PSMA PET Imaging in Glioblastoma: A Preclinical Evaluation and Theranostic Outlook

BackgroundProstate specific membrane antigen (PSMA) PET imaging has recently gained attention in glioblastoma (GBM) patients as a potential theranostic target for PSMA radioligand therapy. However, PSMA PET has not yet been established in a murine GBM model. Our goal was to investigate the potential...

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Autores principales: Maximilian A. Kirchner, Adrien Holzgreve, Matthias Brendel, Michael Orth, Viktoria C. Ruf, Katja Steiger, Dennis Pötter, Lukas Gold, Marcus Unterrainer, Lena M. Mittlmeier, Enio Barci, Roland E. Kälin, Rainer Glass, Simon Lindner, Lena Kaiser, Jessica Maas, Louisa von Baumgarten, Harun Ilhan, Claus Belka, Johannes Notni, Peter Bartenstein, Kirsten Lauber, Nathalie L. Albert
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:a33fdca79420480f90602dfda9688c642021-11-17T05:04:35ZPSMA PET Imaging in Glioblastoma: A Preclinical Evaluation and Theranostic Outlook2234-943X10.3389/fonc.2021.774017https://doaj.org/article/a33fdca79420480f90602dfda9688c642021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.774017/fullhttps://doaj.org/toc/2234-943XBackgroundProstate specific membrane antigen (PSMA) PET imaging has recently gained attention in glioblastoma (GBM) patients as a potential theranostic target for PSMA radioligand therapy. However, PSMA PET has not yet been established in a murine GBM model. Our goal was to investigate the potential of PSMA PET imaging in the syngeneic GL261 GBM model and to give an outlook regarding the potential of PMSA radioligand therapy in this model.MethodsWe performed an 18F-PSMA-1007 PET study in the orthotopic GL261 model (n=14 GBM, n=7 sham-operated mice) with imaging at day 4, 8, 11, 15, 18 and 22 post implantation. Time-activity-curves (TAC) were extracted from dynamic PET scans (0-120 min p. i.) in a subset of mice (n=4 GBM, n=3 sham-operated mice) to identify the optimal time frame for image analysis, and standardized-uptake-values (SUV) as well as tumor-to-background ratios (TBR) using contralateral normal brain as background were calculated in all mice. Additionally, computed tomography (CT), ex vivo and in vitro18F-PSMA-1007 autoradiographies (ARG) were performed.ResultsTAC analysis of GBM mice revealed a plateau of TBR values after 40 min p. i. Therefore, a 30 min time frame between 40-70 min p. i. was chosen for PET quantification. At day 15 and later, GBM mice showed a discernible PSMA PET signal on the inoculation site, with highest TBRmean in GBM mice at day 18 (7.3 ± 1.3 vs. 1.6 ± 0.3 in shams; p=0.024). Ex vivo ARG confirmed high tracer signal in GBM compared to healthy background (TBRmean 26.9 ± 10.5 vs. 1.6 ± 0.7 in shams at day 18/22 post implantation; p=0.002). However, absolute uptake values in the GL261 tumor remained low (e.g., SUVmean 0.21 ± 0.04 g/ml at day 18) resulting in low ratios compared to dose-relevant organs (e.g., mean tumor-to-kidney ratio 1.5E-2 ± 0.5E-2).ConclusionsAlthough 18F-PSMA-1007 PET imaging of GL261 tumor-bearing mice is feasible and resulted in high TBRs, absolute tumoral uptake values remained low and hint to limited applicability of the GL261 model for PSMA-directed therapy studies. Further investigations are warranted to identify suitable models for preclinical evaluation of PSMA-targeted theranostic approaches in GBM.Maximilian A. KirchnerAdrien HolzgreveMatthias BrendelMichael OrthViktoria C. RufKatja SteigerDennis PötterLukas GoldMarcus UnterrainerMarcus UnterrainerLena M. MittlmeierEnio BarciRoland E. KälinRainer GlassRainer GlassSimon LindnerLena KaiserJessica MaasLouisa von BaumgartenHarun IlhanClaus BelkaClaus BelkaJohannes NotniPeter BartensteinPeter BartensteinKirsten LauberKirsten LauberNathalie L. AlbertNathalie L. AlbertFrontiers Media S.A.articleProstate specific membrane antigen (PSMA)18F-PSMA-1007 PETglioblastomaGL261preclinicalmouseNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic Prostate specific membrane antigen (PSMA)
18F-PSMA-1007 PET
glioblastoma
GL261
preclinical
mouse
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Prostate specific membrane antigen (PSMA)
18F-PSMA-1007 PET
glioblastoma
GL261
preclinical
mouse
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Maximilian A. Kirchner
Adrien Holzgreve
Matthias Brendel
