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1.
Proc Natl Acad Sci U S A ; 103(41): 15200-5, 2006 Oct 10.
Article in English | MEDLINE | ID: mdl-17015832

ABSTRACT

Myxobacteria are single-celled, but social, eubacterial predators. Upon starvation they build multicellular fruiting bodies using a developmental program that progressively changes the pattern of cell movement and the repertoire of genes expressed. Development terminates with spore differentiation and is coordinated by both diffusible and cell-bound signals. The growth and development of Myxococcus xanthus is regulated by the integration of multiple signals from outside the cells with physiological signals from within. A collection of M. xanthus cells behaves, in many respects, like a multicellular organism. For these reasons M. xanthus offers unparalleled access to a regulatory network that controls development and that organizes cell movement on surfaces. The genome of M. xanthus is large (9.14 Mb), considerably larger than the other sequenced delta-proteobacteria. We suggest that gene duplication and divergence were major contributors to genomic expansion from its progenitor. More than 1,500 duplications specific to the myxobacterial lineage were identified, representing >15% of the total genes. Genes were not duplicated at random; rather, genes for cell-cell signaling, small molecule sensing, and integrative transcription control were amplified selectively. Families of genes encoding the production of secondary metabolites are overrepresented in the genome but may have been received by horizontal gene transfer and are likely to be important for predation.


Subject(s)
Evolution, Molecular , Genome, Bacterial , Myxococcus xanthus/genetics , Deltaproteobacteria/genetics , Deltaproteobacteria/physiology , Molecular Sequence Data , Multigene Family , Myxococcus xanthus/growth & development , Myxococcus xanthus/physiology , RNA, Ribosomal, 16S/genetics , Signal Transduction/genetics , Signal Transduction/physiology
2.
Braz. j. med. biol. res ; 37(10): 1463-1472, Oct. 2004. ilus, mapas, tab
Article in English | LILACS | ID: lil-383031

ABSTRACT

Leaf-cutting ants of the genera Atta and Acromyrmex (tribe Attini) are symbiotic with basidiomycete fungi of the genus Leucoagaricus (tribe Leucocoprineae), which they cultivate on vegetable matter inside their nests. We determined the variation of the 28S, 18S, and 5.8S ribosomal DNA (rDNA) gene loci and the rapidly evolving internal transcribed spacers 1 and 2 (ITS1 and ITS2) of 15 sympatric and allopatric fungi associated with colonies of 11 species of leafcutter ants living up to 2,600 km apart in Brazil. We found that the fungal rDNA and ITS sequences from different species of ants were identical (or nearly identical) to each other, whereas 10 GenBank Leucoagaricus species showed higher ITS variation. Our findings suggest that Atta and Acromyrmex leafcutters living in geographic sites that are very distant from each other cultivate a single fungal species made up of closely related lineages of Leucoagaricus gongylophorus. We discuss the strikingly high similarity in the ITS1 and ITS2 regions of the Atta and Acromyrmex symbiotic L. gongylophorus studied by us, in contrast to the lower similarity displayed by their non-symbiotic counterparts. We suggest that the similarity of our L. gongylophorus isolates is an indication of the recent association of the fungus with these ants, and propose that both the intense lateral transmission of fungal material within leafcutter nests and the selection of more adapted fungal strains are involved in the homogenization of the symbiotic fungal stock.


Subject(s)
Animals , Ants , DNA, Ribosomal Spacer , Fungi , Symbiosis , Brazil , Genetic Variation , Plant Leaves , Polymerase Chain Reaction , Sequence Analysis, DNA
3.
Braz J Med Biol Res ; 37(10): 1463-72, 2004 Oct.
Article in English | MEDLINE | ID: mdl-15448866

