1. Distinctive detection of insulinoma using [18F]FB(ePEG12)12-exendin-4 PET/CT
- Author
-
Yuji Nakamoto, Hiroyuki Kimura, Junji Fujikura, Keita Hamamatsu, Naotaka Fujita, Hiroyuki Fujimoto, Yuki Yamauchi, Takaaki Murakami, Hideo Saji, Yuzo Kodama, Nobuya Inagaki, and Yoichi Shimizu
- Subjects
Agonist ,endocrine system ,medicine.drug_class ,Science ,Glucagonoma ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Mouse tumor ,Receptor ,Insulinoma ,PET-CT ,Multidisciplinary ,medicine.diagnostic_test ,Chemistry ,business.industry ,Rat Insulinoma ,medicine.disease ,Positron emission tomography ,030220 oncology & carcinogenesis ,Medicine ,Nuclear medicine ,business ,hormones, hormone substitutes, and hormone antagonists - Abstract
Specifying the exact localization of insulinoma remains challenging due to the lack of insulinoma-specific imaging methods. Recently, glucagon-like peptide-1 receptor (GLP-1R)-targeted imaging, especially positron emission tomography (PET), has emerged. Although various radiolabeled GLP-1R agonist exendin-4-based probes with chemical modifications for PET imaging have been investigated, an optimal candidate probe and its scanning protocol remain a necessity. Thus, we investigated the utility of a novel exendin-4-based probe conjugated with polyethylene glycol (PEG) for [18F]FB(ePEG12)12-exendin-4 PET imaging for insulinoma detection. We utilized [18F]FB(ePEG12)12-exendin-4 PET/CT to visualize mouse tumor models, which were generated using rat insulinoma cell xenografts. The probe demonstrated high uptake value on the tumor as 37.1 ± 0.4%ID/g, with rapid kidney clearance. Additionally, we used Pdx1-Cre;Trp53R172H;Rbf/f mice, which developed endogenous insulinoma and glucagonoma, since they enabled differential imaging evaluation of our probe in functional pancreatic neuroendocrine neoplasms. In this model, our [18F]FB(ePEG12)12-exendin-4 PET/CT yielded favorable sensitivity and specificity for insulinoma detection. Sensitivity: 30-min post-injection 66.7%, 60-min post-injection 83.3%, combined 100% and specificity: 30-min post-injection 100%, 60-min post-injection 100%, combined 100%, which was corroborated by the results of in vitro time-based analysis of internalized probe accumulation. Accordingly, [18F]FB(ePEG12)12-exendin-4 is a promising PET imaging probe for visualizing insulinoma.
- Published
- 2021