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Fluorescent dyes 'light up' brain cancer cells
Date:
January 30, 2015
Source:
Wolters Kluwer Health: Lippincott Williams and Wilkins
Summary:
Two new fluorescent dyes attracted to cancer cells may help neurosurgeons more accurately localize and completely resect brain tumors, suggests a new study. Removing all visible areas of cancer (gross total resection) significantly improves survival after brain cancer surgery.
........................
two new fluorescent dyes attracted to cancer cells may help neurosurgeons more accurately localize and completely resect brain tumors, suggests a study in the February issue of Neurosurgery, official journal of the Congress of Neurological Surgeons. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.
Dr. John S. Kuo and colleagues of University of Wisconsin School of Medicine and Public Health, Madison, evaluated two "tumor-selective" fluorescent agents -- called CLR1501 and CLR1502 -- for their ability to differentiate brain tumors from normal brain tissue in mice. "This study demonstrates the promising potential of CLR1501 and CLR 1502 analogs for use in fluorescence-guided tumor surgery," the researchers conclude.
Green and Near-Infrared Fluorescent Dyes Make Cancer Cells Glow
CLR1501 and CLR1502 are synthetic analogs of the tumor-targeting agent alkylphosphocholine (APC), which is specifically attracted to cancer cells. The new agents were molecularly altered to carry fluorescent dyes that glow under lights with specific wavelengths -- either in the green (CLR1501) or near-infrared (CLR1502) range. Viewed under appropriate conditions, the dyes make tumor cells "light up" so that they can be readily distinguished from neighboring normal brain tissue.
Using different types of imaging technologies, Dr. Kuo and colleagues evaluated the ability of CLR1501 and CLR1502 to detect implanted (xenograft) tumors in mice. The results were compared with imaging studies performed with a dye called 5-aminolevulinic acid (5-ALA), which glows under blue light. Although 5-ALA is used for fluorescence-guided neurosurgery in Europe, it is not yet approved for routine use in the United States.
The results confirmed that CLR1501 and CLR1502 were attracted to tumor cells, and emitted light of specific wavelengths under appropriate imaging conditions. Both APC analogs provided "excellent fluorescence discrimination of tumor from adjacent normal brain." Tumors could be clearly seen using different types of commercially available imaging systems.
Imaging with CLR1501 green dye showed fluorescence similar to that achieved with currently used 5-ALA dye. With the near-infrared CLR1502 dye, fluorescence was even greater than with 5-ALA. The use of near-infrared fluorescence would offer additional advantages during actual surgery, compared to fluorescence in the visible-light range.
With Possible Uses in Guiding Brain Cancer Surgery
The findings build on previous cellular-level studies suggesting that APC analogs might be useful in guiding brain cancer surgery. Used during surgery for brain cancer, these fluorescent dyes could help neurosurgeons to locate the tumor and to resect it as completely as possible. Removing all visible areas of cancer (gross total resection) significantly improves survival after brain cancer surgery.
In preliminary studies, near-infrared imaging with CLR1502 successfully localized brain tumors through the intact skin and skull of living mice. In addition to fluorescent-guided neurosurgery, APC analogs might play useful roles in diagnosing brain cancers and in targeting chemotherapy drugs directly to cancer cells.
The researchers acknowledge the "inherent limitations" of their experiments, limited to implanted tumors in animals. Further research will be needed to assess issues related to dye administration, visualization, and timing, as well as the optimal technologies for practical use during surgery. Dr. Kuo and coauthors write, "[U]pcoming clinical trials in human tumors are planned for these promising tumor-selective fluorescence agents."

Story Source:
The above story is based on materials provided by Wolters Kluwer Health: Lippincott Williams and WilkinsNote: Materials may be edited for content and length.