ABSTRACT

Leaf-cutting ants of the genera Atta and Acromyrmex (tribe Attini) are symbiotic with basidiomycete fungi of the genus Leucoagaricus (tribe Leucocoprineae), which they cultivate on vegetable matter inside their nests. We determined the variation of the 28S, 18S, and 5.8S ribosomal DNA (rDNA) gene loci and the rapidly evolving internal transcribed spacers 1 and 2 (ITS1 and ITS2) of 15 sympatric and allopatric fungi associated with colonies of 11 species of leafcutter ants living up to 2,600 km apart in Brazil. We found that the fungal rDNA and ITS sequences from different species of ants were identical (or nearly identical) to each other, whereas 10 GenBank Leucoagaricus species showed higher ITS variation. Our findings suggest that Atta and Acromyrmex leafcutters living in geographic sites that are very distant from each other cultivate a single fungal species made up of closely related lineages of Leucoagaricus gongylophorus. We discuss the strikingly high similarity in the ITS1 and ITS2 regions of the Atta and Acromyrmex symbiotic L. gongylophorus studied by us, in contrast to the lower similarity displayed by their non-symbiotic counterparts. We suggest that the similarity of our L. gongylophorus isolates is an indication of the recent association of the fungus with these ants, and propose that both the intense lateral transmission of fungal material within leafcutter nests and the selection of more adapted fungal strains are involved in the homogenization of the symbiotic fungal stock.


Subject(s)
Ants/physiology , DNA, Ribosomal Spacer/genetics , Fungi/genetics , Genetic Variation , Symbiosis , Animals , Brazil , Fungi/physiology , Plant Leaves , Polymerase Chain Reaction , Sequence Analysis, DNA
4.
Gene Ther ; 11(2): 161-9, 2004 Jan.
Article in English | MEDLINE | ID: mdl-14712300

ABSTRACT

The sodium iodide symporter (NIS) mediates iodide uptake into thyrocytes and is the molecular basis of thyroid radioiodine therapy. We previously have shown that NIS gene transfer into the F98 rat gliomas facilitated tumor imaging and increased survival by radioiodine. In this study, we show that: (1) the therapeutic effectiveness of (131)I in prolonging the survival time of rats bearing F98/hNIS gliomas is dose- and treatment-time-dependent; (2) the number of remaining NIS-expressing tumor cells decreased greatly in RG2/hNIS gliomas post (131)I treatment and was inversely related to survival time; (3) 8 mCi each of (125)I/(131)I is as effective as 16 mCi (131)I alone, despite a smaller tumor absorbed dose; (4) (188)ReO(4), a potent beta(-) emitter, is more efficient than (131)I to enhance the survival of rats bearing F98/hNIS gliomas. These studies demonstrate the importance of radiopharmaceutical selection, dose, and timing of treatment to optimize the therapeutic effectiveness of NIS-targeted radionuclide therapy following gene transfer into gliomas.


Subject(s)
Brain Neoplasms/radiotherapy , Glioma/radiotherapy , Iodine Radioisotopes/therapeutic use , Radiopharmaceuticals/therapeutic use , Symporters/genetics , Animals , Brain Neoplasms/metabolism , Brain Neoplasms/mortality , Dose-Response Relationship, Radiation , Genetic Therapy , Glioma/metabolism , Glioma/mortality , Humans , Iodine Radioisotopes/pharmacokinetics , Male , Radioisotopes/pharmacokinetics , Radioisotopes/therapeutic use , Radiopharmaceuticals/pharmacokinetics , Rats , Rats, Inbred F344 , Rhenium/pharmacokinetics , Rhenium/therapeutic use , Symporters/metabolism , Time Factors , Transduction, Genetic
5.
Gene Ther ; 9(17): 1139-45, 2002 Sep.
Article in English | MEDLINE | ID: mdl-12170377

