Long-Term Therapeutic Effects of <sup>225</sup>Ac-DOTA-E[c(RGDfK)]<sub>2</sub> Induced by Radiosensitization via G2/M Arrest in Pancreatic Ductal Adenocarcinoma

<b>Background</b>: Alpha radionuclide therapy has emerged as a promising novel strategy for cancer treatment; however, the therapeutic potential of <sup>225</sup>Ac-labeled peptides in pancreatic cancer remains uninvestigated. <b>Methods</b>: In the cytotoxicity s...

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Main Authors: Mitsuyoshi Yoshimoto, Kohshin Washiyama, Kazunobu Ohnuki, Ayano Doi, Miki Inokuchi, Motohiro Kojima, Brian W. Miller, Yukie Yoshii, Anri Inaki, Hirofumi Fujii
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Pharmaceutics
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Online Access:https://www.mdpi.com/1999-4923/17/1/9
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author Mitsuyoshi Yoshimoto
Kohshin Washiyama
Kazunobu Ohnuki
Ayano Doi
Miki Inokuchi
Motohiro Kojima
Brian W. Miller
Yukie Yoshii
Anri Inaki
Hirofumi Fujii
author_facet Mitsuyoshi Yoshimoto
Kohshin Washiyama
Kazunobu Ohnuki
Ayano Doi
Miki Inokuchi
Motohiro Kojima
Brian W. Miller
Yukie Yoshii
Anri Inaki
Hirofumi Fujii
author_sort Mitsuyoshi Yoshimoto
collection DOAJ
description <b>Background</b>: Alpha radionuclide therapy has emerged as a promising novel strategy for cancer treatment; however, the therapeutic potential of <sup>225</sup>Ac-labeled peptides in pancreatic cancer remains uninvestigated. <b>Methods</b>: In the cytotoxicity study, tumor cells were incubated with <sup>225</sup>Ac-DOTA-RGD<sub>2</sub>. DNA damage responses (γH2AX and 53BP1) were detected using flowcytometry or immunohistochemistry analysis. Biodistribution and therapeutic studies were carried out in BxPC-3-bearing mice. <b>Results</b>: <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> demonstrated potent cytotoxicity against cells expressing α<sub>v</sub>β<sub>3</sub> or α<sub>v</sub>β<sub>6</sub> integrins and induced G2/M arrest and γH2AX expression as a marker of double-stranded DNA breaks. <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> (20, 40, 65, or 90 kBq) showed favorable pharmacokinetics and remarkable tumor growth inhibition without severe side effects in the BxPC-3 mouse model. In vitro studies revealed that 5 and 10 kBq/mL of <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> swiftly induced G2/M arrest and elevated γH2AX expression. Furthermore, to clarify the mechanism of successful tumor growth inhibition for a long duration in vivo, we investigated whether short-term high radiation exposure enhances radiation sensitivity. Initially, a 4 h induction treatment with 5 and 10 kBq/mL of <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> enhanced both cytotoxicity and γH2AX expression with 0.5 kBq/mL of <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> compared to a treatment with only 0.5 kBq/mL of <sup>225</sup>Ac-DOTA-RGD<sub>2</sub>. Meanwhile, the γH2AX expression induced by 5 or 10 kBq/mL of <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> alone decreased over time. <b>Conclusions</b>: These findings highlight the potential of using <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> in the treatment of intractable pancreatic cancers, as its ability to induce G2/M cell cycle arrest enhances radiosensitization, resulting in notable growth inhibition.
