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Research ArticleBasic Science Investigations

Optical In Vivo Imaging of the Alarmin S100A9 in Tumor Lesions Allows for Estimation of the Individual Malignant Potential by Evaluation of Tumor–Host Cell Interaction

Anne Becker, Nils Große Hokamp, Stefanie Zenker, Fabian Flores-Borja, Katarzyna Barzcyk, Georg Varga, Johannes Roth, Christiane Geyer, Walter Heindel, Christoph Bremer, Thomas Vogl and Michel Eisenblaetter
Journal of Nuclear Medicine March 2015, 56 (3) 450-456; DOI: https://doi.org/10.2967/jnumed.114.146688
Anne Becker
1Department of Clinical Radiology, University Hospital Münster, Münster, Germany
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Nils Große Hokamp
1Department of Clinical Radiology, University Hospital Münster, Münster, Germany
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Stefanie Zenker
2Institute of Immunology, University Hospital Münster, Münster, Germany
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Fabian Flores-Borja
3Richard Dimbleby Department of Cancer Research, King’s College London, London, United Kingdom
4Breakthrough Breastcancer Unit, Guy’s and St. Thomas’ NHS Hospital Trust, London, United Kingdom
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Katarzyna Barzcyk
2Institute of Immunology, University Hospital Münster, Münster, Germany
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Georg Varga
5Department of Paediatric Rheumatology and Immunology, University Hospital Münster, Münster, Germany
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Johannes Roth
2Institute of Immunology, University Hospital Münster, Münster, Germany
6Interdisciplinary Center for Clinical Research, Münster University, Münster, Germany
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Christiane Geyer
1Department of Clinical Radiology, University Hospital Münster, Münster, Germany
6Interdisciplinary Center for Clinical Research, Münster University, Münster, Germany
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Walter Heindel
1Department of Clinical Radiology, University Hospital Münster, Münster, Germany
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Christoph Bremer
6Interdisciplinary Center for Clinical Research, Münster University, Münster, Germany
7Department of Radiology, St. Franziskus Hospital GmbH Münster, Münster, Germany; and
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Thomas Vogl
2Institute of Immunology, University Hospital Münster, Münster, Germany
6Interdisciplinary Center for Clinical Research, Münster University, Münster, Germany
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Michel Eisenblaetter
1Department of Clinical Radiology, University Hospital Münster, Münster, Germany
3Richard Dimbleby Department of Cancer Research, King’s College London, London, United Kingdom
8Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom
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  • FIGURE 1.
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    FIGURE 1.

    (A and B) S100A9 imaging specifically identifies tumor-associated immune cells. aS100A9-Cy5.5 injection in 4T1 tumor–bearing wild-type (wt) animals results in significantly higher specific fluorescence than unspecific rabIgG-Cy5.5 or injection of specific aS100A9-Cy5.5 in S100A9−/− knock-out mice. (C) FMT after parallel injection of rabIgG-Cy7 and aS100A9-Cy5.5 showed homogeneous distribution of rabIgG-Cy7 in tumor region, reflecting perfusion, whereas aS100A9-Cy5.5 accumulated in delineated regions only. (D) Histology confirmed S100A9+ cells (red) in corresponding, peripheral areas of tumor (left) with F4/80+ TAM detectable within clusters of S100A8/A9+ active monocytes (right).

  • FIGURE 2.
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    FIGURE 2.

    Correlation between tumor growth and S100A9 fluorescence intensity. S100A9 imaging at early time points during tumor development (lesion size < 5 mm; A) shows only low fluorescence signals in animals with subsequently only moderate tumor growth (left). Ex vivo, only few S100A9+ cells (red/brown) could be found in tumor specimens of these animals (B, left). High initial S100A9 signal (A, right) predicted more rapid tumor growth and reflected pronounced infiltration of tumor by S100A9+ cells (B, right). Developmental variation among 4T1 tumor lesions could be predicted by S100A9 imaging, correlating relative growth rate over 10 d, after imaging (C; r2 = 0.86; P < 0.0001; n = 11).