ABSTRACT

Radioactive iodide uptake (RAIU) in thyroid follicular epithelial cells, mediated by the sodium iodide symporter (NIS), is the first rate-limiting step in iodide accumulation which provides a mechanism for effective radioiodide treatment for patients with thyroid cancer. We hypothesize that NIS gene transfer to non-thyroid tumor cells will enhance intracellular radioiodide accumulation and result in better tumor control. Here, we performed non-invasive tumor imaging and (131)I therapy studies using rats bearing intracerebral F98 gliomas that have been retrovirally transduced with human NIS. Our results show that: (1) NIS is expressed in the intracerebral F98/NIS gliomas; (2) F98/NIS gliomas can be imaged by (99m)TcO(4) (whose uptake is also mediated by NIS) and (123)I scintigraphy; (3) significant amounts of radioiodide were retained in the tumors at 24 h after (123)I injection; (4) RAIU and NIS expression in the thyroid gland can be reduced by feeding a thyroxine-supplemented diet; and (5) survival time was increased in rats bearing F98/hNIS tumors by (131)I treatment. These studies warrant further investigating tumor imaging and therapeutic strategies based on NIS gene transfer followed by radioiodide administration in a variety of human cancers.


Subject(s)
Brain Neoplasms/therapy , Genetic Therapy/methods , Glioma/therapy , Symporters/genetics , Animals , Blotting, Western , Brain Neoplasms/radiotherapy , Genetic Vectors/administration & dosage , Glioma/radiotherapy , Humans , Immunohistochemistry , Iodine Radioisotopes/therapeutic use , Models, Animal , Rats , Rats, Inbred F344 , Retroviridae/genetics , Symporters/analysis , Thyroid Gland/metabolism , Thyroxine/therapeutic use , Transduction, Genetic , Tumor Cells, Cultured
6.
Science ; 294(5550): 2323-8, 2001 Dec 14.
Article in English | MEDLINE | ID: mdl-11743194

ABSTRACT

Agrobacterium tumefaciens is a plant pathogen capable of transferring a defined segment of DNA to a host plant, generating a gall tumor. Replacing the transferred tumor-inducing genes with exogenous DNA allows the introduction of any desired gene into the plant. Thus, A. tumefaciens has been critical for the development of modern plant genetics and agricultural biotechnology. Here we describe the genome of A. tumefaciens strain C58, which has an unusual structure consisting of one circular and one linear chromosome. We discuss genome architecture and evolution and additional genes potentially involved in virulence and metabolic parasitism of host plants.


Subject(s)
Agrobacterium tumefaciens/genetics , Genome, Bacterial , Sequence Analysis, DNA , Agrobacterium tumefaciens/classification , Agrobacterium tumefaciens/pathogenicity , Agrobacterium tumefaciens/physiology , Bacterial Proteins/chemistry , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Carrier Proteins/chemistry , Carrier Proteins/genetics , Carrier Proteins/metabolism , Cell Cycle , Chromosomes, Bacterial/genetics , DNA Replication , Genes, Bacterial , Molecular Sequence Data , Phylogeny , Plant Tumors/microbiology , Plants/microbiology , Plasmids , Replicon , Rhizobiaceae/genetics , Signal Transduction , Sinorhizobium meliloti/genetics , Synteny , Telomere , Virulence/genetics
7.
Tumori ; 87(3): 142-6, 2001.
Article in English | MEDLINE | ID: mdl-11504368

ABSTRACT

AIM AND BACKGROUND: Radioimmunoguided surgery using radiolabeled NR-LU-10 Fab was evaluated as a method of intraoperative breast cancer detection. METHODS: Breast cancer patients were injected intravenously with 125I (74 MBq) labeled NR-LU-10 Fab (5 mg) and then underwent tumor excision 2, 4 or 7 days later, during which time the gamma detector probe was used to evaluate the primary tumor for evidence of radioactive uptake. RESULTS: Intraoperative probing revealed tumor localization in 7 of 10 patients (70%). Gamma probe counts of the excised tumor were elevated in all patients, although high counts in surrounding non-malignant tissue obscured the ability to detect the tumor in vivo in 3 patients. One patient with bilateral breast cancer was found to have a separate focus of occult tumor in each breast using the gamma detector probe. CONCLUSIONS: Radiolabeled NR-LU-10 Fab possesses favorable pharmokinetics and tumor-binding ability as a targeting agent. However, binding to non-malignant tissue limits its role in the intraoperative evaluation of tumor margins in breast cancer patients. Its role in other malignancies should be explored.


