VEGF-PET Imaging Is a Noninvasive Biomarker Showing Differential Changes in the Tumor during Sunitinib Treatment

被引:90
作者
Nagengast, Wouter B. [2 ]
Lub-de Hooge, Marjolijn N. [3 ,4 ]
Oosting, Sjoukje F. [2 ]
den Dunnen, Wilfred F. A. [5 ]
Warnders, Frank-Jan [2 ]
Brouwers, Adrienne H. [4 ]
de Jong, Johan R. [4 ]
Price, Patricia M. [6 ]
Hollema, Harry [5 ]
Hospers, Geke A. P. [2 ]
Elsinga, Philip H. [4 ]
Hesselink, Jan Willem [7 ]
Gietema, Jourik A. [2 ]
de Vries, Elisabeth G. E. [1 ,2 ]
机构
[1] Univ Med Ctr Groningen, Dept Med Oncol, NL-9700 RB Groningen, Netherlands
[2] Univ Groningen, Dept Med Oncol, Groningen, Netherlands
[3] Univ Groningen, Dept Hosp & Clin Pharm, Groningen, Netherlands
[4] Univ Groningen, Dept Nucl Med & Mol Imaging, Groningen, Netherlands
[5] Univ Groningen, Dept Pathol, Groningen, Netherlands
[6] Christie Hosp, Acad Dept Radiat Oncol, Manchester, Lancs, England
[7] Univ Groningen, Dept Surg, Groningen, Netherlands
关键词
TYROSINE KINASE INHIBITOR; RENAL-CELL CARCINOMA; RADIOLABELED BEVACIZUMAB; PHASE-II; GROWTH; CANCER; THERAPY; ANGIOGENESIS; METASTASIS; RESISTANCE;
D O I
10.1158/0008-5472.CAN-10-1088
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Non-invasive imaging of angiogenesis could ease the optimization of antiangiogenesis treatments for cancer. In this study, we evaluated the role of VEGF-PET as a biomarker of dynamic angiogenic changes in tumors following treatment with the kinase inhibitor sunitinib. The effects of sunitinib treatment and withdrawal on the tumor was investigated using the new VEGF-PET tracer Zr-89-ranibizumab as well as F-18-FDG PET, and O-15-water PET in mouse xenograft models of human cancer. The obtained imaging results were compared with tumor growth, VEGF plasma levels and immunohistologic analyzes. In contrast to F-18-FDG and O-15-water PET, VEGF-PET demonstrated dynamic changes during sunitinib treatment within the tumor with a strong decline in signal in the tumor center and only minimal reduction in tumor rim, with a pronounced rebound after sunitinib discontinuation. VEGF-PET results corresponded with tumor growth and immunohistochemical vascular- and tumor-markers. Our findings highlight the strengths of VEGF-PET imaging to allow serial analysis of angiogenic changes in different areas within a tumor. Cancer Res; 71(1); 143-53. (C) 2010 AACR.
引用
收藏
页码:143 / 153
页数:11
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