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Basic Science Investigations |
1 Department of Molecular and Medical Pharmacology, Ahmanson Biological Imaging Center, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California
2 Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California
3 Howard Hughes Medical Institute, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California
4 Department of Pathology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California
5 Department of Urology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California
6 Molecular Biology Institute, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California
The aim of this study was to evaluate, whether PET with 18F-FDG and 3'-deoxy-3'-18F-fluorothymidine (18F-FLT) may be used to monitor noninvasively the antiproliferative effects of tyrosine kinase inhibitors. Methods: Using a high-resolution small animal scanner, we measured the effect of the ErbB-selective kinase inhibitor PKI-166 on the 18F-FDG and 18F-FLT uptake of ErbB1-overexpressing A431 xenograft tumors. Results: Treatment with PKI-166 markedly lowered tumor 18F-FLT uptake within 48 h of drug exposure; within 1 wk 18F-FLT uptake decreased by 79%. 18F-FLT uptake by the xenografts significantly correlated with the tumor proliferation index as determined by proliferating cell nuclear antigen staining (r = 0.71). Changes in 18F-FLT uptake did not reflect inhibition of ErbB kinase activity itself but, rathe, the effects of kinase inhibition on tumor cell proliferation. Tumor 18F-FDG uptake generally paralleled the changes seen for 18F-FLT. However, the baseline signal was significantly lower than that for 18F-FLT. Conclusion: These results indicate that 18F-FLT PET provides noninvasive, quantitative, and repeatable measurements of tumor cell proliferation during treatment with ErbB kinase inhibitors and provide a rationale for the use this technology in clinical trials of kinase inhibitors.
Key Words: thymidine kinase ErbB small molecule kinase inhibitor 18F-FDG PET 18F-FLT PET
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