Background: Lectins (proteins that bind specific sugar molecules on gl
ycoproteins and glycolipids) are expressed at various levels on the su
rface of tumor cells. Conjugation of cytotoxic agents to glycoproteins
recognized by lectins could be useful in the treatment of tumors, Avi
din (a highly glycosylated, positively charged protein found in egg wh
ite) contains terminal N-acetylglucosamine and mannose residues that b
ind to some lectins, In this study, we tested the ability of avidin, l
abeled through conjugation to radioactive biotin (a B vitamin), to tar
get intraperitoneal tumors. Methods: Biotin was radioactively labeled
with In-111. Four tumor models (one ovarian, one lung, and two colon)
were established in nude mice by intraperitoneal injection of cultured
cancer cells, The following two approaches were used in the intraperi
toneal administration of avidin: 1) radioactive biotin-avidin conjugat
es were injected and 2) avidin was injected 1-24 hours before the inje
ction of radioactive biotin (avidin pretargeting; avidin-biotin conjug
ates formed in vivo), The distribution of injected radioactivity in th
e tissues of treated animals was assessed, Results: Radiolabeled avidi
n localized highly and rapidly in the tumors, More than 50% of the adm
inistered dose of avidin-biotin conjugate accumulated per gram of tumo
r tissue 2 hours after injection; high tumor uptake of radioactivity w
as observed up to 24 hours after conjugate injection, In contrast, acc
umulation of radioactivity in normal tissues was low, yielding high tu
mor to nontumor ratios, With avidin pretargeting, accumulation of radi
oactivity in the liver, kidney, and spleen was reduced to a greater ex
tent than that in the tumor, and tumor to nontumor ratios were increas
ed, Conclusions: Avidin may be a promising vehicle for the delivery of
radioisotopes, drugs, toxins, or therapeutic genes to intraperitoneal
tumors.