背景:在口腔癌的治疗中,切缘状态是最关键的预后因素之一。阳性切缘与较高的局部复发率和较低的生存率相关。因此,口腔外科肿瘤学的普遍目标是获得显微镜下清晰的边缘。近红外荧光引导手术(FGS)可以改善使用荧光探针的手术切除。αVβ6整联蛋白由于其在口腔癌中的过表达而显示出用于癌症靶向的巨大潜力。与抗αVβ6肽(IRDye-A20)偶联的红色荧光造影剂IRDye680代表改善口腔癌的FGS的资产。这项研究调查了IRDye-A20作为3D三维舌癌细胞中选择性成像剂的潜力。
方法:通过RT-qPCR和Western印迹在2DHSC-3人舌癌细胞和MRC-5人成纤维细胞中评估αVβ6整联蛋白的表达。通过流式细胞术技术研究了两种细胞系中IRDye-A20的靶向能力。3D肿瘤球体模型,同型(HSC-3)和基质富集的异型(HSC-3/MRC-5)球体通过液体覆盖程序产生,并使用(免疫)组织学和基于荧光的技术进一步表征。在每种类型的球状体和每种细胞群中评估IRDye-A20选择性。
结果:αVβ6整合素在2DHSC-3癌细胞中过表达,但在MRC-5成纤维细胞中不表达,只有HSC-3标记有IRDye-A20。在HSC-3和MRC-5细胞之间产生平均直径为400μm的圆形球体,最终比例为55%/45%,分别。免疫荧光实验证明αVβ6整合素在同型球状体中均匀表达,而其表达仅限于异型球状体中的癌细胞。在富含基质的3D模型中,细胞角蛋白19和E-钙黏着蛋白仅由癌细胞表达,而波形蛋白和纤连蛋白由成纤维细胞表达。使用流式细胞术,我们证明了IRDye-A20标记了整个同型球体,而在异型模型中,所有癌细胞都是高度荧光的,在成纤维细胞中具有可忽略的荧光。
结论:本研究证明了A20FMDV2结合的IRDye680在富含基质的3D舌癌细胞球体中的有效选择性靶向。因此,IRDye-A20可能是口腔癌荧光引导手术未来发展的有希望的候选者。
BACKGROUND: In the treatment of oral cavity cancer, margin status is one of the most critical prognostic factors. Positive margins are associated with higher local recurrence and lower survival rates. Therefore, the universal goal of oral surgical oncology is to achieve microscopically clear margins. Near-infrared fluorescence guided surgery (FGS) could improve surgical resection using fluorescent probes. αVβ6 integrin has shown great potential for cancer targeting due to its overexpression in oral cancers. Red fluorescent contrast agent IRDye 680 coupled with anti-αVβ6 peptide (IRDye-A20) represents an asset to improve FGS of oral cancer. This study investigates the potential of IRDye-A20 as a selective imaging agent in 3D three-dimensional tongue cancer cells.
METHODS: αVβ6 integrin expression was evaluated by RT-qPCR and Western Blotting in 2D HSC-3 human tongue cancer cells and MRC-5 human fibroblasts. Targeting ability of IRDye-A20 was studied in both cell lines by flow cytometry technique. 3D tumor spheroid models, homotypic (HSC-3) and stroma-enriched heterotypic (HSC-3/MRC-5) spheroids were produced by liquid overlay procedure and further characterized using (immuno)histological and fluorescence-based techniques. IRDye-A20 selectivity was evaluated in each type of spheroids and each cell population.
RESULTS: αVβ6 integrin was overexpressed in 2D HSC-3 cancer cells but not in MRC-5 fibroblasts and consistently, only HSC-3 were labelled with IRDye-A20. Round shaped spheroids with an average diameter of 400 μm were produced with a final ratio of 55%/45% between HSC-3 and MRC-5 cells, respectively. Immunofluorescence experiments demonstrated an uniform expression of αVβ6 integrin in homotypic spheroid, while its expression was restricted to cancer cells only in heterotypic spheroid. In stroma-enriched 3D model, Cytokeratin 19 and E-cadherin were expressed only by cancer cells while vimentin and fibronectin were expressed by fibroblasts. Using flow cytometry, we demonstrated that IRDye-A20 labeled the whole homotypic spheroid, while in the heterotypic model all cancer cells were highly fluorescent, with a negligible fluorescence in fibroblasts.
CONCLUSIONS: The present study demonstrated an efficient selective targeting of A20FMDV2-conjugated IRDye 680 in 3D tongue cancer cells stroma-enriched spheroids. Thus, IRDye-A20 could be a promising candidate for the future development of the fluorescence-guided surgery of oral cancers.