Targeting Folate Receptors to Treat Invasive Urinary Bladder Cancer

Autor: James F. Naughton, Nikki Parker, Lindsey M. Fourez, Ryan Rothenbuhler, Linda M. Murphy, Joseph A. Reddy, Liang Cheng, Christopher P. Leamon, Jane C. Stewart, José A. Ramos-Vara, Iontcho Radoslavov Vlahov, Philip S. Low, Michael O. Koch, Patrick J. Klein, Deborah W. Knapp, Deepika Dhawan
Rok vydání: 2013
Předmět:
Zdroj: Cancer Research. 73:875-884
ISSN: 1538-7445
0008-5472
Popis: Folate receptors (FR) may be of use for targeted delivery of cytotoxic drugs in invasive urothelial carcinoma (iUC), for which improved therapy is needed. FR expression and function in iUC were explored and the antitumor activity and toxicity of a folate-targeted vinblastine conjugate were evaluated in dogs with naturally occurring iUC, an excellent model for human iUC. FR immunohistochemistry was carried out on iUC and normal human and dog bladder tissues together with nuclear scintigraphy in dogs to monitor iUC folate uptake. Dose escalation of a folate-targeted vinblastine compound, EC0905, was conducted in dogs with biopsy-confirmed, FR-positive iUC. FRs were detected by immunohistochemistry (PU17) in most primary iUC and many nodal and lung metastases from dogs, and scintigraphy confirmed folate uptake in both primary and metastatic lesions. The maximum tolerated dose of EC0905 in dogs was 0.25 mg/kg IV weekly, with neutropenia at higher doses. Tumor responses included partial remission (≥50% reduction in tumor volume) in five dogs and stable disease (
Databáze: OpenAIRE