18F-Fluorothymidine-Pet Imaging of Glioblastoma Multiforme: Effects of Radiation Therapy on Radiotracer Uptake and Molecular Biomarker Patterns

Introduction. PET imaging is a useful clinical tool for studying tumor progression and treatment effects. Conventional 18F-FDG-PET imaging is of limited usefulness for imaging Glioblastoma Multiforme (GBM) due to high levels of glucose uptake by normal brain and the resultant signal-to-noise intensi...

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Main Authors: Sanjay Chandrasekaran, Andrew Hollander, Xiangsheng Xu, Joseph L. Benci, James J. Davis, Jay F. Dorsey, Gary Kao
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/796029
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author Sanjay Chandrasekaran
Andrew Hollander
Xiangsheng Xu
Joseph L. Benci
James J. Davis
Jay F. Dorsey
Gary Kao
author_facet Sanjay Chandrasekaran
Andrew Hollander
Xiangsheng Xu
Joseph L. Benci
James J. Davis
Jay F. Dorsey
Gary Kao
author_sort Sanjay Chandrasekaran
collection DOAJ
description Introduction. PET imaging is a useful clinical tool for studying tumor progression and treatment effects. Conventional 18F-FDG-PET imaging is of limited usefulness for imaging Glioblastoma Multiforme (GBM) due to high levels of glucose uptake by normal brain and the resultant signal-to-noise intensity. 18F-Fluorothymidine (FLT) in contrast has shown promise for imaging GBM, as thymidine is taken up preferentially by proliferating cells. These studies were undertaken to investigate the effectiveness of 18F-FLT-PET in a GBM mouse model, especially after radiation therapy (RT), and its correlation with useful biomarkers, including proliferation and DNA damage. Methods. Nude/athymic mice with human GBM orthografts were assessed by microPET imaging with 18F-FDG and 18F-FLT. Patterns of tumor PET imaging were then compared to immunohistochemistry and immunofluorescence for markers of proliferation (Ki-67), DNA damage and repair (γH2AX), hypoxia (HIF-1α), and angiogenesis (VEGF). Results. We confirmed that 18F-FLT-PET uptake is limited in healthy mice but enhanced in the intracranial tumors. Our data further demonstrate that 18F-FLT-PET imaging usefully reflects the inhibition of tumor by RT and correlates with changes in biomarker expression. Conclusions. 18F-FLT-PET imaging is a promising tumor imaging modality for GBM, including assessing RT effects and biologically relevant biomarkers.
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spelling doaj-art-178d33b3c97b4b228ad5f0f5ec12343a2025-02-03T05:46:48ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/79602979602918F-Fluorothymidine-Pet Imaging of Glioblastoma Multiforme: Effects of Radiation Therapy on Radiotracer Uptake and Molecular Biomarker PatternsSanjay Chandrasekaran0Andrew Hollander1Xiangsheng Xu2Joseph L. Benci3James J. Davis4Jay F. Dorsey5Gary Kao6University of Washington School of Medicine, A-300 Health Sciences Center, Box 356340, Seattle, WA 98195, USADepartment of Radiation Oncology, University of Pennsylvania, 8-087 TRC, 3400 Civic Center Boulevard, Building 421, Philadelphia, PA 19104, USADepartment of Radiation Oncology, University of Pennsylvania, 8-087 TRC, 3400 Civic Center Boulevard, Building 421, Philadelphia, PA 19104, USADepartment of Radiation Oncology, University of Pennsylvania, 8-087 TRC, 3400 Civic Center Boulevard, Building 421, Philadelphia, PA 19104, USADepartment of Radiation Oncology, University of Pennsylvania, 8-087 TRC, 3400 Civic Center Boulevard, Building 421, Philadelphia, PA 19104, USADepartment of Radiation Oncology, University of Pennsylvania, 8-087 TRC, 3400 Civic Center Boulevard, Building 421, Philadelphia, PA 19104, USADepartment of Radiation Oncology, University of Pennsylvania, 8-087 TRC, 3400 Civic Center Boulevard, Building 421, Philadelphia, PA 19104, USAIntroduction. PET imaging is a useful clinical tool for studying tumor progression and treatment effects. Conventional 18F-FDG-PET imaging is of limited usefulness for imaging Glioblastoma Multiforme (GBM) due to high levels of glucose uptake by normal brain and the resultant signal-to-noise intensity. 18F-Fluorothymidine (FLT) in contrast has shown promise for imaging GBM, as thymidine is taken up preferentially by proliferating cells. These studies were undertaken to investigate the effectiveness of 18F-FLT-PET in a GBM mouse model, especially after radiation therapy (RT), and its correlation with useful biomarkers, including proliferation and DNA damage. Methods. Nude/athymic mice with human GBM orthografts were assessed by microPET imaging with 18F-FDG and 18F-FLT. Patterns of tumor PET imaging were then compared to immunohistochemistry and immunofluorescence for markers of proliferation (Ki-67), DNA damage and repair (γH2AX), hypoxia (HIF-1α), and angiogenesis (VEGF). Results. We confirmed that 18F-FLT-PET uptake is limited in healthy mice but enhanced in the intracranial tumors. Our data further demonstrate that 18F-FLT-PET imaging usefully reflects the inhibition of tumor by RT and correlates with changes in biomarker expression. Conclusions. 18F-FLT-PET imaging is a promising tumor imaging modality for GBM, including assessing RT effects and biologically relevant biomarkers.http://dx.doi.org/10.1155/2013/796029
spellingShingle Sanjay Chandrasekaran
Andrew Hollander
Xiangsheng Xu
Joseph L. Benci
James J. Davis
Jay F. Dorsey
Gary Kao
18F-Fluorothymidine-Pet Imaging of Glioblastoma Multiforme: Effects of Radiation Therapy on Radiotracer Uptake and Molecular Biomarker Patterns
The Scientific World Journal
title 18F-Fluorothymidine-Pet Imaging of Glioblastoma Multiforme: Effects of Radiation Therapy on Radiotracer Uptake and Molecular Biomarker Patterns
title_full 18F-Fluorothymidine-Pet Imaging of Glioblastoma Multiforme: Effects of Radiation Therapy on Radiotracer Uptake and Molecular Biomarker Patterns
title_fullStr 18F-Fluorothymidine-Pet Imaging of Glioblastoma Multiforme: Effects of Radiation Therapy on Radiotracer Uptake and Molecular Biomarker Patterns
title_full_unstemmed 18F-Fluorothymidine-Pet Imaging of Glioblastoma Multiforme: Effects of Radiation Therapy on Radiotracer Uptake and Molecular Biomarker Patterns
title_short 18F-Fluorothymidine-Pet Imaging of Glioblastoma Multiforme: Effects of Radiation Therapy on Radiotracer Uptake and Molecular Biomarker Patterns
title_sort 18f fluorothymidine pet imaging of glioblastoma multiforme effects of radiation therapy on radiotracer uptake and molecular biomarker patterns
url http://dx.doi.org/10.1155/2013/796029
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