RT Journal Article SR Electronic T1 PET of Vascular Endothelial Growth Factor Receptor Expression JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 2048 OP 2056 VO 47 IS 12 A1 Weibo Cai A1 Kai Chen A1 Khalid A. Mohamedali A1 Qizhen Cao A1 Sanjiv S. Gambhir A1 Michael G. Rosenblum A1 Xiaoyuan Chen YR 2006 UL http://jnm.snmjournals.org/content/47/12/2048.abstract AB For solid tumors and metastatic lesions, tumor vascularity is a critical factor in assessing response to therapy. Here we report the first example, to our knowledge, of 64Cu-labeled vascular endothelial growth factor 121 (VEGF121) for PET of VEGF receptor (VEGFR) expression in vivo. Methods: VEGF121 was conjugated with 1,4,7,10-tetraazadodecane-N,N′,N′′,N′′′-tetraacetic acid (DOTA) and then labeled with 64Cu for small-animal PET of mice bearing different sized U87MG human glioblastoma xenografts. Blocking experiments and ex vivo histopathology were performed to confirm the in vivo results. Results: There were 4.3 ± 0.2 DOTA molecules per VEGF121, and the VEGFR2 binding affinity of DOTA-VEGF121 was comparable to VEGF121. 64Cu labeling of DOTA-VEGF121 was achieved in 90 ± 10 min and the radiolabeling yield was 87.4% ± 3.2%. The specific activity of 64Cu-DOTA-VEGF121 was 3.2 ± 0.1 GBq/mg with a radiochemical purity of >98%. Small-animal PET revealed rapid, specific, and prominent uptake of 64Cu-DOTA-VEGF121 in small U87MG tumors (high VEGFR2 expression) but significantly lower and sporadic uptake in large U87MG tumors (low VEGFR2 expression). No appreciable renal clearance of 64Cu-DOTA-VEGF121 was observed, although the kidney uptake was relatively high likely due to VEGFR1 expression. Blocking experiments, immunofluorescence staining, and western blot confirmed the VEGFR specificity of 64Cu-DOTA-VEGF121. Conclusion: Successful demonstration of the ability of 64Cu-DOTA-VEGF121 to visualize VEGFR expression in vivo may allow for clinical translation of this radiopharmaceutical for imaging tumor angiogenesis and guiding antiangiogenic treatment, especially patient selection and treatment monitoring of VEGFR-targeted cancer therapy.