Pre-clinical study of 213Bi labeled PAI2 for the control of micrometastatic pancreatic cancer.
OBJECTIVE
The urokinase plasminogen activator (uPA) and its receptor (uPAR) are expressed by pancreatic cancer cells and can be targeted by the plasminogen activator inhibitor type 2 (PAI2). We have labeled PAI2 with (213)Bi to form the alpha conjugate (AC), and have studied its in vitro cytotoxicity and in vivo efficacy.


METHODS
The expression of uPA/uPAR on pancreatic cell lines, human pancreatic cancer tissues, lymph node metastases, and mouse xenografts were detected by immunohistochemistry, confocal microscopy, and flow cytometry. Cytotoxicity was assessed by the MTS and TUNEL assay. At 2 days post-cancer cell subcutaneous inoculation, mice were injected with AC by local or systemic injection.


RESULTS
uPA/uPAR is strongly expressed on pancreatic cancer cell lines and cancer tissues. The AC can target and kill cancer cells in vitro in a concentration-dependent fashion. Some 90% of TUNEL positive cells were found after incubation with 1.2 MBq/ml of AC. A single local injection of approximately 222 MBq/kg 2 days post-cell inoculation can completely inhibit tumor growth over 12 weeks, and an intraperitoneal injection of 111 MBq/kg causes significant tumor growth delay.


CONCLUSIONS
(213)Bi-PAI2 can specifically target pancreatic cancer cells in vitro and inhibit tumor growth in vivo. (213)Bi-PAI2 may be a useful agent for the treatment of post-surgical pancreatic cancer patients with minimum residual disease.
Centre for Experimental Radiation Oncology, Cancer Care Centre, St George Hospital, Kogarah, NSW, Australia.
Chang F
CF
Qu
Emma Y
EY
Song
Yong
Y
Li
Syed M A
SM
Rizvi
Chand
C
Raja
Ross
R
Smith
Alfred
A
Morgenstern
C
C
Apostolidis
Barry J
BJ
Allen
D000818:Animals; D001729:Bismuth / Q000627:therapeutic use*; D045744:Cell Line, Tumor; D002470:Cell Survival / Q000528:radiation effects; D006801:Humans; D007150:Immunohistochemistry; D020287:In Situ Nick-End Labeling; D051379:Mice; D018613:Microscopy, Confocal; D009362:Neoplasm Metastasis / Q000532:radiotherapy*; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000532:radiotherapy*; D017396:Plasminogen Activator Inhibitor 2 / Q000627:therapeutic use*; D011868:Radioisotopes / Q000627:therapeutic use*; D019275:Radiopharmaceuticals / Q000627:therapeutic use; D014183:Transplantation, Heterologous; D014568:Urokinase-Type Plasminogen Activator / Q000378:metabolism
D017396:Plasminogen Activator Inhibitor 2; D011868:Radioisotopes; D019275:Radiopharmaceuticals; D014568:Urokinase-Type Plasminogen Activator; D001729:Bismuth