1. Potential for Increasing Uptake of Radiolabeled 68Ga-DOTATOC and 123I-MIBG in Patients with Midgut Neuroendocrine Tumors Using a Histone Deacetylase Inhibitor Vorinostat
- Author
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David L. Bushnell, M. Sue O'Dorisio, K D Zamba, Thomas M. O'Dorisio, Janet H Pollard, Mark T. Madsen, and Yusuf Menda
- Subjects
Male ,endocrine system ,Cancer Research ,Single Photon Emission Computed Tomography Computed Tomography ,endocrine system diseases ,medicine.drug_class ,Biological Availability ,Pilot Projects ,Neuroendocrine tumors ,Octreotide ,Multimodal Imaging ,Pheochromocytoma ,Norepinephrine ,Stomach Neoplasms ,Original Research Articles ,Neuroblastoma ,Intestinal Neoplasms ,Outcome Assessment, Health Care ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Neoplasm Metastasis ,neoplasms ,Vorinostat ,Neoplasm Staging ,Pharmacology ,Chemistry ,Somatostatin receptor ,Liver Neoplasms ,Histone deacetylase inhibitor ,General Medicine ,Middle Aged ,medicine.disease ,Histone Deacetylase Inhibitors ,Pancreatic Neoplasms ,3-Iodobenzylguanidine ,Neuroendocrine Tumors ,Oncology ,Cancer research ,Female ,Histone deacetylase ,Radiopharmaceuticals ,hormones, hormone substitutes, and hormone antagonists ,medicine.drug - Abstract
Background: Histone deacetylase (HDAC) inhibitors have been shown in preclinical studies to upregulate norepinephrine transporters in neuroblastoma and pheochromocytoma, and somatostatin receptors in pulmonary carcinoid, small cell lung cancer, and pancreatic neuroendocrine malignancies. This pilot imaging study in humans focuses on midgut neuroendocrine carcinoma metastatic to the liver, evaluating the effect of pretreatment with the HDAC inhibitor vorinostat on uptake of (123)I-MIBG and (68)Ga-DOTATOC. Materials and Methods: Multiple midgut neuroendocrine liver metastases in clinically stable subjects were imaged with (123)I-MIBG and (68)Ga-DOTATOC before and after a 4-d course of vorinostat. Scans were performed with strict attention to detail and timed about 1 month apart occurring just before monthly long-acting octreotide administrations. Uptake changes in tumor and normal liver parenchyma were assessed on positron emission computed tomography (PET/CT) with standardized uptake values and on single photon emission computed tomography (SPECT) with qualitative ratio images. Results: The experimental units were metastatic liver lesions within patients (n = 50). There was no significant difference in administered activity or uptake time between pairs of scans for either radiotracer. Statistically significant increase in maximum standardized uptake values (SUV(max)) averaged over all lesions was noted on the (68)Ga-DOTATOC PET scans (+11%, p
- Published
- 2021