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    FIGURE 3.

    S100A9 imaging reflects metastatic capability. S100A9 in vivo imaging reveals significant differences between tumor entities of different metastatic capabilities (exemplary images in A; corresponding S100A9 histology; data in C). In vivo signal in 67NR tumors was visible only after threshold was reduced (insert). Ex vivo analysis of cellular tumor infiltrate revealed CD11b+ S100A9+ cells in all 3 tumors in amounts, confirming in vivo imaging results (B and D). Individual isotype controls and resulting gating are elaborated in Supplemental Figure 2.

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    FIGURE 4.

    (A) tMDSC promote tumor growth. Splenic monocytes (1 × 106) from either tumor-bearing (tMDSC) or healthy animals (IMC) were injected intravenously into mice, inoculated with 4T1 (scheme in Supplemental Fig. 3). Accelerated growth resulted in relatively increased tumor size (% of size compared with d1) in tMDSC-treated animals. (B) S100A9-specific imaging revealed significantly higher immune cell activity in tMDSC-treated tumors as compared with controls. (C) Immunohistochemistry for S100A9 confirmed increased infiltration of S100A9+ cells into tMDSC-treated tumors as compared with IMC-treated controls.

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    TABLE 1

    Summary of In Vivo Imaging Experiments

    ExperimentMouse strainTumor typenTracerPurposeFig.
    IBALB/c wt4T1281, 2Proof of principle1
    IIS100A9−/−4T151Proof of specificity1
    IIIBALB/c wt4T161, 3Parallel injection (tracer 2 labeled with Cy7)1
    IVBALB/c wt4T1111Correlation signal/growth2
    VBALB/c wt4T1; 67NR, 168FAR321Correlation signal/malignancy3
    VIBALB/c wt4T1201Cell transfer4
    • wt = wild-type; 1 = tracer aS100A9-Cy5.5; 2 = tracer rabIgG-Cy5.5; 3 = tracer rabIgG-Cy7.

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    TABLE 2

    Characteristics of Murine Breast Cancer Cells

    Characteristic4T1168FAR67NR
    Shed cells+++—
    Invasion+——
    Regional lymph node—+—
    Solid metastasis++——
    • ++ = very strong; + = detectable; — = not detectable.

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    TABLE 3

    ELISA Results

    TC supernatantTC cell lysatesResected tumor lysates
    Parameter4T1168FAR67NR4T1168FAR67NR4T1168FAR67NR
    S100A8/A9 (ng/mL)00000086,8974,6651,927
    SDNot applicableNot applicableNot applicableNot applicableNot applicableNot applicable50,0443,5131,348

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Journal of Nuclear Medicine: 56 (3)
Journal of Nuclear Medicine
Vol. 56, Issue 3
March 1, 2015
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Optical In Vivo Imaging of the Alarmin S100A9 in Tumor Lesions Allows for Estimation of the Individual Malignant Potential by Evaluation of Tumor–Host Cell Interaction
Anne Becker, Nils Große Hokamp, Stefanie Zenker, Fabian Flores-Borja, Katarzyna Barzcyk, Georg Varga, Johannes Roth, Christiane Geyer, Walter Heindel, Christoph Bremer, Thomas Vogl, Michel Eisenblaetter
Journal of Nuclear Medicine Mar 2015, 56 (3) 450-456; DOI: 10.2967/jnumed.114.146688

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Optical In Vivo Imaging of the Alarmin S100A9 in Tumor Lesions Allows for Estimation of the Individual Malignant Potential by Evaluation of Tumor–Host Cell Interaction
Anne Becker, Nils Große Hokamp, Stefanie Zenker, Fabian Flores-Borja, Katarzyna Barzcyk, Georg Varga, Johannes Roth, Christiane Geyer, Walter Heindel, Christoph Bremer, Thomas Vogl, Michel Eisenblaetter
Journal of Nuclear Medicine Mar 2015, 56 (3) 450-456; DOI: 10.2967/jnumed.114.146688
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Keywords

  • optical imaging
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