medulla

Optimizing CD45-Targeted Astatine-211-Radioimmunotherapy for Malignant and Non-Malignant Blood Disorders

ABSTRACT CD45 is expressed on almost all normal and neoplastic hematopoietic cells but not on non-blood cells and has, therefore, been pursued as a drug target. Initially centered on augmenting conditioning before hematopoietic cell transplantation (HCT) for blood cancers, there is increasing interest in expanding CD45-directed therapies into other settings, with radioimmunotherapy (RIT) being the major therapeutic modality so far. Investigators at our institution pioneered CD45 RIT with b-emitters such as iodine-131 (131I) using the murine monoclonal antibody (mAb), BC8. A phase 3 trial testing 131I-BC8 (131I-apamistamab [Iomab-B]) with allogeneic HCT in older adults with relapsed/refractory acute myeloid leukemia showed improved outcomes over conventional care, validating this approach. More recently, attention has shifted toward a-emitters that deliver substantially higher decay energies over much shorter distances than b-emitters, rendering them more suitable for precise and potent target cell killing. In our work, we focus on astatine-211 (211At) for its ideal half-life and decay without a-emitting daughters. For clinical application, mAbs are conjugated with the bifunctional boron cage molecule, isothiocyantophenethyl-ureido-closo-decaborate(2-) (B10-NCS), to enable stable protein astatination. Three early-phase trials testing 211At-BC8-B10 as augmentation of HCT conditioning for patients with malignant and non-malignant blood disorders are ongoing, with emerging data indicating significant anti-tumor efficacy. Nonetheless, relapses still occur. Other important limitations include marked infusion toxicities and human antimouse antibody (HAMA) responses related to the murine nature of BC8 and dimer formation after 211At labeling of mAb-B10 conjugates with tissue residualization from 211At atom oxidation. The latter may contribute to the risk of liver cell injury, the dose limiting extramedullary toxicity of CD45 RIT. As a first step toward our goal of optimizing CD45 RIT, we have raised new, fully human CD45 mAbs as basis for novel therapeutics. In preliminary in vivo studies in immunodeficient mice, we found some of these mAbs to have greater anti-tumor efficacy than a humanized version of BC8 (HuBC8) we generated as a reference mAb. We will now conduct comparative in vivo CD45+ cell targeting (“biodistribution”) and anti-tumor efficacy studies to select a lead candidate mAb for clinical application and use protein engineering to maximize the selectivity and efficacy of targeted radiation delivery. We will use immunodeficient mice xenotransplanted with human leukemia cells for this purpose as no human approaches are available and in vitro testing is inadequate to measure both the targeting and biologic RIT effects on human leukemia cells. Mice provide the in vivo milieu needed for comprehensive evaluation. Development of improved mAb astatination methodologies to minimize off-target toxicities of 211At-RIT will further increase therapy specificity and reduce toxicity. In parallel, we will conduct genome-scale, unbiased target identification/validation studies to identify partner drugs for rational combination therapies aimed at enhancing the anti-tumor efficacy of 211At-CD45 RIT.

Theory and modeling of whisking rhythm generation in the brainstem

The vIRt nucleus in the medulla, composed of mainly inhibitory neurons, is necessary for whisking rhythm generation. It innervates motoneurons in the facial nucleus (FN) that project to intrinsic vibrissa muscles. The nearby pre-Bötzinger complex (pBötC), which generates inhalation, sends inhibitory inputs to the vIRt nucleus which contribute to the synchronization of vIRt neurons. Lower-amplitude periodic whisking, however, can occur after decay of the pBötC signal. To explain how vIRt network generates these “intervening” whisks by bursting in synchrony, and how pBötC input induces strong whisks, we construct and analyze a conductance-based (CB) model of the vIRt circuit composed of hypothetical two groups, vIRtr and vIRtp, of bursting inhibitory neurons with spike-frequency adaptation currents and constant external inputs. The CB model is reduced to a rate model to enable analytical treatment. We find, analytically and computationally, that without pBötC input, periodic bursting states occur within a certain ranges of network connectivities. Whisk amplitudes increase with the level constant external input to the vIRT. With pBötC inhibition intact, the amplitude of the first whisk in a breathing cycle is larger than the intervening whisks for large pBötC input and small inhibitory coupling between the vIRT sub-populations. The pBötC input advances the next whisk and shortens its amplitude if it arrives at the beginning of the whisking cycle generated by the vIRT, and delays the next whisks if it arrives at the end of that cycle. Our theory provides a mechanism for whisking generation and reveals how whisking frequency and amplitude are controlled.

Learning Neurobiology with electric fish

Electric Gymnotiform fish live in muddy, shallow waters near the shore – hiding in the dense filamentous roots of floating plants such as Eichornia crassipes (“camalote”). They explore their surroundings by using a series of electric pulses that serve as self emitted carrier of electrosensory signals. This propagates at the speed of light through this spongiform habitat and is barely sensed by the lateral line of predators and prey. The emitted field polarizes the surroundings according to the difference in impedance with water which in turn modifies the profile of transcutaneous currents considered as an electrosensory image. Using this system, pulse Gymnotiformes create an electrosensory bubble where an object’s location, impedance, size and other characteristics are discriminated and probably recognized. Although consciousness is still not well-proven, cognitive functions as volition, attention, and path integration have been shown. Here I will summarize different aspects of the electromotor electrosensory loop of pulse Gymnotiforms. First, I will address how objects are polarized with a stereotyped but temporospatially complex electric field, consisting of brief pulses emitted at regular intervals. This relies on complex electric organs quasi periodically activated through an electromotor coordination system by a pacemaker in the medulla. Second, I will deal with the imaging mechanisms of pulse gymnotiform fish and the presence of two regions in the electrosensory field, a rostral region where the field time course is coherent and field vector direction is constant all along the electric organ discharge and a lateral region where the field time course is site specific and field vector direction describes a stereotyped 3D trajectory. Third, I will describe the electrosensory mosaic and their characteristics. Receptor and primary afferents correspond one to one showing subtypes optimally responding to the time course of the self generated pulse with a characteristic train of spikes. While polarized objects at the rostral region project their electric images on the perioral region where electrosensory receptor density, subtypes and central projection are maximal, the image of objects on the side recruit a single type of scattered receptors. Therefore, the rostral mosaic has been likened to an electrosensory fovea and its receptive field referred to as foveal field. The rest of the mosaic and field are referred to as peripheral. Finally, I will describe ongoing work on early processing structures. I will try to generate an integrated view, including anatomical and functional data obtained in vitro, acute experiments, and unitary recordings in freely moving fish. We have recently shown have shown that these fish tract allo-generated fields and the virtual fields generated by nearby objects in the presence of self-generated fields to explore the nearby environment. These data together with the presence of a multimodal receptor mosaic at the cutaneous surface particularly surrounding the mouth and an important role of proprioception in early sensory processing suggests the hypothesis that the active electrosensory system is part of a multimodal haptic sense.

Population Dynamics and Network Behaviour of ON- and OFF-cells in the Rostral Ventral Medulla

Bernstein Conference 2024

Light on the spinal projections and roles of medullary V2a reticulospinal neurons in locomotion

V2a reticulospinal neurons in the medulla encode speed and duration of exploratory locomotion

Anatomo-functional diversity of medullary V2a neurons for limb and cranial nerve-mediated movements

FENS Forum 2024

Quantitative analysis of neural activity in the ventral nucleus of the medullary reticular nucleus in mice developing spasticity after stroke using activity-dependent manganese contrast-enhanced MRI

FENS Forum 2024