International Journal of Radiation Oncology * Biology * Physics
Volume 59, Issue 3 , Pages 834-843 , 1 July 2004

Effect of RSR13, an allosteric hemoglobin modifier, on oxygenation in murine tumors: an in vivo electron paramagnetic resonance oximetry and bold MRI study

Presented in part at the 11th Annual Meeting of the International Society for Magnetic Resonance in Medicine, Toronto, ON, Canada, July 2003, and at the 31st Annual Meeting of the International Society on Oxygen Transport to Tissue, Rochester, NY, August 2003.

  • Huagang Hou, M.D.

      Affiliations

    • Department of Diagnostic Radiology, EPR Center for the Study of Viable Systems, Dartmouth Medical School, Hanover, NH, USA
  • ,
  • Nadeem Khan, Ph.D.

      Affiliations

    • Department of Diagnostic Radiology, EPR Center for the Study of Viable Systems, Dartmouth Medical School, Hanover, NH, USA
  • ,
  • Julia A O'Hara, Ph.D.

      Affiliations

    • Department of Diagnostic Radiology, EPR Center for the Study of Viable Systems, Dartmouth Medical School, Hanover, NH, USA
  • ,
  • Oleg Y Grinberg, Ph.D.

      Affiliations

    • Department of Diagnostic Radiology, EPR Center for the Study of Viable Systems, Dartmouth Medical School, Hanover, NH, USA
  • ,
  • Jeff F Dunn, Ph.D.

      Affiliations

    • Department of Diagnostic Radiology, Biomedical NMR Laboratory, Dartmouth Medical School, Hanover, NH, USA
  • ,
  • Michelle A Abajian, B.S.

      Affiliations

    • Department of Diagnostic Radiology, Biomedical NMR Laboratory, Dartmouth Medical School, Hanover, NH, USA
  • ,
  • Carmen M Wilmot, B.S.

      Affiliations

    • Department of Diagnostic Radiology, EPR Center for the Study of Viable Systems, Dartmouth Medical School, Hanover, NH, USA
  • ,
  • Malek Makki, Ph.D.

      Affiliations

    • Department of Diagnostic Radiology, Biomedical NMR Laboratory, Dartmouth Medical School, Hanover, NH, USA
  • ,
  • Eugene Demidenko, Ph.D.

      Affiliations

    • Department of Community and Family Medicine, Section of Biostatistics and Epidemiology, Dartmouth Medical School, Lebanon, NH, USA
  • ,
  • Shiyi Lu, Ph.D.

      Affiliations

    • Department of Diagnostic Radiology, EPR Center for the Study of Viable Systems, Dartmouth Medical School, Hanover, NH, USA
  • ,
  • Robert P Steffen, Ph.D.

      Affiliations

    • Allos Therapeutics, Inc., Westminster, CO, USA
  • ,
  • Harold M Swartz, M.D., Ph.D.

      Affiliations

    • Department of Diagnostic Radiology, EPR Center for the Study of Viable Systems, Dartmouth Medical School, Hanover, NH, USA
    • Corresponding Author InformationReprint requests to: Harold M. Swartz, M.D, Ph.D., Department of Diagnostic Radiology, EPR Center for the Study of Viable Systems, Dartmouth Medical School, Hanover, NH 03755, USA. Tel: (603) 650-1955; Fax: (603) 650-1717

Received 24 September 2003 ,Revised 17 February 2004 ,Accepted 18 February 2004.

