Abstract | BACKGROUND:
Endometriosis is still a highly underdiagnosed disease, and the current medical and surgical treatment of endometriosis is associated with a high recurrence rate. This study investigates the use of derivatives of the human antibody F8, specific to the alternatively spliced extra-domain A of fibronectin (Fn), for the imaging and treatment of endometriosis. METHODS: Immunohistochemistry and immunofluorescence was used to evaluate antigen expression in endometriotic tissue of human endometriosis and of a syngeneic mouse model of the disease. The in vivo targeting performance of a fluorescent derivative of the F8 antibody was assessed by imaging mice with endometriosis using a near-infrared fluorescence imager, 24 h following i.v. injection of the antibody conjugate. Furthermore, the mouse model was used for therapy experiments using two recombinant F8-based immunocytokines [F8- interleukin-10 ( IL10) and F8- IL2] or saline for the treatment groups. RESULTS: A very strong vascular expression of splice isoforms of Fn and of tenascin-C was observed in human endometriotic lesions by immunohistochemistry and immunofluorescence techniques. After i.v. administration, a selective accumulation of the F8 antibody in endometriotic lesions could be observed in a syngeneic mouse model. These targeting data were used as a basis for therapy experiments with a pro-inflammatory (F8-IL2) and an anti-inflammatory (F8-IL10) cytokine fusion protein of the F8 antibody. The average lesion size in the F8-IL10 treatment group was clearly reduced compared with the saline control group and with the F8-IL2 group, for which no therapeutic effects were observed. CONCLUSIONS: The F8 antibody targets endometriotic lesions in vivo in a mouse model of endometriosis and may be used for the non-invasive imaging of the disease and for the pharmacodelivery of anti-inflammatory cytokines, such as IL10.
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Authors | Kathrin Schwager, Frank Bootz, Patrick Imesch, Manuela Kaspar, Eveline Trachsel, Dario Neri |
Journal | Human reproduction (Oxford, England)
(Hum Reprod)
Vol. 26
Issue 9
Pg. 2344-52
(Sep 2011)
ISSN: 1460-2350 [Electronic] England |
PMID | 21705369
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Antibodies, Monoclonal
- Antibodies, Monoclonal, Humanized
- Cytokines
- F8 monoclonal antibody
- Fibronectins
- Interleukin-2
- Recombinant Fusion Proteins
- Interleukin-10
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Topics |
- Alternative Splicing
- Animals
- Antibodies, Monoclonal
(therapeutic use)
- Antibodies, Monoclonal, Humanized
- Cytokines
(blood)
- Endometriosis
(drug therapy, pathology)
- Female
- Fibronectins
(genetics, immunology)
- Humans
- Interleukin-10
(therapeutic use)
- Interleukin-2
(therapeutic use)
- Mice
- Mice, Inbred C57BL
- Recombinant Fusion Proteins
(immunology, therapeutic use)
- Spectroscopy, Near-Infrared
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