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Near-infrared-labeled peptide multimer functions as phage mimic for high affinity, specific targeting of colonic adenomas in vivo (with videos) - 18/11/12

Doi : 10.1016/j.gie.2012.07.017 
Bishnu P. Joshi, PhD 1, Zhongyao Liu, PhD 1, Sakib F. Elahi, MS 2, Henry D. Appelman, MD 3, Thomas D. Wang, MD, PhD 1, 2,
1 Department of Medicine, Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA 
2 Department of Biomedical Engineering, University of Michigan, Ann Arbor, Michigan, USA 
3 Department of Pathology, University of Michigan, Ann Arbor, Michigan, USA 

Reprint requests: Thomas D. Wang, MD, PhD, Associate Professor of Medicine and Biomedical Engineering, Division of Gastroenterology, University of Michigan, 109 Zina Pitcher Pl BSRB 1522, Ann Arbor, MI 48109-2200

Riassunto

Background

Fluorescent-labeled peptides are being developed to improve the endoscopic detection of colonic dysplasia.

Objective

To demonstrate a near-infrared peptide multimer that functions as a phage mimic for in vivo detection of colonic adenomas.

Design

A peptide multimer was synthesized by using trilysine as a dendritic wedge to mimic the presentation of peptides on phage, and all peptides, including the multimer, were fluorescent-labeled with Cy5.5.

Setting

Small-animal imaging facility.

Animal Subjects

Genetically engineered CPC;Apc mice that spontaneously develop colonic adenomas.

Intervention

Near-infrared-labeled AKPGYLS peptide multimer was administered topically into the distal colons of the mice, and endoscopic images of adenomas were captured. Fluorescence intensities were quantified by target-to-background (T/B) ratios, and adenoma dimensions were measured with calipers after imaging. Validation of specific peptide binding was performed on cryosectioned specimens and cells by using confocal microscopy and flow cytometry.

Main Outcome Measurements

Fluorescence T/B ratios from colonic adenomas and adjacent normal-appearing mucosa.

Results

AKP-multimer, monomer, trilysine core, and Cy5.5 resulted in mean (± SD) T/B ratios of 3.85 ± 0.25, 2.21 ± 0.13, 1.56 ± 0.12, and 1.19 ± 0.11, respectively, P < .01 on in vivo imaging. Peptide multimer showed higher contrast and greater specificity for dysplastic crypts as compared with other probes. Peptide multimer demonstrated significantly greater binding to HT29 cells on flow cytometry and fluorescence microscopy in comparison to monomer and trilysine core. A binding affinity of 6.4 nm/L and time constant of 0.1136 minutes−1 (8.8 minutes) was measured for multimer.

Limitations

Only distal colonic adenomas were imaged.

Conclusion

Peptide multimers combine strengths of multiple individual peptides to enhance binding interactions and demonstrate significantly higher specificity and affinity for tumor targets.

Il testo completo di questo articolo è disponibile in PDF.

Abbreviations : FITC, HPLC, NIR, PBS, T/B, TFA


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 DISCLOSURE: This research was supported in part by National Institutes of Health grants U54 CA13642, P50 CA93990, and R01 CA142750 to T. Wang. The University of Michigan has filed a provisional patent on behalf of authors B. Joshi and T. Wang on the peptide presented in this study. No other financial relationships relevant to this publication were disclosed.


© 2012  American Society for Gastrointestinal Endoscopy. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
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Vol 76 - N° 6

P. 1197 - dicembre 2012 Ritorno al numero
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