Academic Journal

Non-Invasive Monitoring of Stromal Biophysics with Targeted Depletion of Hyaluronan in Pancreatic Ductal Adenocarcinoma.

التفاصيل البيبلوغرافية
العنوان: Non-Invasive Monitoring of Stromal Biophysics with Targeted Depletion of Hyaluronan in Pancreatic Ductal Adenocarcinoma.
المؤلفون: Maloney, Ezekiel, DuFort, Christopher C., Provenzano, Paolo P., Farr, Navid, Carlson, Markus A., Vohra, Ravneet, Park, Joshua, Hingorani, Sunil R., Lee, Donghoon
المصدر: Cancers; Jun2019, Vol. 11 Issue 6, p772, 1p
مصطلحات موضوعية: ADENOCARCINOMA, BIOPHYSICS, COLLAGEN, DIFFUSION, FIBROBLASTS, GLYCOSAMINOGLYCANS, HYALURONIC acid, MAGNETIC resonance imaging, PANCREATIC tumors, PERFUSION, IMAGING phantoms, DUCTAL carcinoma
مستخلص: Pancreatic ductal adenocarcinoma (PDA) is characterized by a pronounced fibroinflammatory stromal reaction consisting of inordinate levels of hyaluronan (HA), collagen, immune cells, and activated fibroblasts that work in concert to generate a robust physical barrier to the perfusion and diffusion of small molecule therapeutics. The targeted depletion of hyaluronan with a PEGylated recombinant human hyaluronidase (PEGPH20) lowers interstitial gel–fluid pressures and re-expands collapsed intratumoral vasculature, improving the delivery of concurrently administered agents. Here we report a non-invasive means of assessing biophysical responses to stromal intervention with quantitative multiparametric magnetic resonance imaging (MRI) at 14 Tesla (T). We found that spin-spin relaxation time T2 values and glycosaminoglycan chemical exchange saturation transfer (GagCEST) values decreased at 24 h, reflecting depletion of intratumoral HA content, and that these parameters recovered at 7 days concurrent with replenishment of intratumoral HA. This was also reflected in an increase in low-b apparent diffusion coefficient (ADC) at 24 h, consistent with improved tumor perfusion that again normalized at 7 days after treatment. Phantom imaging suggests that the GagCEST signal is driven by changes in HA versus other glycosaminoglycans. Thus, multiparametric magnetic resonance imaging (MRI) can be used as a non-invasive tool to assess therapeutic responses to targeted stromal therapy in PDA and likely other stroma-rich solid tumors that have high levels of hyaluronan and collagen. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:20726694
DOI:10.3390/cancers11060772