Image-guided, Tumor Stroma-targeted 131I Therapy of Hepatocellular Cancer After Systemic Mesenchymal Stem Cell-mediated NIS Gene Delivery

被引:71
作者
Knoop, Kerstin [1 ]
Kolokythas, Marie [1 ]
Klutz, Kathrin [1 ]
Willhauck, Michael J. [1 ]
Wunderlich, Nathalie [1 ]
Draganovici, Dan [2 ]
Zach, Christian [3 ]
Gildehaus, Franz-Josef [3 ]
Boening, Guido [3 ]
Goeke, Burkhard [1 ]
Wagner, Ernst [4 ]
Nelson, Peter J. [2 ]
Spitzweg, Christine [1 ]
机构
[1] Univ Munich, Dept Internal Med 2, Munich, Germany
[2] Univ Munich, Med Policlin, Clin Biochem Grp, Munich, Germany
[3] Univ Munich, Dept Nucl Med, Munich, Germany
[4] Univ Munich, Dept Pharm, Ctr Drug Res Pharmaceut Biol Biotechnol, Munich, Germany
关键词
SODIUM-IODIDE SYMPORTER; POSITRON-EMISSION-TOMOGRAPHY; ENGINEERED MEASLES-VIRUS; PROSTATE-CANCER; IN-VIVO; RADIOIODINE THERAPY; NA/I SYMPORTER; REPORTER GENE; REPLICATING ADENOVIRUS; RADIONUCLIDE THERAPY;
D O I
10.1038/mt.2011.93
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Due to its dual role as reporter and therapy gene, the sodium iodide symporter (NIS) allows noninvasive imaging of functional NIS expression by I-123-scintigraphy or I-124-PET imaging before the application of a therapeutic dose of I-131. NIS expression provides a novel mechanism for the evaluation of mesenchymal stem cells (MSCs) as gene delivery vehicles for tumor therapy. In the current study, we stably transfected bone marrow-derived CD34(-) MSCs with NIS cDNA (NIS-MSC), which revealed high levels of functional NIS protein expression. In mixed populations of NIS-MSCs and hepatocellular cancer (HCC) cells, clonogenic assays showed a 55% reduction of HCC cell survival after I-131 application. We then investigated body distribution of NIS-MSCs by I-123-scintigraphy and I-124-PET imaging following intravenous (i.v.) injection of NIS-MSCs in a HCC xenograft mouse model demonstrating active MSC recruitment into the tumor stroma which was confirmed by immunohistochemistry and ex vivo gamma-counter analysis. Three cycles of systemic MSC-mediated NIS gene delivery followed by I-131 application resulted in a significant delay in tumor growth. Our results demonstrate tumor-specific accumulation and therapeutic efficacy of radioiodine after MSC-mediated NIS gene delivery in HCC tumors, opening the prospect of NIS-mediated radionuclide therapy of metastatic cancer using MSCs as gene delivery vehicles.
引用
收藏
页码:1704 / 1713
页数:10
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