TY - JOUR
T1 - In vivo diagnosis of murine pancreatic intraepithelial neoplasia and early-stage pancreatic cancer by molecular imaging
AU - Eser, Stefan
AU - Messer, Marlena
AU - Eser, Philipp
AU - Von Werder, Alexander
AU - Seidler, Barbara
AU - Bajbouj, Monther
AU - Vogelmann, Roger
AU - Meining, Alexander
AU - Von Burstin, Johannes
AU - Algül, Hana
AU - Pagel, Philipp
AU - Schnieke, Angelika E.
AU - Esposito, Irene
AU - Schmid, Roland M.
AU - Schneider, Günter
AU - Saur, Dieter
PY - 2011/6/14
Y1 - 2011/6/14
N2 - Pancreatic ductal adenocarcinoma (PDAC) is a fatal disease with poor patient outcome often resulting from late diagnosis in advanced stages. To date methods to diagnose early-stage PDAC are limited and in vivo detection of pancreatic intraepithelial neoplasia (PanIN), a preinvasive precursor of PDAC, is impossible. Using a cathepsin-activatable near-infrared probe in combination with flexible confocalfluorescence lasermicroscopy (CFL) in a genetically defined mouse model of PDAC we were able to detect and grade murine PanIN lesions in real time in vivo. Our diagnostic approach is highly sensitive and specific and proved superior to clinically established fluorescein-enhanced imaging. Translation of this endoscopic technique into the clinic should tremendously improve detection of pancreatic neoplasia, thus reforming management of patients at risk for PDAC.
AB - Pancreatic ductal adenocarcinoma (PDAC) is a fatal disease with poor patient outcome often resulting from late diagnosis in advanced stages. To date methods to diagnose early-stage PDAC are limited and in vivo detection of pancreatic intraepithelial neoplasia (PanIN), a preinvasive precursor of PDAC, is impossible. Using a cathepsin-activatable near-infrared probe in combination with flexible confocalfluorescence lasermicroscopy (CFL) in a genetically defined mouse model of PDAC we were able to detect and grade murine PanIN lesions in real time in vivo. Our diagnostic approach is highly sensitive and specific and proved superior to clinically established fluorescein-enhanced imaging. Translation of this endoscopic technique into the clinic should tremendously improve detection of pancreatic neoplasia, thus reforming management of patients at risk for PDAC.
KW - Carcinoma in situ
KW - Cathepsin
KW - Early detection
KW - Genetically engineered mouse model
KW - Molecular in vivo imaging
UR - http://www.scopus.com/inward/record.url?scp=79959665788&partnerID=8YFLogxK
U2 - 10.1073/pnas.1100890108
DO - 10.1073/pnas.1100890108
M3 - Article
C2 - 21628592
AN - SCOPUS:79959665788
SN - 0027-8424
VL - 108
SP - 9945
EP - 9950
JO - Proceedings of the National Academy of Sciences of the United States of America
JF - Proceedings of the National Academy of Sciences of the United States of America
IS - 24
ER -