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Imaging, Diagnosis, Prognosis |
Authors' Affiliations: 1 Johns Hopkins University, Baltimore, Maryland; 2 Georgetown University, Washington, District of Columbia; 3 The Cleveland Clinic Foundation, Cleveland, Ohio; and 4 University of Illinois at Chicago, Chicago, Illinois
Requests for reprints: Martin G. Pomper, Department of Radiology, Johns Hopkins University, 600 North Wolfe Street, Phipps B-100, Baltimore, MD 21287-2182. Phone: 410-955-2789; Fax: 410-614-1213; E-mail: mpomper{at}jhmi.edu.
Purpose: Prostate-specific membrane antigen (PSMA) is a cell surface protein that is overexpressed in prostate cancer, including hormone-refractory and metastatic disease. Our goal in this study was to develop a series of PSMA-based imaging agents for clinical use.
Experimental Design: We have synthesized and evaluated the in vivo biodistribution of two radiolabeled urea derivatives that have high affinity for PSMA in severe combined immunodeficient mice harboring MCF-7 (breast, PSMA-negative), PC-3 (prostate, PSMA-negative), and LNCaP (prostate, PSMA-positive) xenografts. Radiopharmaceutical binding selectivity and tumor uptake were also evaluated in vivo using dedicated small animal positron emission tomography, single photon emission computed tomography, and gamma scintigraphic imaging devices. N-[N-[(S)-1,3-dicarboxypropyl]carbamoyl]-S-[11C]methyl-L-cysteine ([11C]DCMC Ki, 3.1 nmol/L) and N-[N-[(S)-1,3-dicarboxypropyl]carbamoyl]-S-3-[125I]iodo-L-tyrosine ([125C]DCIT Ki, 1.5 nmol/L) were synthesized using [11C]CH3I and with [125I]NaI/Iodogen, respectively.
Results: At 30 minutes postinjection, [11C]DCMC and [125I]DCIT showed tumor/muscle ratios of 10.8 and 4.7, respectively, with clear delineation of LNCaP-derived tumors on imaging. MCF-7- and PC-3-derived tumors showed significantly less uptake of [11C]DCMC or [125I]DCIT.
Conclusion: These results show the feasibility of imaging PSMA-positive prostate cancer using low molecular weight agents.
Key Words: PET PSMA imaging prostate cancer xenografts
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