References 

  1. Hall EJ. Radiobiology for the radiologist. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2000; p. 91–111
  2. Abraham DJ, Peascoe RA, Randad RS, et al.  X-ray diffraction study of di-and tetra-ligated T-state hemoglobin from high salt crystals. J Mol Biol. 1992;227:480–492
  3. Hirst DG, Wood PJ, Schwartz HC. The modification of hemoglobin affinity for oxygen and tumor radiosensitivity by antilipidemic drugs. Radiat Res. 1987;112:164–172
  4. Siemann DW, Alliet KL, Macler LM. Manipulations in the oxygen transport capacity of blood as a means of sensitizing tumors to radiation therapy. Int J Radiat Oncol Biol Phys. 1989;16:1169–1172
  5. Calais G, Hirst DG. In situ tumour radiosensitization induced by clofibrate administration (Single dose and fractionated studies). Radiother Oncol. 1991;22:99–103
  6. Abraham DJ, Wireko FC, Randad RS, et al.  Allosteric modifiers of hemoglobin (2-{4-{[(3,5-Disubstituted anilino)-carboxylmethyllphenoxy]-2-methylpropionic acid derivatives that lower the oxygen affinity of hemoglobin in red cell suspensions, in whole blood, and in vivo in rats). Biochemistry. 1992;31:9141–9149
  7. Randad RS, Mahran MA, Mehanna AS, et al.  Allosteric modifiers of hemoglobin. 1. Design, synthesis, testing, and structure–allosteric activity relationship of novel hemoglobin oxygen affinity decreasing agents. J Med Chem. 1991;34:752–757
  8. Wireko FC, Kellogg GE, Abraham DJ, et al.  Allosteric modifiers of hemoglobin. 2. Crystallographically determined binding sites and hydrophobic binding/interaction analysis of novel hemoglobin oxygen effectors. J Med Chem. 1991;34:758–767
  9. Khandelwal SR, Randsd RS, Lin P-S, et al.  Enhanced oxygenation in vivo by allosteric inhibitors of hemoglobin saturation. Am J Physiol. 1993;265:H1450–H1453
  10. Miyake M, Grinberg OY, Hou HG, et al.  The effect of RSR13, a synthetic allosteric modifier of hemoglobin, on brain tissue pO2 (measured by EPR oximetry) following severe hemorrhagic shock in rats. Adv Exp Med Biol. 2003;530:319–329
  11. Grinberg OY, Miyake M, Hou HG, et al.  The dose-dependent effect of RSR13, a synthetic allosteric modifier of hemoglobin, on physiological parameters and brain tissue oxygenation in rats. Adv Exp Med Biol. 2003;530:287–296
  12. Khandelwal SR, Lin P-S, Hall CE, et al.  Increased radiation response of FSaII fibrosarcomas in C3H mice following administration of an allosteric effector of hemoglobin-oxygen affinity. Radiat Oncol Invest. 1996;4:51–59
  13. Teicher BA, Wong JS, Takeuchi H, et al.  Allosteric effectors of hemoglobin as modulators of chemotherapy and radiation therapy in vitro and in vivo. Cancer Chemother Pharmacol. 1998;42:24–30
  14. Teicher BA, Gulshan A, Yasunori E, et al.  RSR13 (Effects on tumor oxygenation and response to therapy). Drug Dev Res. 1996;38:1–11
  15. Rockwell S, Kelley M. RSR13, a synthetic allosteric modifier of hemoglobin, as an adjunct to radiotherapy (Preliminary studies with EMT6 cells and tumors and normal tissue in mice). Radiat Oncol Invest. 1998;6:199–208
  16. Amorino GP, Lee H, Holburn GE, et al.  Enhancement of tumor oxygenation and radiation response by the allosteric effector of hemoglobin, RSR13. Radiat Res. 2001;156:294–300
  17. Stone HB, Brown JM, Phillips TL, et al.  Oxygen in human tumors (Correlations between methods of measurement and response to therapy. Summary of a workshop held November 19–20, 1992, at the National Cancer Institute, Bethesda, Maryland). Radiat Res. 1993;136:422–434
  18. Horsman MR, Khalil AA, Siemann DW, et al.  Relationship between radiobiological hypoxia in tumors and electrode measurements of tumor oxygenation. Int J Radiat Oncol Biol Phys. 1994;29:439–442