Subject(s)
Antibodies, Monoclonal , Breast Neoplasms/diagnostic imaging , Breast Neoplasms/surgery , Mastectomy, Segmental/methods , Radioimmunodetection/methods , Adult , Aged , Antibodies, Monoclonal/pharmacokinetics , Breast Neoplasms/blood , Breast Neoplasms/urine , Female , Humans , Injections , Iodine Radioisotopes , Middle Aged , Pilot Projects , Time Factors
8.
FEMS Microbiol Lett ; 189(2): 271-3, 2000 Aug 15.
Article in English | MEDLINE | ID: mdl-10930750

ABSTRACT

The Giardia genome project database provides an online resource for Giardia lamblia (WB strain, clone C6) genome sequence information. The database includes edited single-pass reads, the results of BLASTX searches, and details of progress towards sequencing the entire 12 million-bp Giardia genome. Pre-sorted BLASTX results can be retrieved based on keyword searches and BLAST searches of the high throughput Giardia data can be initiated from the web site or through NCBI. Descriptions of the genomic DNA libraries, project protocols and summary statistics are also available. Although the Giardia genome project is ongoing, new sequences are made available on a bi-monthly basis to ensure that researchers have access to information that may assist them in the search for genes and their biological function. The current URL of the Giardia genome project database is www.mbl.edu/Giardia.


Subject(s)
Databases, Factual , Genome, Protozoan , Giardia/genetics , Animals
9.
Clin Positron Imaging ; 3(5): 189-196, 2000 Sep.
Article in English | MEDLINE | ID: mdl-11348847

ABSTRACT

Purpose: 18F-Fluorodeoxyglucose-positron emission tomography (FDG-PET) is the superior imaging modality for detection of primary and recurrent colorectal cancer compared to magnetic resonance imaging (MRI) or computerized tomography (CT). We investigated the feasibility of developing intraoperative procedures for detection of FDG in tumor deposits in order to assist the surgeon in achieving an optimal reduction of tumor burden.Procedures: Fourteen patients (45-83 years of age) were scanned using FDG-PET followed by Gamma Detection Probe evaluation at laparotomy. One patient did not have a pre-operative FDG-PET scan. The collimated detector probe contained a CdZnTe crystal (7mm diameter x 2mm thick). We used a lower window setting of 200 KeV and an open upper window setting. Fasted patients were given an IV bolus of FDG (4.0-5.7 mCi) 15-20 minutes prior to preparation for surgery. Catheterization and the diuretic Lasix were used to remove FDG activity from the bladder. The time from FDG injection to intraoperative GDP data acquisition varied from 58-110 minutes.Results: In all patients, the GDP detected background activity in normal tissues (aorta, colon, liver, kidney, abdominal wall, mesentery, and urinary bladder). The GDP correctly identified single or multiple tumor foci in 13/14 patients as noted by an audible signal from the control unit (3 S.D. above counts obtained from normal tissues). These tumor foci corresponded to regions of high FDG uptake as seen on FDG-PET scans. The one case that the GDP did not localize was a recurrent mucin pseudomyxoma-producing tumor (acellular, mucinous deposits). Ex vivo GDP evaluations demonstrated significant tumor:normal adjacent tissue activity (audible signals in 6/6 tumor samples tested).Conclusions: These data demonstrate that tumors identified from pre-operative whole-body PET scans can be localized during surgery utilizing a gamma probe detector and FDG.

