Cancer Imaging and Therapy with Radiolabeled Antibodies

  • David M. Goldenberg
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 303)


Functional and constituent markers of neoplasms are being sought to elucidate differences between normal and malignant cells for diagnostic and therapeutic measures, and to provide leads to understanding mechanisms of cancer development, progression, and, ultimately, prevention. Enzymes, hormones, receptors, oncogene products, and other cancer-related molecules, including the extensive family of tumor-associated and oncofetal antigens, have been the focus of study for differentiating tumor from normal tissues and for monitoring the progression of disease (1). Although truly tumor-specific markers have remained elusive, those which are quantitatively increased with neoplasia have been used successfully as diagnostic or monitoring tools (2). In 1973 and 1974, we demonstrated, in a human colonic carcinoma xenograft model, that radioactive goat antibodies against carcinoembryonic antigen (CEA) can target and image CEA-producing tumors (3,4). Thereafter, in 1978, we extended this approach to humans, demonstrating that CEA-producing tumors can be targeted and imaged with 131I-labeled, affinity-purified, goat antibodies against CEA (5). This result indicated that truly cancer-specific substances are not required as targets for antibody localization, and that radiolabeled antibodies can be used to detect and visualize tumors having the appropriate antigens by external scintigraphic methods. We termed this method cancer radioimmunodetection (RAID), and since then several thousand patient studies have been performed with different antibodies, labels, and imaging methods on a diverse group of tumors (6,7). The purpose of this paper is to summarize the status of RAID and to present a perspective on the prospects for cancer therapy with radioimmunoconjugates, or radioimmunotherapy (RAIT).


Epidermal Growth Factor Receptor Antibody Fragment Placental Alkaline Phosphatase Epidermal Growth Factor Receptor Antibody Oncofetal Antigen 
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Copyright information

© Plenum Press, New York 1991

Authors and Affiliations

  • David M. Goldenberg
    • 1
  1. 1.Garden State Cancer Center and Center for Molecular Medicine and ImmunologyNewarkUSA

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