@phdthesis{Messerschmidt2022, author = {Messerschmidt, Konstantin Felix}, title = {Einfluss der PSMA-Expression auf die Docetaxel-Sensitivit{\"a}t sowie systemischer Medikamente auf die Expression von PSMA, CXCR4 und SSTR2}, doi = {10.25972/OPUS-28336}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-283364}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2022}, abstract = {F{\"u}r das klinische Management des Prostatakarzinoms werden nuklearmedizinische Verfahren zunehmend relevant. Bildgebung und Therapie, welche gegen das Prostataspezifische Membranantigen (PSMA) gerichtet sind, werden bereits im klinischen Alltag angewendet. Weitere potenzielle Biomarker des Prostatakarzinoms, wie beispielsweise der CXC-Motiv-Chemokinrezeptor 4 (CXCR4) und der Somatostatinrezeptor Typ 2 (SSTR2), werden zudem als nuklearmedizinische Zielstrukturen diskutiert. Vorangegangene Arbeiten legten einen Zusammenhang zwischen dem Ausmaß der PSMA-Expression und der Sensitivit{\"a}t gegen{\"u}ber Docetaxel in Prostatakarzinomzellen nahe. Ein Ziel der vorliegenden Arbeit war, diesen Mechanismus genauer zu untersuchen. Dabei wurden die Aktivit{\"a}t onkogener Signalwege, die Proliferation und die CXCR4- sowie die Androgenrezeptor (AR)- Expression in Prostatakarzinomzelllinien mit unterschiedlicher PSMA-Expression durchflusszytometrisch quantifiziert. Im zweiten Projektteil sollte der Einfluss von Metformin und verschiedener, bereits in der Prostatakarzinomtherapie angewandter Medikamente (Docetaxel, Dexamethason, Abirateron und Enzalutamid), auf die Expression von PSMA, CXCR4 und SSTR2 untersucht werden. Die Quantifizierung der Expression erfolgte mittels Durchflusszytometrie. Ein kausaler Mechanismus f{\"u}r den Zusammenhang zwischen PSMA-Expression und Docetaxel-Sensitivit{\"a}t konnte in dieser Arbeit schließlich nicht hergestellt werden. Es zeigten sich jedoch vor allem Expressionsmodulationen von PSMA und CXCR4. Mittels Docetaxel konnte z.B. bei C4-2 Zellen eine Verdopplung der PSMA-Expression und eine Verdreifachung der CXCR4-Expression erreicht werden. Dar{\"u}ber hinaus zeigte die Behandlung mit Abirateron eine deutliche Heraufregulation der PSMA- Expression bei LNCaP und C4-2 Zellen, sowie eine Zunahme der CXCR4- Expression bei allen untersuchten Zelllinien. Sollte sich der Einfluss der medikament{\"o}sen Behandlung auf die Expression von PSMA und CXCR4 best{\"a}tigen, kann dies zuk{\"u}nftig zur verbesserten und individualisierten Diagnostik und Therapie von Prostatakarzinompatienten beitragen.}, subject = {Prostatakrebs}, language = {de} } @article{WeichRogollGawlasetal.2021, author = {Weich, Alexander and Rogoll, Dorothee and Gawlas, Sophia and Mayer, Lars and Weich, Wolfgang and Pongracz, Judit and Kudlich, Theodor and Meining, Alexander and Scheurlen, Michael}, title = {Wnt/β-catenin signaling regulates CXCR4 expression and [\(^{68}\)Ga] Pentixafor internalization in neuroendocrine tumor cells}, series = {Diagnostics}, volume = {11}, journal = {Diagnostics}, number = {2}, issn = {2075-4418}, doi = {10.3390/diagnostics11020367}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-228914}, year = {2021}, abstract = {Loss of Somatostatin Receptor 2 (SSTR2) expression and rising CXC Chemokine Receptor Type 4 (CXCR4) expression are associated with dedifferentiation in neuroendocrine tumors (NET). In NET, CXCR4 expression is associated with enhanced metastatic and invasive potential and worse prognosis but might be a theragnostic