Abstract

Near infrared fluorescence (NIRF) imaging has strong potential for widespread use in noninvasive tumor imaging. Indocyanine green (ICG) is the only Food and Drug Administration (FDA) -approved NIRF dye for clinical diagnosis; however, it is unstable and poorly targets tumors. DZ-1 is a novel heptamethine cyanine NIRF dye, suitable for imaging and tumor targeting. Here, we compared the fluorescence intensity and metabolism of DZ-1 and ICG. Additionally, we assayed their specificities and abilities to target tumor cells, using cultured hepatocellular carcinoma (HCC) cell lines, a nude mouse subcutaneous xenograft model of liver cancer, and a rabbit orthotopic transplantation model. We found that DZ-1 accumulates in tumor tissue and specifically recognizes HCC in subcutaneous and orthotopic models. The NIRF intensity of DZ-1 was one order of magnitude stronger than that of ICG, and DZ-1 showed excellent intraoperative tumor targeting in the rabbit model. Importantly, ICG accumulated at tumor sites, as well as in the liver and kidney. Furthermore, DZ-1 analog-gemcitabine conjugate (NIRG) exhibited similar tumor-specific targeting and imaging properties, including inhibition of tumor growth, in HCC patient-derived xenograft (PDX) mice. DZ-1 and NIRG demonstrated superior tumor-targeting specificity, compared to ICG. We show that DZ-1 is an effective molecular probe for specific imaging, targeting, and therapy in HCC.

Highlights

  • Near-infrared fluorescence (NIRF) imaging is a promising tool for noninvasive tumor imaging [1,2]

  • NIRF dye indocyanine green (ICG) can be quickly combined with plasma protein, distributed in systemic blood vessels, and efficiently and selectively taken up by liver cells with rapid blood circulation, which aids in diagnosis of liver fibrosis and cirrhosis and gastrointestinal vascular defects [21,22,23,24]

  • The conventional NIR dye needs to be labeled with peptides or a specific antigen marker, which facilitates targeting, only a part of the tumor can be identified, and the chemical combination often affects the stability of the target molecule [26,27]

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Summary

Introduction

Near-infrared fluorescence (NIRF) imaging is a promising tool for noninvasive tumor imaging [1,2]. Our research group has synthesized and screened a series of heptamethine cyanine NIRF dyes, including IR-783 and MHI-148 [12,13] These compounds displayed tumor targeting capabilities, in both tumor cells and various nude mouse xenograft models [14,15]. These dyes were conjugated with a vIantr.iJe. Mtyol.oSfcia. The water solubility oOf utrhreesseeardcyhegsroiuspphoaos rs— yntahlelsimzeudsatnbdescdreiesnseodlvaesderiiens odf ihmepettahmyelthsiunelfcoyxaindineeaNnIdRFtdhyeens, diluted with phionsclpuhdaintge-IbRu-7f8fe3raenddsMalHinI-e14fo8r[1i2n,t1r3a].pTehreitsoenceoamlpionujencdtsiodnispdluayreindgtuinmovrivtaorgiemtianggicnagpaabpilpitliiecsa, tinions [18] Both tumor cells and various nude mouse xenograft models [14,15]. SSttrroonnggflfluuoorreesscceennttssiiggnnaallwwaassddeetteecctteeddaattssuubbccuuttaanneeoouussttuummoorrssitiete; ;(D(D–,FF)) IInnhhiibbiittiioonn ooff NNIIRRGGoonn tthhee ttuummoorr ggrroowwtthh ffrroomm lliivveerr ccaanncceerr PPDDXX mmoouussee,, iinncclluuddiinngg CC6644000033,, CC3344556666,, aanndd BB6666887733.. dd rreepprreesseennttss tthhee ttrreeaattmmeennttttiimmee

Discussion
Animals
Clinical Specimens
Reagents
The Emission Spectrum of DZ-1
Bioluminescence and NIRF Imaging for Tumor Xenograft Models
DZ-1 and ICG Uptake by Human HCC Cells
Metabolism of NIRF Dyes in Nude Mouse Subcutaneous Xenograft HCC Model
NIRF Dye Uptake by Orthotopic Liver Xenograft Model in Nude Mice
Imaging of NIRF Dye in Rabbit Liver Tumor Model
Findings
4.10. Statistical Analysis
Full Text
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