Serum albumin (SA) accumulation by bronchogenic tumours: a tracer technique may help with patient selection for SA-delivered chemotherapy.
Identifieur interne : 004589 ( Main/Exploration ); précédent : 004588; suivant : 004590Serum albumin (SA) accumulation by bronchogenic tumours: a tracer technique may help with patient selection for SA-delivered chemotherapy.
Auteurs : RBID : pubmed:7588953English descriptors
- KwdEn :
- Antineoplastic Agents (therapeutic use), Carcinoma, Bronchogenic (drug therapy), Carcinoma, Bronchogenic (radionuclide imaging), Erythrocytes, Female, Humans, Indium Radioisotopes (diagnostic use), Lung Neoplasms (drug therapy), Lung Neoplasms (radionuclide imaging), Male, Methotrexate (therapeutic use), Middle Aged, Pentetic Acid (diagnostic use), Serum Albumin (diagnostic use), Serum Albumin (therapeutic use), Technetium (diagnostic use), Tomography, Emission-Computed, Single-Photon.
- MESH :
- chemical , diagnostic use : Indium Radioisotopes, Pentetic Acid, Serum Albumin, Technetium.
- chemical , therapeutic use : Antineoplastic Agents, Methotrexate, Serum Albumin.
- drug therapy : Carcinoma, Bronchogenic, Lung Neoplasms.
- radionuclide imaging : Carcinoma, Bronchogenic, Lung Neoplasms.
- Erythrocytes, Female, Humans, Male, Middle Aged, Tomography, Emission-Computed, Single-Photon.
Abstract
Systemic toxicity and inadequate tumour uptake of chemotherapeutic agents limit effective therapy of disseminated malignant disease. We seek to use macromolecules for improved delivery of therapeutic agents to tumours, and hope to use radiotracer procedures to identify those malignancies able to accumulate the transport molecule. A literature search identified in vitro and animal experimental data which indicated that serum albumin is taken up in malignancies. Selected cytostatic drugs can be bound to albumin, which suggests the suitability of the molecule as a potential transport vehicle. We therefore evaluated indium-111 labelled human serum albumin (HSA) to determine the frequency of its accumulation in bronchogenic tumours. Single-photon emission tomographic (SPET) images were obtained in 23 patients 48 h after intravenous injection of 1.5 mCi 111In diethylenetriamine penta-acetic acid (DTPA)-HSA. SPET imaging with technetium-99m labelled erythrocytes was included in the protocol to assess the influence which vascularity has on the HSA-based images. All patients went on to surgery. We documented the histological diagnosis, T-stage and differentiation grade. The scintigraphic examination demonstrated HSA uptake in three squamous cell carcinomas and four adenocarcinomas. Of these, six malignancies accumulating HSA had 2.2-5.4 times, the tracer concentrations observed in comparable background regions. Small cell carcinoma failed to accumulate the labelled HSA during the 2-day scintigraphic evaluation. The HSA images did not appear to represent tumour vascularity. T-stage and differentiation grade failed to predict which tumours would demonstrate HSA uptake.(ABSTRACT TRUNCATED AT 250 WORDS)
PubMed: 7588953
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Serum albumin (SA) accumulation by bronchogenic tumours: a tracer technique may help with patient selection for SA-delivered chemotherapy.</title>
<author><name sortKey="Clorius, J H" uniqKey="Clorius J">J H Clorius</name>
<affiliation wicri:level="3"><nlm:affiliation>German Cancer Research Center, Heidelberg, Germany.</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>German Cancer Research Center, Heidelberg</wicri:regionArea>
<placeName><region type="land" nuts="1">Bade-Wurtemberg</region>
<region type="district" nuts="2">District de Karlsruhe</region>
<settlement type="city">Heidelberg</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Sinn, H" uniqKey="Sinn H">H Sinn</name>
</author>
<author><name sortKey="Manke, H G" uniqKey="Manke H">H G Manke</name>
</author>
<author><name sortKey="Schrenk, H H" uniqKey="Schrenk H">H H Schrenk</name>
</author>
<author><name sortKey="Blatter, J" uniqKey="Blatter J">J Blatter</name>
</author>
<author><name sortKey="Werling, C" uniqKey="Werling C">C Werling</name>
</author>
<author><name sortKey="Friedrich, E A" uniqKey="Friedrich E">E A Friedrich</name>
</author>
<author><name sortKey="Voges, J" uniqKey="Voges J">J Voges</name>
