Alpha-Particle Emitting Bi-213-Anti-EGFR Immunoconjugates Eradicate Tumor Cells Independent of Oxygenation

作者:Wulbrand Christian; Seidl Christof*; Gaertner Florian C; Bruchertseifer Frank; Morgenstern Alfred; Essler Markus; Senekowitsch Schmidtke Reingard
来源:PLos One, 2013, 8(5): e64730.
DOI:10.1371/journal.pone.0064730

摘要

Hypoxia is a central problem in tumor treatment because hypoxic cells are less sensitive to chemo- and radiotherapy than normoxic cells. Radioresistance of hypoxic tumor cells is due to reduced sensitivity towards low Linear Energy Transfer (LET) radiation. High LET alpha-emitters are thought to eradicate tumor cells independent of cellular oxygenation. Therefore, the aim of this study was to demonstrate that cell-bound alpha-particle emitting Bi-213 immunoconjugates kill hypoxic and normoxic CAL33 tumor cells with identical efficiency. For that purpose CAL33 cells were incubated with Bi-213-anti-EGFR-MAb or irradiated with photons with a nominal energy of 6 MeV both under hypoxic and normoxic conditions. Oxygenation of cells was checked via the hypoxia-associated marker HIF-1 alpha. Survival of cells was analysed using the clonogenic assay. Cell viability was monitored with the WST colorimetric assay. Results were evaluated statistically using a t-test and a Generalized Linear Mixed Model (GLMM). Survival and viability of CAL33 cells decreased both after incubation with increasing Bi-213-antiEGFR- MAb activity concentrations (9.25 kBq/ml-1.48 MBq/ml) and irradiation with increasing doses of photons (0.5-12 Gy). Following photon irradiation survival and viability of normoxic cells were significantly lower than those of hypoxic cells at all doses analysed. In contrast, cell death induced by Bi-213-anti-EGFR-MAb turned out to be independent of cellular oxygenation. These results demonstrate that alpha-particle emitting Bi-213-immunoconjugates eradicate hypoxic tumor cells as effective as normoxic cells. Therefore, Bi-213-radioimmunotherapy seems to be an appropriate strategy for treatment of hypoxic tumors.

  • 出版日期2013-5-28

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