DNA double strand breaks as predictor of efficacy of the alpha-particle emitter Ac-225 and the electron emitter Lu-177 for somatostatin receptor targeted radiotherapy

Key biologic effects of the alpha-particle emitter Actinium-225 in comparison to the beta-particle emitter Lutetium-177 labeled somatostatin-analogue DOTATOC in vitro and in vivo were studied to evaluate the significance of γH2AX-foci formation. To determine the relative biological effectiveness (RB...

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Veröffentlicht in:PloS one 2014-02, Vol.9 (2), p.e88239
Hauptverfasser: Graf, Franziska, Fahrer, Jörg, Maus, Stephan, Morgenstern, Alfred, Bruchertseifer, Frank, Venkatachalam, Senthil, Fottner, Christian, Weber, Matthias M, Huelsenbeck, Johannes, Schreckenberger, Mathias, Kaina, Bernd, Miederer, Matthias
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container_title PloS one
container_volume 9
creator Graf, Franziska
Fahrer, Jörg
Maus, Stephan
Morgenstern, Alfred
Bruchertseifer, Frank
Venkatachalam, Senthil
Fottner, Christian
Weber, Matthias M
Huelsenbeck, Johannes
Schreckenberger, Mathias
Kaina, Bernd
Miederer, Matthias
description Key biologic effects of the alpha-particle emitter Actinium-225 in comparison to the beta-particle emitter Lutetium-177 labeled somatostatin-analogue DOTATOC in vitro and in vivo were studied to evaluate the significance of γH2AX-foci formation. To determine the relative biological effectiveness (RBE) between the two isotopes (as - biological consequence of different ionisation-densities along a particle-track), somatostatin expressing AR42J cells were incubated with Ac-225-DOTATOC and Lu-177-DOTATOC up to 48 h and viability was analyzed using the MTT assay. DNA double strand breaks (DSB) were quantified by immunofluorescence staining of γH2AX-foci. Cell cycle was analyzed by flow cytometry. In vivo uptake of both radiolabeled somatostatin-analogues into subcutaneously growing AR42J tumors and the number of cells displaying γH2AX-foci were measured. Therapeutic efficacy was assayed by monitoring tumor growth after treatment with activities estimated from in vitro cytotoxicity. Ac-225-DOTATOC resulted in ED50 values of 14 kBq/ml after 48 h, whereas Lu-177-DOTATOC displayed ED50 values of 10 MBq/ml. The number of DSB grew with increasing concentration of Ac-225-DOTATOC and similarly with Lu-177-DOTATOC when applying a factor of 700-fold higher activity compared to Ac-225. Already 24 h after incubation with 2.5-10 kBq/ml, Ac-225-DOTATOC cell-cycle studies showed up to a 60% increase in the percentage of tumor cells in G2/M phase. After 72 h an apoptotic subG1 peak was also detectable. Tumor uptake for both radio peptides at 48 h was identical (7.5%ID/g), though the overall number of cells with γH2AX-foci was higher in tumors treated with 48 kBq Ac-225-DOTATOC compared to tumors treated with 30 MBq Lu-177-DOTATOC (35% vs. 21%). Tumors with a volume of 0.34 ml reached delayed exponential tumor growth after 25 days (44 kBq Ac-225-DOTATOC) and after 21 days (34 MBq Lu-177-DOTATOC). γH2AX-foci formation, triggered by beta- and alpha-irradiation, is an early key parameter in predicting response to internal radiotherapy.
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To determine the relative biological effectiveness (RBE) between the two isotopes (as - biological consequence of different ionisation-densities along a particle-track), somatostatin expressing AR42J cells were incubated with Ac-225-DOTATOC and Lu-177-DOTATOC up to 48 h and viability was analyzed using the MTT assay. DNA double strand breaks (DSB) were quantified by immunofluorescence staining of γH2AX-foci. Cell cycle was analyzed by flow cytometry. In vivo uptake of both radiolabeled somatostatin-analogues into subcutaneously growing AR42J tumors and the number of cells displaying γH2AX-foci were measured. Therapeutic efficacy was assayed by monitoring tumor growth after treatment with activities estimated from in vitro cytotoxicity. Ac-225-DOTATOC resulted in ED50 values of 14 kBq/ml after 48 h, whereas Lu-177-DOTATOC displayed ED50 values of 10 MBq/ml. The number of DSB grew with increasing concentration of Ac-225-DOTATOC and similarly with Lu-177-DOTATOC when applying a factor of 700-fold higher activity compared to Ac-225. Already 24 h after incubation with 2.5-10 kBq/ml, Ac-225-DOTATOC cell-cycle studies showed up to a 60% increase in the percentage of tumor cells in G2/M phase. After 72 h an apoptotic subG1 peak was also detectable. Tumor uptake for both radio peptides at 48 h was identical (7.5%ID/g), though the overall number of cells with γH2AX-foci was higher in tumors treated with 48 kBq Ac-225-DOTATOC compared to tumors treated with 30 MBq Lu-177-DOTATOC (35% vs. 21%). Tumors with a volume of 0.34 ml reached delayed exponential tumor growth after 25 days (44 kBq Ac-225-DOTATOC) and after 21 days (34 MBq Lu-177-DOTATOC). γH2AX-foci formation, triggered by beta- and alpha-irradiation, is an early key parameter in predicting response to internal radiotherapy.