Department of Nuclear Medicine, The First Affiliated Hospital/Clinical Medical School, Guangdong Pharmaceutical University, Guangzhou, 510080, Guangdong, China.
Department of TCM Resident Training, The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou, 510405, Guangdong, China.
Ann Nucl Med. 2021 Jul;35(7):811-822. doi: 10.1007/s12149-021-01618-3. Epub 2021 May 4.
The combination of two or more drugs with different mechanisms is a promising strategy for cancer treatment, and radioimmunotherapy (RIT) is a trending antitumor strategy. Radiotherapy (RT) can promote and activate antitumor immune effects, and immunotherapy can strengthen the effects of selective internal radiotherapy (SIRT); the RIT combination is synergistic and can overcome the adverse side effects of monotherapy. In this study, we developed a radioimmunoconjugate (RIC)-the iodine-131 (I)-labeled caerin 1.1 peptide-to treat human anaplastic thyroid cancer (ATC).
Antitumor activity of caerin 1.1 peptide was determined by MTT assay, plate colony formation and cell wound scratch assays, and the mechanism of the inhibition of carein 1.1 peptide on the growth of CAL-62 cells was identified by cell cycle and western blot. Then, we investigated the efficacy of the caerin 1.1 peptide as a single drug and the I-labeled caerin 1.1 peptide for ATC. H&E and TUNEL staining was performed to detect dead cells in the tumor tissue sections.
We found that caerin 1.1 arrested cells in the S phase to induce apoptosis and inhibited tumor growth to inhibit phosphorylation of Akt. In vivo, the iodine-131 (I)-labeled caerin 1.1 peptide achieved better antitumor efficacy than radiotherapy alone and showed a good biosafety profile.
Our study demonstrates for the first time that the iodine-131 (I)-labeled caerin 1.1 peptide can inhibit CAL-62 tumor growth and migration. The iodine-131 (I)-labeled caerin 1.1 peptide, which represents a radioimmunotherapy strategy based on the combination of SIRT with a peptide-drug conjugate, could provide a treatment means for the radical cure of ATC.
联合使用两种或多种作用机制不同的药物是癌症治疗的一种有前景的策略,放射免疫疗法(RIT)是一种有前途的抗肿瘤策略。放疗(RT)可以促进和激活抗肿瘤免疫效应,免疫疗法可以增强选择性内部放射疗法(SIRT)的作用;RIT 联合具有协同作用,可以克服单药治疗的不良反应。在本研究中,我们开发了一种放射性免疫偶联物(RIC)-碘-131(I)标记的 caerin 1.1 肽,用于治疗人未分化甲状腺癌(ATC)。
通过 MTT 测定、平板集落形成和细胞划痕实验测定 caerin 1.1 肽的抗肿瘤活性,并通过细胞周期和 Western blot 鉴定 caerin 1.1 肽抑制 CAL-62 细胞生长的机制。然后,我们研究了 caerin 1.1 肽作为单一药物和 I 标记的 caerin 1.1 肽治疗 ATC 的疗效。对肿瘤组织切片进行 H&E 和 TUNEL 染色以检测死细胞。
我们发现 caerin 1.1 将细胞阻滞在 S 期以诱导细胞凋亡,并通过抑制 Akt 磷酸化来抑制肿瘤生长。在体内,碘-131(I)标记的 caerin 1.1 肽比单独放疗具有更好的抗肿瘤疗效,并表现出良好的生物安全性。
我们的研究首次证明,碘-131(I)标记的 caerin 1.1 肽可以抑制 CAL-62 肿瘤的生长和迁移。碘-131(I)标记的 caerin 1.1 肽代表了一种基于 SIRT 与肽药物偶联物相结合的放射免疫治疗策略,可为 ATC 的根治提供一种治疗手段。