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γ-Tilmanocept, a New Radiopharmaceutical Tracer for Cancer Sentinel Lymph Nodes, Binds to the Mannose Receptor (CD206).

Abstract
γ-Tilmanocept ((99m)Tc-labeled-tilmanocept or [(99m)Tc]-tilmanocept) is the first mannose-containing, receptor-directed, radiolabeled tracer for the highly sensitive imaging of sentinel lymph nodes in solid tumor staging. To elucidate the mannose-binding receptor that retains tilmanocept in this microenvironment, human macrophages were used that have high expression of the C-type lectin mannose receptor (MR; CD206). Cy3-labeled tilmanocept exhibited high specificity binding to macrophages that was nearly abolished in competitive inhibition experiments. Furthermore, Cy3-tilmanocept binding was markedly reduced on macrophages deficient in the MR by small interfering RNA treatment and was increased on MR-transfected HEK 293 cells. Finally, confocal microscopy revealed colocalization of Cy3-tilmanocept with the macrophage membrane MR and binding of labeled tilmanocept to MR(+) cells (macrophages and/or dendritic cells) in human sentinel lymph node tissues. Together these data provide strong evidence that CD206 is a major binding receptor for γ-tilmanocept. Identification of CD206 as the γ-tilmanocept-binding receptor enables opportunities for designing receptor-targeted advanced imaging agents and therapeutics for cancer and other diseases.
AuthorsAbul K Azad, Murugesan V S Rajaram, Wendy L Metz, Frederick O Cope, Michael S Blue, David R Vera, Larry S Schlesinger
JournalJournal of immunology (Baltimore, Md. : 1950) (J Immunol) Vol. 195 Issue 5 Pg. 2019-29 (Sep 01 2015) ISSN: 1550-6606 [Electronic] United States
PMID26202986 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2015 by The American Association of Immunologists, Inc.
Chemical References
  • Carbocyanines
  • Dextrans
  • Lectins, C-Type
  • Mannans
  • Mannose Receptor
  • Mannose-Binding Lectins
  • Radiopharmaceuticals
  • Receptors, Cell Surface
  • cyanine dye 3
  • technetium-diethylenetriaminepentaacetic acid-mannosyl-dextran
  • Technetium Tc 99m Pentetate
Topics
  • Carbocyanines (chemistry)
  • Cells, Cultured
  • Dextrans (chemistry, metabolism)
  • Flow Cytometry
  • HEK293 Cells
  • Humans
  • Immunohistochemistry
  • Lectins, C-Type (genetics, metabolism)
  • Lymph Nodes (metabolism)
  • Macrophages (metabolism)
  • Mannans (chemistry, metabolism)
  • Mannose Receptor
  • Mannose-Binding Lectins (genetics, metabolism)
  • Microscopy, Confocal
  • Molecular Structure
  • Neoplasms (diagnosis, metabolism)
  • Protein Binding
  • RNA Interference
  • Radiopharmaceuticals (metabolism)
  • Receptors, Cell Surface (genetics, metabolism)
  • Sentinel Lymph Node Biopsy (methods)
  • Technetium Tc 99m Pentetate (analogs & derivatives, chemistry, metabolism)

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