PT - JOURNAL ARTICLE AU - Molotkov, Andrei AU - Joseph, Simon AU - Upadhyayula, Paven AU - Mela, Angeliki AU - Doubrovin, Mikhail AU - Stockwell, Brent AU - Canoll, Peter AU - Mintz, Akiva TI - Real-time pharmacodynamic evaluation of a therapeutic system X<sub>C</sub>- inhibitor using [<sup>18</sup>F]FSPG-PET<strong/> DP - 2020 May 01 TA - Journal of Nuclear Medicine PG - 164--164 VI - 61 IP - supplement 1 4099 - http://jnm.snmjournals.org/content/61/supplement_1/164.short 4100 - http://jnm.snmjournals.org/content/61/supplement_1/164.full SO - J Nucl Med2020 May 01; 61 AB - 164Purpose: PET/CT offers the unique potential to noninvasively evaluate therapeutic target engagement. Our overall goal is to develop novel drugs that target the System XC- antiporter, which has been shown to be overexpressed in many malignancies, including GBM and pancreatic cancer. System XC- is composed of SLC7A11 and SLC3A2, and functions to exchange intracellular glutamate with extracellular cystine. The downstream effects of this exchange include protein and glutathione synthesis and it plays a critical role in maintaining extracellular redox balance. Our objective here is to develop a non-invasive means of monitoring System XC- target engagement by a novel class of System XC- inhibitors. Methods: We examined the cell uptake of [18F]FSPG ((4S)-4-(3-[18F]-fluoropropyl)-L-glutamate) in GBM and pancreatic cancer cell lines without and with IKE (imidazole ketone erastin; 10 uM mg/ml), a selective inhibitor of system XC-. For cell uptake studies,100,000 cells were plated in 24-well cell culture plates overnight and treated with tracer for 60 minutes followed by 4 washes with cold PBS. Cells were then lysed with 0.1M NaOH and counted using a HIDEX well counter. For tumor slice studies, fresh slices of tumor were extracted immediately after mice were euthanized and placed in specialized media for 4 hours. Slices were treated with [18F]FSPG with or without pretreatment of IKE, washed and imaged for 60 minutes on an Inveon microPET scanner. Results. [18F]FSPG was taken up robustly by GBM and pancreatic cancer cells. Uptake was significantly blocked in the presence of IKE (&gt;80% blockade), confirming that IKE suppresses system XC- activity. Similarly, [18F]FSPG was taken up in the fresh tumor sections, which was also significantly blocked with excess IKE. Conclusions. We have established that [18F]FSPG can be used to monitor pharmacodynamic effects of IKE, a System XC-selective inhibitor and ferroptosis inducer. These findings suggest that we can utilize [18F]FSPG PET as a means to identify target engagement in vivo to personalize therapeutic selection as well as develop second generation compounds with higher affinity or better pharmacodynamics and pharmacokinetics. Support: NIH/NCI 5P01CA207206. The PET early drug development program is supported by the Columbia Dept. of Radiology and Irving Institute CTSA Translational Therapeutics Accelerator (UL1TR001873).