First-in-human study of 99mTc-labeled fucoidan, a SPECT tracer targeting P-selectin
- Reindert F Oostveen 1, Kang H Zheng 1, Yannick Kaiser 1, Nick S Nurmohamed 1,2, Jeffrey Kroon 3,4,5,6, Tim C de Wit 7, Edwin Poel 7, Joel Aerts 8, Francois Rouzet 8,9,10, Erik S G Stroes 1, Didier Letourneur 9, Hein J Verberne 7, Cédric Chauvierre 9, Mia R Ståhle 11,12,13
- 1Department of Vascular Medicine, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
- 2Department of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
- 3Department of Experimental Vascular Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
- 4Amsterdam Cardiovascular Sciences, Atherosclerosis & Ischemic Syndromes, Amsterdam, The Netherlands.
- 5Laboratory of Angiogenesis and Vascular Metabolism, VIB-KU Leuven Center for Cancer Biology, VIB, 3000, Louvain, Belgium.
- 6Laboratory of Angiogenesis and Vascular Metabolism, Department of Oncology, KU Leuven and Leuven Cancer Institute (LKI), 3000, Louvain, Belgium.
- 7Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
- 8Nuclear Medicine Department, Bichat Hospital, APHP, Paris, France.
- 9UMR-S U1148 INSERM, Laboratory for Vascular Translational Science (LVTS), Université Paris Cité, Université Sorbonne Paris Nord, 75018, Paris, France.
- 10Fédération de Recherche en Imagerie Multi-Modalité (FRIM), Université Paris Cité, UMS 34, 75018, Paris, France.
- 11Department of Vascular Medicine, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. mia.stahle@utu.fi.
- 12Department of Experimental Vascular Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. mia.stahle@utu.fi.
- 13Amsterdam Cardiovascular Sciences, Atherosclerosis & Ischemic Syndromes, Amsterdam, The Netherlands. mia.stahle@utu.fi.
- 0Department of Vascular Medicine, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
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View abstract on PubMed
Summary
This summary is machine-generated.This study found technetium-99m-labeled fucoidan (99mTc-fucoidan) is safe and shows good biodistribution for imaging P-selectin. However, its effectiveness for deep vein thrombosis (DVT) imaging was not supported by in vivo results.
Area Of Science
- Nuclear medicine
- Molecular imaging
- Biochemistry
Background
- P-selectin is upregulated in atherothrombosis, making it a target for molecular imaging.
- Fucoidan, a polysaccharide from brown algae, has high affinity for P-selectin.
- Early detection of thrombosis can be improved with targeted molecular imaging agents.
Purpose Of The Study
- To evaluate the safety, biodistribution, and dosimetry of 99mTc-fucoidan in healthy volunteers.
- To assess the binding of 99mTc-fucoidan to human thrombi ex vivo and in vivo.
- To investigate 99mTc-fucoidan as a potential imaging agent for deep vein thrombosis (DVT).
Main Methods
- Ten healthy volunteers received intravenous 99mTc-fucoidan for whole-body scans up to 24 hours.
- Gamma counting measured 99mTc-fucoidan uptake in 11 ex vivo human thrombi.
- SPECT/CT imaging was performed on three patients with newly diagnosed DVT.
Main Results
- 99mTc-fucoidan was well-tolerated with no adverse events and favorable dosimetry.
- Ex vivo thrombi showed tracer binding, reduced by 16% with Sialyl Lewis X.
- In vivo imaging demonstrated specific uptake at the thrombus site in only one of three DVT patients.
Conclusions
- 99mTc-fucoidan demonstrates a favorable safety profile and biodistribution.
- Specific binding to human thrombi was observed in both ex vivo and in vivo settings.
- Clinical investigation for DVT imaging is not supported; alternative applications for this P-selectin tracer should be explored.
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