target. Likewise, activation of Wnt/β-catenin signaling may promote a more aggressive phenotype in NET. We hypothesized an interaction of the Wnt/β-catenin pathway with CXCR4 expression and function in NET. The NET cell lines BON-1, QGP-1, and MS-18 were exposed to Wnt inhibitors (5-aza-CdR, quercetin, and niclosamide) or the Wnt activator LiCl. The expressions of Wnt pathway genes and of CXCR4 were studied by qRT-PCR, Western blot, and immunohistochemistry. The effects of Wnt modulators on uptake of the CXCR4 ligand [\(^{68}\)Ga] Pentixafor were measured. The Wnt activator LiCl induced upregulation of CXCR4 and Wnt target gene expression. Treatment with the Wnt inhibitors had opposite effects. LiCl significantly increased [\(^{68}\)Ga] Pentixafor uptake, while treatment with Wnt inhibitors decreased radiopeptide uptake. Wnt pathway modulation influences CXCR4 expression and function in NET cell lines. Wnt modulation might be a tool to enhance the efficacy of CXCR4-directed therapies in NET or to inhibit CXCR4-dependent proliferative signaling. The underlying mechanisms for the interaction of the Wnt pathway with CXCR4 expression and function have yet to be clarified.}, language = {en} } @phdthesis{Nattmann2022, author = {Nattmann, Anja Maria}, title = {ADAM9 und CXCR4 - neue Angriffspunkte in der Pathogenese des Vestibularisschwannoms}, doi = {10.25972/OPUS-27808}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-278086}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2022}, abstract = {Obwohl es sich bei Vestibularisschwannomen (VS) um benigne Tumoren handelt, k{\"o}nnen sie die Lebensqualit{\"a}t der betroffenen Patienten deutlich beeintr{\"a}chtigen. Gerade bei Patienten, die an einer NF 2 leiden und sich daher wiederholt operativen Eingriffen unterziehen m{\"u}ssen, ist es notwendig, eine medikament{\"o}se Therapiealternative anbieten zu k{\"o}nnen, die ohne die Notwendigkeit einer operativen Intervention auskommt und gleichzeitig schwerwiegenden Folgen der Tumorerkrankung - wie dem drohenden H{\"o}rverlust - Einhalt gebietet. Die vorliegende Arbeit hatte zum Ziel, sich dieser medikament{\"o}sen Therapiealternative einen Schritt anzun{\"a}hern, indem molekulare Pathomechanismen, die dem VS zugrunde liegen k{\"o}nnten, untersucht wurden. Im Mittelpunkt standen der Chemokinrezeptor CXCR4, das Tumorsuppressorprotein Merlin und die Metalloprotease ADAM9. F{\"u}r CXCR4 ließen sich keine Effekte in Bezug auf die Aktivierung der ERK- und AKT-Signalwege erkennen. Auch beeinflusste eine Merlin{\"u}berexpression in VS-Zellen die CXCR4- und ADAM9-Proteinexpression nicht. F{\"u}r ADAM9 zeigte sich eine potenzielle Relevanz f{\"u}r die Pathogenese des VS: Wurde die ADAM9-Konzentration durch einen knock-down reduziert, hatte dies eine verminderte VS-Zellzahl zur Folge. Des Weiteren scheint Integrin α6 ein Substrat von ADAM9 zu sein, das m{\"o}glicherweise in die Zytoskelettmodifikation durch ADAM9 involviert ist. Somit stellt die ADAM9-Inhibition einen interessanten Angriffspunkt f{\"u}r eine m{\"o}gliche medikament{\"o}se Behandlung von VS dar. Ferner wurden Cytokine gefunden, die bisher nicht in einen Zusammenhang mit dem VS gebracht worden waren. Vor allem die Bedeutung der Cytokine TIMP-2 und CXCL7 sollte f{\"u}r das VS n{\"a}her untersucht werden. Somit konnte diese Arbeit weitere Aspekte aufdecken, die f{\"u}r die Pathogenese des VS relevant sein k{\"o}nnten und an die zuk{\"u}nftige Forschung ankn{\"u}pfen sollte.