</author>
<author><name sortKey="Bahner, M" uniqKey="Bahner M">M Bahner</name>
</author>
<author><name sortKey="Sturm, V" uniqKey="Sturm V">V Sturm</name>
</author>
</titleStmt>
<publicationStmt><date when="1995">1995</date>
<idno type="RBID">pubmed:7588953</idno>
<idno type="pmid">7588953</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Antineoplastic Agents (therapeutic use)</term>
<term>Carcinoma, Bronchogenic (drug therapy)</term>
<term>Carcinoma, Bronchogenic (radionuclide imaging)</term>
<term>Erythrocytes</term>
<term>Female</term>
<term>Humans</term>
<term>Indium Radioisotopes (diagnostic use)</term>
<term>Lung Neoplasms (drug therapy)</term>
<term>Lung Neoplasms (radionuclide imaging)</term>
<term>Male</term>
<term>Methotrexate (therapeutic use)</term>
<term>Middle Aged</term>
<term>Pentetic Acid (diagnostic use)</term>
<term>Serum Albumin (diagnostic use)</term>
<term>Serum Albumin (therapeutic use)</term>
<term>Technetium (diagnostic use)</term>
<term>Tomography, Emission-Computed, Single-Photon</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="diagnostic use" xml:lang="en"><term>Indium Radioisotopes</term>
<term>Pentetic Acid</term>
<term>Serum Albumin</term>
<term>Technetium</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antineoplastic Agents</term>
<term>Methotrexate</term>
<term>Serum Albumin</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Carcinoma, Bronchogenic</term>
<term>Lung Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="radionuclide imaging" xml:lang="en"><term>Carcinoma, Bronchogenic</term>
<term>Lung Neoplasms</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Erythrocytes</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Tomography, Emission-Computed, Single-Photon</term>
</keywords>
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<front><div type="abstract" xml:lang="en">Systemic toxicity and inadequate tumour uptake of chemotherapeutic agents limit effective therapy of disseminated malignant disease. We seek to use macromolecules for improved delivery of therapeutic agents to tumours, and hope to use radiotracer procedures to identify those malignancies able to accumulate the transport molecule. A literature search identified in vitro and animal experimental data which indicated that serum albumin is taken up in malignancies. Selected cytostatic drugs can be bound to albumin, which suggests the suitability of the molecule as a potential transport vehicle. We therefore evaluated indium-111 labelled human serum albumin (HSA) to determine the frequency of its accumulation in bronchogenic tumours. Single-photon emission tomographic (SPET) images were obtained in 23 patients 48 h after intravenous injection of 1.5 mCi 111In diethylenetriamine penta-acetic acid (DTPA)-HSA. SPET imaging with technetium-99m labelled erythrocytes was included in the protocol to assess the influence which vascularity has on the HSA-based images. All patients went on to surgery. We documented the histological diagnosis, T-stage and differentiation grade. The scintigraphic examination demonstrated HSA uptake in three squamous cell carcinomas and four adenocarcinomas. Of these, six malignancies accumulating HSA had 2.2-5.4 times, the tracer concentrations observed in comparable background regions. Small cell carcinoma failed to accumulate the labelled HSA during the 2-day scintigraphic evaluation. The HSA images did not appear to represent tumour vascularity. T-stage and differentiation grade failed to predict which tumours would demonstrate HSA uptake.(ABSTRACT TRUNCATED AT 250 WORDS)</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">7588953</PMID>
<DateCreated><Year>1995</Year>
<Month>12</Month>
<Day>28</Day>
</DateCreated>
<DateCompleted><Year>1995</Year>
<Month>12</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised><Year>2013</Year>
<Month>11</Month>
<Day>21</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0340-6997</ISSN>
<JournalIssue CitedMedium="Print"><Volume>22</Volume>
<Issue>9</Issue>
<PubDate><Year>1995</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>European journal of nuclear medicine</Title>
