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[CANCER RESEARCH 46, 271-277, January 1986]
Quantitative Whole-Body Autoradiography of Radiolabeled AntibodyDistribution in a Xenografted Human Cancer Model1
Irwin Fand, Robert M. Sharkey, William P. McNally, A. Bertrand Brill, Prantika Som, Kazutaka Yamamoto,F. James Primus, and David M. Goldenberg2
Department of Psychiatry and Behavioral Science, State University of New York, Stony Brook, New York 11794 [l. F., W. P. M.]; Institute of Molecular Immunology, Centerfor Molecular Medicine and Immunology, University of Medicine and Dentistry of New Jersey, Newark, New Jersey 07103 [R. M. S., F. J. P., D. M. G.¡;and MedicalDepartment, Brookhaven National Laboratory, Upton, New York 11973 [A. B. B., P. S., K. Y.¡
ABSTRACT
Quantitative whole-body autoradiography (WBAR) was usedto study the biodistribution of goat anti-carcinoembryonic antigenand normal goat IgG, each labeled with 125I,in hamsters bearing
the carcinoembryonic antigen-producing GW-39 human coloniecarcinoma xenograft. Comparisons between computer-assisted
videodensitometric profiles of WBARs and tissue radioactivitycounts were made at 1, 3, and 7 days following administrationof the radiolabeled IgGs. The results indicated that maximaltumor accretion of the radiolabeled antibody and normal IgGoccurred within 1-3 days, with a marked selective accretion ofantibody in the tumor being evidenced at 3-7 days because of
clearance of normal IgG. Radioactivity derived from antibody IgGshowed 6.5 to 118.7 times that found in other tissues, asmeasured by videodensitometry, whereas organ radioactivitycounting revealed ratios of only 6.7 to 29.6. Specificity of tumor-
cell accretion of the radiolabeled antibody was confirmed bymicroscopic autoradiography, showing intense labeling of theproliferating perimeters of GW-39 tumors. WBAR was found tohave a resolution of 0.10 to 0.25 mm in 100-g hamsters, which
appears to be greater than the resolving power of external bodyimaging by gamma camera scintigraphy. These studies suggestthe use of WBAR and microautoradiography to complementexternal imaging methods for the analysis of antibody distributionand localization in cancer radioimmunodetection models.
INTRODUCTION
Previous studies of cancer localization with polyclonal andmonoclonal antibodies have used tissue counting (1-6), microautoradiography (7-9), and external body imaging (1, 2, 10, 11)
techniques. External immunoscintigraphy in humans has received considerable attention because of the demonstration thatcancer sites can be disclosed after the administration of radio-
labeled polyclonal and monoclonal antibodies directed againstcancer-related antigens (12-14). Indeed, there is evidencemounting that external immunoscintigraphy, also termed RAID,3
(15,16), may be the method of choice for detecting occult cancersites (12, 13, M-22). However, even animal studies of cancer
imaging do not provide sufficient information on the cellular and
Received 6/3/85; revised 9/30/85; accepted 10/4/85.The costs of publication of this article were defrayed in part by the payment of
page charges. This article must therefore be hereby marked advertisement inaccordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1Supported in part by NIH grants CA37412 and CA37849.2To whom requests for reprints should be addressed, at the Center for Molecular
Medicine and Immunology, 100 Bergen Street, Newark, NJ 07103.'The abbreviations used are: CEA, carcinoembryonic antigen; RAID, radioim
munodetection; WBAR, whole-body autoradiography.
tissular distribution of the antibody preparations. In contrast tothe ¡magesprovided by gamma camera photoscans, WBARpreparations allow an appreciation and comparison of the topographic and tissue distribution of radioactivity in animals receivingradiolabeled antibody and control immunoglobulin preparations,thus permitting a better understanding of the non-uniform deposition of radioactivity within a tumor or organ. Since the CEA-producing GW-39 human colonie carcinoma system has formedthe basis of most of our RAID studies with anti-CEA IgG (2, 5,
6), it was of interest to investigate the application of qualitativeand quantitative WBAR in this model system. The results indicatethat this method provides a better understanding of the basis oftumor accretion of radiolabeled ¡mmunoglobulins.
