Document Detail


Use of a radiolabeled monoclonal antibody against E-selectin for imaging of endothelial activation in rheumatoid arthritis.
MedLine Citation:
PMID:  8702446     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the potential of 111In-labeled anti-E-selectin monoclonal antibody (MAb) to image localized endothelial activation in rheumatoid arthritis (RA). METHODS: Fourteen patients with RA were studied after intravenous administration of 111In-labeled F(ab')2 fragments of MAb against the cytokine-inducible endothelial cell activation antigen E-selectin (MAb 1.2B6). To compare uptake of 1.2B6 with that of nonspecific immunoglobulin, 111In-labeled polyclonal human immunoglobulin (HIG) was separately administered to 6 of these patients and the relative uptake of each tracer was determined. RESULTS: Prominent and discrete uptake of the radiolabeled MAb 1.2B6 was clearly visible in inflamed joints of all patients. Compared with 111In-HIG, 111In-1.2B6 provided superior images in terms of sensitivity and image intensity. Furthermore, the distribution of uptake in inflamed joints was different for the 2 tracers, with 1.2B6 showing a more focal localization in synovium. CONCLUSION: This study demonstrates that it is possible to objectively assess E-selectin expression on activated endothelium in vivo in patients with RA, using a radiolabeled MAb. This technique has considerable potential for monitoring disease activity and response to therapy in inflammatory diseases.
Authors:
P T Chapman; F Jamar; E T Keelan; A M Peters; D O Haskard
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Arthritis and rheumatism     Volume:  39     ISSN:  0004-3591     ISO Abbreviation:  Arthritis Rheum.     Publication Date:  1996 Aug 
Date Detail:
Created Date:  1996-09-05     Completed Date:  1996-09-05     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  0370605     Medline TA:  Arthritis Rheum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1371-5     Citation Subset:  AIM; IM    
Affiliation:
Royal Postgraduate Medical School, Hammersmith Hospital, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Antibodies, Monoclonal / diagnostic use,  pharmacokinetics
Arthritis, Rheumatoid / immunology,  radionuclide imaging*
E-Selectin / analysis,  immunology*
Endothelium / chemistry,  immunology
Female
Humans
Immunoglobulin Fab Fragments / immunology
Immunoglobulins / metabolism
Indium Radioisotopes / diagnostic use,  pharmacokinetics
Male
Middle Aged
Synovitis / radionuclide imaging
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/E-Selectin; 0/Immunoglobulin Fab Fragments; 0/Immunoglobulins; 0/Indium Radioisotopes

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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