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Basic Science Investigations |
1 Department of Radiation Oncology, University of Washington School of Medicine, Seattle, Washington
2 Department of Radiology, University of Washington School of Medicine, Seattle, Washington
The thymidine analog 18F-3'-deoxy-3' -fluorothymidine (FLT) is being used clinically for PET imaging of tumor proliferation. Appropriate use of this tracer requires validating the mechanisms by which it accumulates in dividing cells. We tested the accuracy with which FLT uptake predicted the activity of cytosolic thymidine kinase-1 (TK1), an enzyme that is upregulated before and during DNA synthesis. Methods: Cultured A549 human lung carcinoma cells were manipulated to a range of proliferation rates from actively dividing to growth arrested. Uptake of radiolabeled FLT was compared with cell cycle activity, which was expressed as the percentage of cells in S phase, and with activity of cytosolic TK1. We also compared uptake of FLT and deoxyglucose. We genetically manipulated A549 cells by transfecting them with human papillomavirus type 16 E6 (designated A549-E6) to abrogate function of the tumor suppressor gene, p53. Although radiation typically inhibits progression of mammalian cells through the cell cycle, abrogation of p53 function eliminates this inhibition. We then compared FLT uptake with the percentage of cells in S phase and TK1 activity in irradiated A549-E6 cells and in irradiated control cells having normal p53 function and the expected radiation-induced growth delay. Results: A549 cells with only 3%5% cells in S phase took up little FLT and had low levels of TK1 activity. When cells were stimulated to grow by being placed into fresh medium, we observed a strong correlation between increased FLT uptake and increased TK1 activity. As expected, FLT uptake varied much more as a function of growth than did uptake of deoxyglucose. Nonproliferating A549 cells did not enter the cell cycle if they were irradiated before being placed into fresh medium, and they did not accumulate FLT or show elevated TK1 activity. In contrast, radiation did not inhibit the cell cycle progression of A549-E6 cells. When subcultured, they began to grow and showed increased uptake of FLT commensurate with greater TK1 activity. Conclusion: In cultured A549 cells FLT uptake is positively correlated with cell growth and TK1 activity. Inhibition of cell cycle progression prevents FLT uptake and increased TK1 activity. These results suggest that FLT images reflect TK1 activity and the percentage of cells in S phase.
Key Words: cell proliferation fluorothymidine 18F thymidine kinase tumors
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