PMID- 21498540 OWN - NLM STAT- MEDLINE DCOM- 20110705 LR - 20220129 IS - 1535-5667 (Electronic) IS - 0161-5505 (Linking) VI - 52 IP - 5 DP - 2011 May TI - ErbB-2 blockade and prenyltransferase inhibition alter epidermal growth factor and epidermal growth factor receptor trafficking and enhance (111)In-DTPA-hEGF Auger electron radiation therapy. PG - 776-83 LID - 10.2967/jnumed.110.084392 [doi] AB - The intracellular distribution of Auger electron-emitting radiopharmaceuticals is a determinant of cytotoxicity. However, the mechanisms by which these agents are routed through the cell are ill understood. The aim of this study was to investigate how trafficking of (111)In-labeled human epidermal growth factor ((111)In-DTPA-hEGF) relates to that of the EGF receptor (EGFR) and whether coadministration of agents that modulate EGFR signaling alters the efficacy of (111)In-DTPA-hEGF. METHODS: The spatiotemporal interaction between AlexaFluor488-EGF (AF488-EGF) and Cy3-conjugated anti-EGFR antibody (Cy3-anti-EGFR) was studied in the breast cancer cell line MDA-MB-468 using fluorescence resonance energy transfer and 2-photon fluorescence lifetime imaging. (111)In internalization and nuclear fractionation assays were performed to investigate the effect of the ErbB-2-blocking antibody trastuzumab and a prenyltransferase inhibitor, L-778,123, on the subcellular localization of (111)In-DTPA-hEGF in MDA-MB-468 (1.3 x 10(6) EGFR per cell; ErbB-2 negative) and 231-H2N (0.2 x 10(6) EGFR per cell; 0.4 x 10(5) ErbB-2 per cell) cell lines. The cytotoxicity of (111)In-DTPA-hEGF (0-64 nM) plus trastuzumab (0-50 mug/mL) or L-778,123 (0-22.5 muM) was measured using clonogenic assays in a panel of breast cancer cell lines that express different levels of EGFR and ErB-2. Clonogenic survival data were used to calculate combination indices. Tumor growth inhibition was measured in vivo in 231-H2N xenograft-bearing mice treated with (111)In-DTPA-hEGF plus trastuzumab or L-788,123. RESULTS: Using fluorescence resonance energy transfer, we showed that EGF interacts with EGFR in the cytoplasm and nucleus after internalization of the ligand-receptor complex in MDA-MB-468 cells. Nuclear localization of (111)In-DTPA-hEGF is enhanced by trastuzumab and L-788,123. Trastuzumab and L-788,123 sensitized 231-H2N cells to (111)In-DTPA-hEGF. Nuclear localization and cytotoxicity of (111)In-DTPA-hEGF were significantly increased in 231-H2N xenografts by cotreatment with L-788,123 (P < 0.0001). CONCLUSION: The therapeutic efficacy of (111)In-DTPA-hEGF is increased through the coadministration of selected molecularly targeted drugs that modulate EGFR signaling and trafficking. FAU - Cornelissen, Bart AU - Cornelissen B AD - Department of Oncology, CRUK/MRC Gray Institute for Radiation Oncology and Biology, University of Oxford, Oxford, United Kingdom. FAU - Darbar, Sonali AU - Darbar S FAU - Hernandez, Rebecca AU - Hernandez R FAU - Kersemans, Veerle AU - Kersemans V FAU - Tullis, Iain AU - Tullis I FAU - Barber, Paul R AU - Barber PR FAU - Smart, Sean AU - Smart S FAU - Vojnovic, Borivoj AU - Vojnovic B FAU - Reilly, Raymond AU - Reilly R FAU - Vallis, Katherine A AU - Vallis KA LA - eng GR - A6245/CRUK_/Cancer Research UK/United Kingdom GR - MRC_/Medical Research Council/United Kingdom GR - C14521/A6245/CRUK_/Cancer Research UK/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110415 PL - United States TA - J Nucl Med JT - Journal of nuclear medicine : official publication, Society of Nuclear Medicine JID - 0217410 RN - 0 (111In-DTPA-human epidermal growth factor) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Imidazoles) RN - 0 (Protein Kinase Inhibitors) RN - 2A2059P49U (L 778,123) RN - 62229-50-9 (Epidermal Growth Factor) RN - 7A314HQM0I (Pentetic Acid) RN - EC 2.5.1.1 (Dimethylallyltranstransferase) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Active Transport, Cell Nucleus/drug effects MH - Animals MH - Antibodies, Monoclonal/pharmacology MH - Antibodies, Monoclonal, Humanized MH - Cell Line, Tumor MH - Cell Nucleus/drug effects/metabolism MH - Cell Proliferation/drug effects MH - Colony-Forming Units Assay MH - Dimethylallyltranstransferase/*antagonists & inhibitors MH - Electrons/*therapeutic use MH - Epidermal Growth Factor/*metabolism/pharmacokinetics MH - ErbB Receptors/*metabolism MH - Female MH - Humans MH - Imidazoles/pharmacology MH - Mice MH - Pentetic Acid/*analogs & derivatives/metabolism/pharmacokinetics MH - Protein Kinase Inhibitors/*pharmacology MH - Protein Transport/drug effects MH - Receptor, ErbB-2/*antagonists & inhibitors MH - Signal Transduction/drug effects MH - Trastuzumab EDAT- 2011/04/19 06:00 MHDA- 2011/07/06 06:00 CRDT- 2011/04/19 06:00 PHST- 2011/04/19 06:00 [entrez] PHST- 2011/04/19 06:00 [pubmed] PHST- 2011/07/06 06:00 [medline] AID - jnumed.110.084392 [pii] AID - 10.2967/jnumed.110.084392 [doi] PST - ppublish SO - J Nucl Med. 2011 May;52(5):776-83. doi: 10.2967/jnumed.110.084392. Epub 2011 Apr 15.