TY - JOUR
T1 - Assessment of tumor redox status through (S)-4-(3-[
18 F]fluoropropyl)-L-glutamic acid PET imaging of system x
c activity
AU - McCormick, Patrick
AU - Greenwood, Hannah E.
AU - Glaser, Matthias
AU - Maddocks, Oliver D.K.
AU - Gendron, Thibault
AU - Sander, Kerstin
AU - Gowrishankar, Gayatri
AU - Hoehne, Aileen
AU - Zhang, Tong
AU - Shuhendler, Adam J.
AU - Lewis, David Y.
AU - Berndt, Mathias
AU - Koglin, Norman
AU - Lythgoe, Mark
AU - Gambhir, Sanjiv S.
AU - Arstad, Erik
AU - Witney, Tim
PY - 2019/2/15
Y1 - 2019/2/15
N2 - The cell's endogenous antioxidant system is vital to maintenance of redox homeostasis. Despite its central role in normal and pathophysiology, no non-invasive tools exist to measure this system in patients. The cystine/glutamate antiporter system xc- maintains the balance between intracellular reactive oxygen species and antioxidant production through the provision of cystine, a key precursor in glutathione biosynthesis. Here we show that tumor cell retention of a system xc--specific positron emission tomography radiotracer, (S)-4-(3-[18F]fluoropropyl)-L-glutamic acid ([18F]FSPG), decreases in proportion to levels of oxidative stress following treatment with a range of redox-active compounds. The decrease in [18F]FSPG retention correlated with a depletion of intracellular cystine resulting from increased de novo glutathione biosynthesis, shown through [U-13C6, U-15N2]cystine isotopic tracing. In vivo, treatment with the chemotherapeutic doxorubicin decreased [18F]FSPG tumor uptake in a mouse model of ovarian cancer, coinciding with markers of oxidative stress but preceding tumor shrinkage and decreased glucose utilization. Having already been used in pilot clinical trials, [18F]FSPG PET could be rapidly translated to the clinic as an early redox indicator of tumor response to treatment.
AB - The cell's endogenous antioxidant system is vital to maintenance of redox homeostasis. Despite its central role in normal and pathophysiology, no non-invasive tools exist to measure this system in patients. The cystine/glutamate antiporter system xc- maintains the balance between intracellular reactive oxygen species and antioxidant production through the provision of cystine, a key precursor in glutathione biosynthesis. Here we show that tumor cell retention of a system xc--specific positron emission tomography radiotracer, (S)-4-(3-[18F]fluoropropyl)-L-glutamic acid ([18F]FSPG), decreases in proportion to levels of oxidative stress following treatment with a range of redox-active compounds. The decrease in [18F]FSPG retention correlated with a depletion of intracellular cystine resulting from increased de novo glutathione biosynthesis, shown through [U-13C6, U-15N2]cystine isotopic tracing. In vivo, treatment with the chemotherapeutic doxorubicin decreased [18F]FSPG tumor uptake in a mouse model of ovarian cancer, coinciding with markers of oxidative stress but preceding tumor shrinkage and decreased glucose utilization. Having already been used in pilot clinical trials, [18F]FSPG PET could be rapidly translated to the clinic as an early redox indicator of tumor response to treatment.
UR - http://www.scopus.com/inward/record.url?scp=85061582769&partnerID=8YFLogxK
UR - http://cancerres.aacrjournals.org/
U2 - 10.1158/0008-5472.CAN-18-2634
DO - 10.1158/0008-5472.CAN-18-2634
M3 - Article
SN - 0008-5472
VL - 79
SP - 853
EP - 863
JO - Cancer Research
JF - Cancer Research
IS - 4
M1 - 79
ER -