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CXCR4 Is a Potential Target for Diagnostic PET/CT Imaging in Barrett's Dysplasia and Esophageal Adenocarcinoma

Barrett's esophagus represents an early stage in carcinogenesis leading to esophageal adenocarcinoma. Considerable evidence supports a major role for chronic inflammation and diverse chemokine pathways in the development of Barrett's esophagus and esophageal adenocarcinoma. Here we utilize...

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Published in:Clinical cancer research 2018-03, Vol.24 (5), p.1048-1061
Main Authors: Fang, Hsin-Yu, Münch, Natasha Stephens, Schottelius, Margret, Ingermann, Jonas, Liu, Haibo, Schauer, Michael, Stangl, Stefan, Multhoff, Gabriele, Steiger, Katja, Gerngroß, Carlos, Jesinghaus, Moritz, Weichert, Wilko, Kühl, Anja A, Sepulveda, Antonia R, Wester, Hans-Jürgen, Wang, Timothy C, Quante, Michael
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cited_by cdi_FETCH-LOGICAL-c450t-f1dbd1207f546d292f57446cbb14dd5e7429e00a467f9d3070a1fe61102f42b73
cites cdi_FETCH-LOGICAL-c450t-f1dbd1207f546d292f57446cbb14dd5e7429e00a467f9d3070a1fe61102f42b73
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container_issue 5
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container_title Clinical cancer research
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creator Fang, Hsin-Yu
Münch, Natasha Stephens
Schottelius, Margret
Ingermann, Jonas
Liu, Haibo
Schauer, Michael
Stangl, Stefan
Multhoff, Gabriele
Steiger, Katja
Gerngroß, Carlos
Jesinghaus, Moritz
Weichert, Wilko
Kühl, Anja A
Sepulveda, Antonia R
Wester, Hans-Jürgen
Wang, Timothy C
Quante, Michael
description Barrett's esophagus represents an early stage in carcinogenesis leading to esophageal adenocarcinoma. Considerable evidence supports a major role for chronic inflammation and diverse chemokine pathways in the development of Barrett's esophagus and esophageal adenocarcinoma. Here we utilized an transgenic mouse model of Barrett's esophagus and esophageal adenocarcinoma and human patient imaging to analyze the importance of CXCR4-expressing cells during esophageal carcinogenesis. IL1β overexpression induces chronic esophageal inflammation and recapitulates the progression to Barrett's esophagus and esophageal adenocarcinoma. CXCR4 expression is increased in both epithelial and immune cells during disease progression in pL2-IL1β mice and also elevated in esophageal adenocarcinoma patient biopsy samples. Specific recruitment of CXCR4-positive (CXCR4 ) immune cells correlated with dysplasia progression, suggesting that this immune population may be a key contributor to esophageal carcinogenesis. Similarly, with progression to dysplasia, there were increased numbers of CXCR4 columnar epithelial cells at the squamocolumnar junction (SCJ). These findings were supported by stronger CXCR4-related signal intensity in fluorescence imaging and autoradiography with advanced dysplasia. Pilot CXCR4-directed PET/CT imaging studies in patients with esophageal cancer demonstrate the potential utility of CXCR4 imaging for the diagnosis and staging of esophageal cancer. In conclusion, the recruitment of CXCR4 immune cells and expansion of CXCR4 epithelial cells in esophageal dysplasia and cancer highlight the potential of CXCR4 as a biomarker and molecular target for diagnostic imaging of the tumor microenvironment in esophageal adenocarcinoma. .
