RT Journal Article SR Electronic T1 Coexpression of Herpesviral Thymidine Kinase Reporter Gene and VEGF Gene for Noninvasive Monitoring of Therapeutic Gene Transfer: An In Vitro Evaluation JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 1743 OP 1746 VO 45 IS 10 A1 Martina Anton A1 Constanze Wittermann A1 Roland Haubner A1 Marcus Simoes A1 Sybille Reder A1 Bryan Essien A1 Bettina Wagner A1 Julia Henke A1 Wolf Erhardt A1 Steffi Noll A1 Neil R. Hackett A1 Ronald G. Crystal A1 Markus Schwaiger A1 Bernd Gansbacher A1 Frank M. Bengel YR 2004 UL http://jnm.snmjournals.org/content/45/10/1743.abstract AB Coexpression of a reporter gene and a therapeutic gene may allow for noninvasive monitoring of cardiac gene therapy. We sought to evaluate the usefulness of an adenoviral vector expressing mutant herpesviral thymidine kinase reporter gene (HSV1-sr39tk) and vascular endothelial growth factor (VEGF) 121 in independent expression cassettes (Ad4tk). Methods: Accumulation of 14C-2′-fluoro-5-methyl-1-β-d-arabinofuranosyluracil (FIAU) and 9-(4-18F-fluoro-3-hydroxymethylbutyl)guanine (FHBG) as reporter probes, and secretion of VEGF into medium, were determined for Ad4tk-infected H9c2 rat cardiac cells in vitro. Results: In vitro tracer uptake increased with increasing vector concentration and over time. It was comparable to cells infected with adenovirus expressing only wild-type HSV1-tk (reporter probe: 14C-FIAU) or mutant HSV1-sr39tk (reporter probe: 18F-FHBG). No significant uptake was observed in cells infected with adenovirus expressing VEGF alone. With increasing vector concentration, Ad4tk-infected cells increasingly released VEGF into medium. VEGF production correlated significantly with cellular reporter probe uptake (r = 0.93; P = 0.0003). Conclusion: The usefulness of a vector coexpressing HSV1-tk and VEGF for noninvasive imaging of expression of a therapeutic transgene has been demonstrated in vitro. This approach may allow for future in vivo monitoring of cardiac angiogenesis gene therapy.