10.
BioDrugs ; 13(6): 437-47, 2000 Jun.
Article in English | MEDLINE | ID: mdl-18034550

ABSTRACT

Each year, approximately 210,000 American men are diagnosed with prostate cancer and 41,800 die from the disease - numbers roughly equal to the incidence and mortality for breast cancer in women. Prostate cancer usually shows no symptoms in early stages, when it is most treatable. To detect the disease early, physicians usually recommend that every man 50 years and older have an annual examination consisting of a digital rectal examination and a prostate specific antigen (PSA) blood test. Conventional treatments such as surgical removal of the diseased prostate, external beam radiation, radioactive seed therapy and hormonal and/or chemotherapy treatment regimens are most successful for early stage prostate cancer and have limited effectiveness in advanced stages of the disease. For this reason, accurate staging of primary and recurrent prostate cancer is mandatory for proper therapeutic decisions. Nuclear medicine imaging of prostate cancer using the radiolabelled monoclonal antibody, (111)In-capromab pendetide, has proven useful in newly diagnosed patients with biopsy-proven prostate cancer in which there is high suspicion of distant metastatic disease and for prostatectomy patients with rising PSA levels and/or suspicion of recurrence or metastatic disease. Although not intended as a screening tool, it is used in conjunction with standard evaluation procedures for improved staging of patients. The monoclonal antibody, designated 7E11-C5, binds the prostate specific membrane antigen (PSMA) expressed on the surface of prostate epithelial cells and up-regulated in tumour cells. The sensitivity and specificity for prostate cancer involved lymph node detection has been reported as 62 to 75% and 72 to 86%, respectively, compared with sensitivities of 4% and 15% for computerised tomography and magnetic resonance imaging. (111)In-capromab pendetide imaging has proven to be an accurate, non-invasive tool for detecting and staging sites of recurrence in the post-prostatectomy patient as well as metastatic sites in the patient with newly diagnosed prostate cancer.

11.
Urology ; 54(6): 1058-63, 1999 Dec.
Article in English | MEDLINE | ID: mdl-10604708

ABSTRACT

OBJECTIVES: No standard noninvasive diagnostic test reliably differentiates patients with organ-confined prostate cancer from those with lymph node metastases. The ability of a radiolabeled monoclonal antibody, indium-111 (111ln)-capromab pendetide, to identify sites of metastatic disease in patients at moderate to high risk of nodal involvement was investigated. METHODS: The study prospectively evaluated 160 patients with prostate cancer scheduled to undergo pelvic lymph node dissection (PLND) before or during definitive treatment. All were at relatively high risk of nodal involvement by virtue of significantly elevated baseline prostate-specific antigen (PSA) values, Gleason scores, and/or locally advanced clinical stages of disease. The histologic findings of the PLNDs were compared with the results of immunoscintigraphy, computed tomography, and magnetic resonance imaging. RESULTS: Among the 152 evaluable patientS studied with 111In-capromab pendetide before PLND, the sensitivity of immunoscintigraphy for lymph node detection was 62% and the specificity was 72%; the positive predictive value was 62% and the negative predictive value was 72%. In comparison, the sensitivity of computed tomography and magnetic resonance imaging was 4% and 15%, respectively, and the specificity was 100% for both procedures on the basis of a large number of negative interpretations. Logistic regression analysis revealed that immunoscintigraphy with 111In-capromab pendetide provided strong, independent evidence of the presence of lymph node metastases. Furthermore, the analysis indicated that certain combinations of PSA, Gleason score, and 111In-capromab pendetide were particularly effective at predicting the risk of nodal involvement. CONCLUSIONS: Immunoscintigraphy with 111In-capromab pendetide outperformed standard diagnostic imaging techniques in the detection of prostate cancer lymph node metastases and provided independent prognostic information that complemented PSA, Gleason score, and clinical stage.


Subject(s)
Adenocarcinoma/diagnostic imaging , Antibodies, Monoclonal , Indium Radioisotopes , Prostatic Neoplasms/diagnostic imaging , Aged , Algorithms , Humans , Logistic Models , Male , Middle Aged , Preoperative Care , Prospective Studies , Radioimmunodetection , Sensitivity and Specificity
12.
J Nucl Med ; 40(9): 1563-9, 1999 Sep.
Article in English | MEDLINE | ID: mdl-10492380