MATERIALS AND METHODS
Tumor System and Radioantibody. Female golden hamsters (Mesocricetus auratus) weighing 70-120 g were inoculated with 0.5 ml of a10-20% cell suspension of CEA-producing GW-39 human colonie car
cinoma cells (23, 24) s.c. in the nape of the neck. After 6 days, pairs ofanimals were given injections i.p. of 60 ¿iCiof 125l-goat anti-CEA or 125I-
normal goat IgG. Goat anti-CEA IgG was purified by affinity chromatog-
raphy as described previously (5, 13), whereas normal goat IgG waspurchased from Miles Laboratories (Elkhart, IN) and used without furtherpurification. Both IgG preparations were labeled with 125I(Amersham,
Arlington Hts., IL) by the chloramine-T procedure (25) to a specific activityof 12 Ci/g. After removal of unreacted iodine by gel filtration over a PD-
10 column (Pharmacia), approximately 60% of the radioiodinated antibody bound to a CEA immunoadsorbent, while only 5% of the normalgoat IgG bound to the adsorbent. Greater than 90% of the radioactivityfrom both preparations bound to an anti-goat IgG immunoadsorbentand, by gel filtration on S-200 (Pharmacia), greater than 95% of each
preparation migrated as native IgG.Whole-Body Autoradiography. After pentobarbital anesthesia, the
tumor-bearing hamsters were flash-frozen in liquid nitrogen and em
bedded in carboxymethylcellulose. After trimming to the midline regionin the sagittal plane, 50-Mm sections, at depths of approximately 250^m, were made with an LKB-2258 cryomicrotome at -17°C. The sec
tions were mounted on transparent tape, freeze-dried for 3-4 days at-17°C, and then placed directly on LKB Ultrofilm for 8 days at -20°C.Exposure was made for 1-2 weeks at -17°C without the use of
intensifying screens. Completed macroautoradiograms were photographically processed using standard film developing methods. Theseprocedures have been reported earlier (26, 27).
Microautoradiography and Tissue Counting. Separate groups ofanimals were used for microscopic analysis of radioactivity grains. Atdays 1,3, and 7 following radioantibody administration, the animals weresacrificed, and the tumors and organs were removed for counting. Thetumors were placed directly in a scintillation vial containing 10% bufferedformalin. After counting the 125l-radioactivity, the tissues were embedded
in paraffin, and 5-^m sections were cut and mounted on glass slides by
conventional procedures. The slides were then processed for microautoradiography according to methods published previously (28, 29).
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Briefly, deparaffinized sections were hydrated by passage through serialdilutions of ethanol. The slides were then dipped into an aqueous (1:1)dilution of Kodak NTB-2 emulsion in the darkroom. The dipped slides
were then dried for 45 min in a cool stream of circulating air with relativehumidity maintained at 75-90%. Exposure was made in light-tight boxesfor 2-3 weeks. After exposure, the slides were processed for photography using D-19 developer and GBX fixer at 15-19°C. The slides werethen post-stained with Harris' hematoxylin-eosin. A series of slides
without sections, but otherwise treated identically, were included toassess possible chemography artifacts.
Videodensitometry. A Hamamatsu video camera interfaced with aPOP 11/34 computer equipped with GAMMA-11 display system softwarewas used for quantitation of the autoradiograms. By digitizing a step-
wedge series of autoradiographed radioisotopic standards, a responsecurve relating the level of activity with the digitized Hamamatsu number(an arbitrary number produced by the video camera) was constructed.The computer used this information to calculate the actual amount ofradioactivity in each pixel of the digitized matrix. Digital sampling waspossible from 256 x 256 to 1024 x 1024 with a 256 gray scale. Thefinal step in calculating the levels of activity in each pixel of the digitizedimage involved performing a polynomial fitting to the standard calibrationcurve or by linear interpolation. The quantified image was then displayedby color coding 16 different levels of activity. Regions of interest werethen selected by using the GAMMA-11 system to analyze the autoradi
ograms. This permitted a high spatial resolution of the photographedimage in the digitalized image. Ten or more pixels were sampled,digitized, and converted to mCi using an autoradiographic standardcurve. From these values, the means and standard derivatives of thesamples were calculated. Blood pool activities were determined in cry-
osections in cardiac cavities and/or abdominal aorta.For preparation of the autoradiographic standards, an arithmetic dilu
tion series of 16 intervals was prepared for 125I,using a modification of
the method of Cross ef al. (30). Briefly, strips of Kodak SB-5 filmpreviously fixed without hardener were soaked for 5-15 min in the
serially diluted aqueous solutions containing radioiodine, were driedovernight, and were aligned together to form standard strips. Thesestrips were then placed against X-ray film simultaneously with cryosec-
tions from the animals and exposed and processed simultaneously. Toobtain dpm/mm values of the step-wedge 125Idilution series, uniform
punches were taken from the standard strips, and the radioactivity wasdetermined in a well-type gamma-scintillation counter.
