Detection of sentinel nodes by a novel red-fluorescent dye, ATX-S10Na (II), in an orthotopic xenograft rat model of human gastric carcinoma
Tomoki Koyama MD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan
Search for more papers by this authorCorresponding Author
Akihito Tsubota MD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan.Search for more papers by this authorKoichi Nariai PhD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Search for more papers by this authorTetsuya Yoshikawa MD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan
Search for more papers by this authorMakoto Mitsunaga MD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Search for more papers by this authorMakoto Sumi MD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan
Search for more papers by this authorHiroshi Nimura MD
Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan
Search for more papers by this authorKatsuhiko Yanaga MD
Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan
Search for more papers by this authorYoko Yumoto BS
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Search for more papers by this authorYasuo Mabashi BS
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Search for more papers by this authorHiroshi Takahashi MD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Search for more papers by this authorTomoki Koyama MD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan
Search for more papers by this authorCorresponding Author
Akihito Tsubota MD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan.Search for more papers by this authorKoichi Nariai PhD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Search for more papers by this authorTetsuya Yoshikawa MD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan
Search for more papers by this authorMakoto Mitsunaga MD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Search for more papers by this authorMakoto Sumi MD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan
Search for more papers by this authorHiroshi Nimura MD
Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan
Search for more papers by this authorKatsuhiko Yanaga MD
Department of Surgery, Jikei University School of Medicine, 3-25-8 Nishi-shimbashi, Minato-ku, Tokyo 105-8461, Japan
Search for more papers by this authorYoko Yumoto BS
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Search for more papers by this authorYasuo Mabashi BS
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Search for more papers by this authorHiroshi Takahashi MD
Institute of Clinical Medicine and Research (ICMR), Jikei University School of Medicine, 163-1 Kashiwa-shita, Kashiwa, Chiba 277-8567, Japan
Search for more papers by this authorAbstract
Background and Objective
We developed a new imaging system to detect sentinel nodes (SNs) using a novel fluorescent tracer, ATX-S10Na(II), and investigated its usefulness in an animal model.
Study Design/Materials and Methods
Human gastric carcinoma cells were implanted orthotopically into nude rats. ATX-S10Na(II) was injected subserosally into the primary tumor lesion, and visualized by a fluorescence spectro-laparoscope. Presence of tumor cells in lymph nodes (LNs) was determined by RT-PCR specific for human β-actin.
Results
Injection of ATX-S10Na(II) was successful in 27 tumor-bearing rats. A red fluorescence was incorporated into the left gastric and hepatic LNs in 25 and 2 rats, respectively. Of note, human β-actin was detected in most of these LNs. Fluorescence was not detected in LNs that did not contain cancer.
Conclusion
ATX-S10Na(II) is useful for the detection of cancer-containing SNs in an animal model of gastric carcinoma, and may serve as a novel tracer in SN navigation surgery. Lasers Surg. Med. © 2006 Wiley-Liss, Inc.
REFERENCES
- 1 Sobin LH. TNM, sixth edition: New developments in general concepts and rules. Semin Surg Oncol 2003; 21: 19–22.
- 2 Morton DL, Wen DR, Wong JH, Economou JS, Cagle LA, Storm FK, Foshag LJ, Cochran AJ. Technical details of intraoperative lymphatic mapping for early stage melanoma. Arch Surg 1992; 127: 392–399.
- 3 van der Veen H, Hoekstra OS, Paul MA, Cuesta MA, Meijer S. Gamma probe-guided sentinel node biopsy to select patients with melanoma for lymphadenectomy. Br J Surg 1994; 81: 1769–1770.
- 4 Krag D, Weaver D, Ashikaga T, Moffat F, Klimberg VS, Shriver C, Feldman S, Kusminsky R, Gadd M, Kuhn J, Harlow S, Beitsch P. The sentinel node in breast cancer—a multicenter validation study. N Engl J Med 1998; 339: 941–946.
- 5 Hiratsuka M, Miyashiro I, Ishikawa O, Furukawa H, Motomura K, Ohigashi H, Kameyama M, Sasaki Y, Kabuto T, Ishiguro S, Imaoka S, Koyama H. Application of sentinel node biopsy to gastric cancer surgery. Surgery 2001; 129: 335–340.
- 6 Kitagawa Y, Kitajima M. Gastrointestinal cancer and sentinel node navigation surgery. J Surg Oncol 2002; 79: 188–193.
- 7 Ichikura T, Morita D, Uchida T, Okura E, Majima T, Ogawa T, Mochizuki H. Sentinel node concept in gastric carcinoma. World J Surg 2002; 26: 318–322.
- 8 Hayashi H, Ochiai T, Mori M, Karube T, Suzuki T, Gunji Y, Hori S, Akutsu N, Matsubara H, Shimada H. Sentinel lymph node mapping for gastric cancer using a dual procedure with dye- and gamma probe-guided techniques. J Am Coll Surg 2003; 196: 68–74.
