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Paterson Institute for Cancer Research SCIENTIFIC REPORT 2005

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30<br />

GROUP LEADER<br />

Jamal Zweit<br />

Radiochemical Targeting and Imaging<br />

Group<br />

http://www.paterson.man.ac.uk/groups/rti.jsp<br />

Our research programme over the last year continued to<br />

focus on developing paradigms <strong>for</strong> molecular targeting and<br />

imaging assays. The overall aim is to develop means by<br />

which various tumour activities can be related using specifically<br />

targeted probes combined with molecular imaging. We<br />

have shown that detection of radiolabelled Z-vad-fmk, a peptide<br />

inhibitor of apoptosis, is more sensitive than radiolabelled<br />

annexin V in vitro, and in vivo.<br />

We have compared the kinetics of F-18-fluorothymidine<br />

in tumour cell lines and observed variation<br />

in the extent of uptake depending on the<br />

tumour cell type. In a NSCL cancer model, we have<br />

demonstrated changes in cell proliferation in<br />

response to cell death induction. Our translational<br />

research activity over the last year focussed on the<br />

development of a radiolabelled tumour targeted<br />

superantigen antibody which is currently being tested<br />

in phase I clinical studies. As part of this development<br />

we have designed, optimised and validated<br />

a clinical labelling strategy to label the drug with the<br />

positron emitting isotope 124 I. In the renal cancer<br />

patients treated so far, we have shown antigen-specific<br />

accumulation and retention of the labelled<br />

drug in their tumours.<br />

Targeting and Imaging Cell Death Pathways<br />

A prominent feature of programmed cell death is<br />

the activation of caspases - cysteine proteases that<br />

cleave their substrates after aspartate residues. Our<br />

results so far show that BOC-D-fmk inhibits<br />

DEVD-AMC cleavage in vitro. We have subsequently<br />

found that it inhibits apoptosis in camptothecin<br />

treated Jurkat cells and hepatic apoptosis in mice<br />

treated with anti-Fas antibody. We have made a<br />

radiolabelled derivative of this molecule, [ 125 I]4IB-<br />

D-fmk. Our preliminary data show that this is a<br />

more sensitive probe than the annexin-PS binding<br />

and experiments to see whether this molecule could<br />

be used to detect small changes in programmed cell<br />

death in vivo are in progress.<br />

POSTDOCTORAL<br />

FELLOWS<br />

Bronwen Dekker<br />

James Gillies<br />

Christian Prenant<br />

David Shaw<br />

(with Immunology)<br />

<strong>SCIENTIFIC</strong> OFFICERS<br />

John Bailey<br />

Lynn Disley<br />

Nigel Smith<br />

GRADUATE STUDENTS<br />

Anna Williams<br />

Heather Williams<br />

Cell proliferation PET probes<br />

We have been investigating the merit of various<br />

radiolabelled thymidine analogues including [ 124 I]-<br />

IUdR, [ 124 I]-FIAU and [ 18 F]-FLT. In terms of<br />

thymidine phosphorylase activity, [ 124 I]-IUdR was<br />

found to have the highest number of iudouracil<br />

cleaved molecules with [ 124 I]-FIAU the least. In both<br />

normal and tumour bearing animals, thymidine<br />

kinase activity was reflected in proliferative tissues<br />

such as spleen, bone marrow and tumours significantly<br />

more than in other tissues. A pilot clinical<br />

imaging and metabolite analysis study using [ 124 I]-<br />

IUdR in NSCLC patients, revealed kinetic in<strong>for</strong>mation<br />

which identified the contribution of the various<br />

metabolized species to the PET signal. This<br />

limited data however, has not identified the contribution<br />

to the PET signal from [ 124 I]-IUdR-DNA as<br />

the circulating 124 I-metabolites were eliminated<br />

more slowly than anticipated, resulting in a biodistribution<br />

which predominantly reflected 124 I-iodide<br />

accumulation.<br />

Imaging drug targeted therapy<br />

In collaboration with Immunology and Medical<br />

Oncology, we are using molecular PET imaging to<br />

study tumour targeted superantigen (TTS) therapy<br />

directly in cancer patients. Bacterial superantigens<br />

are secreted proteins produced by some bacteria as<br />

an immune-evasion mechanism. They bind to antigen-presenting<br />

cells (APC) and to T cells, causing<br />

their activation, and thus the death of the APCs.<br />

This is a very potent killing mechanism which we<br />

can harness <strong>for</strong> tumour therapy by fusing the superantigen<br />

to an antibody that recognises an antigen<br />

expressed by tumour cells. Clinical trials of TTS<br />

therapy directed against the tumour associated antigen<br />

5T4 have shown clinical efficacy in lung cancer<br />

(unpublished) and in renal cancer (Shaw et al., submitted).<br />

In the latter study, a sub-set of patients<br />

were assessed <strong>for</strong> clinical effect using FDG-PET,<br />

which gave a reliable, early indication of disease<br />

control which correlated with long term survival.<br />

A new generation of TTS drug, ANYARA, with<br />

P A T E R S O N I N S T I T U T E S C I E N T I F I C R E P O R T 2 0 0 5

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