RESULTS
WBAR at 1 day post-injection of the radiolabeled preparations
does not show any distinction between tumor uptake of antibodyor normal IgG, but the uptake of the radioactivity in both preparations is clearly higher in the tumors than in other organs of thehamsters (Fig. 1). On the third day, however, a differential uptakein tumor between the antibody and control IgG is beginning tobe appreciated (Fig. 2). By 7 days, the radioiodinated anti-CEA
antibody is retained selectively in the tumor, while only a weakcentral zone of activity is seen with the normal IgG (Fig. 3). Theareas of highest radioactivity obtained with normal goat IgG areseen in the tumor's central, cystic structures (Fig. 3, b and d).
By measuring sites of radioactivity in the tumors, it is apparentthat areas as small as 0.10 to 0.25 mm could be demonstratedby this method. Radioactivity observed in the extra-tumor re
gions (liver, heart, muscle, kidney, spleen, etc.) on days 1 and 3was essentially uniformly distributed. At day 7, radioactivity inmost extra-tumor sites was reduced to levels near background.
These WBAR results are corroborated by microscopic auto-
radiography, which shows the location of radioactivity in theperipheral portions of the tumor, associated with viable cells andin the proximity of blood vessels (Fig. 4), whereas the radioactiv
ity seen in the tumors receiving the control IgG is found moreuniformly distributed throughout the tissue sections with appreciably less grain disposition. Control emulsion-coated slides with
out tissue section showed no artifacts of chemography.Videodensitometric quantitation of the WBAR sections re
vealed a similar distribution of the antibody and control IgGs onday 1 (Table 1). Although the concentration of radioactivity washighest in lung, tumor, and blood, tumors could be distinguishedby either the antibody or control IgG at this time (Fig. 1). Examination of the results of day 3 and day 7 sections, however,indicated that specific tumor accretion increased with time withthe anti-CEA antibody preparation, ranging from a mean tumor/non-target ratio of 89.4 for muscle to 9.7 for blood (day 7). In
contrast, the mean tumor/nontarget ratios for the control IgGwere a high of 17.8 for muscle and a low of 2.8 for blood at thissame time, thus providing a specific tumor localization ratio(antibody/control IgG) of 5.0 for muscle and 3.5 for blood.
It became apparent upon analysis of the Videodensitometricresults that radioactivity accretion and, in turn, tumor/non-targetratios could vary considerably, depending on the zone of reference used within a tumor section; i.e., whether areas of leastradioactivity corresponding with sites of diminished viability or ifperipheral tumor cell clusters were chosen. Therefore tumor/non-target ratios were constructed by comparing results from
the lowest densitometric values to those derived from the highestvalues in the tumors (Table 2). These differences can vary about2-fold for specific antibody to even 3-fold (day 7) for the control
IgG.A comparison of the findings of WBAR Videodensitometry and
tissue radioactivity determined by direct counting of specimenaliquots can be seen by evaluating the counting results (Table 3)derived from comparable tissues used for Videodensitometry(Table 2). It is apparent that the tumor/non-target ratios foundby direct counting of cpm/g are consistent with the densitometricresults for the areas of lowest activity in the tissues (Table 2).This may be due to the aliquots of tissues used for direct countinghaving a relatively low abundance of radioactivity, since the latteris more restricted to actively proliferating zones of tumor cellswhich are likely to be less available for tissue sampling. Thelarger the tumors, presumably the smaller the relative amount ofantibody-accreting tumor cells available for analysis. According
to these studies, microscopic autoradiography or quantitativeWBAR provides a more accurate assessment of tissue localization of antibody-transported radioactivity.
DISCUSSION
CEA was the first defined cancer-associated marker to serve
as a target molecule for radiolabeled antibodies in clinical cancerRAID (13, 15). Subsequent studies have confirmed the usefulness of CEA antibodies for RAID (12, 14, 18, 20). Because ofthe wide distribution of this oncofetal antigen among differentcancer types and its role in in vitro immunodiagnosis (31), CEARAID may prove of significant value in the management ofdiverse cancers showing elevated quantities of this antigen,especially gastrointestinal and mucinous ovarian neoplasms (18,22). However, additional studies are needed to reveal the mostsuitable radiolabel, scanning method and instrumentation, andform of antibody for imaging.