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0088239</identifier><identifier>PMID: 24516620</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Actinium ; Actinium - therapeutic use ; Alpha Particles - therapeutic use ; Alpha rays ; Analysis ; Animals ; Apoptosis ; Beta rays ; Biocompatibility ; Biological effects ; Biology ; Cancer therapies ; Cell cycle ; Cell Cycle - radiation effects ; Cell Death - radiation effects ; Cell Line, Tumor ; Cytometry ; Cytotoxicity ; Daughters ; Deoxyribonucleic acid ; DNA ; DNA Breaks, Double-Stranded ; DNA damage ; Dosimetry ; Double-strand break repair ; Drug dosages ; Emissions ; Emitters ; Emitters (electron) ; Endocrinology ; Energy ; Flow cytometry ; Genetic research ; Immunofluorescence ; In vivo methods and tests ; Incubation ; Ionization ; Irradiation ; Isotopes ; Leukemia ; Lutetium ; Lutetium - therapeutic use ; Lymphoma ; Medical prognosis ; Medicine ; Neuroendocrine Tumors - pathology ; Neuroendocrine Tumors - radiotherapy ; Nuclear medicine ; Peptides ; Radiation therapy ; Radioisotopes ; Radioisotopes - therapeutic use ; Radiotherapy ; Rare earth metal compounds ; Rats ; Receptors, Somatostatin - genetics ; Receptors, Somatostatin - metabolism ; Relative biological effectiveness (RBE) ; Somatostatin ; Toxicity ; Toxicology ; Tumor cells ; Tumors ; Viability ; α Radiation</subject><ispartof>PloS one, 2014-02, Vol.9 (2), p.e88239</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Graf et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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The number of DSB grew with increasing concentration of Ac-225-DOTATOC and similarly with Lu-177-DOTATOC when applying a factor of 700-fold higher activity compared to Ac-225. Already 24 h after incubation with 2.5-10 kBq/ml, Ac-225-DOTATOC cell-cycle studies showed up to a 60% increase in the percentage of tumor cells in G2/M phase. After 72 h an apoptotic subG1 peak was also detectable. Tumor uptake for both radio peptides at 48 h was identical (7.5%ID/g), though the overall number of cells with γH2AX-foci was higher in tumors treated with 48 kBq Ac-225-DOTATOC compared to tumors treated with 30 MBq Lu-177-DOTATOC (35% vs. 21%). 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therapeutic use</topic><topic>Alpha Particles - therapeutic use</topic><topic>Alpha rays</topic><topic>Analysis</topic><topic>Animals</topic><topic>Apoptosis</topic><topic>Beta rays</topic><topic>Biocompatibility</topic><topic>Biological effects</topic><topic>Biology</topic><topic>Cancer therapies</topic><topic>Cell cycle</topic><topic>Cell Cycle - radiation effects</topic><topic>Cell Death - radiation effects</topic><topic>Cell Line, Tumor</topic><topic>Cytometry</topic><topic>Cytotoxicity</topic><topic>Daughters</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>DNA Breaks, Double-Stranded</topic><topic>DNA damage</topic><topic>Dosimetry</topic><topic>Double-strand break repair</topic><topic>Drug dosages</topic><topic>Emissions</topic><topic>Emitters</topic><topic>Emitters (electron)</topic><topic>Endocrinology</topic><topic>Energy</topic><topic>Flow cytometry</topic><topic>Genetic research</topic><topic>Immunofluorescence</topic><topic>In vivo methods and tests</topic><topic>Incubation</topic><topic>Ionization</topic><topic>Irradiation</topic><topic>Isotopes</topic><topic>Leukemia</topic><topic>Lutetium</topic><topic>Lutetium - therapeutic use</topic><topic>Lymphoma</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Neuroendocrine Tumors - pathology</topic><topic>Neuroendocrine Tumors - radiotherapy</topic><topic>Nuclear medicine</topic><topic>Peptides</topic><topic>Radiation therapy</topic><topic>Radioisotopes</topic><topic>Radioisotopes - therapeutic use</topic><topic>Radiotherapy</topic><topic>Rare earth metal compounds</topic><topic>Rats</topic><topic>Receptors, Somatostatin - genetics</topic><topic>Receptors, Somatostatin - metabolism</topic><topic>Relative biological effectiveness (RBE)</topic><topic>Somatostatin</topic><topic>Toxicity</topic><topic>Toxicology</topic><topic>Tumor cells</topic><topic>Tumors</topic><topic>Viability</topic><topic>α Radiation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Graf, Franziska</creatorcontrib><creatorcontrib>Fahrer, Jörg</creatorcontrib><creatorcontrib>Maus, Stephan</creatorcontrib><creatorcontrib>Morgenstern, Alfred</creatorcontrib><creatorcontrib>Bruchertseifer, Frank</creatorcontrib><creatorcontrib>Venkatachalam, Senthil</creatorcontrib><creatorcontrib>Fottner, Christian</creatorcontrib><creatorcontrib>Weber, Matthias