title: Extracorporeal whole-blood immunoadsorption enhances radioimmunotargeting of iodine-125-labeled BR96-biotin monoclonal antibody.
abstract: This study investigates the efficacy of tumor radioimmunotargeting with 125I-labeled BR96-biotin monoclonal antibody using a new method, whole-blood immunoadsorption (WBIA), based on direct adsorption of unbound monoclonal antibody (MAb) from blood without preceding separation of plasma.
  
  
  METHODS
  Highly tumor-reactive, internalizing, chimeric BR96 MAb of isotype IgG1 binds to a tumor-associated Lewis-type (Le(Y)) cell surface antigen. Forty-six Brown Norwegian male rats were inoculated intramuscularly and beneath the liver or kidney capsule with syngeneic rat colon carcinoma BN7005, expressing Lewis-type antigen, and investigated. The rats were injected intravenously with 3.5-4.5 MBq 125I-labeled BR96-biotin. Twenty of the rats underwent WBIA starting 5 or 12 hr after injection. About six blood volumes were passed through an avidin-gel adsorption column during 2 hr.
  
  
  RESULTS
  By using WBIA, whole-body radioactivity was reduced by 50%, and plasma activity by 85%. Both directly after completion of WBIA and 33 hr later, the activity uptake in tumors manifested only a nonsignificant decrease as compared with corresponding controls (p > 0.05) and had approximately similar time-activity curves. Uptake ratios for tumor (T):bone marrow, T:liver, T:kidney and T:lung were enhanced 2.3- to 3.5-fold in all three tumor models, as compared with controls. The ratio of liver tumor to bone marrow was improved from 10:1 to 30:1.
  
  
  CONCLUSIONS
  This new method of WBIA yields significantly improved radioimmunotargeting of highly tumor-reactive, internalizing MAb BR96.
authors.affiliation: Department of Oncology, Lund University, Sweden.
authors.forename: M
authors.initials: M
authors.lastname: Garkavij
authors.forename: J
authors.initials: J
authors.lastname: Tennvall
authors.forename: S E
authors.initials: SE
authors.lastname: Strand
authors.forename: H O
authors.initials: HO
authors.lastname: Sjögren
authors.forename: C
authors.initials: C
authors.lastname: JianQing
authors.forename: R
authors.initials: R
authors.lastname: Nilsson
authors.forename: M
authors.initials: M
authors.lastname: Isaksson
mesh_terms: D000818:Animals; D000911:Antibodies, Monoclonal / Q000627:therapeutic use*; D001710:Biotin / Q000627:therapeutic use*; D003110:Colonic Neoplasms / Q000532:radiotherapy*; D005112:Extracorporeal Circulation; D007163:Immunosorbent Techniques; D007457:Iodine Radioisotopes / Q000627:therapeutic use*; D007983:Lewis Blood Group Antigens / Q000276:immunology; D008297:Male; D009368:Neoplasm Transplantation; D016499:Radioimmunotherapy; D051381:Rats; D011914:Rats, Inbred BN; D014018:Tissue Distribution
chemical_list: C106558:125I-BR96-biotin; D000911:Antibodies, Monoclonal; D007457:Iodine Radioisotopes; D007983:Lewis Blood Group Antigens; D001710:Biotin