Effective fluorescence-guided surgery of liver metastasis using a fluorescent anti-CEA antibody.

Effective fluorescence-guided surgery of liver metastasis using a fluorescent anti-CEA antibody.
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使用荧光抗CEA抗体的肝转移有效荧光引导手术。

DOI:
10.1002/jso.24462
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发表时间:
2016-12
影响因子:
2.5
通讯作者:
Bouvet M
Bouvet M
中科院分区:
医学3区
文献类型:
--
作者:
Hiroshima Y;Lwin TM;Murakami T;Mawy AA;Kuniya T;Chishima T;Endo I;Clary BM;Hoffman RM;Bouvet M

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在肿瘤外科手术中,特别是在转移性肿瘤的切除中,充分描绘肿瘤边缘是至关重要的。外科医生在强光手术的可视化方面受到限制,但荧光引导手术(FGS)在帮助外科医生获得负切缘方面是有效的。本研究将FGS用于绿色荧光蛋白(GFP)标记的结直肠肝转移手术原位植入(SOI)小鼠模型。使用与DyLight 650结合的抗cea抗体来突出肿瘤。与GFP相比,荧光抗体在更深的组织深度上清晰地划分病变。anti-CEA-DyLight650在72hr时显示最大的肿瘤-肝脏对比。15只小鼠进行了强光手术(BLS),对照含有GFP的FGS和含有抗cea - dylight650的FGS。接受FGS治疗的小鼠肿瘤残留面积明显减小(P < 0.001),总生存期明显延长(P < 0.001),无病生存期明显延长(P < 0.001)。在两个FGS组中,与仅标记GFP相比,使用抗cea - dylight650进行手术的小鼠存活率提高。在本报告中,我们证明了一种与DyLight 650 nm染料结合的抗cea抗体清楚地标记了结肠癌肝转移,从而实现了成功的FGS。
Delineation of adequate tumor margins is critical in oncologic surgery, particularly in resection of metastatic lesions. Surgeons are limited in visualization with bright-light surgery, but fluorescence-guided surgery (FGS) has been efficacious in helping the surgeon achieve negative margins. The present study uses FGS in a mouse model that has undergone surgical orthotopic implantation (SOI) of colorectal liver metastasis tagged with green fluorescent protein (GFP). An anti-CEA antibody conjugated to DyLight 650 was used to highlight the tumor. The fluorescent antibody clearly demarcated the lesion at deeper tissue depth compared to GFP. Fluorescence of the anti-CEA-DyLight650 showed maximal tumor-to-liver contrast at 72 hr. Fifteen mice underwent bright-light surgery (BLS) versus FGS with GFP versus FGS with anti-CEA-DyLight650. Mice that underwent FGS had a significantly smaller area of residual tumor (P < 0.001) and significantly longer overall survival (P < 0.001) and disease-free survival (P < 0.001). Within the two FGS groups, mice undergoing surgery with anti-CEA-DyLight650 improved survival compared to only GFP labeling. In the present report, we demonstrate that an anti-CEA antibody conjugated to a DyLight 650 nm dye clearly labeled colon cancer liver metastases, thereby enabling successful FGS.
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发表时间: 2012-09
影响因子: --
作者:
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DOI: 10.1371/journal.pone.0138752
发表时间: 2015
期刊: PloS one
影响因子: 3.7
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