Imaging liver metastases of colorectal cancer patients with radiolabelled bevacizumab: Lack of correlation with VEGF-A expression

Eur J Cancer. 2008 Sep;44(13):1835-40. doi: 10.1016/j.ejca.2008.05.026. Epub 2008 Jul 14.

Abstract

Aim of the study: To investigate the correlation between tumour accumulation of In-111-bevacizumab and VEGF-A expression in patients with colorectal liver metastases.

Methods: Two weeks before resection of the liver metastases 12 patients were intravenously injected with In-111-labelled bevacizumab. Ten minutes and 7 d after injection a whole body scan was acquired. Seven days after the injection, 3D acquisition SPECT of the liver was performed.

Results: Enhanced uptake of In-111-bevacizumab in the liver metastases was observed in 9 of the 12 patients. The level of antibody accumulation in these lesions varied considerably. There was no correlation between the level of In-111-antibody accumulation and the level of VEGF-A expression in the tissue as determined by in situ hybridisation and ELISA.

Conclusions: In this study, we investigated the correlation between tumour accumulation of radiolabelled bevacizumab and VEGF-A expression in patients with colorectal liver metastases. No clear-cut correlation between the level of antibody accumulation and expression of VEGF-A was found.

MeSH terms

  • Aged
  • Antibodies, Monoclonal*
  • Antibodies, Monoclonal, Humanized
  • Bevacizumab
  • Colorectal Neoplasms*
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • In Situ Hybridization
  • Indium Radioisotopes*
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / metabolism
  • Liver Neoplasms / secondary*
  • Male
  • Middle Aged
  • Radioimmunodetection
  • Vascular Endothelial Growth Factor A / metabolism*

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Indium Radioisotopes
  • Vascular Endothelial Growth Factor A
  • Bevacizumab