Single-photon emission computed tomographic imaging of the early time course of therapy-induced cell death using technetium 99m tricarbonyl His-annexin A5 in a colorectal cancer xenograft model

Mol Imaging. 2012 Apr;11(2):135-47.

Abstract

As apoptosis occurs over an interval of time after administration of apoptosis-inducing therapy in tumors, the changes in technetium 99m ((99m)Tc)-tricarbonyl (CO)₃ His-annexin A5 (His-ann A5) accumulation over time were examined. Colo205-bearing mice were divided into six treatment groups: (1) control, (2) 5-fluorouracil (5-FU; 250 mg/kg), (3) irinotecan (100 mg/kg), (4) oxaliplatin (30 mg/kg), (5) bevacizumab (5 mg/kg), and (6) panitumumab (6 mg/kg). (99m)Tc-(CO)₃ His-ann A5 was injected 4, 8, 12, 24, and 48 hours posttreatment, and micro-single-photon emission computed tomography was performed. Immunostaining of caspase-3 (apoptosis), survivin (antiapoptosis), and LC3-II (autophagy marker) was also performed. Different dynamics of (99m)Tc-(CO)₃ His-ann A5 uptake were observed in this colorectal cancer xenograft model, in response to a single dose of three different chemotherapeutics (5-FU, irinotecan, and oxaliplatin). Bevacizumab-treated mice showed no increased uptake of the radiotracer, and a peak of (99m)Tc-(CO)₃ His-ann A5 uptake in panitumumab-treated mice was observed 24 hours posttreatment, as confirmed by caspase-3 immunostaining. For irinotecan-, oxaliplatin-, and bevacizumab-treated tumors, a significant correlation was established between the radiotracer uptake and caspase-3 immunostaining (r = .8, p < .05; r = .9, p < .001; r = .9, p < .001, respectively). For 5-FU- and panitumumab-treated mice, the correlation coefficients were r = .7 (p = .18) and r = .7 (p = .19), respectively. Optimal timing of annexin A5 imaging after the start of different treatments in the Colo205 model was determined.

MeSH terms

  • Animals
  • Annexin A5*
  • Antineoplastic Agents / pharmacology*
  • Antineoplastic Agents / therapeutic use
  • Caspase 3 / metabolism
  • Cell Death / drug effects
  • Cell Line, Tumor
  • Colorectal Neoplasms / diagnostic imaging*
  • Colorectal Neoplasms / drug therapy
  • Colorectal Neoplasms / enzymology
  • Colorectal Neoplasms / pathology*
  • Humans
  • Immunohistochemistry
  • Inhibitor of Apoptosis Proteins / metabolism
  • Mice
  • Microtubule-Associated Proteins / metabolism
  • Organotechnetium Compounds*
  • Repressor Proteins / metabolism
  • Survivin
  • Technetium*
  • Time Factors
  • Tomography, Emission-Computed, Single-Photon / methods*
  • Tumor Burden / drug effects
  • Xenograft Model Antitumor Assays*

Substances

  • Annexin A5
  • Antineoplastic Agents
  • Birc5 protein, mouse
  • Inhibitor of Apoptosis Proteins
  • Map1lc3b protein, mouse
  • Microtubule-Associated Proteins
  • Organotechnetium Compounds
  • Repressor Proteins
  • Survivin
  • technetium 99m tricarbonyl His-annexin A5
  • Technetium
  • Caspase 3