<ISOAbbreviation>Eur J Nucl Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Serum albumin (SA) accumulation by bronchogenic tumours: a tracer technique may help with patient selection for SA-delivered chemotherapy.</ArticleTitle>
<Pagination><MedlinePgn>989-96</MedlinePgn>
</Pagination>
<Abstract><AbstractText>Systemic toxicity and inadequate tumour uptake of chemotherapeutic agents limit effective therapy of disseminated malignant disease. We seek to use macromolecules for improved delivery of therapeutic agents to tumours, and hope to use radiotracer procedures to identify those malignancies able to accumulate the transport molecule. A literature search identified in vitro and animal experimental data which indicated that serum albumin is taken up in malignancies. Selected cytostatic drugs can be bound to albumin, which suggests the suitability of the molecule as a potential transport vehicle. We therefore evaluated indium-111 labelled human serum albumin (HSA) to determine the frequency of its accumulation in bronchogenic tumours. Single-photon emission tomographic (SPET) images were obtained in 23 patients 48 h after intravenous injection of 1.5 mCi 111In diethylenetriamine penta-acetic acid (DTPA)-HSA. SPET imaging with technetium-99m labelled erythrocytes was included in the protocol to assess the influence which vascularity has on the HSA-based images. All patients went on to surgery. We documented the histological diagnosis, T-stage and differentiation grade. The scintigraphic examination demonstrated HSA uptake in three squamous cell carcinomas and four adenocarcinomas. Of these, six malignancies accumulating HSA had 2.2-5.4 times, the tracer concentrations observed in comparable background regions. Small cell carcinoma failed to accumulate the labelled HSA during the 2-day scintigraphic evaluation. The HSA images did not appear to represent tumour vascularity. T-stage and differentiation grade failed to predict which tumours would demonstrate HSA uptake.(ABSTRACT TRUNCATED AT 250 WORDS)</AbstractText>
</Abstract>
<AuthorList CompleteYN="N"><Author ValidYN="Y"><LastName>Clorius</LastName>
<ForeName>J H</ForeName>
<Initials>JH</Initials>
<Affiliation>German Cancer Research Center, Heidelberg, Germany.</Affiliation>
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<Author ValidYN="Y"><LastName>Sinn</LastName>
<ForeName>H</ForeName>
<Initials>H</Initials>
</Author>
<Author ValidYN="Y"><LastName>Manke</LastName>
<ForeName>H G</ForeName>
<Initials>HG</Initials>
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<Author ValidYN="Y"><LastName>Schrenk</LastName>
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<Language>eng</Language>
<PublicationTypeList><PublicationType>Journal Article</PublicationType>
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<MedlineJournalInfo><Country>GERMANY</Country>
<MedlineTA>Eur J Nucl Med</MedlineTA>
<NlmUniqueID>7606882</NlmUniqueID>
<ISSNLinking>0340-6997</ISSNLinking>
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<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N">Antineoplastic Agents</DescriptorName>
<QualifierName MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N">Carcinoma, Bronchogenic</DescriptorName>
<QualifierName MajorTopicYN="Y">drug therapy</QualifierName>
<QualifierName MajorTopicYN="Y">radionuclide imaging</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N">Erythrocytes</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N">Indium Radioisotopes</DescriptorName>
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<QualifierName MajorTopicYN="Y">radionuclide imaging</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N">Methotrexate</DescriptorName>
<QualifierName MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N">Middle Aged</DescriptorName>
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<QualifierName MajorTopicYN="Y">diagnostic use</QualifierName>
</MeshHeading>
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<QualifierName MajorTopicYN="Y">diagnostic use</QualifierName>
<QualifierName MajorTopicYN="Y">therapeutic use</QualifierName>
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<QualifierName MajorTopicYN="N">diagnostic use</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="Y">Tomography, Emission-Computed, Single-Photon</DescriptorName>
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