Volume 21, Issue 2 pp. 111-115

Enhanced visualization of parathyroid tissue by infusion of a visible dye conjugated to an antiparathyroid antibody

Raymund C. King MD, DABFE, DABFM

Corresponding Author

Raymund C. King MD, DABFE, DABFM

2734 NW 62nd St., Oklahoma City, Oklahoma 73112

2734 NW 62nd St., Oklahoma City, Oklahoma 73112Search for more papers by this author
Stanley L. Mills RPh, PhD

Stanley L. Mills RPh, PhD

Department of Medicinal Chemistry and Pharmaceutics, College of Pharmacy, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma

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Jesus E. Medina MD

Jesus E. Medina MD

Department of Otorhinolaryngology, The University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma

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Presented at the 4th International Conference on Head and Neck Cancer, Toronto, Ontario, Canada, July 31, 1996.

Abstract

Background

The antiparathyroid antibody BB5-G1 conjugated to cibacron blue, a blue dye, was intravenously infused to enhance parathyroid visualization. Previously, we demonstrated selective staining of human parathyroid implants in athymic nude mice after infusion of the conjugate.

Methods

Mice possessing implanted parathyroid tissue were randomized into the following: group I, infused with cibacron blue alone; group II, infused with the antibody/dye conjugate; and group III, infused with radiolabeled BB5-G1 alone. Implants were surgically explored. Three blinded observers ranked parathyroid visualization in the operative fields, and corresponding histologic sections were computer analyzed.

Results

Group II implants were easily visualized; groups I and III showed no staining. Group III showed high gamma counts. Subjective rankings and computer rankings correlated well (p < .05). Group II showed a higher mean staining intensity of 27.45 picogram protein product (PPP)/cell compared with 7.76 PPP/cell of group I (p = .002).

Conclusion

Cibacron blue/BB5-G1 consistently enhances visualization of implanted parathyroid tissue. © 1999 John Wiley & Sons, Inc. Head Neck 21: 111–115, 1999.

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