Journal Reference:
1.    Kyle I. Swanson, Paul A. Clark, Ray R. Zhang, Irawati K. Kandela, Mohammed Farhoud, Jamey P. Weichert, John S. Kuo. Fluorescent Cancer-Selective Alkylphosphocholine Analogs for Intraoperative Glioma Detection.Neurosurgery, 2015; 76 (2): 115 DOI: 10.1227/NEU.0000000000000622

-b) � m 0 (�> `4 -bottom:.0001pt;line-height: 13.35pt;background:white'>Results from trials of the monovalent vaccine in Mali and Switzerland are expected shortly.
The safety and immunogenicity data from the Oxford trial supports the move into much larger scale studies in West Africa, testing vaccine effectiveness to prevent Ebola virus disease.
The Oxford University scientists have also begun testing the safety of a candidate booster vaccine against Ebola, to find out whether it could further increase the immune responses.
30 of the original volunteers have been invited back and received a second candidate Ebola vaccine of a different type made by Bavarian Nordic, a company based in Denmark. Ongoing trials in Oxford are still seeking to assess further this two-dose regime. Anyone interested in volunteering should contact vaccinetrials@ndm.ox.ac.uk.
Professor Hill said: 'The speed at which all this is happening is remarkable. We'd especially like to thank all the volunteers. They continue to take time out of their busy lives to give blood samples at regular intervals so we can understand more about their immune responses having received the vaccine. It's also thanks to the hard work of many scientists, funders, pharma firms, regulators and agencies, all coming together, that we can make such rapid progress.'
He added: 'Whether we have a vaccine that is safe, effective and works, we won't know for a while yet. But we owe it to the people who have been affected so badly by the Ebola outbreak to find out.'
International Development Secretary Justine Greening said: 'Britain is a world leader in medical research and the outcome of these DFID-funded trials takes us a step closer to finding a vaccine that could help contain Ebola and prevent future outbreaks.
'I would like to thank the volunteers who took part in this important trial. They join thousands of British doctors, nurses, military personnel, scientists and aid workers in the fight against this terrible disease.'
Dr Jeremy Farrar, Director of the Wellcome Trust, said: 'This study is very encouraging as it provides good initial evidence that the GSK vaccine will be safe to use in people. However, we still don't know whether it will provide protection against Ebola infection in a real-world situation. That's why trials in West Africa of this, and the other vaccines in development, must begin as soon possible. This has been an amazing global collaboration which we are proud to have supported.
'Falling infection rates in many of the affected regions increase the urgency of this research. While it is wonderful news that the epidemic is slowing in all three affected countries we cannot consider the crisis over until there are no more people infected by Ebola across the whole region of West Africa. Vaccines may yet play a crucial role in achieving this, and will undoubtedly play a crucial role in protecting against future outbreaks of the virus.'

Story Source:
The above story is based on materials provided by University of OxfordNote: Materials may be edited for content and length.

Journal Reference:
1.    Tommy Rampling, Katie Ewer, Georgina Bowyer, Danny Wright, Egeruan B. Imoukhuede, Ruth Payne, Felicity Hartnell, Malick Gibani, Carly Bliss, Alice Minhinnick, Morven Wilkie, Navin Venkatraman, Ian Poulton, Natalie Lella, Rachel Roberts, Kailan Sierra-Davidson, Verena Krähling, Eleanor Berrie, Francois Roman, Iris De Ryck, Alfredo Nicosia, Nancy J. Sullivan, Daphne A. Stanley, Julie E. Ledgerwood, Richard M. Schwartz, Loredana Siani, Stefano Colloca, Antonella Folgori, Stefania Di Marco, Riccardo Cortese, Stephan Becker, Barney S. Graham, Richard A. Koup, Myron M. Levine, Vasee Moorthy, Andrew J. Pollard, Simon J. Draper, W. Ripley Ballou, Alison Lawrie, Sarah C. Gilbert, Adrian V.S. Hill. A Monovalent Chimpanzee Adenovirus Ebola Vaccine — Preliminary Report.New England Journal of Medicine, 2015; 150128140051005 DOI:10.1056/NEJMoa1411627











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