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spelling doaj-art-6f3a0cc3754c4d258a2f15e95186393f2025-01-24T13:45:33ZengMDPI AGPharmaceutics1999-49232024-12-01171910.3390/pharmaceutics17010009Long-Term Therapeutic Effects of <sup>225</sup>Ac-DOTA-E[c(RGDfK)]<sub>2</sub> Induced by Radiosensitization via G2/M Arrest in Pancreatic Ductal AdenocarcinomaMitsuyoshi Yoshimoto0Kohshin Washiyama1Kazunobu Ohnuki2Ayano Doi3Miki Inokuchi4Motohiro Kojima5Brian W. Miller6Yukie Yoshii7Anri Inaki8Hirofumi Fujii9Division of Functional Imaging, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center, Kashiwa 277-8577, JapanAdvanced Clinical Research Center, Fukushima Global Medical Science Center, Fukushima Medical University, Fukushima 960-1295, JapanDivision of Functional Imaging, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center, Kashiwa 277-8577, JapanDivision of Functional Imaging, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center, Kashiwa 277-8577, JapanDivision of Functional Imaging, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center, Kashiwa 277-8577, JapanDivision of Pathology, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center, Kashiwa 277-8577, JapanDepartment of Radiation Oncology, College of Medicine, University of Arizona, Tucson, AZ 85719, USANational Institute of Radiological Sciences, National Institutes for Quantum Science and Technology, Chiba 263-8555, JapanDivision of Functional Imaging, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center, Kashiwa 277-8577, JapanDivision of Functional Imaging, Exploratory Oncology Research & Clinical Trial Center, National Cancer Center, Kashiwa 277-8577, Japan<b>Background</b>: Alpha radionuclide therapy has emerged as a promising novel strategy for cancer treatment; however, the therapeutic potential of <sup>225</sup>Ac-labeled peptides in pancreatic cancer remains uninvestigated. <b>Methods</b>: In the cytotoxicity study, tumor cells were incubated with <sup>225</sup>Ac-DOTA-RGD<sub>2</sub>. DNA damage responses (γH2AX and 53BP1) were detected using flowcytometry or immunohistochemistry analysis. Biodistribution and therapeutic studies were carried out in BxPC-3-bearing mice. <b>Results</b>: <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> demonstrated potent cytotoxicity against cells expressing α<sub>v</sub>β<sub>3</sub> or α<sub>v</sub>β<sub>6</sub> integrins and induced G2/M arrest and γH2AX expression as a marker of double-stranded DNA breaks. <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> (20, 40, 65, or 90 kBq) showed favorable pharmacokinetics and remarkable tumor growth inhibition without severe side effects in the BxPC-3 mouse model. In vitro studies revealed that 5 and 10 kBq/mL of <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> swiftly induced G2/M arrest and elevated γH2AX expression. Furthermore, to clarify the mechanism of successful tumor growth inhibition for a long duration in vivo, we investigated whether short-term high radiation exposure enhances radiation sensitivity. Initially, a 4 h induction treatment with 5 and 10 kBq/mL of <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> enhanced both cytotoxicity and γH2AX expression with 0.5 kBq/mL of <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> compared to a treatment with only 0.5 kBq/mL of <sup>225</sup>Ac-DOTA-RGD<sub>2</sub>. Meanwhile, the γH2AX expression induced by 5 or 10 kBq/mL of <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> alone decreased over time. <b>Conclusions</b>: These findings highlight the potential of using <sup>225</sup>Ac-DOTA-RGD<sub>2</sub> in the treatment of intractable pancreatic cancers, as its ability to induce G2/M cell cycle arrest enhances radiosensitization, resulting in notable growth inhibition.https://www.mdpi.com/1999-4923/17/1/9radionuclide therapy<sup>225</sup>AcRGD peptidepancreatic cancerintegrinDNA damage
spellingShingle Mitsuyoshi Yoshimoto
Kohshin Washiyama
Kazunobu Ohnuki
Ayano Doi
Miki Inokuchi
Motohiro Kojima
Brian W. Miller
Yukie Yoshii
Anri Inaki
Hirofumi Fujii
Long-Term Therapeutic Effects of <sup>225</sup>Ac-DOTA-E[c(RGDfK)]<sub>2</sub> Induced by Radiosensitization via G2/M Arrest in Pancreatic Ductal Adenocarcinoma
Pharmaceutics
radionuclide therapy
<sup>225</sup>Ac
RGD peptide
pancreatic cancer
integrin
DNA damage
title Long-Term Therapeutic Effects of <sup>225</sup>Ac-DOTA-E[c(RGDfK)]<sub>2</sub> Induced by Radiosensitization via G2/M Arrest in Pancreatic Ductal Adenocarcinoma
title_full Long-Term Therapeutic Effects of <sup>225</sup>Ac-DOTA-E[c(RGDfK)]<sub>2</sub> Induced by Radiosensitization via G2/M Arrest in Pancreatic Ductal Adenocarcinoma
title_fullStr Long-Term Therapeutic Effects of <sup>225</sup>Ac-DOTA-E[c(RGDfK)]<sub>2</sub> Induced by Radiosensitization via G2/M Arrest in Pancreatic Ductal Adenocarcinoma
title_full_unstemmed Long-Term Therapeutic Effects of <sup>225</sup>Ac-DOTA-E[c(RGDfK)]<sub>2</sub> Induced by Radiosensitization via G2/M Arrest in Pancreatic Ductal Adenocarcinoma
title_short Long-Term Therapeutic Effects of <sup>225</sup>Ac-DOTA-E[c(RGDfK)]<sub>2</sub> Induced by Radiosensitization via G2/M Arrest in Pancreatic Ductal Adenocarcinoma
title_sort long term therapeutic effects of sup 225 sup ac dota e c rgdfk sub 2 sub induced by radiosensitization via g2 m arrest in pancreatic ductal adenocarcinoma
topic radionuclide therapy
<sup>225</sup>Ac
RGD peptide
pancreatic cancer
integrin
DNA damage
url https://www.mdpi.com/1999-4923/17/1/9
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