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Research ArticleFEATURED ARTICLE OF THE MONTH
Open Access

MHC-I–Driven Antitumor Immunity Counterbalances Low Absorbed Doses of Radiopharmaceutical Therapy

Julie Constanzo, Aliasghar Parach, Timothee David, Joshua Karam, Frank Bruchertseifer, Alfred Morgenstern, Marta Jarlier, Manuel Bardiès, Emmanuel Deshayes, Amelie Gudin-de-Vallerin, Florence Boissière-Michot, Evelyne Lopez-Crapez and Jean-Pierre Pouget
Journal of Nuclear Medicine May 2025, 66 (5) 785-792; DOI: https://doi.org/10.2967/jnumed.124.268857
Julie Constanzo
1Institut de Recherche en Cancérologie de Montpellier (IRCM), INSERM U1194, Université de Montpellier, Nuclear Medicine Department, Institut régional du Cancer de Montpellier (ICM), Montpellier, France, and Équipe Labellisée Ligue Contre le Cancer, Paris, France;
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Aliasghar Parach
1Institut de Recherche en Cancérologie de Montpellier (IRCM), INSERM U1194, Université de Montpellier, Nuclear Medicine Department, Institut régional du Cancer de Montpellier (ICM), Montpellier, France, and Équipe Labellisée Ligue Contre le Cancer, Paris, France;
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Timothee David
1Institut de Recherche en Cancérologie de Montpellier (IRCM), INSERM U1194, Université de Montpellier, Nuclear Medicine Department, Institut régional du Cancer de Montpellier (ICM), Montpellier, France, and Équipe Labellisée Ligue Contre le Cancer, Paris, France;
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Joshua Karam
1Institut de Recherche en Cancérologie de Montpellier (IRCM), INSERM U1194, Université de Montpellier, Nuclear Medicine Department, Institut régional du Cancer de Montpellier (ICM), Montpellier, France, and Équipe Labellisée Ligue Contre le Cancer, Paris, France;
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Frank Bruchertseifer
2Joint Research Centre, European Commission, Karlsruhe, Germany;
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Alfred Morgenstern
2Joint Research Centre, European Commission, Karlsruhe, Germany;
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Marta Jarlier
3Biometrics Unit, Institut Régional du Cancer Montpellier, Montpellier, France; and
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Manuel Bardiès
1Institut de Recherche en Cancérologie de Montpellier (IRCM), INSERM U1194, Université de Montpellier, Nuclear Medicine Department, Institut régional du Cancer de Montpellier (ICM), Montpellier, France, and Équipe Labellisée Ligue Contre le Cancer, Paris, France;
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Emmanuel Deshayes
1Institut de Recherche en Cancérologie de Montpellier (IRCM), INSERM U1194, Université de Montpellier, Nuclear Medicine Department, Institut régional du Cancer de Montpellier (ICM), Montpellier, France, and Équipe Labellisée Ligue Contre le Cancer, Paris, France;
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Amelie Gudin-de-Vallerin
4Translational Research Unit, Institut Régional du Cancer Montpellier, Montpellier, France
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Florence Boissière-Michot
4Translational Research Unit, Institut Régional du Cancer Montpellier, Montpellier, France
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Evelyne Lopez-Crapez
4Translational Research Unit, Institut Régional du Cancer Montpellier, Montpellier, France
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Jean-Pierre Pouget
1Institut de Recherche en Cancérologie de Montpellier (IRCM), INSERM U1194, Université de Montpellier, Nuclear Medicine Department, Institut régional du Cancer de Montpellier (ICM), Montpellier, France, and Équipe Labellisée Ligue Contre le Cancer, Paris, France;
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  • FIGURE 1.
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    FIGURE 1.

    Cell line characterization. (A) Flow cytometry analysis of MHC-I (anti–H-2Kb antibody) and TYRP-1/gp75 (TA99 antibody) expression in B16F10 and B16K1 melanoma cells. (B) Radiation sensitivity of 2 cell lines. FITC = fluorescein isothiocyanate.

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    FIGURE 2.

    In vivo therapeutic efficacy of [225Ac]Ac-DOTA-TA99 mAb (9.25 and 18.5 kBq) in B16F10 cell–bearing C57BL/6J mice (A and B) and athymic and nude mice (C and D). Results are mean ± SEM. *P < 0.05, **P < 0.01, based on log-rank test. NaCl = sodium chloride.

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    FIGURE 3.

    In vivo therapeutic efficacy of [225Ac]Ac-DOTA-TA99 mAb in B16K1 cell–bearing C57BL/6J mice (A and B) and athymic and nude mice (C and D). Results are mean ± SEM. *P < 0.05, **P < 0.01, based on log-rank test. NaCl = sodium chloride.

