Imaging the Tumor Antioxidant Response with [18F]FSPG PET

Methods Mol Biol. 2024:2729:233-249. doi: 10.1007/978-1-0716-3499-8_14.

Abstract

(4S)-4-(3-[18F]Fluoropropyl)-L-glutamic acid ([18F]FSPG) is a flourine-18 labeled glutamate analog that enables the noninvasive in vivo imaging of cellular redox status. [18F]FSPG is transported across the cell membrane by the cystine/glutamate antiporter, system xc-, whose expression is upregulated in multiple cancer types. The requirement of cystine for the biosynthesis of glutathione, a major antioxidant, connects [18F]FSPG tissue retention to the intracellular redox response via system xc- activity. We herein describe the use of [18F]FSPG positron emission tomography (PET) to image the tumor antioxidant response and highlight key methodological considerations.

Keywords: (4S)-4-(3-[18F]Fluoropropyl)-L-glutamic acid; Cystine; Glutamate; Glutathione; PET; ROS; [18F]FSPG; xc−.

MeSH terms

  • Antioxidants*
  • Cystine
  • Glutamic Acid
  • Humans
  • Neoplasms* / diagnostic imaging
  • Positron-Emission Tomography / methods

Substances

  • Antioxidants
  • Cystine
  • Glutamic Acid