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定量[F]FMISO正电子发射断层显像显示,在HER2阳性乳腺癌小鼠模型中,曲妥珠单抗治疗后缺氧情况有所减轻。

Quantitative [F]FMISO PET Imaging Shows Reduction of Hypoxia Following Trastuzumab in a Murine Model of HER2+ Breast Cancer.

作者信息

Sorace Anna G, Syed Anum K, Barnes Stephanie L, Quarles C Chad, Sanchez Violeta, Kang Hakmook, Yankeelov Thomas E

机构信息

Department of Internal Medicine, Dell Medical School, The University of Texas at Austin, 1912 Speedway, Austin, TX, 78712, USA.

Department of Biomedical Engineering, The University of Texas at Austin, Austin, TX, USA.

出版信息

Mol Imaging Biol. 2017 Feb;19(1):130-137. doi: 10.1007/s11307-016-0994-1.

Abstract

PURPOSE

Evaluation of [F]fluoromisonidazole ([F]FMISO)-positron emission tomography (PET) imaging as a metric for evaluating early response to trastuzumab therapy with histological validation in a murine model of HER2+ breast cancer.

PROCEDURES

Mice with BT474, HER2+ tumors, were imaged with [F]FMISO-PET during trastuzumab therapy. Pimonidazole staining was used to confirm hypoxia from imaging.

RESULTS

[F]FMISO-PET indicated significant decreases in hypoxia beginning on day 3 (P < 0.01) prior to changes in tumor size. These results were confirmed with pimonidazole staining on day 7 (P < 0.01); additionally, there was a significant positive linear correlation between histology and PET imaging (r  = 0.85).

CONCLUSIONS

[F]FMISO-PET is a clinically relevant modality which provides the opportunity to (1) predict response to HER2+ therapy before changes in tumor size and (2) identify decreases in hypoxia which has the potential to guide subsequent therapy.

摘要

目的

在HER2阳性乳腺癌小鼠模型中,评估[F]氟米索硝唑([F]FMISO)正电子发射断层扫描(PET)成像作为评估曲妥珠单抗治疗早期反应并进行组织学验证的指标。

程序

对患有BT474 HER2阳性肿瘤的小鼠在曲妥珠单抗治疗期间进行[F]FMISO-PET成像。使用匹莫硝唑染色来确认成像中的缺氧情况。

结果

[F]FMISO-PET显示,在肿瘤大小改变之前,从第3天开始缺氧情况显著降低(P < 0.01)。这些结果在第7天通过匹莫硝唑染色得到证实(P < 0.01);此外,组织学与PET成像之间存在显著的正线性相关性(r = 0.85)。

结论

[F]FMISO-PET是一种具有临床相关性的检查方法,它提供了以下机会:(1)在肿瘤大小改变之前预测对HER2阳性治疗的反应;(2)识别缺氧情况的降低,这有可能指导后续治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5d2/5214951/adf97041b5e4/nihms-817691-f0001.jpg

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