Bosslet K, Schwarz A, Steinstraesser A, Kuhlmann L, Seidel L, Schulz G
Forschungslaboratorium, Behringwerke AG, Marburg.
Wien Med Wochenschr. 1988 Jun 30;138(11-12):255-7.
The routine application of immunoscintigraphy for the detection of colorectal carcinomas is now possible thanks to the development of the BW 431/31-F(ab')2-DTPA-In-111 or the BW 431/26-Tc-99m kits. The quick tumor localization (6 hours p.i.), the specificity and sensitivity (approximately equal to 90%) as well as the lack of side reactions argue for the quality of the reagents. The change from I-131 labelled murine monoclonal antibodies (MAbs) to In-111 or Tc-99m immunoconjugates in kit form resulted in a reduction of radiation dose for the patient down to 20% (In-111) or to 5% (Tc-99m) of the dose applied using I-131 labelled MAbs. The BW 250/183-Tc-99m conjugate suited for the immunoscintigraphic detection of inflammatory processes by in vivo labelling of granulocytes possesses the same favourable characteristics. The specific tumor immunotherapy of pancreatic carcinoma using MAb BW 494 points to interesting effects which have to be statistically confirmed in future clinical trials.
由于BW 431/31 - F(ab')2 - DTPA - In - 111或BW 431/26 - Tc - 99m试剂盒的开发,现在免疫闪烁显像用于检测结直肠癌已成为可能。快速的肿瘤定位(注射后6小时)、特异性和敏感性(约90%)以及无副作用都表明了这些试剂的质量。从I - 131标记的鼠单克隆抗体(MAb)转变为试剂盒形式的In - 111或Tc - 99m免疫缀合物,使患者所接受的辐射剂量降低至使用I - 131标记MAb时所施剂量的20%(In - 111)或5%(Tc - 99m)。适用于通过粒细胞体内标记进行免疫闪烁显像检测炎症过程的BW 250/183 - Tc - 99m缀合物具有相同的良好特性。使用MAb BW 494对胰腺癌进行特异性肿瘤免疫治疗显示出有趣的效果,这些效果有待未来临床试验进行统计学确认。