- 9 Miwa K, Kinami S, Taniguchi K, Fushida S, Fujimura T, Nonomura A. Mapping sentinel nodes in patients with early-stage gastric carcinoma. Br J Surg 2003; 90: 178–182.
- 10 Kim MC, Kim HH, Jung GJ, Lee JH, Choi SR, Kang DY, Roh MS, Jeong JS. Lymphatic mapping and sentinel node biopsy using 99mTc tin colloid in gastric cancer. Ann Surg 2004; 239: 383–387.
- 11 Tanaka K, Tonouchi H, Kobayashi M, Konishi N, Ohmori Y, Mohri Y, Kusunoki M. Laparoscopically assisted total gastrectomy with sentinel node biopsy for early gastric cancer: Preliminary results. Am Surg 2004; 70: 976–981.
- 12 Kvam E, Stokke T, Moan J. The lengths of DNA fragments light-induced in the presence of a photosensitizer localized at the nuclear membrane of human cells. Biochim Biophys Acta 1990; 1049: 33–37.
- 13 Fisher AMR, Murphree AL, Gomer CJ. Clinical and preclinical photodynamic therapy. Lasers Surg Med 1995; 17: 2–31.
- 14 Sharman WM, Allen CM, van Lier JE. Photodynamic therapeutics: Basic principles and clinical applications. Drug Discov Today 1999; 4: 507–517.
- 15 Nakajima S, Sakata I, Takemura T, Maeda T, Hayashi H, Kubo Y, Samejima N, Koshimizu K. Tumor localizing and photosensitization of photo-chlorin ATX-S10. In: P Spinelli, DM Fante, R Marchesini, editors Photodynamic therapy andbiomedical lasers. Amsterdam: Elsevier Science, 1992; pp 531–534.
- 16 Nakajima S, Sakata I, Hirano T, Takemura T. Therapeutic effect of interstitial photodynamic therapy using ATX-S10(Na) and a diode laser on radio-resistant SCCVII tumors of C3H/He mice. Anticancer Drugs 1998; 9: 539–543.
- 17 Mori M, Sakata I, Hirano T, Obana A, Nakajima S, Hikida M, Kumagai T. Photodynamic therapy for experimental tumors using ATX-S10(Na), a hydrophilic chlorin photosensitizer, and diode laser. Jpn J Cancer Res 2000; 91: 753–759.
- 18 Mori M, Kuroda T, Obana A, Sakata I, Hirano T, Nakajima S, Hikida M, Kumagai T. In vitro plasma protein binding and cellular uptake of ATX-S10(Na), a hydrophilic chlorin photosensitizer. Jpn J Cancer Res 2000; 91: 845–852.
- 19 Masumoto K, Yamada I, Tanaka H, Fujise Y, Hashimoto K. Tissue distribution of a new photosensitizer ATX-S10Na(II) and effect of a diode laser (670 nm) in photodynamic therapy. Lasers Med Sci 2003; 18: 134–138.
- 20 Fujihara T, Sawada T, Hirakawa K-Chung YS, Yashiro M, Inoue T, Sowa M. Establishment of lymph node metastatic model for human gastric cancer in nude mice and analysis of factors associated with metastasis. Clin Exp Metastasis 1998; 16: 389–398.
- 21
Natsugoe S,
Mueller J,
Stein HJ,
Feith M,
Hofler H,
Siewert JR.
Micrometastasis and tumor cell microinvolvement of lymph nodes from esophageal squamous cell carcinoma: Frequency, associated tumor characteristics, and impact on prognosis.
Cancer
1998;
83:
858–866.
10.1002/(SICI)1097-0142(19980901)83:5<858::AID-CNCR9>3.0.CO;2-E CAS PubMed Web of Science® Google Scholar
- 22 Bilchik AJ, Saha S, Wiese D, Stonecypher JA, Wood TF, Sostrin S, Turner RR, Wang HJ, Morton DL, Hoon DS. Molecular staging of early colon cancer on the basis of sentinel node analysis: A multicenter phase II trial. J Clin Oncol 2001; 19: 1128–1136.
- 23 Noura S, Yamamoto H, Ohnishi T, Masuda N, Matsumoto T, Takayama O, Fukunaga H, Miyake Y, Ikenaga M, Ikeda M, Sekimoto M, Matsuura N, Monden M. Comparative detection of lymph node micrometastases of stage II colorectal cancer by reverse transcriptase polymerase chain reaction and immunohistochemistry. J Clin Oncol 2002; 20: 4232–4241.
- 24 Maruyama K, Sasako M, Kinoshita T, Sano T, Katai H. Can sentinel node biopsy indicate rational extent of lymphadenectomy in gastric cancer surgery? Fundamental and new information on lymph-node dissection. Langenbecks Arch Surg 1999; 384: 149–157.