  19. Oikawa H, Al-Hallaq HA, Lewis MZ, et al.  Spectroscopic imaging of water response with short repetition time to study tumor response to hyperoxia. Magn Reson Med. 1997;38:27–32
  20. Karczmar GS, River JN, Li J, et al.  Magnetic resonance imaging of rodent tumors using radiofrequency gradient echoes. Magn Reson Imaging. 1994;12:881–893
  21. Goda F, O'Hara JA, Rhodes ES, et al.  Changes of oxygen tension in experimental tumors after a single dose of X-ray irradiation. Cancer Res. 1995;55:2249–2252
  22. O'Hara JA, Goda F, Demidenko E, et al.  Effect on regrowth delay in a murine tumor of scheduling split dose radiation based on direct pO2 measurements by EPR oximetry. Radiat Res. 1998;150:549–556
  23. O'Hara JA, Blumenthal RD, Grinberg OY, et al.  Response to radioimmunotherapy correlates with tumor pO2 measured by EPR oximetry in human tumor xenografts. Radiat Res. 2001;155:466–473
  24. Swartz HM, Clarkson RB. The measurement of oxygen in vivo using EPR techniques. Phys Med Biol. 1998;43:1957–1975
  25. Peller M, Weissfloch L, Stehling MK, et al.  Oxygen-induced MR signal changes in murine tumors. Magn Reson Imaging. 1998;16:799–809
  26. Karczmar GS, River JN, Li J, et al.  Effects of hyperoxia on T2* and resonance frequency weighted magnetic resonance images of rodent tumors. NMR Biomed. 1994;7:3–11
  27. Robinson SP, Rodrigues LM, Ojugo AS, et al.  The response to carbogen breathing in experimental tumor models monitored by gradient-recalled echo magnetic resonance imaging. Br J Cancer. 1997;75:1000–1006
  28. Dunn JF, Swartz HM. Blood oxygenation (Heterogeneity of hypoxic tissue monitored using BOLD MR imaging). Adv Exp Med Biol. 1996;428:645–650
  29. Griffiths JR, Taylor NJ, Howe FA, et al.  The response of human tumors to carbogen breathing, monitored by gradient-recalled echo magnetic resonance imaging. Int J Radiat Oncol Biol Phys. 1997;39:697–701
  30. Liu KJ, Gast P, Moussavi M, et al.  Lithium phthalocyanine (A probe for electron paramagnetic resonance oximetry in viable biological systems). Proc Natl Acad Sci USA. 1993;90:5438–5442
  31. Dunn JF, O'Hara JA, Zaim-Wadghiri Y, et al.  Changes in oxygenation of intracranial tumors with carbogen (A BOLD MRI and EPR oximetry study). J Magn Reson Imaging. 2002;16:511–521
  32. Swartz HM, Dunn JF, Grinberg OY, et al.  What does EPR oximetry with solid particles measure–and how does this relate to other measures of pO2?. Adv Exp Med Biol. 1997;428:663–670
  33. Ilangovan G, Li H, Zweier JL, et al.  In vivo measurement of regional oxygenation and imaging of redox status in RIF-1 murine tumor (Effect of carbogen-breathing). Magn Reson Med. 2002;48:723–730
  34. Swartz HM, Walczak T. Developing in vivo EPR oximetry for clinical use. Adv Exp Med Biol. 1998;454:243–252
  35. Hirata H, Walczak T, Swartz HM. Electronically tunable surface-coil-type resonator for L-band EPR spectroscopy. J Magn Reson. 2000;142:159–167
  36. Smirnov AI, Norby SW, Clarkson RB. Simultaneous multi-site EPR spectroscopy in vivo. Magn Reson Med. 1993;30:213–220
  37. Ogawa S, Lee TM, Barrere B. The sensitivity of magnetic resonance image signals of a rat brain to changes in cerebral venous blood oxygenation. Magn Reson Med. 1993;29:205–210
  38. Punwani S, Ordidge RJ, Cooper CE, et al.  MRI measurements of cerebral deoxyhaemoglobin concentration [dHb]—correlation with near infrared spectroscopy (NIRS). NMR Biomed. 1998;11:281–289
  39. Dunn JF, Zaim Wwadghiri Y, Meyerand ME, et al.  Regional heterogeneity of the brain's response to hypoxia measured using BOLD MR imaging. Magn Reson Med. 1999;41:850–854
