Imaging of myocardial infarction in dogs and humans using monoclonal antibodies specific for human myosin heavy chains

The use of three different monoclonal antibodies specific for human ventricular myosin heavy chains in the visualization or the location and extent of necrosis in dogs with experimental acute myocardial infarction and in humans is described. Using a classic immunohistochemical method or ex vivo anal...

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Veröffentlicht in:Journal of the American College of Cardiology 1991-08, Vol.18 (2), p.473-484
Hauptverfasser: Léger, Jocelyne, Chevalier, Jeanine, Larue, Catherine, Gautier, Patrick, Planchenault, Jacques, Aumaître, Elisabeth, Messner, Patrick, Puech, Paul, Saccavini, Jean-Claude, Pau, Bernard, Léger, Jean J.
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container_end_page 484
container_issue 2
container_start_page 473
container_title Journal of the American College of Cardiology
container_volume 18
creator Léger, Jocelyne
Chevalier, Jeanine
Larue, Catherine
Gautier, Patrick
Planchenault, Jacques
Aumaître, Elisabeth
Messner, Patrick
Puech, Paul
Saccavini, Jean-Claude
Pau, Bernard
Léger, Jean J.
description The use of three different monoclonal antibodies specific for human ventricular myosin heavy chains in the visualization or the location and extent of necrosis in dogs with experimental acute myocardial infarction and in humans is described. Using a classic immunohistochemical method or ex vivo analysis of heart slices in dogs with acute myocardial infarction subjected to intravenous injection of unlabeled antimyosin antibodies or antimyosin antibodies labeled with indium-111, it was observed that all antibody fragments specifically reached the targeted necrotic zone
doi_str_mv 10.1016/0735-1097(91)90603-7
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Using a classic immunohistochemical method or ex vivo analysis of heart slices in dogs with acute myocardial infarction subjected to intravenous injection of unlabeled antimyosin antibodies or antimyosin antibodies labeled with indium-111, it was observed that all antibody fragments specifically reached the targeted necrotic zone &lt;2 h after antibody injection and remzaineo bound for up to 24 h. In a limited but significant number of cases (5 of the 12 humans and 11 of 43 dogs), it was possible to image the necrotic zone in vivo as early as 2 to 4 h after antibody injection. In other cases, individual blood clearance variations retarded or even prevented in vivo necrosis detection. Higher antimyosin fixation values were obtained in the necrotic zones in dogs with a rapid blood clearance relative to that of the other dogs. It is concluded that antimyosin antibodies always reached necrotic areas within 2 h. If blood clearance was rapid, in vivo imaging of the necrotic area was possible 2 to 6 h after necrosis, even in humans. 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Using a classic immunohistochemical method or ex vivo analysis of heart slices in dogs with acute myocardial infarction subjected to intravenous injection of unlabeled antimyosin antibodies or antimyosin antibodies labeled with indium-111, it was observed that all antibody fragments specifically reached the targeted necrotic zone &lt;2 h after antibody injection and remzaineo bound for up to 24 h. In a limited but significant number of cases (5 of the 12 humans and 11 of 43 dogs), it was possible to image the necrotic zone in vivo as early as 2 to 4 h after antibody injection. In other cases, individual blood clearance variations retarded or even prevented in vivo necrosis detection. Higher antimyosin fixation values were obtained in the necrotic zones in dogs with a rapid blood clearance relative to that of the other dogs. It is concluded that antimyosin antibodies always reached necrotic areas within 2 h. If blood clearance was rapid, in vivo imaging of the necrotic area was possible 2 to 6 h after necrosis, even in humans. 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Using a classic immunohistochemical method or ex vivo analysis of heart slices in dogs with acute myocardial infarction subjected to intravenous injection of unlabeled antimyosin antibodies or antimyosin antibodies labeled with indium-111, it was observed that all antibody fragments specifically reached the targeted necrotic zone &lt;2 h after antibody injection and remzaineo bound for up to 24 h. In a limited but significant number of cases (5 of the 12 humans and 11 of 43 dogs), it was possible to image the necrotic zone in vivo as early as 2 to 4 h after antibody injection. In other cases, individual blood clearance variations retarded or even prevented in vivo necrosis detection. Higher antimyosin fixation values were obtained in the necrotic zones in dogs with a rapid blood clearance relative to that of the other dogs. It is concluded that antimyosin antibodies always reached necrotic areas within 2 h. If blood clearance was rapid, in vivo imaging of the necrotic area was possible 2 to 6 h after necrosis, even in humans. In some cases, however, uncontrolled individual variations in the timing required for sufficient blood clearance hampered this rapid in vivo detection of myocardial necrosis.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>1856415</pmid><doi>10.1016/0735-1097(91)90603-7</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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subjects 550601 - Medicine- Unsealed Radionuclides in Diagnostics
Aged
AMINO ACIDS
ANIMALS
ANTIBODIES
Antibodies, Monoclonal - pharmacokinetics
BETA DECAY RADIOISOTOPES
Biological and medical sciences
BLOOD-PLASMA CLEARANCE
BODY
CARBOXYLIC ACIDS
CARDIOVASCULAR DISEASES
CARDIOVASCULAR SYSTEM
CHELATING AGENTS
CLEARANCE
COUNTING TECHNIQUES
DAYS LIVING RADIOISOTOPES
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
DOGS
DRUGS
DTPA
ELECTRON CAPTURE RADIOISOTOPES
Female
GLOBULINS
HEART
Heart - diagnostic imaging
Humans
Immunopathology
INDIUM 111
INDIUM ISOTOPES
Indium Radioisotopes
INTERMEDIATE MASS NUCLEI
ISOMERIC TRANSITION ISOTOPES
ISOTOPE APPLICATIONS
ISOTOPES
Male
MAMMALS
MAN
Medical sciences
MINUTES LIVING RADIOISOTOPES
MONOCLONAL ANTIBODIES
MYOCARDIAL INFARCTION
Myocardial Infarction - diagnostic imaging
MYOSIN
Myosins - immunology
NUCLEI
ODD-EVEN NUCLEI
ORGANIC ACIDS
ORGANIC COMPOUNDS
ORGANS
Pentetic Acid
PRIMATES
PROTEINS
RADIOIMMUNODETECTION
RADIOIMMUNOSCINTIGRAPHY
RADIOISOTOPE SCANNING
RADIOISOTOPES
RADIOLOGY AND NUCLEAR MEDICINE
Radionuclide Imaging
RADIOPROTECTIVE SUBSTANCES
SCINTISCANNING
SPECIFICITY
Time Factors
TRACER TECHNIQUES
VERTEBRATES
title Imaging of myocardial infarction in dogs and humans using monoclonal antibodies specific for human myosin heavy chains
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