M</creatorcontrib><creatorcontrib>Huelsenbeck, Johannes</creatorcontrib><creatorcontrib>Schreckenberger, Mathias</creatorcontrib><creatorcontrib>Kaina, Bernd</creatorcontrib><creatorcontrib>Miederer, Matthias</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological &amp; Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science &amp; Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Meteorological &amp; Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Graf, Franziska</au><au>Fahrer, Jörg</au><au>Maus, Stephan</au><au>Morgenstern, Alfred</au><au>Bruchertseifer, Frank</au><au>Venkatachalam, Senthil</au><au>Fottner, Christian</au><au>Weber, Matthias M</au><au>Huelsenbeck, Johannes</au><au>Schreckenberger, Mathias</au><au>Kaina, Bernd</au><au>Miederer, Matthias</au><au>Sobol, Robert W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>DNA double strand breaks as predictor of efficacy of the alpha-particle emitter Ac-225 and the electron emitter Lu-177 for somatostatin receptor targeted radiotherapy</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-02-07</date><risdate>2014</risdate><volume>9</volume><issue>2</issue><spage>e88239</spage><pages>e88239-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Key biologic effects of the alpha-particle emitter Actinium-225 in comparison to the beta-particle emitter Lutetium-177 labeled somatostatin-analogue DOTATOC in vitro and in vivo were studied to evaluate the significance of γH2AX-foci formation. To determine the relative biological effectiveness (RBE) between the two isotopes (as - biological consequence of different ionisation-densities along a particle-track), somatostatin expressing AR42J cells were incubated with Ac-225-DOTATOC and Lu-177-DOTATOC up to 48 h and viability was analyzed using the MTT assay. DNA double strand breaks (DSB) were quantified by immunofluorescence staining of γH2AX-foci. Cell cycle was analyzed by flow cytometry. In vivo uptake of both radiolabeled somatostatin-analogues into subcutaneously growing AR42J tumors and the number of cells displaying γH2AX-foci were measured. Therapeutic efficacy was assayed by monitoring tumor growth after treatment with activities estimated from in vitro cytotoxicity. Ac-225-DOTATOC resulted in ED50 values of 14 kBq/ml after 48 h, whereas Lu-177-DOTATOC displayed ED50 values of 10 MBq/ml. The number of DSB grew with increasing concentration of Ac-225-DOTATOC and similarly with Lu-177-DOTATOC when applying a factor of 700-fold higher activity compared to Ac-225. Already 24 h after incubation with 2.5-10 kBq/ml, Ac-225-DOTATOC cell-cycle studies showed up to a 60% increase in the percentage of tumor cells in G2/M phase. After 72 h an apoptotic subG1 peak was also detectable. Tumor uptake for both radio peptides at 48 h was identical (7.5%ID/g), though the overall number of cells with γH2AX-foci was higher in tumors treated with 48 kBq Ac-225-DOTATOC compared to tumors treated with 30 MBq Lu-177-DOTATOC (35% vs. 21%). Tumors with a volume of 0.34 ml reached delayed exponential tumor growth after 25 days (44 kBq Ac-225-DOTATOC) and after 21 days (34 MBq Lu-177-DOTATOC). γH2AX-foci formation, triggered by beta- and alpha-irradiation, is an early key parameter in predicting response to internal radiotherapy.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24516620</pmid><doi>10.1371/journal.pone.0088239</doi><tpages>e88239</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
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issn 1932-6203
1932-6203
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source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS) Journals Open Access; PubMed Central; Free Full-Text Journals in Chemistry
subjects Actinium
Actinium - therapeutic use
Alpha Particles - therapeutic use
Alpha rays
Analysis
Animals
Apoptosis
Beta rays
Biocompatibility
Biological effects
Biology
Cancer therapies
Cell cycle
Cell Cycle - radiation effects
Cell Death - radiation effects
Cell Line, Tumor
Cytometry
Cytotoxicity
Daughters
Deoxyribonucleic acid
DNA
DNA Breaks, Double-Stranded
DNA damage
Dosimetry
Double-strand break repair
Drug dosages
Emissions
Emitters
Emitters (electron)
Endocrinology
Energy
Flow cytometry
Genetic research
Immunofluorescence
In vivo methods and tests
Incubation
Ionization
Irradiation
Isotopes
Leukemia
Lutetium
Lutetium - therapeutic use
Lymphoma
Medical prognosis
Medicine
Neuroendocrine Tumors - pathology
Neuroendocrine Tumors - radiotherapy
Nuclear medicine
Peptides
Radiation therapy
Radioisotopes
Radioisotopes - therapeutic use
Radiotherapy
Rare earth metal compounds
Rats
Receptors, Somatostatin - genetics
Receptors, Somatostatin - metabolism
Relative biological effectiveness (RBE)
Somatostatin
Toxicity
Toxicology
Tumor cells
Tumors
Viability
α Radiation
title DNA double strand breaks as predictor of efficacy of the alpha-particle emitter Ac-225 and the electron emitter Lu-177 for somatostatin receptor targeted radiotherapy
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