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OtherBASIC SCIENCE INVESTIGATIONS

177Lu-AMBA Biodistribution, Radiotherapeutic Efficacy, Imaging, and Autoradiography in Prostate Cancer Models with Low GRP-R Expression

Mary Ellen Maddalena, Jaclyn Fox, Jianqing Chen, Weiwei Feng, Aldo Cagnolini, Karen E. Linder, Michael F. Tweedle, Adrian D. Nunn and Laura E. Lantry
Journal of Nuclear Medicine December 2009, 50 (12) 2017-2024; DOI: https://doi.org/10.2967/jnumed.109.064444
Mary Ellen Maddalena
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Jaclyn Fox
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Jianqing Chen
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Weiwei Feng
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Aldo Cagnolini
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Karen E. Linder
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Michael F. Tweedle
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Adrian D. Nunn
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Laura E. Lantry
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  • FIGURE 1. 
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    FIGURE 1. 

    Kaplan–Meier survival curve of control vs. 177Lu-AMBA-treated mice bearing LNCaP or DU145 xenografts. Each radiotherapy study consisted of control group that received vehicle alone and treated group that received 177Lu-AMBA (27.75 MBq). Within each tumor type, there was no significant difference in fractional survival between control and treated groups. Control LNCaP mice vs. treated LNCaP mice: P = 0.529; control DU145 mice vs. treated DU145 mice: P = 0.484 (log-rank test).

  • FIGURE 2. 
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    FIGURE 2. 

    Photographs of LNCaP ecchymosis. (A) Control mouse on study day 22. (B) 177Lu-AMBA–treated mouse on study day 28. (C) LNCaP xenograft shows reduced ecchymosis when compared with control. Mice treated with 177Lu-AMBA (27.75 MBq) had significant reduction in observable ecchymosis (P = 0.0056, log-rank test). Observations were made 3 times per week for duration of study.

  • FIGURE 3. 
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    FIGURE 3. 

    Representative autoradiographs (left) and H&E staining (right) of imaged PC-3 (row A) and LNCaP (row B) xenografts. PC-3 tumor sections were exposed to film for 6 h, LNCaP sections for 24 h.

  • FIGURE 4. 
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    FIGURE 4. 

    Representative histomicrographs of LNCaP from control mice and 177Lu-AMBA-treated mice. Control LNCaP tumors (A) show greater population of amorphous VEGFR-2 (red) immunofluorescent staining vessels than do treated LNCaP tumors (B). Treated tumors show increase of CD31-positive (green) organized vessels. Areas of overlapping VEGFR-2 and CD31 immunoreactivity are present (yellow) in both specimens. (×10)

  • FIGURE 5. 
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    FIGURE 5. 

    Representative histomicrographs show that relative area of blood pooling in LNCaP tumors was higher in control LNCaP tumors (A) than in treated tumors (B). (×40)

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    TABLE 1

    In Vitro Internalization and Efflux of Radiolabeled GRP-R Binding Peptide 177Lu-AMBA in DU145, LNCaP, and PC-3 Cells

    Cell lineInternalized 2 h (% ± SD)Membrane-bound 2 h (% ± SD)Efflux 2 h (% ± SD)
    DU145 (n = 5)63.9 ± 6.916.4 ± 3.414.21 ± 6.9
    LNCaP (n = 5)47.9 ± 5.319.6 ± 3.331.38 ± 6.9
    PC-3 (n = 3)74.7 ± 15.315.3 ± 2.32.89 ± 1.8
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    TABLE 2

    Biodistribution of 177Lu-AMBA (0.185 MBq) in LNCaP, DU145, and PC-3 Tumor–Bearing Mice

