4.7 Article

SPECT- and Fluorescence Image-Guided Surgery Using a Dual-Labeled Carcinoembryonic Antigen-Targeting Antibody

Journal

JOURNAL OF NUCLEAR MEDICINE
Volume 55, Issue 9, Pages 1519-1524

Publisher

SOC NUCLEAR MEDICINE INC
DOI: 10.2967/jnumed.114.142141

Keywords

colorectal cancer; MN-14; CEA; fluorescence imaging; image-guided surgery

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Intraoperative visualization techniques promise to significantly improve the detection and resection of tumors. In this study, we used an anti carcinoembryonic antigen (CEA) antibody (MN-14) tagged with both a radiolabel (In-111) and a fluorophore (IRDye 800CW) for radionuclide detection and intraoperative fluorescence imaging, respectively. Methods: For this purpose, we prepared and characterized the dual-labeled antibody In-111-diethylenetriaminepentaacetic acid (DTPA)-MN-14-IRDye 800CW and performed 4, studies on mice with subcutaneous and intraperitoneal CEA expressing tumors: a dose escalation study to determine the optimal MN-14 protein dose, a biodistribution study comparing dual-labeled MN-14 and radiolabeled MN-14, a study to determine the optimal time for SPECT and fluorescence imaging after injection of dual-labeled MN-14, and finally a SPECT and fluorescence image guided surgery study using this dual-labeled antibody. Results: The optimal protein dose of dual-labeled MN-14 was 10 mu g per mouse, yielding a tumor-to-blood ratio of 3.5 within 72 h. The biodistribution of In-111-DTPA-MN-14-IRDye 800CW in mice with subcutaneous LS174T tumors showed tumor uptake after 3 d (19.7% +/- 17.0% injected dose/g) comparable to that of In-111-DTPA-MN-14 but higher accumulation in the liver. The optimal time for imaging after administration of the dual-labeled antibody was 2-3 d after injection. Finally, in mice with intraperitoneally growing LS174T tumor nodules that received In-111-DTPA-MN-14-IRDye 800CW, intraperitoneal tumor nodules could be localized with SPECT imaging after 3 d and subsequently resected using fluorescence image guided surgery. Conclusion: Thus, we showed the feasibility for assessment and image-guided resection of CEA antigen expressing tumors using dual-labeled MN-14. Both radionuclide detection and fluorescence imaging may provide useful information to improve localization of tumors and radical excision of tumor tissue. Because humanized MN-14 (labetuzumab) is available for clinical use, translation to a clinical setting is the next steb.

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