌,其预后总是很差。由于疾病复发,化疗和放疗作为患者的标准治疗方案尚未完全有效。因此,我们和其他人已经开发出分子策略,以特异性靶向白细胞介素13受体α2(IL13RA2),这是一种在超过75%的GBM患者中大量表达的GBM限制性受体。在这项工作中,我们评估了一种新型的靶向IL13RA2的肽Pep-1L作为向GBM递送靶向致死疗法的平台的潜力。为了证明GBM特异性,我们用铜-64对Pep-1L进行放射性标记,并进行体外细胞结合研究,结果表明未标记的Pep-1L可阻断特异性结合。此外,我们使用小动物PET成像证明了[64Cu]Pep-1L在原位GBM中的实时定位。基于这些靶向数据,我们使用与钋-225偶联的Pep-1L进行了初步的体内安全性和治疗研究,钋-225是一种α粒子发射体,已被证明能有效且不可逆地杀死靶向细胞。我们使用对流增强递送将[225Ac]Pep-1L注入原位GBM,发现在注射剂量下没有明显的不良事件。此外,我们的初步数据还表明,与对照组相比,治疗小鼠的总体、中位和平均生存期显著延长(p < 0.05)。从用[225Ac]Pep-1L治疗的小鼠中提取的GBM组织显示双链DNA断裂、Ki67表达降低和碘化丙啶内化增加,表明[225Ac]Pep-1L具有抗GBM治疗作用。基于我们的结果,Pep-1L作为一种潜在的递送抗癌药物的靶向平台值得进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f769/5522122/09ccb5feb757/oncotarget-08-42997-g001.jpg

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