Preclinical studies of targeted alpha therapy for breast cancer using 213Bi-labelled-plasminogen activator inhibitor type 2.

Preclinical studies of targeted alpha therapy for breast cancer using 213Bi-labelled-plasminogen activator inhibitor type 2.
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DOI:
10.1038/sj.bjc.6600838
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发表时间:
2003-03-24
影响因子:
8.8
通讯作者:
--
中科院分区:
医学1区
文献类型:
--
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微转移乳腺癌的控制仍然存在问题。为此,我们正在开发一种基于~(213)Bi-PAI_2的新的辅助治疗方法,在该疗法中,释放α的核素(~(213)Bi)与纤溶酶原激活物抑制物-2(PAI_2)进行螯合。PAI2的靶点是细胞表面受体结合的尿激酶型纤溶酶原激活物(UPA),它与癌细胞的转移扩散有关。我们已经成功地用α放射性同位素213Bi标记并测试了重组人PAI2,以生产对乳腺癌细胞株具有高度细胞毒性的213Bi-PAI2。在这项研究中,使用MDA-MB-231乳腺癌细胞的2天后接种模型被证明是微转移疾病的代表。我们的体内药效实验表明,一次局部注射~(213)Bi-PAI_2在细胞接种后2天即可完全抑制肿瘤的生长,且一次全身注射可完全抑制肿瘤生长。给药2天可抑制肿瘤生长,且呈剂量依赖关系。通过对PAI2的阻断实验,确定uPA作为~(213)Bi-PAI2治疗靶点的具体作用。裸鼠体内毒性研究表明,~(213)Bi-PAI_2的Ci可达100Ci,耐受性良好。因此,213bi-PAI2成功地靶向了分离的乳腺癌细胞和血管生成前细胞群。这些结果表明,~(213)Bi-PAI2有望成为治疗乳腺癌微转移的一种新的治疗药物。
The control of micrometastatic breast cancer remains problematic. To this end, we are developing a new adjuvant therapy based on 213Bi-PAI2, in which an α-emitting nuclide (213Bi) is chelated to the plasminogen activator inhibitor-2 (PAI2). PAI2 targets the cell-surface receptor bound urokinase plasminogen activator (uPA), which is involved with the metastatic spread of cancer cells. We have successfully labelled and tested recombinant human PAI2 with the α radioisotope 213Bi to produce 213Bi-PAI2, which is highly cytotoxic towards breast cancer cell lines. In this study, the 2-day postinoculation model, using MDA-MB-231 breast cancer cells, was shown to be representative of micrometastatic disease. Our in vivo efficacy experiments show that a single local injection of 213Bi-PAI2 can completely inhibit the growth of tumour at 2 days postcell inoculation, and a single systemic (i.p.) administration at 2 days causes tumour growth inhibition in a dose-dependent manner. The specific role of uPA as the target for 213Bi-PAI2 therapy was determined by PAI2 pretreatment blocking studies. In vivo toxicity studies in nude mice indicate that up to 100 μCi of 213Bi-PAI2 is well tolerated. Thus, 213Bi-PAI2 is successful in targeting isolated breast cancer cells and preangiogenic cell clusters. These results indicate the promising potential of 213Bi-PAI2 as a novel therapeutic agent for micrometastatic breast cancer.
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