}, subject = {Akustikustumor}, language = {de} } @article{ButtStempfleListeretal.2020, author = {Butt, Elke and Stempfle, Katrin and Lister, Lorenz and Wolf, Felix and Kraft, Marcella and Herrmann, Andreas B. and Viciano, Cristina Perpina and Weber, Christian and Hochhaus, Andreas and Ernst, Thomas and Hoffmann, Carsten and Zernecke, Alma and Frietsch, Jochen J.}, title = {Phosphorylation-dependent differences in CXCR4-LASP1-AKT1 interaction between breast cancer and chronic myeloid leukemia}, series = {Cells}, volume = {9}, journal = {Cells}, number = {2}, issn = {2073-4409}, doi = {10.3390/cells9020444}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-200638}, year = {2020}, abstract = {The serine/threonine protein kinase AKT1 is a downstream target of the chemokine receptor 4 (CXCR4), and both proteins play a central role in the modulation of diverse cellular processes, including proliferation and cell survival. While in chronic myeloid leukemia (CML) the CXCR4 is downregulated, thereby promoting the mobilization of progenitor cells into blood, the receptor is highly expressed in breast cancer cells, favoring the migratory capacity of these cells. Recently, the LIM and SH3 domain protein 1 (LASP1) has been described as a novel CXCR4 binding partner and as a promoter of the PI3K/AKT pathway. In this study, we uncovered a direct binding of LASP1, phosphorylated at S146, to both CXCR4 and AKT1, as shown by immunoprecipitation assays, pull-down experiments, and immunohistochemistry data. In contrast, phosphorylation of LASP1 at Y171 abrogated these interactions, suggesting that both LASP1 phospho-forms interact. Finally, findings demonstrating different phosphorylation patterns of LASP1 in breast cancer and chronic myeloid leukemia may have implications for CXCR4 function and tyrosine kinase inhibitor treatment.}, language = {en} } @article{WeichWernerBucketal.2021, author = {Weich, Alexander and Werner, Rudolf A. and Buck, Andreas K. and Hartrampf, Philipp E. and Serfling, Sebastian E. and Scheurlen, Michael and Wester, Hans-J{\"u}rgen and Meining, Alexander and Kircher, Stefan and Higuchi, Takahiro and Pomper, Martin G. and Rowe, Steven P. and Lapa, Constantin and Kircher, Malte}, title = {CXCR4-Directed PET/CT in Patients with Newly Diagnosed Neuroendocrine Carcinomas}, series = {Diagnostics}, volume = {11}, journal = {Diagnostics}, number = {4}, issn = {2075-4418}, doi = {10.3390/diagnostics11040605}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-234231}, year = {2021}, abstract = {We aimed to elucidate the diagnostic potential of the C-X-C motif chemokine receptor 4 (CXCR4)-directed positron emission tomography (PET) tracer \(^{68}\)Ga-Pentixafor in patients with poorly differentiated neuroendocrine carcinomas (NEC), relative to the established reference standard \(^{18}\)F-FDG PET/computed tomography (CT). In our database, we retrospectively identified 11 treatment-na{\"i}ve patients with histologically proven NEC, who underwent \(^{18}\)F-FDG and CXCR4-directed PET/CT for staging and therapy planning. The images were analyzed on a per-patient and per-lesion basis and compared to immunohistochemical staining (IHC) of CXCR4 from PET-guided biopsies. \(^{68}\)Ga-Pentixafor visualized tumor lesions in 10/11 subjects, while \(^{18}\)F-FDG revealed sites of disease in all 11 patients. Although weak to moderate CXCR4 expression could be corroborated by IHC in 10/11 cases, \(^{18}\)F-FDG PET/CT detected