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Tumour-specific activation of a tumour-blood transport improves the diagnostic accuracy of blood tumour markers in miceResearch in context

Title: Tumour-specific activation of a tumour-blood transport improves the diagnostic accuracy of blood tumour markers in miceResearch in context
Authors: Christian Schmithals; Bianca Kakoschky; Dominic Denk; Maike von Harten; Jan Henrik Klug; Edith Hintermann; Anne Dropmann; Eman Hamza; Anne Claire Jacomin; Jens U. Marquardt; Stefan Zeuzem; Peter Schirmacher; Eva Herrmann; Urs Christen; Thomas J. Vogl; Oliver Waidmann; Steven Dooley; Fabian Finkelmeier; Albrecht Piiper
Source: EBioMedicine, Vol 105, Iss , Pp 105178- (2024)
Publisher Information: Elsevier, 2024.
Publication Year: 2024
Collection: LCC:Medicine; LCC:Medicine (General)
Subject Terms: HCC; Tumour marker; α fetoprotein; iRGD; CEND-1; Early cancer detection; Medicine; Medicine (General); R5-920
Description: Summary: Background: The accuracy of blood-based early tumour recognition is compromised by signal production at non-tumoral sites, low amount of signal produced by small tumours, and variable tumour production. Here we examined whether tumour-specific enhancement of vascular permeability by the particular tumour homing peptide, iRGD, which carries dual function of binding to integrin receptors overexpressed in the tumour vasculature and is known to promote extravasation via neuropilin-1 receptor upon site-specific cleavage, might be useful to improve blood-based tumour detection by inducing a yet unrecognised vice versa tumour-to-blood transport. Methods: To detect an iRGD-induced tumour-to-blood transport, we examined the effect of intravenously injected iRGD on blood levels of α-fetoprotein (AFP) and autotaxin in several mouse models of hepatocellular carcinoma (HCC) or in mice with chronic liver injury without HCC, and on prostate-specific antigen (PSA) levels in mice with prostate cancer. Findings: Intravenously injected iRGD rapidly and robustly elevated the blood levels of AFP in several mouse models of HCC, but not in mice with chronic liver injury. The effect was primarily seen in mice with small tumours and normal basal blood AFP levels, was attenuated by an anti-neuropilin-1 antibody, and depended on the concentration gradient between tumour and blood. iRGD treatment was also able to increase blood levels of autotaxin in HCC mice, and of PSA in mice with prostate cancer. Interpretation: We conclude that iRGD induces a tumour-to-blood transport in a tumour-specific fashion that has potential of improving diagnosis of early stage cancer. Funding: Deutsche Krebshilfe, DKTK, LOEWE-Frankfurt Cancer Institute.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2352-3964
Relation: http://www.sciencedirect.com/science/article/pii/S2352396424002135; https://doaj.org/toc/2352-3964
DOI: 10.1016/j.ebiom.2024.105178
Access URL: https://doaj.org/article/697990059c5e4e25a28e59b2e57c8d91
Accession Number: edsdoj.697990059c5e4e25a28e59b2e57c8d91
Database: Directory of Open Access Journals