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Article ; Online: Necrosis binding of Ac-Lys0(IRDye800CW)-Tyr3-octreotate

Marcus C. M. Stroet / Bianca M. Dijkstra / Sebastiaan E. Dulfer / Schelto Kruijff / Wilfred F. A. den Dunnen / Frank A. E. Kruyt / Rob J. M. Groen / Yann Seimbille / Kranthi M. Panth / Laura Mezzanotte / Clemens W. G. M. Lowik / Marion de Jong

EJNMMI Research, Vol 11, Iss 1, Pp 1-

a consequence from cyanine-labeling of small molecules

2021  Volume 8

Abstract: Abstract Background There is a growing body of nuclear contrast agents that are repurposed for fluorescence-guided surgery. New contrast agents are obtained by substituting the radioactive tag with, or adding a fluorescent cyanine to the molecular ... ...

Abstract Abstract Background There is a growing body of nuclear contrast agents that are repurposed for fluorescence-guided surgery. New contrast agents are obtained by substituting the radioactive tag with, or adding a fluorescent cyanine to the molecular structure of antibodies or peptides. This enables intra-operative fluorescent detection of cancerous tissue, leading to more complete tumor resection. However, these fluorescent cyanines can have a remarkable influence on pharmacokinetics and tumor uptake, especially when labeled to smaller targeting vectors such as peptides. Here we demonstrate the effect of cyanine-mediated dead cell-binding of Ac-Lys0(IRDye800CW)-Tyr3-octreotate (800CW-TATE) and how this can be used as an advantage for fluorescence-guided surgery. Results Binding of 800CW-TATE could be blocked with DOTA0-Tyr3-octreotate (DOTA-TATE) on cultured SSTR2-positive U2OS cells and was absent in SSTR2 negative U2OS cells. However, strong binding was observed to dead cells, which could not be blocked with DOTA-TATE and was also present in dead SSTR2 negative cells. No SSTR2-mediated binding was observed in frozen tumor sections, possibly due to disruption of the cells in the process of sectioning the tissue before exposure to the contrast agent. DOTA-TATE blocking resulted in an incomplete reduction of 61.5 ± 5.8% fluorescence uptake by NCI-H69-tumors in mice. Near-infrared imaging and dead cell staining on paraffin sections from resected tumors revealed that fluorescence uptake persisted in necrotic regions upon blocking with DOTA-TATE. Conclusion This study shows that labeling peptides with cyanines can result in dead cell binding. This does not hamper the ultimate purpose of fluorescence-guided surgery, as necrotic tissue appears in most solid tumors. Hence, the necrosis binding can increase the overall tumor uptake. Moreover, necrotic tissue should be removed as much as possible: it cannot be salvaged, causes inflammation, and is tumorigenic. However, when performing binding experiments to cells with ...
Keywords 800CW-TATE ; Molecular fluorescence-guided surgery ; Somatostatin receptor subtype 2 ; Fluorescent molecular probes ; Necrosis-avidity ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
Language English
Publishing date 2021-05-01T00:00:00Z
Publisher SpringerOpen
Document type Article ; Online
Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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