18F-meta-fluorobenzylguanidine (18F-mFBG) to monitor changes in norepinephrine transporter expression in response to therapeutic intervention in neuroblastoma models

Sci Rep. 2020 Dec 1;10(1):20918. doi: 10.1038/s41598-020-77788-3.

Abstract

Targeted radiotherapy with 131I-mIBG, a substrate of the human norepinephrine transporter (NET-1), shows promising responses in heavily pre-treated neuroblastoma (NB) patients. Combinatorial approaches that enhance 131I-mIBG tumour uptake are of substantial clinical interest but biomarkers of response are needed. Here, we investigate the potential of 18F-mFBG, a positron emission tomography (PET) analogue of the 123I-mIBG radiotracer, to quantify NET-1 expression levels in mouse models of NB following treatment with AZD2014, a dual mTOR inhibitor. The response to AZD2014 treatment was evaluated in MYCN amplified NB cell lines (Kelly and SK-N-BE(2)C) by Western blot (WB) and immunohistochemistry. PET quantification of 18F-mFBG uptake post-treatment in vivo was performed, and data correlated with NET-1 protein levels measured ex vivo. Following 72 h AZD2014 treatment, in vitro WB analysis indicated decreased mTOR signalling and enhanced NET-1 expression in both cell lines, and 18F-mFBG revealed a concentration-dependent increase in NET-1 function. AZD2014 treatment failed however to inhibit mTOR signalling in vivo and did not significantly modulate intratumoural NET-1 activity. Image analysis of 18F-mFBG PET data showed correlation to tumour NET-1 protein expression, while further studies are needed to elucidate whether NET-1 upregulation induced by blocking mTOR might be a useful adjunct to 131I-mIBG therapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 3-Iodobenzylguanidine / chemistry
  • Animals
  • Benzamides / pharmacology
  • Benzamides / therapeutic use
  • Cell Line, Tumor
  • Endocytosis / drug effects
  • Female
  • Fluorobenzenes / chemistry*
  • Guanidines / chemistry*
  • Humans
  • Mice, Nude
  • Morpholines / pharmacology
  • Morpholines / therapeutic use
  • Neuroblastoma / drug therapy*
  • Neuroblastoma / pathology
  • Norepinephrine Plasma Membrane Transport Proteins / metabolism*
  • Pyrimidines / pharmacology
  • Pyrimidines / therapeutic use
  • Radiopharmaceuticals / chemistry
  • TOR Serine-Threonine Kinases / antagonists & inhibitors
  • TOR Serine-Threonine Kinases / metabolism
  • Tissue Distribution / drug effects

Substances

  • 3-fluorobenzylguanidine
  • Benzamides
  • Fluorobenzenes
  • Guanidines
  • Morpholines
  • Norepinephrine Plasma Membrane Transport Proteins
  • Pyrimidines
  • Radiopharmaceuticals
  • vistusertib
  • 3-Iodobenzylguanidine
  • TOR Serine-Threonine Kinases