    1 h after dose24 h after dose
    OrganLNCaP (n = 6)DU145 (n = 8)PC-3* (n = 9)LNCaP (n = 6)DU145 n = 8)PC-3* (n = 9)
    Tumor (%ID/g)1.52 ± 0.940.95 ± 0.236.35 ± 2.230.83 ± 0.180.52 ± 0.223.39 ± 0.85
    Blood (%ID/g)0.16 ± 0.080.20 ± 0.060.46 ± 0.200.01 ± 0.010.01 ± 0.010.03 ± 0.02
    Liver (%ID/organ)0.21 ± 0.090.24 ± 0.100.25 ± 0.080.07 ± 0.030.08 ± 0.030.21 ± 0.36
    Kidneys (%ID/organ)2.84 ± 0.074.21 ± 1.802.95 ± 0.791.09 ± 0.140.92 ± 0.170.91 ± 0.25
    Pancreas (%ID/organ)14.65 ± 3.0717.14 ± 2.5417.78 ± 4.0711.86 ± 2.8312.41 ± 2.0512.28 ± 3.50
    Gastrointestinal (%ID/organ)15.19 ± 2.6210.91 ± 1.4511.22 ± 3.297.21 ± 0.485.17 ± 0.865.77 ± 1.79
    Skin (%ID/g)0.30 ± 0.120.46 ± 0.270.33 ± 0.130.08 ± 0.020.07 ± 0.020.10 ± 0.02
    Muscle (%ID/g)0.08 ± 0.040.10 ± 0.030.09 ± 0.020.02 ± 00.01 ± 0.010.03 ± 0.02
    Bladder/urine (%ID/organ)62.00 ± 2.0044.3 ± 10.3855.66 ± 7.28NANANA
    • ↵* Data presented are from Lantry et al. (11).

    • NA = not applicable.

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    TABLE 3

    Tumor Mean Time to Progression After 177Lu-AMBA Treatment (27.75 MBq) in LNCaP and DU145 Tumor–Bearing Mice, Compared with PC-3 Historic Data

    GroupMean time to progression (d)
    LNCaP control14
    LNCaP + 177Lu-AMBA28
    DU145 control7
    DU145 + 177Lu-AMBA11
    PC-3 control*19
    PC-3 + 177Lu-AMBA*37
    • ↵* Data presented are from Lantry et al (11).

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    TABLE 4

    Modified WHO 2-Dimensional Criteria as Applied to DU145, LNCaP, and PC-3 Radiotherapies

    PC-3* (120 d)LNCaP (60 d)DU145 (60 d)
    ClassificationControlTreatedControlTreatedControlTreated
    Progressive disease100%22%91%42%92%42%
    Stable disease03%0000
    Partial response044%9%8%8%58%
    Complete response031%050%00
    • ↵* Data presented are from Lantry et al. (11).

    • View popup
    TABLE 5

    Analysis of 177Lu-AMBA Tumor Uptake Calculated from Planar γ-Camera Acquisition

    Cell lineAverage tumor weight (g)ROI %ID%ID/g
    PC-3 (n = 5)0.28 ± 0.070.92 ± 0.312.70 ± 0.90
    LNCaP (n = 3)0.27 ± 0.090.15 ± 0.090.26 ± 0.13
    DU145 (n = 2)0.33 ± 0.030.16 ± 0.030.17 ± 0.04
    • Mice bearing PC-3, LNCaP, or DU145 tumors received intravenous injection of 177Lu-AMBA (27.75 MBq). After 24-h residence, mice were anesthetized and planar images were acquired. Tumor ROI were analyzed for 177Lu activity. Tumors were then excised, weighed, and counted. ROI = region of interest.

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Journal of Nuclear Medicine: 50 (12)
Journal of Nuclear Medicine
Vol. 50, Issue 12
December 2009
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177Lu-AMBA Biodistribution, Radiotherapeutic Efficacy, Imaging, and Autoradiography in Prostate Cancer Models with Low GRP-R Expression
Mary Ellen Maddalena, Jaclyn Fox, Jianqing Chen, Weiwei Feng, Aldo Cagnolini, Karen E. Linder, Michael F. Tweedle, Adrian D. Nunn, Laura E. Lantry
Journal of Nuclear Medicine Dec 2009, 50 (12) 2017-2024; DOI: 10.2967/jnumed.109.064444

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177Lu-AMBA Biodistribution, Radiotherapeutic Efficacy, Imaging, and Autoradiography in Prostate Cancer Models with Low GRP-R Expression
Mary Ellen Maddalena, Jaclyn Fox, Jianqing Chen, Weiwei Feng, Aldo Cagnolini, Karen E. Linder, Michael F. Tweedle, Adrian D. Nunn, Laura E. Lantry
Journal of Nuclear Medicine Dec 2009, 50 (12) 2017-2024; DOI: 10.2967/jnumed.109.064444
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