doi_str_mv 10.1158/1078-0432.ccr-17-1756
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Considerable evidence supports a major role for chronic inflammation and diverse chemokine pathways in the development of Barrett's esophagus and esophageal adenocarcinoma. Here we utilized an transgenic mouse model of Barrett's esophagus and esophageal adenocarcinoma and human patient imaging to analyze the importance of CXCR4-expressing cells during esophageal carcinogenesis. IL1β overexpression induces chronic esophageal inflammation and recapitulates the progression to Barrett's esophagus and esophageal adenocarcinoma. CXCR4 expression is increased in both epithelial and immune cells during disease progression in pL2-IL1β mice and also elevated in esophageal adenocarcinoma patient biopsy samples. Specific recruitment of CXCR4-positive (CXCR4 ) immune cells correlated with dysplasia progression, suggesting that this immune population may be a key contributor to esophageal carcinogenesis. Similarly, with progression to dysplasia, there were increased numbers of CXCR4 columnar epithelial cells at the squamocolumnar junction (SCJ). These findings were supported by stronger CXCR4-related signal intensity in fluorescence imaging and autoradiography with advanced dysplasia. Pilot CXCR4-directed PET/CT imaging studies in patients with esophageal cancer demonstrate the potential utility of CXCR4 imaging for the diagnosis and staging of esophageal cancer. 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Münch, Natasha Stephens ; Schottelius, Margret ; Ingermann, Jonas ; Liu, Haibo ; Schauer, Michael ; Stangl, Stefan ; Multhoff, Gabriele ; Steiger, Katja ; Gerngroß, Carlos ; Jesinghaus, Moritz ; Weichert, Wilko ; Kühl, Anja A ; Sepulveda, Antonia R ; Wester, Hans-Jürgen ; Wang, Timothy C ; Quante, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-f1dbd1207f546d292f57446cbb14dd5e7429e00a467f9d3070a1fe61102f42b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adenocarcinoma</topic><topic>Adenocarcinoma - diagnostic imaging</topic><topic>Adenocarcinoma - immunology</topic><topic>Adenocarcinoma - pathology</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Animals</topic><topic>Autoradiography</topic><topic>Barrett Esophagus - diagnostic imaging</topic><topic>Barrett Esophagus - immunology</topic><topic>Barrett Esophagus - pathology</topic><topic>Barrett's esophagus</topic><topic>Biomarkers</topic><topic>Biomarkers, Tumor - immunology</topic><topic>Biomarkers, Tumor - metabolism</topic><topic>Biopsy</topic><topic>Cancer</topic><topic>Carcinogenesis</topic><topic>Carcinogenesis - pathology</topic><topic>Carcinogens</topic><topic>Computed tomography</topic><topic>Coordination Complexes - administration &amp; 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identifier ISSN: 1078-0432
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subjects Adenocarcinoma
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - immunology
Adenocarcinoma - pathology
Aged
Aged, 80 and over
Animals
Autoradiography
Barrett Esophagus - diagnostic imaging
Barrett Esophagus - immunology
Barrett Esophagus - pathology
Barrett's esophagus
Biomarkers
Biomarkers, Tumor - immunology
Biomarkers, Tumor - metabolism
Biopsy
Cancer
Carcinogenesis
Carcinogenesis - pathology
Carcinogens
Computed tomography
Coordination Complexes - administration & dosage
CXCR4 protein
Diagnostic systems
Disease Models, Animal
Disease Progression
Dysplasia
Epithelial cells
Esophageal cancer
Esophageal Neoplasms - diagnostic imaging
Esophageal Neoplasms - immunology
Esophageal Neoplasms - pathology
Esophagus
Esophagus - immunology
Esophagus - pathology
Experimental design
Fluorescence
Health risk assessment
Humans
Imaging
Immune system
Interleukin 1
Interleukin-1beta - genetics
Interleukin-1beta - metabolism
Mice, Transgenic
Middle Aged
Molecular Imaging - methods
Peptides, Cyclic - administration & dosage
Positron emission
Positron Emission Tomography Computed Tomography - methods
Receptors, CXCR4 - immunology
Receptors, CXCR4 - metabolism
Target recognition
Tissue Array Analysis
Tomography
Transgenic mice
Tumor Microenvironment - immunology
Up-Regulation
title CXCR4 Is a Potential Target for Diagnostic PET/CT Imaging in Barrett's Dysplasia and Esophageal Adenocarcinoma
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