ABSTRACT

UNLABELLED: The folate receptor is overexpressed in a wide variety of human tumors. Conjugates of folate have been shown to be selectively taken up by tumor cells via the folate receptor. In this study, a novel radiopharmaceutical, 99mTc-6-hydrazinonicotinamido-hydrazido (HYNIC)-folate, was synthesized and evaluated for its efficacy as a targeted agent for the imaging of tumors that overexpress the folate receptor. METHODS: HYNIC-folate was synthesized and radiolabeled with 99mTc using tricine and trisodium triphenylphosphine-3,3',3"-trisulfonate as coligands. The receptor binding properties of 99mTc-HYNIC-folate were studied in cultured tumor cells that overexpress the folate receptor. The tumor-localizing properties of 99mTc-HYNIC-folate were then evaluated in C57BL/6 mice bearing subcutaneously implanted folate receptor-positive syngeneic tumors. Tissue distribution was determined at two different time points, and gamma camera images were collected on two animals. RESULTS: The folate receptor-mediated uptake of 99mTc-HYNIC-folate by cultured tumor cells was approximately 300 times higher than the nonspecific binding determined in the presence of 1 mmol/L free folic acid. Excellent tumor selectivity was also shown in the animal model; tumor-to-blood ratios reached 55+/-19 and 81+/-6 at 4 and 24 h after injection, respectively. Tumor uptake of the radiotracer was blocked by the co-injection of 100 microg free folate. Tumors were clearly identifiable on the gamma camera images, with the kidneys and the bladder as the only normal organs showing high levels of the radiotracer. CONCLUSION: 99mTc-HYNIC-folate is a promising, novel receptor-specific radiopharmaceutical with potential applications in the imaging of human tumors.


Subject(s)
Carcinoma/metabolism , Carrier Proteins/analysis , Folic Acid/metabolism , Organotechnetium Compounds , Receptors, Cell Surface/analysis , Sarcoma, Experimental/metabolism , Animals , Carcinoma/diagnostic imaging , Female , Folate Receptors, GPI-Anchored , Humans , KB Cells/metabolism , Mice , Mice, Inbred C57BL , Neoplasm Transplantation , Organotechnetium Compounds/chemical synthesis , Organotechnetium Compounds/pharmacokinetics , Radionuclide Imaging , Sarcoma, Experimental/diagnostic imaging , Tissue Distribution , Transplantation, Heterologous , Tumor Cells, Cultured/metabolism
13.
Am J Surg ; 177(6): 445-9, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10414690

ABSTRACT

BACKGROUND: This prospective study was performed to ascertain the added benefit of lymphoscintigraphy to a standard method of intraoperative lymphatic mapping and sentinel node biopsy for breast cancer. METHODS: Patients with invasive breast cancer were injected with 99mTc sulfur colloid prior to sentinel node biopsy; preoperative lymphoscintigraphy was then performed in half of the patient population. RESULTS: Sentinel node identification was possible in 45 of 50 patients (90%). All 14 patients (31%) with axillary nodal metastases had at least one histologically positive sentinel node (0% false negative rate). Lymphoscintigraphy revealed sentinel nodes in 17 of the 24 patients (70.8%) imaged. All 17 of these patients had one or more axillary sentinel nodes identified using intraoperative lymphatic mapping. In addition, 5 of 7 patients with a negative preoperative lymphoscintogram had an axillary sentinel lymph node(s) identified intraoperatively. None of the tumors showed drainage to the internal mammary lymph node chain by lymphoscintigraphy despite the fact that there were 5 patients with inner quadrant tumors. There was no significant advantage with respect to sentinel lymph node localization (91.7% versus 88.5%, P = not significant) or false negative rate (0%, both groups, P = not significant) in the group undergoing preoperative lymphoscintigraphy when compared with the patients in whom lymphoscintigraphy was not performed. CONCLUSIONS: Preoperative lymphoscintigraphy adds little additional information to intraoperative lymphatic mapping, and its routine use is not justified.


