PT - JOURNAL ARTICLE AU - Paola Anna Erba AU - Enrica Tusi AU - Chiara Manfredi AU - Maria Teresa Locci AU - Martina Sollini AU - Elena Lazzeri AU - Katrin Massri AU - Luisa Locantore AU - Giuliano Mariani TI - 99mTc-Annexin-V and 99mTc-Sestamibi uptake as indicators of chemotherapy induced apoptosis. DP - 2009 May 01 TA - Journal of Nuclear Medicine PG - 1575--1575 VI - 50 IP - supplement 2 4099 - http://jnm.snmjournals.org/content/50/supplement_2/1575.short 4100 - http://jnm.snmjournals.org/content/50/supplement_2/1575.full SO - J Nucl Med2009 May 01; 50 AB - 1575 Objectives 99mTc-Annexin-V can be employed to monitor apoptosis in vivo.99mTc-Sestamibi has been shown to be inversely correlated with levels of Bcl-2: reduction of 99mTc-Sestamibi uptake in response to an antiblastic agent would reflect resistance to apoptosis.We evaluated 99mTc-Annexin V and 99mTc-Sestamibi uptake in a virus-induced model of mouse breast cancer . Methods Biodistribution was evaluated in tumor-bearing mice in baseline conditions and 1, 3, 6 and 24 hr after 0.02 mg/g bw Paclitaxel given iv.Biodistribution was assessed 1 hr after injection of 99mTc-Annexin V and 20 min after 99mTc-Sestamibi.Tumour samples were also processed by WB and IF to identify apoptotic cells (TUNEL) and expression of Caspase-3, Caspase-8 and Bcl-2. Results A highly significant correlation between 99mTc-Annexin V and 99mTc-Sestamibi with a peak 3-hr uptake was found,suggesting that they both may be used as indicators of apoptosis.TUNEL was significantly correlated with uptake of both 99mTc-Annexin V (p<0.0001) and 99mTc-Sestamibi (p=0.0122).Caspase-3 and -8 expression was prevalent in baseline condition and 6-24 hr after treatment, while Bcl-2 was high in baseline condition, reached a nadir at 3 hr and subsequent recovered. Conclusions These observations confirm the anti-apoptotic role of Bcl-2 and suggest the co-existence of two apoptotic cell populations: an early apoptotic response probably mediated by Caspase-10 and a later, minor apoptotic event mediated by Caspase-3.