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静脉注射111铟和90钇标记的B72.3免疫偶联物(GYK-DTPA)在比格犬中的临床前评估。

Preclinical evaluation of intravenously administered 111In- and 90Y-labeled B72.3 immunoconjugate (GYK-DTPA) in beagle dogs.

作者信息

Quadri S M, Shao Y, Blum J E, Leichner P K, Williams J R, Vriesendorp H M

机构信息

Johns Hopkins Oncology Center, Section of Radiobiology, Baltimore, MD 21205.

出版信息

Nucl Med Biol. 1993 Jul;20(5):559-70. doi: 10.1016/0969-8051(93)90024-o.

Abstract

B72.3, a monoclonal antibody with reactivity against human adenocarcinomas was obtained from the Cytogen Corporation in the form of an immunoconjugate coupled with linker-chelator GYK-DTPA by using proprietary carbohydrate directed site specific chemistry. The immunoconjugate was radiolabeled with indium-111 or yttrium-90. A preclinical analysis was performed in 10 normal beagle dogs. The pharmacokinetics of intravenously administered indium- and yttrium-labeled immunoconjugates were compared serially in blood, bone marrow and urine samples. Compared to 90Y less of the 111In label ended up in urine and more was found in blood and bone marrow. Indium-labeled B72.3 GYK-DTPA had relatively higher uptake in most glandular tissues than 111In-labeled antiferritin immunoconjugate. Bone marrow toxicity was the dose limiting side effect after intravenous infusion of 90Y-labeled B72.3 GYK-DTPA. Toxicity was also observed in the liver but not in other organ systems. Recently other investigators obtained similar results with these immunoconjugates in human patients. A preclinical pharmacokinetic analysis of radioimmunoconjugates in beagle dogs provided useful information regarding bone marrow toxicity, liver toxicity and in vivo instability of the immunoconjugate. Data suggest that for future trials in human patients, a more stable chelated immunoconjugate for yttrium is needed to achieve less liver uptake and a better correlation with the 111In-labeled product than the 90Y-labeled B72.3 GYK-DTPA used in this investigation.

摘要

B72.3是一种对人腺癌具有反应活性的单克隆抗体,它由细胞遗传学公司以免疫缀合物的形式提供,该免疫缀合物通过使用专有的碳水化合物定向位点特异性化学方法与连接螯合剂GYK-DTPA偶联。该免疫缀合物用铟-111或钇-90进行放射性标记。在10只正常的比格犬身上进行了临床前分析。对静脉注射的铟和钇标记的免疫缀合物在血液、骨髓和尿液样本中的药代动力学进行了连续比较。与钇-90相比,铟-111标记物在尿液中的含量较少,而在血液和骨髓中的含量较多。铟标记的B72.3 GYK-DTPA在大多数腺组织中的摄取相对高于铟-111标记的抗铁蛋白免疫缀合物。静脉输注钇-90标记的B72.3 GYK-DTPA后,骨髓毒性是剂量限制性副作用。在肝脏中也观察到了毒性,但在其他器官系统中未观察到。最近,其他研究人员在人类患者中使用这些免疫缀合物也获得了类似的结果。对比格犬进行的放射性免疫缀合物临床前药代动力学分析提供了有关骨髓毒性、肝脏毒性和免疫缀合物体内不稳定性的有用信息。数据表明,对于未来在人类患者中进行的试验,需要一种更稳定的钇螯合免疫缀合物,以实现更低的肝脏摄取,并与本研究中使用的钇-90标记的B72.3 GYK-DTPA相比,与铟-111标记的产品有更好的相关性。

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