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  • American Association for Cancer Research (AACR)  (2)
  • 1
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 77, No. 13_Supplement ( 2017-07-01), p. 1875-1875
    Abstract: Introduction Metformin (MET) may improve tumor oxygenation and thus radiotherapy (RT) response. However, appropriate imaging biomarkers for patient stratification, critically needed to be able to advance to clinical trials with MET as a radiosensitizer, are still lacking. In this proof-of-concept (POC) study, we first assessed the effect of acute MET administration on NSCLC xenograft tumor hypoxia with PET using the novel hypoxia PET tracer [18F]HX4. Second, we verified the influence of a single dose of MET prior to RT on treatment outcome. Experimental procedures A549 tumor-bearing mice (n=9; animals were inoculated in both hind legs) underwent a [18F]HX4 PET/CT scan to determine baseline tumor hypoxia. The next day, mice were administered 100 mg/kg MET IV. [18F] HX4 was administered IV 30 min. later, whereupon a second PET/CT scan was performed to assess changes in tumor hypoxia. Two days after this second scan, mice were randomized into three groups (n=3/group): a control group (1), a RT group (2), and a MET+RT group (3) with comparable tumor volumes (259±103; 218±81 and 247±121 mm3, resp.). Animals were administered 0.9% saline (groups 1-2) or 100 mg/kg MET (group 3) IV, followed by a single dose of 10 Gy 30 min. after administration (groups 2-3). Control animals of group 1 underwent sham RT. During the entire study, tumor growth was monitored triweekly by caliper measurements. Calculation of the relative tumor volumes (RTV) was initiated when tumors reached a mean baseline volume of 100 mm3 with the formula RTV=Vtime x/Vbaseline. Tumor growth inhibition (TGI) was calculated for each tumor in both treatment groups with the formula TGI=1-(RTVtreated/RTVcontrol). Results MET significantly altered A549 tumor hypoxia, as the mean [18F]HX4 tumor-to-blood ratio (TBR) was reduced from 3.03±0.27 to 2.82±0.25 (p=0.040) after MET administration. The tempering influence of MET on tumor hypoxia improved RT response, as fifteen days after irradiation TGI was 63±7% in the MET+RT group as compared to only 36±9% in the RT group, however significance was not reached. To date, tumors are still being measured triweekly and this will be continued until a volume of 1500 mm3 is reached. Then, animals will be sacrificed for histological validations on tumor tissue to assess differences in a.o. proliferation and hypoxia. Conclusions Using non-invasive imaging, we showed in A549 xenograft tumors that MET acts as a radiosensitizer possibly by decreasing tumor hypoxia. Our results imply that [18F]HX4 PET imaging holds potential as a predictive biomarker for the beneficial effect of MET in the treatment of NSCLC; however, the small group sizes in this POC study did not allow us to draw sound conclusions. These promising findings will be validated in a larger follow-up study in order to validate [18F] HX4 PET as a predictive biomarker for MET and RT response. Citation Format: Sven De Bruycker, Christel Vangestel, Tim Van den Wyngaert, Steven Deleye, Dominique Vanderghinste, Steven Staelens, Sigrid Stroobants. [18F]HX4 shows potential as a predictive biomarker for the radiosensitizing capacities of metformin in a NSCLC xenograft model [abstract] . In: Proceedings of the American Association for Cancer Research Annual Meeting 2017; 2017 Apr 1-5; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2017;77(13 Suppl):Abstract nr 1875. doi:10.1158/1538-7445.AM2017-1875
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2017
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    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
    Location Call Number Limitation Availability
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  • 2
    In: Cancer Research, American Association for Cancer Research (AACR), Vol. 73, No. 8_Supplement ( 2013-04-15), p. 3910-3910
    Abstract: The urokinase plasminogen activator (uPA) system is a proteolytic cascade involved in tumor invasion and metastasis. uPA and its inhibitor PAI-1 are described as biomarkers for breast cancer with the highest level of evidence. For the screening of uPA in breast tumors with commercially available ELISA kits that determine the total uPA content (active and inactive), fresh tumor tissue is required. Molecular imaging with activity-based uPA probes might overcome this limitation. Therefore we have developed some highly selective, non-peptidic and specific uPA activity-based probes based on the irreversible uPA inhibitor UAMC-00150. In this study we describe the evaluation of a fluorescent Cy5 labeled and a 18F labeled PET probe in the high uPA expressing MDA-MB-231 breast cancer mouse model to make the step towards clinical translation of this imaging biomarker. Orthotopic MDA-MB-231 tumors were established in nude mice and subjected to uPA imaging at a tumor volume of 150mm3. For the fluorescent imaging, three test groups were considered (n=5): mice from the first and the second experimental group received a single dose of equimolar amounts (0.23 μMol/kg) Cy5-uPA-probe or its inactivated hydrolyzed variant, respectively. The third group received an injection with unlabeled uPA inhibitor, 30 min before administration of Cy5-uPA probe, in a concentration that was 70-fold higher than the probe concentration. Mice were imaged at different time points for 48 h post injection (p.i.) and were subsequently sacrificed for ex vivo imaging and histology. PET imaging (n=15) was performed after i.v. injection of the radiotracer with a maximum of 0,2ml and/or 0,5mCi per injection, resulting in a range of 0,15-0,5mCi/injection. Animals were scanned at 15, 45, 90, 240 and 360 minutes p.i. At each time point, 3 mice were sacrificed to generate ex vivo biodistribution data. The Cy5-uPA-probe demonstrated good tumor-targeting properties in the high uPA-expressing breast tumor model, with fluorescent intensities reaching a maximum at 24 h post-probe administration in mice treated with Cy5-uPA-probe alone. The groups treated with the inactivated probe or the unlabeled inhibitor showed a significant decrease in the fluorescent tumor signal (p & gt;0,016), which was also confirmed on histology. PET imaging with the 18F-uPA-probe showed a peak tumor uptake of 2.76 ± 0.37 %ID/g at 4 h p.i. Further in vitro PPB and ex vivo HPLC data revealed a high affinity of the tracer for blood proteins and a high metabolisation rate potentially explaining the rather moderate to low tumor uptake of the current PET uPa biomarker. In conclusion, fluorescent imaging data clearly indicate that the Cy5-uPA-probe enables non-invasive NIR-imaging of uPA expression in tumors in vivo. The first PET experiments indicate translational capabilities, for which we are now improving the pharmacokinetics of this and future uPa radiotracers. Citation Format: Johan Ides, Christel Vangestel, Jonas Messagie, Dieter Verzele, David Thomae, Sofie Thys, An Wouters, John-Paul Bogers, Sigrid Stroobants, Jurgen Joossens, Pieter Van der Veken, Marc Peeters, Filip Lardon, Steven Staelens, Koen Augustyns. Targeting urokinase plasminogen activator: evaluation of activity-based imaging probes in an orthotopic breast cancer model. [abstract]. In: Proceedings of the 104th Annual Meeting of the American Association for Cancer Research; 2013 Apr 6-10; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2013;73(8 Suppl):Abstract nr 3910. doi:10.1158/1538-7445.AM2013-3910
    Type of Medium: Online Resource
    ISSN: 0008-5472 , 1538-7445
    RVK:
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2013
    detail.hit.zdb_id: 2036785-5
    detail.hit.zdb_id: 1432-1
    detail.hit.zdb_id: 410466-3
    Location Call Number Limitation Availability
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