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Specific binding and uptake of 131I-MIBG and 111In-octreotide in metastatic paraganglioma--tools for choice of radionuclide therapy.

Identifieur interne : 000A58 ( Main/Exploration ); précédent : 000A57; suivant : 000A59

Specific binding and uptake of 131I-MIBG and 111In-octreotide in metastatic paraganglioma--tools for choice of radionuclide therapy.

Auteurs : RBID : pubmed:22566195

English descriptors

Abstract

Tumor-specific uptake of the radiolabeled nor-epinephrine analogue meta-iodobenzylguanidine via norepinephrine transporter or radiolabeled somatostatin analogues octreotide/octreotate via somatostatin receptors offers possibilities to diagnose and treat metastatic pheochromocytoma/paraganglioma. High uptake of 123I-meta-iodobenzylguanidine is dependent on high expression of vesicular monoamine transporters responsible for mediating uptake of biogenic amines into dense core granules. A patient with metastatic paraganglioma (liver and bone metastases) underwent surgical removal of the primary after injection of 131I-meta-iodobenzylguanidine and 111In-octreotide. Radioactivity was determined in biopsies from tumor and normal tissue biopsies. The tumor/blood concentration value was high: 180 for 131I-meta-iodobenzylguanidine 3 h after injection and 590 for 111In-octreotide 27 h after injection. Studies of primary tumor cell cultures demonstrated increased cell membrane binding and internalization over time for 131I-meta-iodobenzylguanidine. The vesicular monoamine transporter antagonist reserpine and the norepinephrine transporter inhibitor clomipramine reduced internalization by 90% and 70%, respectively, after 46 h of incubation. The results demonstrated increased cell membrane binding and internalization over time also for 111In-octreotide. Internalization was highest for a low concentration of 111In-octreotide. Excess of octreotide reduced internalization of 111In-octreotide with 75% after 46 h of incubation. In conclusion, uptake and tumor/blood concentration values of radiolabeled meta-iodobenzylguanidine and somatostatin analogues can be determined for metastatic pheochromocytoma/paraganglioma to evaluate the possibility to use one or both agents for therapy. For this patient, the high tumor/blood values clearly demonstrated that therapy using both radiopharmaceuticals would be most beneficial. In vitro studies verified specific cell-membrane binding and internalization in tumor cells of both radiopharmaceuticals.

DOI: 10.1055/s-0032-1311603
PubMed: 22566195

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Le document en format XML

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<title xml:lang="en">Specific binding and uptake of 131I-MIBG and 111In-octreotide in metastatic paraganglioma--tools for choice of radionuclide therapy.</title>
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<name sortKey="Spetz, J" uniqKey="Spetz J">J Spetz</name>
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<nlm:affiliation>Department of Radiation Physics, Sahlgrenska Cancer Center, University of Gothenburg, Göteborg, Sweden.</nlm:affiliation>
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<wicri:regionArea>Department of Radiation Physics, Sahlgrenska Cancer Center, University of Gothenburg, Göteborg</wicri:regionArea>
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<author>
<name sortKey="Dalmo, J" uniqKey="Dalmo J">J Dalmo</name>
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<name sortKey="Nilsson, O" uniqKey="Nilsson O">O Nilsson</name>
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<name sortKey="W Ngberg, B" uniqKey="W Ngberg B">B Wängberg</name>
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<name sortKey="Ahlman, H" uniqKey="Ahlman H">H Ahlman</name>
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<name sortKey="Forssell Aronsson, E" uniqKey="Forssell Aronsson E">E Forssell-Aronsson</name>
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<term>3-Iodobenzylguanidine (pharmacokinetics)</term>
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<term>Adrenal Gland Neoplasms (metabolism)</term>
<term>Adrenal Gland Neoplasms (pathology)</term>
<term>Adrenal Gland Neoplasms (radiotherapy)</term>
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<term>Iodine Radioisotopes (pharmacokinetics)</term>
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<term>Middle Aged</term>
<term>Neoplasm Metastasis</term>
<term>Octreotide (analogs & derivatives)</term>
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<term>Octreotide (therapeutic use)</term>
<term>Pheochromocytoma (metabolism)</term>
<term>Pheochromocytoma (pathology)</term>
<term>Pheochromocytoma (radiotherapy)</term>
<term>Radiopharmaceuticals (pharmacokinetics)</term>
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<term>Iodine Radioisotopes</term>
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<term>Radiopharmaceuticals</term>
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<term>Adrenal Gland Neoplasms</term>
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<div type="abstract" xml:lang="en">Tumor-specific uptake of the radiolabeled nor-epinephrine analogue meta-iodobenzylguanidine via norepinephrine transporter or radiolabeled somatostatin analogues octreotide/octreotate via somatostatin receptors offers possibilities to diagnose and treat metastatic pheochromocytoma/paraganglioma. High uptake of 123I-meta-iodobenzylguanidine is dependent on high expression of vesicular monoamine transporters responsible for mediating uptake of biogenic amines into dense core granules. A patient with metastatic paraganglioma (liver and bone metastases) underwent surgical removal of the primary after injection of 131I-meta-iodobenzylguanidine and 111In-octreotide. Radioactivity was determined in biopsies from tumor and normal tissue biopsies. The tumor/blood concentration value was high: 180 for 131I-meta-iodobenzylguanidine 3 h after injection and 590 for 111In-octreotide 27 h after injection. Studies of primary tumor cell cultures demonstrated increased cell membrane binding and internalization over time for 131I-meta-iodobenzylguanidine. The vesicular monoamine transporter antagonist reserpine and the norepinephrine transporter inhibitor clomipramine reduced internalization by 90% and 70%, respectively, after 46 h of incubation. The results demonstrated increased cell membrane binding and internalization over time also for 111In-octreotide. Internalization was highest for a low concentration of 111In-octreotide. Excess of octreotide reduced internalization of 111In-octreotide with 75% after 46 h of incubation. In conclusion, uptake and tumor/blood concentration values of radiolabeled meta-iodobenzylguanidine and somatostatin analogues can be determined for metastatic pheochromocytoma/paraganglioma to evaluate the possibility to use one or both agents for therapy. For this patient, the high tumor/blood values clearly demonstrated that therapy using both radiopharmaceuticals would be most beneficial. In vitro studies verified specific cell-membrane binding and internalization in tumor cells of both radiopharmaceuticals.</div>
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<CopyrightInformation>© Georg Thieme Verlag KG Stuttgart · New York.</CopyrightInformation>
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