significantly more tumor lesions (102 vs. 42; total lesions, n = 107; p < 0.001). Semi-quantitative analysis revealed markedly higher 18F-FDG uptake as compared to \(^{68}\)Ga-Pentixafor (maximum and mean standardized uptake values (SUV) and tumor-to-background ratios (TBR) of cancerous lesions, SUVmax: 12.8 ± 9.8 vs. 5.2 ± 3.7; SUVmean: 7.4 ± 5.4 vs. 3.1 ± 3.2, p < 0.001; and, TBR 7.2 ± 7.9 vs. 3.4 ± 3.0, p < 0.001). Non-invasive imaging of CXCR4 expression in NEC is inferior to the reference standard \(^{18}\)F-FDG PET/CT.}, language = {en} } @phdthesis{Boegelein2021, author = {B{\"o}gelein, Anna}, title = {Einfluss systemischer Therapeutika auf die CXCR4-Expression von Myelomzellen}, doi = {10.25972/OPUS-24174}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-241746}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2021}, abstract = {Im Zuge der Bem{\"u}hungen um neue, tumorspezifische Therapieans{\"a}tze f{\"u}r die Myelomerkrankung hat sich der C-X-C-Chemokinrezeptor 4 (CXCR4) aufgrund seiner zentralen Rolle in der Tumorgenese als vielversprechender Angriffspunkt hervorgetan. Im Sinne eines theranostischen Konzepts wird der Rezeptor mithilfe eines radioaktiv markierten Liganden quantifiziert und anschließend von rezeptorspezifischen Radiotherapeutika als Zielstruktur genutzt. Die CXCR4-Expression ist allerdings ein h{\"o}chst dynamischer Prozess mit großer inter- und intraindividueller Heterogenit{\"a}t, der u.a. durch eine begleitende Chemotherapie beeinflusst werden kann. Ob sich therapieinduzierte Ver{\"a}nderungen der Rezeptorexpression gezielt nutzen lassen, um die CXCR4-Expression zu optimieren und so die Effektivit{\"a}t der CXCR4-gerichteten Strategien zu steigern, wurde bislang nicht untersucht. Vor diesem Hintergrund wurden in der vorliegenden Arbeit verschiedene, in der Myelomtherapie etablierte Substanzen sowohl einzeln als auch in Kombination hinsichtlich ihres Einflusses auf die CXCR4-Expression von MM-Zelllinien und prim{\"a}ren MM-Zellen unter in vitro Bedingungen analysiert. In den durchgef{\"u}hrten Experimenten zeigte sich eine hohe Variabilit{\"a}t der CXCR4-Expression der MM-Zellen nach Therapieinduktion, die sich als substanz-, dosis- und zeitabh{\"a}ngig herausstellte. Die Ergebnisse best{\"a}tigten das große Potenzial der therapieinduzierten Modulation der CXCR4-Expression. Im weiteren Verlauf sind translationale Forschungsans{\"a}tze gerechtfertigt, die die {\"U}bertragbarkeit der in vitro gewonnenen Ergebnisse auf die komplexen Vorg{\"a}nge im lebenden Organismus {\"u}berpr{\"u}fen. Langfristiges Ziel ist der Entwurf eines patientenzentrierten, multimodalen Therapiekonzepts, welches das CXCR4-gerichtete theranostische Konzept mit einer individuell angepassten, medikament{\"o}sen MM-Therapie kombiniert.}, subject = {Plasmozytom}, language = {de} } @phdthesis{Martellotta2021, author = {Martellotta, Donato Daniel}, title = {Stellenwert von CXCL12 und CXCR4 in der Pathogenese des Vestibularisschwannomes}, doi = {10.25972/OPUS-24145}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-241454}, school = {Universit{\"a}t W{\"u}rzburg}, year = {2021}, abstract = {CXCR4 ist der spezifische Rezeptor f{\"u}r das Chemokin CXCL12 und ist {\"u}berexprimiert in Vestibularisschwannomzellen. Das Ziel dieser Arbeit war es den Effekt des spezifischen Inhibitors AMD3100 auf die CXCR4 vermittelte Proliferation und Migration der Vestibularisschwannomzellen in verschiedenen Zellkuturmodellen zu analysieren. Die nachgewiesene Inhibition von CXCR4 deutet auf einen m{\"o}glichen Einsatz von AMD3100 in der systemischen Therapie von NF-2 Patienten hin.