Enhanced Fluorescence of Near-Infrared Anti-CEA Antibodies for Visualizing Colorectal Cancers Using Modified

K Cox1,2, J Jitender3, S Mehta3

  • 1Department of Surgery, University of California San Diego, San Diego, CA, USA.

PubMed
Abstract

Insights

New FNIR-Tag dyes improve tumor imaging for fluorescence-guided surgery (FGS). These novel probes offer better tumor targeting and biodistribution compared to conventional dyes, advancing cancer diagnostics.

Area of Science:

  • Biomedical Engineering
  • Oncology
  • Molecular Imaging

Background:

  • Fluorescence-guided surgery (FGS) requires tumor-specific probes for high contrast.
  • Conventional near-infrared (NIR) fluorophores can negatively impact probe pharmacokinetics, leading to poor tumor targeting.

Purpose of the Study:

  • To evaluate novel charge-balanced heptamethine cyanine dyes (FNIR-Tag-766 and FNIR-Tag-804) conjugated to an anti-carcinoembryonic antigen antibody (M5A).
  • To compare their performance against a standard antibody-dye conjugate (M5A-IR800CW) in colorectal cancer models.

Main Methods:

  • Conjugation of FNIR-Tag dyes and IR800CW to the M5A antibody.
  • Assessment in subcutaneous and orthotopic colorectal cancer xenograft mouse models.
  • Comparison of mean fluorescence intensity (MFI), tumor-to-background ratio (TBR), and ex vivo biodistribution.

Main Results:

  • M5A-FNIR-766 demonstrated higher MFI and significantly improved TBR compared to M5A-IR800CW.
  • Ex vivo analysis showed increased tumor accumulation and reduced hepatic signal for M5A-FNIR-Tag conjugates at 96 hours.
  • Results were consistent in both xenograft models, including the orthotopic model.

Conclusions:

  • Charge-modified FNIR-Tag dyes conjugated to antibodies yield superior tumor-specific signals and biodistribution.
  • This intrinsic fluorophore design offers a clinically translatable advancement for FGS.
  • The approach enhances tumor targeting without complex bioconjugation strategies.

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