VEGF-PET imaging is a noninvasive biomarker showing differential changes in the tumor during sunitinib treatment

Wouter B Nagengast, Marjolijn N Lub-de Hooge, Sjoukje F Oosting, Wilfred F A den Dunnen, Frank-Jan Warnders, Adrienne H Brouwers, Patricia M Price, Harry Hollema, Geke A P Hospers, Philip H Elsinga, Jan Willem Hesselink, Jourik A Gietema, Elisabeth G de Vries

    Research output: Contribution to journalArticleAcademicpeer-review

    Abstract

    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 (89)Zr-ranibizumab as well as (18)F-FDG PET, and (15)O-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 (18)F-FDG and (15)O-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.

    Original languageEnglish
    Pages (from-to)143-53
    Number of pages11
    JournalCancer Research
    Volume71
    Issue number1
    DOIs
    Publication statusPublished - 1 Jan 2011

    Keywords

    • Angiogenesis Inhibitors
    • Animals
    • Antineoplastic Agents
    • Biomarkers, Tumor
    • Fluorodeoxyglucose F18
    • Humans
    • Indoles
    • Male
    • Mice
    • Mice, Nude
    • Positron-Emission Tomography
    • Pyrroles
    • Transplantation, Heterologous
    • Vascular Endothelial Growth Factor A
    • Journal Article
    • Research Support, Non-U.S. Gov't

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