  40. Demidenko E, Stukel T. Efficient estimation of general mixed effects models. J Stat Plan Infer. 2002;104:197–219
  41. Laird NM, Ware JH. Random-effects models for longitudinal data. Biometrics. 1982;38:963–974
  42. Kavanagh MC, Sun A, Hu Q, et al.  Comparing techniques of measuring tumor hypoxia in different murine tumors (Eppendorf pO2 histograph [3H]misonidazole binding and paired survival assay). Radiat Res. 1996;145:491–500
  43. Pogue BW, O'Hara JA, Wilmot CM, et al.  Estimation of oxygen distribution in RIF-1 tumors by diffusion model-based interpretation of pimonidazole hypoxia and Eppendorf measurements. Radiat Res. 2001;155:15–25
  44. Suit H, Skates S, Taghian A, et al.  Clinical implications of heterogeneity of tumor response to radiation therapy. Radiother Oncol. 1992;25:251–260
  45. Vaupel P, Schlenger K, Knoop C, et al.  Oxygenation of human tumors (Evaluation of tissue oxygen distribution in breast cancers by computerized O2 tension measurements). Cancer Res. 1991;51:3316–3322
  46. Brizel DM, Rosner GL, Prosnitz LR, et al.  Patterns and variability of tumor oxygenation in human soft tissue sarcomas, cervical carcinomas, and lymph node metastases. Int J Radiat Oncol Biol. 1995;324:1121–1125
  47. Hockel M, Schlenger K, Aral B, et al.  Association between tumor hypoxia and malignant progression in advanced cancer of the uterine cervix. Cancer Res. 1996;56:4509–4515
  48. Brizel DM, Scully SP, Harrelson JM, et al.  Tumor oxygenation predicts for the likelihood of distant metastases in human soft tissue sarcoma. Cancer Res. 1996;56:941–943
  49. Nordsmark M, Overgaard M, Overgaard J, et al.  Pretreatment oxygenation predicts radiation response in advanced squamous cell carcinoma of the head and neck. Radiother Oncol. 1996;41:31–40
  50. Fyles AW, Milosevic M, Wong R, et al.  Oxygenation predicts radiation response and survival in patients with cervical cancer. Radiother Oncol. 1998;48:149–156
  51. Stadler P, Becker A, Feldmann HJ, et al.  Influence of the hypoxic subvolume on the survival of patients with head and neck cancer. Int J Radiat Oncol Biol Phys. 1999;44:749–754
  52. Weissflish L, Auberger T, Feldmann HJ, et al.  Oxygen tension in isotransplanted mammary carcinomas and osteosarcomas before and after irradiation. Adv Exp Med Biol. 1996;388:495–504
  53. Sersa G, Krzic M, Sentjurc M, et al.  Reduced tumor oxygenation by treatment with vinblastine. Cancer Res. 2001;61:4266–4271
  54. Vaupel P. Oxygenation of solid tumors. In:  Teicher BA editors. Drug resistance in oncology. New York: Marcel Dekker; 1993;p. 53–85
  55. Cartheuser CF. Standard and pH-affected hemoglobin-O2 binding curves of Sprague-Dawley rats under normal and shifted p50 conditions. Comp Biochem Physiol Comp Physiol. 1993;106A:775–782
  56. Kunert MP, Liard JF, Abraham DJ. RSR-13, an allosteric effector of hemoglobin, increases systemic and iliac vascular resistance in rats. Am J Physiol. 1996;271:H602–H613
  57. Krogh A. The number and distribution of capillaries in muscle with calculations of the oxygen pressure head necessary for supplying the tissue. J Physiol (London). 1919;52:409
  58. Kety SS. Determination of tissue oxygen tension. Fed Proc. 1957;16:666–670

 This work was supported by Allos Therapeutics, Inc. and NIH (NIBIB) grant P01 EB002180, and used the facilities of the EPR Center for the Study of Viable Systems supported by NIH (NIBIB) Grant P41 EB002032.

PII: S0360-3016(04)00358-X

doi: 10.1016/j.ijrobp.2004.02.039

International Journal of Radiation Oncology * Biology * Physics
Volume 59, Issue 3 , Pages 834-843 , 1 July 2004