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Necrosis targeted combinational theragnostic approach using radioiodinated Sennidin A in rodent tumor models.

Abstract
Residual cancer cells and subsequent tumor relapse is an obstacle for curative cancer treatment. Tumor necrosis therapy (TNT) has recently been developed to cause residual tumor regression or destruction. Here, we exploited the avidity of the sennidin A (SA) tracer and radioiodinated SA (¹³¹I-SA) to necrotic tumors in order to further empower TNT. We showed high uptake and prolonged retention of SA in necrotic tumors and a quick clearance in other non-targeted tissues including the liver. On SPECT-CT images, tumor mass appeared persistently as a hotspot. Based on the prominent targetability of ¹³¹I-SA to the tumor necrosis, we designed a combinational theragnostic modality. The vascular disrupting agent (VDA) combretastatin A4 phosphate (CA4P) was used to cause massive tumor necrosis, which formed the target of ¹³¹I-SA that subsequently killed the residual tumor cells by cross-fire irradiation of beta particles. Consequently, ¹³¹I-SA combined with CA4P significantly inhibited tumor growth, extended tumor doubling time and prolonged mean animal survival. In conclusion, ¹³¹I-SA in combination with necrosis inducing drugs/therapies may generate synergetic tumoricidal effects on solid malignancies by means of primary debulking and secondary cleansing process.
AuthorsYun Ji, Cuihua Jiang, Xueli Zhang, Wei Liu, Meng Gao, Yue Li, Junhu Wang, Qingqing Wang, Ziping Sun, Xiao Jiang, Nan Yao, Xiaoning Wang, Zhijun Fang, Zhiqi Yin, Yicheng Ni, Jian Zhang
JournalOncotarget (Oncotarget) Vol. 5 Issue 10 Pg. 2934-46 (May 30 2014) ISSN: 1949-2553 [Electronic] United States
PMID24931286 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Anthracenes
  • Iodine Radioisotopes
  • Stilbenes
  • dihydroxydianthrone
  • fosbretabulin
Topics
  • Animals
  • Anthracenes (administration & dosage)
  • Antineoplastic Combined Chemotherapy Protocols (pharmacology)
  • Autoradiography
  • Disease Models, Animal
  • Iodine Radioisotopes (administration & dosage)
  • Magnetic Resonance Imaging
  • Mice
  • Necrosis (chemically induced, pathology)
  • Neoplasms, Experimental (drug therapy)
  • Positron-Emission Tomography
  • Rats
  • Rats, Sprague-Dawley
  • Stilbenes (administration & dosage)

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