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    FIGURE 4.

    Toxicity of [225Ac]Ac-DOTA-TA99 mAb in immunocompetent mice bearing B16K1 melanoma cell grafts. (A) White blood cell count. (B) Weight measurement in mice after RPT. Results are mean ± SEM. *P < 0.05. **P < 0.01. ***P = 0.0005. NaCl = sodium chloride.

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    FIGURE 5.

    Biodistribution and dosimetry. (A) Biodistribution of [111In]In-DTPA-TA99 mAb was determined by ex vivo γ-radiation counting of tumor nodules and organs collected at various times (n = 3–4 per time point) after intraperitoneal injection in mice harboring B16F10 and B16K1 tumors (left), with corresponding digital autoradiography images of tumors (delineated by circles) at 48 h after injection (right). (B) Absorbed dose in Gy/kBq was determined for each organ (left), and tumor absorbed dose for [225Ac]Ac-DOTA-TA99 (9.25 kBq) was assessed, with SD (right). Histograms are mean ± SEM. *P < 0.05, based on 2-tailed parametric unpaired t test. **P < 0.01, based on 2-tailed parametric unpaired t test. %IA/g = percentage injected activity per gram of tissue.

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    FIGURE 6.

    Modulation of MHC-I (H-2Kb) expression on EBRT and RPT. Results are mean ± SD. ****P < 0.0001, based on 2-tailed parametric unpaired t test. IFN-γ is positive control. gMFI = geometric mean fluorescence intensity; NT = not treated.

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    FIGURE 7.

    MHC-I expression and CD8+ T-cell density in thyroid carcinoma and neuroendocrine tumor samples. Variable patterns of MHC-I immunoreactivity and CD8+ T-cell density are seen. In both tumor types, low MHC-I expression level (patients 1 and 8) was associated with low CD8+ T-cell density (arrows), whereas high MHC-I expression level (patients 2 and 9) was associated with higher CD8 + T-cell density. Scale bars are 50 µm.

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    TABLE 1.

    Characteristics of Patients and Tumors

    Patient no.SexAge at surgery (y)Histologic typeLocalizationGradeStageMHC-I Q scoreCD8+ T-cell infiltrate
    1M72Papillary carcinoma, classic subtypeThyroidNApT2NxM+x10+
    2M65Papillary carcinoma, vesicular variant subtypeThyroidNApT4aN1bM+x200+++
    3M53Papillary carcinoma, classic subtypeThyroidNApT3bN+0M0x170++
    4F48Papillary carcinoma, classic subtypeThyroidNApT1bN1bM0x190++
    5F53Papillary carcinoma, diffuse sclerosing subtypeThyroidNApT1(m)N1aM0x300+++
    6F51Papillary carcinoma, vesicular variant subtypeThyroidNApT3(m)NxM+x0+
    7M53Papillary carcinoma, vesicular variant subtypeThyroidNApT3aNxM+x2+
    8M63NETSmall intestine2pT4N1M1x1+
    9M59NETIleum2pT4N2M1x80++
    10F73NETSmall intestine2pT4N1M110+
    11F73NETIleum2pT3N1M15+
    12F58NETLymph node metastasis of NET from small intestine1pT3N1M15+
    • NA = not applicable; + = weak; ++ = moderate; +++ = strong; NET = neuroendocrine tumor.

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Journal of Nuclear Medicine: 66 (5)
Journal of Nuclear Medicine
Vol. 66, Issue 5
May 1, 2025
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MHC-I–Driven Antitumor Immunity Counterbalances Low Absorbed Doses of Radiopharmaceutical Therapy
Julie Constanzo, Aliasghar Parach, Timothee David, Joshua Karam, Frank Bruchertseifer, Alfred Morgenstern, Marta Jarlier, Manuel Bardiès, Emmanuel Deshayes, Amelie Gudin-de-Vallerin, Florence Boissière-Michot, Evelyne Lopez-Crapez, Jean-Pierre Pouget
Journal of Nuclear Medicine May 2025, 66 (5) 785-792; DOI: 10.2967/jnumed.124.268857

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MHC-I–Driven Antitumor Immunity Counterbalances Low Absorbed Doses of Radiopharmaceutical Therapy
Julie Constanzo, Aliasghar Parach, Timothee David, Joshua Karam, Frank Bruchertseifer, Alfred Morgenstern, Marta Jarlier, Manuel Bardiès, Emmanuel Deshayes, Amelie Gudin-de-Vallerin, Florence Boissière-Michot, Evelyne Lopez-Crapez, Jean-Pierre Pouget
Journal of Nuclear Medicine May 2025, 66 (5) 785-792; DOI: 10.2967/jnumed.124.268857
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Keywords

  • radioimmunotherapy
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