Clinical studies with 131l-labeled anti-CEA IgG have claimed
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Table 1Concentration of â„¢5I-anti-CEAIgG and 125/-/gGin hamsters bearing heterotransplanted GW-39 tumors
Quantitation by digitized videodensitometry using 125Ireferencestandards as described in the text. Valuesshown are integrated densitiesexpressed as dpm/mm2for
two subjects per time interval.
TumorBloodLungLiverKidneySpleenMuscle1
day86.5±9.2a' "
79.0 ±9.097.0 ±11.027.3 ±7.549.1 ±4.250.1 ±7.16.1 ±5.7125l-Anti-CEA
IgG3
days118.8
±19.734.4 ±10.831.2 ±8.210.9 ±3.021.6 + 5.014.0 ±2.02.5 ±2.17
days80.5
±14.28.3 ±2.47.5 ±0.73.1 ±0.15.9 ±0.23.9 ±1.20.9 ±0.21
day79.0
±47.376.0 ±12.073.0 ±12.027.6 ±10.755.8 ±5.351.6 ±22.012.0 ±11.2125l-lgG3
days48.0
±9.242.1 ±4.229.0 ±0.02
8.6 ±0.621.0 + 3.014.0 ±4.02.7 ±2.37
days23.2
±6.88.3 ±2.48.0 ±1.43.7 ±3.86.5 ±1.17.3 ±1.21.3 ±1.4
a Mean ±SD.6 Values for tumor radioactivity uptake derived from highest densities (proliferationzones) combined with lowest densities (reducedor non-proliferativezones).
Table 2Videodensitometrically derived tumor ¡non-tumortissue ratios obtained following injection of *xl-anti-CEA IgG
and '25/-/gG
Ratios were obtained from the data presented in Table 1.125l-Anti-CEAIgG1
dayTumor/blood
Tumor/lungTumor/liverTumor/kidneyTumor/spleenTumor/muscleA"0.8
0.62.21.21.2
10.0B1.4
1.14.12.32.2
18.43
daysA2.2
2.46.93.55.3
29.9B4.7
5.214.97.5
11.665.17
daysA6.5
7.217.5
9.213.960.2B12.9
14.234.518.127.4
118.71
dayA0.9
1.02.61.31.46.0B1.1
1.23.11.51.77.2125l-lgG3
daysA1.0
1.44.61.92.8
14.7B1.31.9
6.62.74.0
20.97
daysA1.3
1.43.01.71.58.4B4.3
4.49.65.54.9
27.3a A, ratios derived from lowest densitometric values obtained, corresponding to tumor regions with low to
absent growth and radioactivity accumulation; B, ratios derived from highest densitometric values obtained,corresponding to tumor regions with active proliferation and the most intense radioactivity accumulation.
TablesTumor/non-tumor tissue ratios derived by direct tissue counting
Time post-injection24h72h7
daysNon-tumor
tissueBloodLungs
LiverKidney
SpleenBloodLungs
LiverKidney
SpleenBloodLungsLiverKidneyoplGGnTumor/non-tumor
ratiosGoat
anti-CEA0.7
+0.1"1.5
±0.52.2 +0.31.4
±0.11.7 + 0.33.3 +0.54.8
±0.611.4 +2.27.8
±1.312.5 ±2.14.8 + 1.1
10.5 ±2.021.3±4.512.9
±2.218.5 ±4.2Normal
goatIgG0.4
+0.050.6±0.05
1.7 +0.101.3±0.04
1.7 + 0.210.8 +0.11.5
±0.23.9 ±0.32.8
±0.24.8 ±0.70.8 ±0.12.3 ±0.24.5 ±0.42.8
±0.35.1 ±0.5
a Mean ±SE (n = 6).
tumor regression with therapeutic doses (32), which is alsoindicated by experimental radioimmunotherapy with CEA antibodies in the GW-39 human colonie carcinoma-hamster hostsystem (33). These results suggest an accretion of antibody-mediated radioactivity on or in the CEA-containing tumor cells,
but evidence supporting this has been ambiguous. Whereasprevious autoradiographic studies with anti-CEA polyclonal antibodies did not demonstrate tumor-cell localization (7, 9), a morerecent study with anti-CEA monoclonal antibodies given to mice
bearing human colorectal cancer xenografts indicated that certain monoclonal antibodies resulted in heavily labeled tumor cells(8). In contrast, the current findings clearly support, by micro
scopic autoradiography, the specific accretion of radioactivitygrains in or on the xenografted tumor cells of hamsters receivingaffinity-purified goat anti-CEA IgG, whereas control IgG showed
a reduced and more uniform distribution throughout the tissues.We conclude, therefore, that the inability to demonstrate polyclonal anti-CEA antibody uptake by autoradiographic methodsreported earlier (7, 9) may be related to the use of low-reactiveantibody preparations or of tumors with a low density of availableCEA sites. Although the limitations of autoradiography do notpermit us to conclude whether the selective grain accumulationis on or in the tumor cells, it is interesting to note that previouscell culture studies have shown that CEA antibodies can beretained on the surface of colorectal cancer cells (34-36) and
that the antibodies may be taken into the cells by endocytosis(36).
