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Research ArticleBasic Science Investigations

The Role of p53 in Combination Radioimmunotherapy with 64Cu-DOTA-Cetuximab and Cisplatin in a Mouse Model of Colorectal Cancer

Yunjun Guo, Jesse J. Parry, Richard Laforest, Buck E. Rogers and Carolyn J. Anderson
Journal of Nuclear Medicine September 2013, 54 (9) 1621-1629; DOI: https://doi.org/10.2967/jnumed.112.118539
Yunjun Guo
1Mallinckrodt Institute of Radiology, Washington University, St. Louis, Missouri
2Department of Chemistry, Washington University, St. Louis, Missouri
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Jesse J. Parry
3Department of Radiation Oncology, Washington University, St. Louis, Missouri
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Richard Laforest
1Mallinckrodt Institute of Radiology, Washington University, St. Louis, Missouri
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Buck E. Rogers
3Department of Radiation Oncology, Washington University, St. Louis, Missouri
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Carolyn J. Anderson
1Mallinckrodt Institute of Radiology, Washington University, St. Louis, Missouri
2Department of Chemistry, Washington University, St. Louis, Missouri
4Department of Biochemistry and Molecular Physics, Washington University, St. Louis, Missouri; and
5Department of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania
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  • FIGURE 1.
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    FIGURE 1.

    Effect of cisplatin on nuclear uptake of 64Cu in p53 wild-type and null HCT116 cell lines. HCT116 cells were incubated with or without 40 μM cisplatin before incubation with 64Cu-acetate (A) or 64Cu-DOTA-cetuximab (B) for another 20 h. (C) Expression level of p53 in HCT116 cells cultured with 64Cu-DOTA-cetuximab, either with or without prior incubation with cisplatin, was detected by Western blot. Amount of p53 detected in both whole cells and pure nuclei are shown.

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    FIGURE 2.

    (A) Biodistribution of 64Cu-DOTA-cetuximab in HCT116 +/+ tumor–bearing nude mice. Data are presented as percentage injected dose per gram (%ID/g) ± SD (n = 5 for each time point). (B) One milligram of unlabeled cetuximab was injected to each mouse 24 h before administration of radiotracer to block specific uptake of 64Cu-DOTA-cetuximab (P < 0.001). (C) Mice bilaterally implanted with both HCT116 +/+ and HCT116 −/− tumors showed tumor uptake to be similar (P = 0.07 at 24 h after injection, P = 0.8 at 72 h after injection).

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    FIGURE 3.

    (A) Small-animal PET/CT projection images of HCT116 +/+ tumor–bearing nude mice at 24, 48, and 72 h after injection of 64Cu-DOTA-cetuximab, with or without 24 h preinjection of excess amount of unlabeled cetuximab. (B) Small-animal PET/CT projection images of HCT116 +/+ tumor–bearing nude mice at 24, 48, and 72 h after injection of 64Cu-DOTA-cetuximab, with or without 24 h preinjection of cisplatin (5 mg/kg). (C) SUVs were determined from quantifying activity in regions of interest from PET images of HCT116 +/+ tumor–bearing nude mice.

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    FIGURE 4.

    Radioimmunotherapy experiments in HCT116 +/+ (A) and HCT116 −/− (B) tumor–bearing nude mice. Comparison of average tumor growth in treated and control groups was shown. Tumor growth in individual mice of treated and control group was included in supplemental figures. Dash arrows = days when cisplatin was given; solid arrows = days when radioimmunotherapy was given.

  • FIGURE 5.
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    FIGURE 5.

    Effect of p53 status in p53 wild-type (A) and p53-null (B) tumors on survival of HCT116 tumor–bearing nude mice in treated and control groups. Estimated survival distribution function was generated using Kaplan–Meier time-to-death analysis. Median survivals of all treated and control groups with HCT116 +/+ and HCT116 −/− tumors are summarized in C. ***P < 0.001 vs. radioimmunotherapy group. **P < 0.01 vs. radioimmunotherapy group. RIT = radioimmunotherapy.

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    TABLE 1

    Treatment Groups for HCT116 +/+ and HCT116 −/− Tumor–Bearing Mice

    GroupInjection
    1Intraperitoneal: 150 μL of saline
    2Intraperitoneal: cisplatin (5 mg/kg) in 150 μL of saline
    3Intravenous: 22.2 MBq (600 μCi) of 64Cu-DOTA-cetuximab in 150 μL of saline
    4Intraperitoneal: cisplatin (5 mg/kg ) in 150 μL of saline, followed by intravenous injection of 22.2 MBq (600 μCi) of 64Cu-DOTA-cetuximab in 150 μL of saline after 24 h
    5Intravenous: 50 μg of cetuximab in 150 μL of saline
    6Intraperitoneal: cisplatin (5 mg/kg) in 150 μL of saline, followed by intravenous injection of 50 μg of cetuximab in 150 μL of saline after 24 h
    7Intravenous: 22.2 MBq (600 μCi) of 64Cu-IgG in 150 μL of saline
    • Mice received 2 treatments 1 wk apart for each group.

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    TABLE 2

    Human Absorbed Dose Estimates Determined by Mouse Biodistribution Data

    Dose
    OrganmGy/MBqrad/mCi
    Lower large intestine wall0.140.525
    Small intestine0.0300.111
    Stomach wall0.0440.163
    Upper large intestine wall0.0830.308
    Kidneys0.0430.160
    Liver0.120.434
    Lungs0.0280.103
    Pancreas0.0300.111
    Red marrow0.0460.171
    Spleen0.0660.244
    Osteogenic cells0.110.414
    Heart wall0.0850.315
    Urinary bladder wall0.0260.096
    Total body0.0320.118
    • Effective dose was 0.050 mSv/MBq (0.183 [rem/mCi]).

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Journal of Nuclear Medicine: 54 (9)
Journal of Nuclear Medicine
Vol. 54, Issue 9
September 1, 2013
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The Role of p53 in Combination Radioimmunotherapy with 64Cu-DOTA-Cetuximab and Cisplatin in a Mouse Model of Colorectal Cancer
Yunjun Guo, Jesse J. Parry, Richard Laforest, Buck E. Rogers, Carolyn J. Anderson
Journal of Nuclear Medicine Sep 2013, 54 (9) 1621-1629; DOI: 10.2967/jnumed.112.118539

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The Role of p53 in Combination Radioimmunotherapy with 64Cu-DOTA-Cetuximab and Cisplatin in a Mouse Model of Colorectal Cancer
Yunjun Guo, Jesse J. Parry, Richard Laforest, Buck E. Rogers, Carolyn J. Anderson
Journal of Nuclear Medicine Sep 2013, 54 (9) 1621-1629; DOI: 10.2967/jnumed.112.118539
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