RT Journal Article SR Electronic T1 Imaging calreticulin for early detection of immunogenic cell death during anticancer treatment JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP jnumed.120.245290 DO 10.2967/jnumed.120.245290 A1 Dong-Yeon Kim A1 Ayoung Pyo A1 Misun Yun A1 Ramar Thangam A1 Sung-Hwan You A1 Ying Zhang A1 Ye-rim Jung A1 Dinh-Huy Nguyen A1 Akhil Venu A1 Hyeon Sik Kim A1 Mee Sun Yoon A1 Yeongjin Hong A1 Jung-Joon Min YR 2021 UL http://jnm.snmjournals.org/content/early/2021/01/22/jnumed.120.245290.abstract AB Surface-exposed calreticulin (ecto-CRT) is a well-known ‘eat-me’ signal exhibited by dying cells that contributes to their recognition and destruction by the immune system. We assessed the use of a CRT-specific binding peptide for imaging ecto-CRT during immunogenic cell death and its utility for the early prediction of treatment response. Methods: A synthetic CRT-specific peptide KLGFFKR (CRTpep) was labeled with fluorescein isothiocyanate or 18F and characteristics of ecto-CRT was evaluated in colon cancer cell line in vitro and in vivo. Results: In vitro flow cytometry, immunofluorescence staining, and in vivo micro positron emission tomography imaging results showed that CRTpep detected pre-apoptotic cells treated with immunogenic drugs or radiation, but not those treated with the non-immunogenic drug or a non-therapeutic dose of immunogenic drug. Conclusion: The present results indicate that the CRT-specific peptide would enable the prediction of therapeutic response, thereby facilitating early decisions regarding the continuation or discontinuation of immunogenic treatment.