Subject(s)
Breast Neoplasms/surgery , Lymph Nodes/diagnostic imaging , Lymphatic Metastasis/diagnostic imaging , Axilla , Biopsy , Breast Neoplasms/diagnostic imaging , Breast Neoplasms/pathology , Female , Humans , Intraoperative Care , Lymph Nodes/pathology , Lymphatic Metastasis/pathology , Preoperative Care , Prospective Studies , Radionuclide Imaging , Radiopharmaceuticals , Technetium Tc 99m Sulfur Colloid
14.
J Nucl Med Technol ; 27(4): 309-17, 1999 Dec.
Article in English | MEDLINE | ID: mdl-10646554

ABSTRACT

Identification of sentinel lymph nodes (SLNs) using lymphoscintigraphy, the blue dye technique and intraoperative lymphatic mapping with a gamma-detecting probe has become the standard of care in diagnosing and treating melanoma. Numerous clinical studies have proven the reliability of predicting the histology of remaining lymph nodes in the lymphatic basin from the histologic evaluation of the SLNs. Technical and clinical factors presented in this paper have been shown to increase the accuracy of localization of SLNs. The nuclear medicine technologist shares a vital role in the radiopharmaceutical preparation and administration for preoperative lymphoscintigraphy and intraoperative lymphatic mapping in patients with melanoma.


Subject(s)
Lymph Nodes/diagnostic imaging , Melanoma/surgery , Skin Neoplasms/surgery , Humans , Intraoperative Period , Lymphatic Metastasis , Melanoma/diagnostic imaging , Melanoma/secondary , Radionuclide Imaging , Radiopharmaceuticals , Rosaniline Dyes , Skin Neoplasms/pathology , Technetium Tc 99m Sulfur Colloid
16.
Int J Pharm Compd ; 3(6): 443-6, 1999.
Article in English | MEDLINE | ID: mdl-23985818
17.
Nucl Med Biol ; 25(7): 633-7, 1998 Oct.
Article in English | MEDLINE | ID: mdl-9804044

ABSTRACT

Radioimmunodetection, which takes advantage of tumor-specific or tumor-associated radio-labeled monoclonal antibodies or other biologic molecules to diagnose the extent of disease in cancer patients, has been of limited use in studies to date in patients with breast cancer. The difficulty is in finding an antibody that is both sensitive and specific enough to localize in breast tumors. This study undertook immunohistochemical and in vivo evaluation of tumor localization and biodistribution of NR-LU-10 Fab (antibody fragment) in breast tumors to determine its ability to bind selectively to malignant tissue. NR-LU-10 Fab recognizes a pancarcinoma glycoprotein antigen found on tumors of epithelial cell origin. NR-LU-10 Fab reacted with 6/6 (100%) breast cancer cell lines and 14/16 (87.5%) breast tumors with varying degrees of immunostaining intensities. Athymic mice bearing ZR-75-1 breast cancer xenografts were injected with 125I-labeled NR-LU-10 Fab (12 microg/5 microCi) and sacrificed at fixed time intervals. These studies demonstrated the highest tumor uptake of labeled Fab at 12 h postinjection (4.58+/-1.59% of injected dose/gram [% ID/g] of tissue); this gradually decreased to 0.13+/-0.05% ID/g of tissue by 72 h postinjection of the radiolabeled Fab. Biolocalization to normal tissues was as predicted for a Fab fragment; i.e., initially high in clearance organs (kidney), followed by rapid clearance over the 72-h test period. NR-LU-10 Fab displays adequate breast tumor localization with minimal biolocalization to normal tissues, thus supporting its potential use in radioimmunoscintigraphy and the RIGS system (radioimmunoguided surgery).


Subject(s)
Breast Neoplasms/chemistry , Breast Neoplasms/diagnostic imaging , Immunoglobulin Fab Fragments/metabolism , Radioimmunodetection/methods , Animals , Antibodies, Monoclonal/chemistry , Antibodies, Monoclonal/metabolism , Antibody Specificity , Breast Neoplasms/pathology , Disease Models, Animal , Female , Humans , Immunoglobulin Fab Fragments/chemistry , Immunohistochemistry , Lymphoma/chemistry , Lymphoma/diagnostic imaging , Lymphoma/pathology , Mice , Mice, Inbred BALB C , Mice, Nude , Neoplasm Transplantation , Tissue Distribution/drug effects , Tumor Cells, Cultured
18.
Cancer ; 83(4): 739-47, 1998 Aug 15.
Article in English | MEDLINE | ID: mdl-9708939