Michael Orth
Viktoria C. Ruf
Katja Steiger
Dennis Pötter
Lukas Gold
Marcus Unterrainer
Marcus Unterrainer
Lena M. Mittlmeier
Enio Barci
Roland E. Kälin
Rainer Glass
Rainer Glass
Simon Lindner
Lena Kaiser
Jessica Maas
Louisa von Baumgarten
Harun Ilhan
Claus Belka
Claus Belka
Johannes Notni
Peter Bartenstein
Peter Bartenstein
Kirsten Lauber
Kirsten Lauber
Nathalie L. Albert
Nathalie L. Albert
PSMA PET Imaging in Glioblastoma: A Preclinical Evaluation and Theranostic Outlook
description BackgroundProstate specific membrane antigen (PSMA) PET imaging has recently gained attention in glioblastoma (GBM) patients as a potential theranostic target for PSMA radioligand therapy. However, PSMA PET has not yet been established in a murine GBM model. Our goal was to investigate the potential of PSMA PET imaging in the syngeneic GL261 GBM model and to give an outlook regarding the potential of PMSA radioligand therapy in this model.MethodsWe performed an 18F-PSMA-1007 PET study in the orthotopic GL261 model (n=14 GBM, n=7 sham-operated mice) with imaging at day 4, 8, 11, 15, 18 and 22 post implantation. Time-activity-curves (TAC) were extracted from dynamic PET scans (0-120 min p. i.) in a subset of mice (n=4 GBM, n=3 sham-operated mice) to identify the optimal time frame for image analysis, and standardized-uptake-values (SUV) as well as tumor-to-background ratios (TBR) using contralateral normal brain as background were calculated in all mice. Additionally, computed tomography (CT), ex vivo and in vitro18F-PSMA-1007 autoradiographies (ARG) were performed.ResultsTAC analysis of GBM mice revealed a plateau of TBR values after 40 min p. i. Therefore, a 30 min time frame between 40-70 min p. i. was chosen for PET quantification. At day 15 and later, GBM mice showed a discernible PSMA PET signal on the inoculation site, with highest TBRmean in GBM mice at day 18 (7.3 ± 1.3 vs. 1.6 ± 0.3 in shams; p=0.024). Ex vivo ARG confirmed high tracer signal in GBM compared to healthy background (TBRmean 26.9 ± 10.5 vs. 1.6 ± 0.7 in shams at day 18/22 post implantation; p=0.002). However, absolute uptake values in the GL261 tumor remained low (e.g., SUVmean 0.21 ± 0.04 g/ml at day 18) resulting in low ratios compared to dose-relevant organs (e.g., mean tumor-to-kidney ratio 1.5E-2 ± 0.5E-2).ConclusionsAlthough 18F-PSMA-1007 PET imaging of GL261 tumor-bearing mice is feasible and resulted in high TBRs, absolute tumoral uptake values remained low and hint to limited applicability of the GL261 model for PSMA-directed therapy studies. Further investigations are warranted to identify suitable models for preclinical evaluation of PSMA-targeted theranostic approaches in GBM.
format article
author Maximilian A. Kirchner
Adrien Holzgreve
Matthias Brendel
Michael Orth
Viktoria C. Ruf
Katja Steiger
Dennis Pötter
Lukas Gold
Marcus Unterrainer
Marcus Unterrainer
Lena M. Mittlmeier
Enio Barci
Roland E. Kälin
Rainer Glass
Rainer Glass
Simon Lindner
Lena Kaiser
Jessica Maas
Louisa von Baumgarten
Harun Ilhan
Claus Belka
Claus Belka
Johannes Notni
Peter Bartenstein
Peter Bartenstein
Kirsten Lauber
Kirsten Lauber
Nathalie L. Albert
Nathalie L. Albert
author_facet Maximilian A. Kirchner
Adrien Holzgreve
Matthias Brendel
Michael Orth
Viktoria C. Ruf
Katja Steiger
Dennis Pötter
Lukas Gold
Marcus Unterrainer
Marcus Unterrainer
Lena M. Mittlmeier
Enio Barci
Roland E. Kälin
Rainer Glass
Rainer Glass
Simon Lindner
Lena Kaiser
Jessica Maas
Louisa von Baumgarten
Harun Ilhan
Claus Belka
Claus Belka
Johannes Notni
Peter Bartenstein
Peter Bartenstein
Kirsten Lauber
Kirsten Lauber
Nathalie L. Albert
Nathalie L. Albert
author_sort Maximilian A. Kirchner
title PSMA PET Imaging in Glioblastoma: A Preclinical Evaluation and Theranostic Outlook
title_short PSMA PET Imaging in Glioblastoma: A Preclinical Evaluation and Theranostic Outlook
title_full PSMA PET Imaging in Glioblastoma: A Preclinical Evaluation and Theranostic Outlook
title_fullStr PSMA PET Imaging in Glioblastoma: A Preclinical Evaluation and Theranostic Outlook
title_full_unstemmed PSMA PET Imaging in Glioblastoma: A Preclinical Evaluation and Theranostic Outlook
title_sort psma pet imaging in glioblastoma: a preclinical evaluation and theranostic outlook
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/a33fdca79420480f90602dfda9688c64
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