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Research ArticleBasic Science Investigations

Tumor Uptake of Anti-CD20 Fabs Depends on Tumor Perfusion

Claudia Theresa Mendler, Annette Feuchtinger, Irina Heid, Michaela Aichler, Calogero D’Alessandria, Sabine Pirsig, Birgit Blechert, Hans-Jürgen Wester, Rickmer Braren, Axel Walch, Arne Skerra and Markus Schwaiger
Journal of Nuclear Medicine December 2016, 57 (12) 1971-1977; DOI: https://doi.org/10.2967/jnumed.116.176784
Claudia Theresa Mendler
1Nuklearmedizinische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, München, Germany
2Munich Center for Integrated Protein Science (CIPS-M) and Lehrstuhl für Biologische Chemie, Technische Universität München, Freising (Weihenstephan), Germany
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Annette Feuchtinger
3Research Unit Analytical Pathology, Institute of Pathology, Helmholtz Zentrum München, Neuherberg, Germany
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Irina Heid
4Institute of Radiology, Klinikum rechts der Isar, Technische Universität München, München, Germany; and
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Michaela Aichler
3Research Unit Analytical Pathology, Institute of Pathology, Helmholtz Zentrum München, Neuherberg, Germany
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Calogero D’Alessandria
1Nuklearmedizinische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, München, Germany
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Sabine Pirsig
1Nuklearmedizinische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, München, Germany
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Birgit Blechert
1Nuklearmedizinische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, München, Germany
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Hans-Jürgen Wester
5Pharmaceutical Radiochemistry, Technische Universität München, Garching, Germany
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Rickmer Braren
4Institute of Radiology, Klinikum rechts der Isar, Technische Universität München, München, Germany; and
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Axel Walch
3Research Unit Analytical Pathology, Institute of Pathology, Helmholtz Zentrum München, Neuherberg, Germany
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Arne Skerra
2Munich Center for Integrated Protein Science (CIPS-M) and Lehrstuhl für Biologische Chemie, Technische Universität München, Freising (Weihenstephan), Germany
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Markus Schwaiger
1Nuklearmedizinische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, München, Germany
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  • FIGURE 1.
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    FIGURE 1.

    Autoradiography and biodistribution studies on Granta-519 and SUDHL-4 tumors. (A) Autoradiography of tumor sections from immunocompromised mice was performed 24 h after injection of 125I-Fab-ABD or 125I-Fab-PAS200 or 1 h after injection of 18F-FDG. (B and C) Biodistribution studies of Fab-ABD and Fab-PAS200 labeled with 125I were conducted 24 h after injection. Tumor-to-organ ratios are plotted for both αCD20 Fabs (mean ± SD; n = 5). (D) No strong correlation between tumor uptake and tumor weight is found for SUDHL-4 tumors 24 h after injection, irrespective of the Fab radiotracer used (Pearson coefficient of −0.32 for Fab-PAS200 and −0.36 for Fab-ABD).

  • FIGURE 2.
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    FIGURE 2.

    Histologic and immunohistochemical characterization of Granta-519 and SUDHL-4 tumors. (A) Explanted tumors were stained with hematoxylin and eosin (H&E) or immunostained for the target antigen CD20, apoptosis marker caspase 3 (Casp3), proliferation marker Mib1, or endothelial vessel marker CD31 (scale bar, 50 μm). (B) Example is shown of H&E-stained SUDHL-4 tumor comprising an area of 6 × 10 mm. (C) Quantification of Mib1 staining reveals significantly stronger proliferation for Granta-519 tumors than for SUDHL-4 tumors (P = 0.01). (D) Quantification of vessel area (n = 5) reveals significantly higher values for Granta-519 tumors than for SUDHL-4 tumors (P < 0.01).

  • FIGURE 3.
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    FIGURE 3.

    Visualization of vessels and αCD20 Cy5-Fab-PAS200 distribution in Granta-519 and SUDHL-4 tumors. Both xenograft models were stained in vivo with fluorescence-labeled αCD20 Fab-PAS200 (24 h before sacrifice) and fluorescence-labeled B. (G.) simplicifolia-isolectin 1 for vessels (5 min before sacrifice) and imaged by light-sheet fluorescence microscopy. (A) Both xenograft models show extensive vascularization (red) throughout. Heterogeneous penetration and distribution of labeled Fab-PAS200 (green) is observed across entire Granta-519 tumor, whereas for the SUDHL-4 tumor nearly no Fab-PAS200 outside vessels is detected. Heat map visualization confirms this different distribution pattern of Granta-519 and SUDHL-4 tumors (scale bar, 1,500 μm). (B) Different localization of labeled Fab-PAS200 (green) in relation to lectin-labeled vessels (red) is clearly visible in magnified images of the maximum-intensity projection of 25 virtual single optical slices. Granta-519 tumor shows perivascular distribution of Fab-PAS200, whereas SUDHL-4 tumor shows confinement of Fab-PAS200 to intravascular space (arrows).

  • FIGURE 4.
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    FIGURE 4.

    DCE MRI perfusion study of NHL xenograft models. (A) T2-weighted anatomic images are shown of an example Granta-519 tumor and an example SUDHL-4 tumor and their corresponding gadolinium-DTPA T1-weighted maps with color scale. (B) Gadolinium-concentration curves show higher wash-in pattern in individual Granta-519 tumors than in SUDHL-4 tumors despite considerable interindividual variation.

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    FIGURE 5.

    H33342 perfusion and penetration in Granta-519 and SUDHL-4 tumors. (A) Perfusion dye H33342 was injected 24 h after radioiodinated Fab-ABD or Fab-PAS200 and 1 min before mice were sacrificed. Afterward, CD20 (green) and CD31 (red) were detected in tumor cryosections using immunofluorescence. H33342 perfusion of 3 different SUDHL-4 and Granta-519 tumors is represented in blue. (B) Autoradiography and corresponding H33342 intensity is shown for an example SUDHL-4 tumor. (C) Mean H33342 penetration into tissue was quantified using distance maps based on CD31-positive vessels, with distance of zero equivalent to vessel lumen. H33342 intensity was normalized with regard to first distance value (25 μm) after vessel. 2F2 = CD20-specific Fab, derived from ofatumumab.

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Journal of Nuclear Medicine: 57 (12)
Journal of Nuclear Medicine
Vol. 57, Issue 12
December 1, 2016
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Tumor Uptake of Anti-CD20 Fabs Depends on Tumor Perfusion
Claudia Theresa Mendler, Annette Feuchtinger, Irina Heid, Michaela Aichler, Calogero D’Alessandria, Sabine Pirsig, Birgit Blechert, Hans-Jürgen Wester, Rickmer Braren, Axel Walch, Arne Skerra, Markus Schwaiger
Journal of Nuclear Medicine Dec 2016, 57 (12) 1971-1977; DOI: 10.2967/jnumed.116.176784

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Tumor Uptake of Anti-CD20 Fabs Depends on Tumor Perfusion
Claudia Theresa Mendler, Annette Feuchtinger, Irina Heid, Michaela Aichler, Calogero D’Alessandria, Sabine Pirsig, Birgit Blechert, Hans-Jürgen Wester, Rickmer Braren, Axel Walch, Arne Skerra, Markus Schwaiger
Journal of Nuclear Medicine Dec 2016, 57 (12) 1971-1977; DOI: 10.2967/jnumed.116.176784
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Keywords

  • 3D light-sheet fluorescence microscopy
  • DCE MRI
  • Fab fragment
  • lymphoma
  • tumor perfusion
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