}, subject = {CXCL12}, language = {de} } @article{HerrmannMuellerOrthetal.2020, author = {Herrmann, Andreas B. and M{\"u}ller, Martha-Lena and Orth, Martin F. and M{\"u}ller, J{\"o}rg P. and Zernecke, Alma and Hochhaus, Andreas and Ernst, Thomas and Butt, Elke and Frietsch, Jochen J.}, title = {Knockout of LASP1 in CXCR4 expressing CML cells promotes cell persistence, proliferation and TKI resistance}, series = {Journal of Cellular and Molecular Medicine}, volume = {24}, journal = {Journal of Cellular and Molecular Medicine}, number = {5}, doi = {10.1111/jcmm.14910}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-214122}, pages = {2942 -- 2955}, year = {2020}, abstract = {Chronic myeloid leukaemia (CML) is a clonal myeloproliferative stem cell disorder characterized by the constitutively active BCR-ABL tyrosine kinase. The LIM and SH3 domain protein 1 (LASP1) has recently been identified as a novel BCR-ABL substrate and is associated with proliferation, migration, tumorigenesis and chemoresistance in several cancers. Furthermore, LASP1 was shown to bind to the chemokine receptor 4 (CXCR4), thought to be involved in mechanisms of relapse. In order to identify potential LASP1-mediated pathways and related factors that may help to further eradicate minimal residual disease (MRD), the effect of LASP1 on processes involved in progression and maintenance of CML was investigated. The present data indicate that not only overexpression of CXCR4, but also knockout of LASP1 contributes to proliferation, reduced apoptosis and migration as well as increased adhesive potential of K562 CML cells. Furthermore, LASP1 depletion in K562 CML cells leads to decreased cytokine release and reduced NK cell-mediated cytotoxicity towards CML cells. Taken together, these results indicate that in CML, reduced levels of LASP1 alone and in combination with high CXCR4 expression may contribute to TKI resistance.}, language = {en} } @article{ChifuHeinzeFussetal.2020, author = {Chifu, Irina and Heinze, Britta and Fuss, Carmina T. and Lang, Katharina and Kroiss, Matthias and Kircher, Stefan and Ronchi, Cristina L. and Altieri, Barbara and Schirbel, Andreas and Fassnacht, Martin and Hahner, Stefanie}, title = {Impact of the Chemokine Receptors CXCR4 and CXCR7 on Clinical Outcome in Adrenocortical Carcinoma}, series = {Frontiers in Endocrinology}, volume = {11}, journal = {Frontiers in Endocrinology}, issn = {1664-2392}, doi = {10.3389/fendo.2020.597878}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-216494}, year = {2020}, abstract = {Chemokine receptors have a negative impact on tumor progression in several human cancers and have therefore been of interest for molecular imaging and targeted therapy. However, their clinical and prognostic significance in adrenocortical carcinoma (ACC) is unknown. The aim of this study was to evaluate the chemokine receptor profile in ACC and to analyse its association with clinicopathological characteristics and clinical outcome. A chemokine receptor profile was initially evaluated by quantitative PCR in 4 normal adrenals, 18 ACC samples and human ACC cell line NCI-H295. High expression of CXCR4 and CXCR7 in both healthy and malignant adrenal tissue and ACC cells was confirmed. In the next step, we analyzed the expression and cellular localization of CXCR4 and CXCR7 