Evidence map›Paper›PMID 25319581›Full record

ArticleAnnals of surgical oncology2015

Ratiometric activatable cell-penetrating peptides label pancreatic cancer, enabling fluorescence-guided surgery, which reduces metastases and recurrence in orthotopic mouse models.

Cristina A Metildi, Csilla N Felsen, Elamprakash N Savariar, Quyen T Nguyen, Sharmeela Kaushal, Robert M Hoffman, Roger Y Tsien, Michael Bouvet

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Annals of surgical oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04101292 (Endoscopic Optical Imaging for Precision Oncology Treatment Applied to Colorectal Tumours), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04101292 nawithdrawnnot on this mapstarted 2021, after this paper: background citation

Endoscopic Optical Imaging for Precision Oncology Treatment Applied to Colorectal Tumours

TypeinterventionalSponsorIHU StrasbourgRan2021 to 2023Enrolled0ConditionsColorectal CancerArmsCharacterization of tumor tissue by fluorescence
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. [Fluorescence-guided detection of lymph node metastases of gastrointestinal tumors].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019
    Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Imaging in pancreatic disease.Nature reviews. Gastroenterology & hepatology · 2017
    Review
  15. Light in diagnosis, therapy and surgery.Nature biomedical engineering · 2017
    Article
  16. Article
  17. Advances in fluorescent-image guided surgery.Annals of translational medicine · 2016
    Review
  18. Fluorescence-guided laparoscopic hepatectomy.Annals of laparoscopic and endoscopic surgery · 2016
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Cristina A MetildiDepartment of Surgery, University of California San Diego, San Diego, CA, USA.
Csilla N Felsen
Elamprakash N Savariar
Quyen T Nguyen
Sharmeela Kaushal
Robert M Hoffman
Roger Y Tsien
Michael Bouvet
University of California, San Diego · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007198 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI CHI, NEIL C, INSEL, PAUL A · 1985 to 2024
$29.3M
UCSD Cancer Center Training Program in Drug DevelopmentT32CA121938 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Michael Bouvet, Dwayne G. Stupack · 2006 to 2026
$10.3M
Injectable reporters to image tumors and guide resectionR01CA158448 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NGUYEN, QUYEN · 2011 to 2015
$3.1M
UCSD Cancer Nanotechnology Training CenterR25CA153915 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KUMMEL, ANDREW CLYDE, MATTREY, ROBERT F · 2010 to 2014
$1.8M
Fluorophore-Conjugated Antibodies for Imaging and Resection of GI TumorsR01CA142669 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BOUVET, MICHAEL, YANG, MENG · 2010 to 2015
$1.7M
Testing Fluorescently Labeled Probes for Nerve Imaging during SurgeryR01EB014929 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NGUYEN, QUYEN · 2012 to 2016
$1.7M
Color-Coded Imaging of Pancreatic Cancer Microenvironment for Drug DiscoveryR01CA132971 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BOUVET, MICHAEL, YANG, MENG · 2009 to 2013
$1.7M
Testing Surgery Guided by Molecular Fluorescence ImagingK08EB008122 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI NGUYEN, QUYEN · 2007 to 2011
$714k
Exploiting Protease-Activatable Agents to Characterize and Treat AsthmaF30HL118998 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LIPPERT, CSILLA · 2013 to 2015
$116k
NCI NIH HHS 5R25CA153915NCI NIH HHS CA121938NCI NIH HHS CA132971NCI NIH HHS CA142669NCI NIH HHS CA158448NCI NIH HHS R01 CA132971NCI NIH HHS R01 CA142669NCI NIH HHS R01 CA158448NCI NIH HHS R25 CA153915NCI NIH HHS T32 CA121938NHLBI NIH HHS 1F30HL118998-01NHLBI NIH HHS F30 HL118998NIBIB NIH HHS 5K08EB008122NIBIB NIH HHS K08 EB008122NIBIB NIH HHS R01 EB014929NIGMS NIH HHS T32 GM007198Wellcome Trust
6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the efficacy of using matrix metalloproteinase-2 (MMP-2) and matrix metalloproteinase-9 (MMP-9)-cleavable ratiometric activatable cell-penetrating peptides (RACPPs) conjugated to Cy5 and Cy7 fluorophores to accurately label pancreatic cancer for fluorescence-guided surgery (FGS) in an orthotopic mouse model.

methodsOrthotopic mouse models were established using MiaPaCa-2-GFP human pancreatic cancer cells. Two weeks after implantation, tumor-bearing mice were randomized to conventional white light reflectance (WLR) surgery or FGS. FGS was performed at far-red and infrared wavelengths with a customized fluorescence-dissecting microscope 2 h after injection of MMP-2 and MMP-9-cleavable RACPPs. Green fluorescence imaging of the GFP-labeled cancer cells was used to assess the effectiveness of surgical resection and monitor recurrence. At 8 weeks, mice were sacrificed to evaluate tumor burden and metastases.

resultsMice in the WLR group had larger primary tumors than mice in the FGS group at termination [1.72 g ± standard error (SE) 0.58 vs. 0.25 g ± SE 0.14; respectively, p = 0.026). Mean disease-free survival was significantly lengthened from 5.33 weeks in the WLR group to 7.38 weeks in the FGS group (p = 0.02). Recurrence rates were lower in the FGS group than in the WLR group (38 vs. 73 %; p = 0.049). This translated into lower local and distant recurrence rates for FGS compared to WLR (31 vs. 67 for local recurrence, respectively, and 25 vs. 60 % for distant recurrence, respectively). Metastatic tumor burden was significantly greater in the WLR group than in the FGS group (96.92 mm(2) ± SE 52.03 vs. 2.20 mm(2) ± SE 1.43; respectively, χ (2) = 5.455; p = 0.02).

conclusionsRACPPs can accurately and effectively label pancreatic cancer for effective FGS, resulting in better postresection outcomes than for WLR surgery.

Indexed as

Surgery, Computer-AssistedAnimalsCell-Penetrating PeptidesFemaleFluorescenceGreen Fluorescent ProteinsHumansMatrix Metalloproteinase 2Matrix Metalloproteinase 9MiceMice, NudeMicroscopy, FluorescenceNeoplasm MetastasisNeoplasm Recurrence, LocalOptical ImagingPancreatic NeoplasmsCell-Penetrating PeptidesGreen Fluorescent ProteinsMatrix Metalloproteinase 2Matrix Metalloproteinase 9

Identifiers

PMID25319581
PMCPMC4400250
OpenAlexW2016050222

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.