The WBAR results confirm the tissue counting findings of thecurrent and previous experimental studies (2, 5, 6, 11) thatdemonstrated a specific tumor accretion of radiolabeled anti-
CEA antibodies. In contrast to tissue counting data, where meancpm per tissue weight are expressed, quantitative videodensi-tometric determinations of the tumors revealed a nonuniformdistribution of radioactivity, with outer zones of high activity andcentral zones of low activity. The peripheral zones showed, bymicroscopic autoradiography, intact tumor cells with a concentration of overlying grains, whereas the central portions had areduced and more uniform distribution of grains within areas ofnecrotic cells and stromal connective tissue. If tumor-to-nontar-
get ratios are determined with tumor regions having highest graindensities, then localization indices would far exceed (by almost4-fold) those achieved by using traditional mean tissue counting
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data. These results further suggest that tumor size and, in turn,ratios of viable to necrotic cells may influence the accretion ofantitumor antibodies. Alternatively, extensive necrosis may beresponsible for the retention of non-antibody immunoglobulins in
tumors, since clearance mechanisms may be impaired. This viewis consistent with our very early observations in 1974, when wereported the increased localization of normal goat IgG in xeno-grafted human GW-39 tumors as compared to normal hamster
host organs (2). Subsequently, we found that patients with largetumors could be imaged with radioiodinated normal goat IgG(20). These findings caution that imaging relatively large tumorsin patients need not be due to exogenous antibody complexingwith tumor antigen, but instead the nonspecific absorption andretention of macromolecules by neoplasms. Quantitative WBARstudies of tumors of various sizes and necrosis receiving radio-
labeled irrelevant immunoglobulins need to be undertaken tohelp resolve this important issue.
Another factor that may influence the uptake of antibody bythe tumor is the accessibility of the circulating antibody to thetumor cells. Thus, the high concentration of grains on the periphery of the tumor may have been due to a higher concentrationof antigen in these cells, or it may represent a greater accessibilityof the tumor cells to the circulating antibody due to the tumorcells' closer proximity to blood vessels that are more predomi
nantly found at the perimeter of the tumor. Studies that willsimultaneously measure qualitative antigenic expression, tumorviability, and radioantibody uptake are in progress.
These experiments have shown that external tissue countingor imaging of animals receiving radiolabeled antibodies providesonly a gross depiction of relative accretion of radioactivity indifferent regions of the body. The combined use of WBAR andmicroautoradiography further allows clearer interpretations oforgan, tissular, and cellular distribution of radioactivity and howthis may be influenced by a number of tumor and host factors,not least of which are tumor size, tumor morphology, cell viability,antigen density, and microcirculation. These factors must bebetter understood before optimal conditions for improved RAIDof cancer can be defined and achieved.
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RADIOANTIBODY WHOLE-BODY AUTORADIOGRAPHY
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RADIOANTIBODY WHOLE-BODY AUTORADIOGRAPHY
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RADIOANTIBODY WHOLE-BODY AUTORADIOGRAPHY
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Fig.4. Microautoradiographic localization of radiolabeled anti-CEA antibody in formalin-fixed, paraffin-embedded sections of GW-39 tumors counterstained withhematoxylin-eosin:a, enriched uptake of antibody in the cells located toward the periphery (P)of the tumor (magnification,x 120); b, higher magnificationshowing theselective uptake of radioantibody at the tumor cells (7) located in pseudoacinicstructures. Stromal areas (Sf)are relatively free of antibody activity (magnification,x 300).A blood vessel is noted in the upper right-hand comer (BV).
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1986;46:271-277. Cancer Res Irwin Fand, Robert M. Sharkey, William P. McNally, et al. Antibody Distribution in a Xenografted Human Cancer ModelQuantitative Whole-Body Autoradiography of Radiolabeled
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