in ACC by immunohistochemistry in 187 and 84 samples, respectively. These results were correlated with clinicopathological parameters and survival outcome. We detected strong membrane expression of CXCR4 and CXCR7 in 50\% of ACC samples. Strong cytoplasmic CXCR4 staining was more frequent among samples derived from metastases compared to primaries (p=0.01) and local recurrences (p=0.04). CXCR4 membrane staining positively correlated with proliferation index Ki67 (r=0.17, p=0.028). CXCR7 membrane staining negatively correlated with Ki67 (r=-0.254, p=0.03) but positively with tumor size (r=0.3, p=0.02). No differences in progression-free or overall survival were observed between patients with strong and weak staining intensities for CXCR4 or CXCR7. Taken together, high expression of CXCR4 and CXCR7 in both local tumors and metastases suggests that some ACC patients might benefit from CXCR4/CXCR7-targeted therapy.}, language = {en} } @article{LapaSchrederSchirbeletal.2017, author = {Lapa, Constantin and Schreder, Martin and Schirbel, Andreas and Samnick, Samuel and Kort{\"u}m, Klaus Martin and Herrmann, Ken and Kropf, Saskia and Einsele, Herrmann and Buck, Andreas K. and Wester, Hans-J{\"u}rgen and Knop, Stefan and L{\"u}ckerath, Katharina}, title = {[\(^{68}\)Ga]Pentixafor-PET/CT for imaging of chemokine receptor CXCR4 expression in multiple myeloma - comparison to [\(^{18}\)F]FDG and laboratory values}, series = {Theranostics}, volume = {7}, journal = {Theranostics}, number = {1}, doi = {10.7150/thno.16576}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-172106}, pages = {205-212}, year = {2017}, abstract = {Chemokine (C-X-C motif) receptor 4 (CXCR4) is a key factor for tumor growth and metastasis in several types of human cancer including multiple myeloma (MM). Proof-of-concept of CXCR4-directed radionuclide therapy in MM has recently been reported. This study assessed the diagnostic performance of the CXCR4-directed radiotracer [\(^{68}\)Ga]Pentixafor in MM and a potential role for stratifying patients to CXCR4-directed therapies. Thirty-five patients with MM underwent [\(^{68}\)Ga]Pentixafor-PET/CT for evaluation of eligibility for endoradiotherapy. In 19/35 cases, [\(^{18}\)F]FDG-PET/CT for correlation was available. Scans were compared on a patient and on a lesion basis. Tracer uptake was correlated with standard clinical parameters of disease activity. [\(^{68}\)Ga]Pentixafor-PET detected CXCR4-positive disease in 23/35 subjects (66\%). CXCR4-positivity at PET was independent from myeloma subtypes, cytogenetics or any serological parameters and turned out as a negative prognostic factor. In the 19 patients in whom a comparison to [\(^{18}\)F]FDG was available, [\(^{68}\)Ga]Pentixafor-PET detected more lesions in 4/19 (21\%) subjects, [\(^{18}\)F]FDG proved superior in 7/19 (37\%). In the remaining 8/19 (42\%) patients, both tracers detected an equal number of lesions. [\(^{18}\)F]FDG-PET positivity correlated with [\(^{68}\)Ga]Pentixafor-PET positivity (p=0.018). [\(^{68}\)Ga]Pentixafor-PET provides further evidence that CXCR4 expression frequently occurs in advanced multiple myeloma, representing a negative prognostic factor and a potential target for myeloma specific treatment. However, selecting patients for CXCR4 directed therapies and prognostic stratification seem to be more relevant clinical applications for this novel imaging modality, rather than diagnostic imaging of myeloma.}, language = {en} }