Co-administration with A1M does not influence apoptotic response of ¹⁷⁷Lu-octreotate in GOT1 neuroendocrine tumors

Recombinant alpha(1)-microglobulin (A1M) is a proposed radioprotector during Lu-177-octreotate therapy of neuroendocrine tumors (NETs). To ensure a maintained therapeutic effect, we previously demonstrated that A1M does not affect the Lu-177-octreotate induced decrease in GOT1 tumor volume. However, the underlying biological events of these findings are still unknown. The aim of this work was to examine the regulation of apoptosis-related genes in GOT1 tumors short-time after i.v. administration of Lu-177-octreotate with and without A1M or A1M alone. Human GOT1 tumor-bearing mice received 30 MBq Lu-177-octreotate or 5 mg/kg A1M or co-treatment with both. Animals were sacrificed after 1 or 7 days. Gene expression analysis of apoptosis-related genes in GOT1 tissue was performed with RT-PCR. In general, similar expression patterns of pro- and anti-apoptotic genes were found after Lu-177-octreotate exposure with or without co-administration of A1M. The highest regulated genes in both irradiated groups compared to untreated controls were FAS and TNFSFRS10B. Administration of A1M alone only resulted in significantly regulated genes after 7 days. Co-administration of A1M did not negatively affect the transcriptional apoptotic response of Lu-177-octreotate in GOT1 tumors.