ABSTRACT

BACKGROUND: Optimum therapy for prostate carcinoma patients requires accurate staging, but computed tomography (CT) and magnetic resonance imaging (MRI) have limitations as methods for detecting soft tissue metastases. In this study, radioimmunoscintigraphy (RIS) was evaluated for its ability to identify sites of metastatic disease in lymph nodes. METHODS: RIS was evaluated in 51 prostate carcinoma patients at high risk for metastatic disease. An intravenous infusion of indium-111 capromab pendetide was given, followed by nuclear medicine imaging on two separate dates. Bilateral, open pelvic lymph node dissection was performed with additional exploration and biopsy of scan positive extraprostatic regions. Histologic evaluation of removed tissue confirmed the accuracy of RIS. In addition, results were compared with other standard methods for diagnosing patients prior to surgery. RESULTS: Nineteen patients (37%) had evidence of lymph node involvement with RIS. Fifteen of the 19 positive patients had pathologic evidence of cancer in the biopsied lymph nodes. Sensitivity, specificity, accuracy, and the positive predictive value for detection of extraprostatic disease were 75%, 86%, 81%, and 79%, respectively. CT, MRI, and ultrasound of the pelvis demonstrated a combined accuracy of only 48% in detecting lymph node disease. Twenty-five previously undetected sites were deemed positive with RIS. Fourteen of these were biopsy-proven tumor sites, seven were probable tumor sites, and four were assumed to be false-positive. CONCLUSIONS: RIS had an impact on patient management through its detection of occult disease in more than 50% of prostate carcinoma patients studied, and it provided information concerning the likelihood that lymph node metastases would be found during surgery.


Subject(s)
Antibodies, Monoclonal , Immunoconjugates , Indium Radioisotopes , Prostatic Neoplasms/diagnostic imaging , Humans , Magnetic Resonance Imaging , Male , Neoplasm Staging , Prostatic Neoplasms/pathology , Prostatic Neoplasms/surgery , Radioimmunodetection , Reproducibility of Results , Risk Factors , Sensitivity and Specificity , Tomography, X-Ray Computed
20.
J Nucl Med ; 39(4): 650-2, 1998 Apr.
Article in English | MEDLINE | ID: mdl-9544673

ABSTRACT

To provide appropriate therapy for prostate cancer, accurate staging of the patient's disease is essential. Determination of tumor size, location, periprostatic extension and metastatic disease in the skeleton and soft tissue are needed to stage properly. Current diagnostic modalities may lead to understaging in 40%-70% of prostate cancer. Detection of metastatic disease, both at the time of initial diagnosis and in patients with suspected local recurrence, can significantly alter the type of therapy given. Clinical studies using the (111)In radiolabeled immunoconjugate, MAb 7E11-C5.3-GYK-DTPA (capromab pendetide), have shown the superiority of radioimmunoscintigraphy over other diagnostic modalities in the detection of both primary and metastatic prostate cancer. Radioimmunoscintigraphy with capromab pendetide depends on expression of tumor-associated antigen rather than lesion size. Earlier detection of extraprostatic invasion and metastases by means of radioimmunoscintigraphy provides valuable information for treatment decisions. A case of metastatic prostate cancer in the abdomen of a patient without local disease, in which the extent of disease was confirmed at autopsy after sudden cardiac arrest, is presented.


Subject(s)
Abdominal Neoplasms/diagnostic imaging , Abdominal Neoplasms/secondary , Adenocarcinoma/diagnostic imaging , Adenocarcinoma/secondary , Antibodies, Monoclonal , Indium Radioisotopes , Prostatic Neoplasms/pathology , Adenocarcinoma/diagnosis , Humans , Lymphatic Metastasis/diagnostic imaging , Male , Middle Aged , Prostate-Specific Antigen/analysis , Prostatic Neoplasms/diagnosis , Radioimmunodetection , Tomography, Emission-Computed, Single-Photon
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