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Page 1: Stanford...Stanford Cancer’Imaging’Training’Program’ Superparamagne/c)) IronOxide) Endorem! Cliavist! Combidex! Supravist! Clariscan! Core% Coang% FDAApproved)
Page 2: Stanford...Stanford Cancer’Imaging’Training’Program’ Superparamagne/c)) IronOxide) Endorem! Cliavist! Combidex! Supravist! Clariscan! Core% Coang% FDAApproved)

Stanford    Cancer  Imaging  Training  Program    

Superparamagne/c    Iron  Oxide  

Endorem

Cliavist

Combidex

Supravist

Clariscan

Core  

Coa'ng  

FDA  Approved  

150  nm  

100  nm  

40  nm  

30  nm  

20  nm  

Ferumoxytol (Feraheme  ,  Rienso  )  

Carboxymethyl  Dextran  20-­‐30  nm  

Background:  Superparamagne'c  Iron  Oxide  Nanopar'cles      

Page 3: Stanford...Stanford Cancer’Imaging’Training’Program’ Superparamagne/c)) IronOxide) Endorem! Cliavist! Combidex! Supravist! Clariscan! Core% Coang% FDAApproved)

Stanford    Cancer  Imaging  Training  Program    

Superparamagne'c  Iron  Oxide  Nanopar'cles      

Applica/ons  and  Developments  in  Therapy  

The  treatment  of  tumors  using  targeted  SPIO  

Targeted  SPIO  bind  specifically  to  the  tumor  receptor  which  selec'vely  suppresses  tumor  growth      Targeted  SPIO  are  used  for  magne'cally  induced  hyperthermia  aNer  tumor  binding      Targeted   SPIO   are   loaded   with   therapeu'c   agents   (drug   targe'ng)   and   these  accumulate  in  the  target  'ssue  

1

2

3

4

1

2

3

ΔT  

NIR   SPIO  1 2 3

Page 4: Stanford...Stanford Cancer’Imaging’Training’Program’ Superparamagne/c)) IronOxide) Endorem! Cliavist! Combidex! Supravist! Clariscan! Core% Coang% FDAApproved)

Stanford    Cancer  Imaging  Training  Program    

Background:  Superparamagne'c  Iron  Oxide  Nanopar'cles      

Applica/ons  and  Developments  in  Diagnos/cs  and  Therapy  

SPIO  in  preclinical  and  experimental  applica/on  Molecular  imaging                  SPIO  conjuga/on  with  an/bodies  and  an/body  fragments  Tumor  imaging  Apoptosis  imaging  Cardiovascular  imaging  Cell  labeling  and  cell  imaging  in  MRI  Transplant  diagnos/cs,  imaging  of  rejec/on  reac/ons  (graK  rejec/on)  Inflamma/on,  infec/on,  and  adiposity  imaging  Imaging  of  mul/ple  sclerosis  (MS)  and  neurodegenera/on  Metabolic  imaging  Imaging  of  enzyma/c  ac/vity  AND…        

SPIO  in  clinical  applica/on    T2/T2*  applica/ons:  Liver  imaging  Spleen  imaging  Lymph  node  imaging  Tumor  imaging  Bone  marrow  imaging  Imaging  of  the  gastrointes/nal  tract  CNS  imaging  Characteriza/on  of  atherosclero/c  plaques  

Page 5: Stanford...Stanford Cancer’Imaging’Training’Program’ Superparamagne/c)) IronOxide) Endorem! Cliavist! Combidex! Supravist! Clariscan! Core% Coang% FDAApproved)

Stanford    Cancer  Imaging  Training  Program    

Objectives  

To  evaluate  the  mechanisms  that  lead  to  cancer  growth  inhibi/on    via  local  injec/on  of  iron  oxide  nanopar/cles  into  early  tumor  deposits  

Objectives  

Page 6: Stanford...Stanford Cancer’Imaging’Training’Program’ Superparamagne/c)) IronOxide) Endorem! Cliavist! Combidex! Supravist! Clariscan! Core% Coang% FDAApproved)

Immune  responses  in  solid  tumors  

DeNardo D and Coussens L 2010

Page 7: Stanford...Stanford Cancer’Imaging’Training’Program’ Superparamagne/c)) IronOxide) Endorem! Cliavist! Combidex! Supravist! Clariscan! Core% Coang% FDAApproved)

J Clin Invest. 2011;121(3):985–997

Iron  Oxides  cause  M1  polariza/on  

Page 8: Stanford...Stanford Cancer’Imaging’Training’Program’ Superparamagne/c)) IronOxide) Endorem! Cliavist! Combidex! Supravist! Clariscan! Core% Coang% FDAApproved)

Stanford    Cancer  Imaging  Training  Program    

Iron  oxide  nanopar/cles  ini/ate  a  proinflammatory  immune  response,    based  on  macrophage  influx  into  tumors  and  M1  polariza/on  

Hypothesis  

Hypothesis  

Page 9: Stanford...Stanford Cancer’Imaging’Training’Program’ Superparamagne/c)) IronOxide) Endorem! Cliavist! Combidex! Supravist! Clariscan! Core% Coang% FDAApproved)

Stanford    Cancer  Imaging  Training  Program    

O2+1.5%  Isoflurane  

MMTV  PyMT-­‐derived  cells  Postpubertal  female  FVB/n  mice    

2.3  million  Cells  to  the  leN  lower  mammary    fat  pad  

Methods: in vivo studies

100  Micro  liWer  

ICE/4  C  

Page 10: Stanford...Stanford Cancer’Imaging’Training’Program’ Superparamagne/c)) IronOxide) Endorem! Cliavist! Combidex! Supravist! Clariscan! Core% Coang% FDAApproved)

Stanford    Cancer  Imaging  Training  Program    

O2+1.5%  Isoflurane  

Postpubertal  female  FVB/n  mice    

Methods: in vivo studies

100  Micro  liWer  

ICE/4  C  

+  

Cancer  Cells  

Iron  Oxides  

10mg/kg  Ferumoxytol  +  Cancer  Cells  

27.92  mg/kg  Ferumoxytol  +  Cancer  Cells  

10mg/kg  Ferumoxtran-­‐10  +  Cancer  Cells  

A  

B  

C  

A  2.3  million  Cells  +     B   C  or   or  

to  the  right  lower  mammary  

1  

2  

Page 11: Stanford...Stanford Cancer’Imaging’Training’Program’ Superparamagne/c)) IronOxide) Endorem! Cliavist! Combidex! Supravist! Clariscan! Core% Coang% FDAApproved)

Stanford    Cancer  Imaging  Training  Program    

Conclusion  

Iron   oxide   nanopar'cles   ini'ate   a   proinflammatory   immune   response,   based   on  macrophage  influx  into  tumors  and  M1  polariza'on  

This  finding  has  important  implica'ons  for  diagnos'c    and  theranos'c  applica'ons  of  iron  oxide  nanopar'cles  

Iron   oxide   nanopar'cle-­‐delivery   to   tumors   may   support   M1-­‐ac'va'ng  immunotherapies,  such  as  the  upcoming  an'-­‐CD47  therapy  at  Stanford  

Page 12: Stanford...Stanford Cancer’Imaging’Training’Program’ Superparamagne/c)) IronOxide) Endorem! Cliavist! Combidex! Supravist! Clariscan! Core% Coang% FDAApproved)

Stanford    Cancer  Imaging  Training  Program    

Thank  you