Scintigraphic detection of breast cancer xenografts with Tc-99m natural and recombinant human alpha-fetoprotein.

Abstract

Because adenocarcinoma of the breast expresses receptors for alpha-fetoprotein (AFP), we studied Tc-99m AFP as a radiopharmaceutical to detect breast cancer. The biodistribution of Tc-99m radiolabeled natural human AFP (full length) and recombinant domain III (DIII) of human AFP was compared to Tc-99m sestamibi and Tl-201 in a murine model of human breast cancer. Estrogen receptor positive (MCF7, T-47D) and estrogen receptor negative (MDA-MB-231, BT-20) human breast cancer xenografts were grown subcutaneously in the lateral thorax region of immunosuppressed mice (ICR SCID). Quantitative comparisons of percent-injected dose per gram of tissue (%ID/gram) and tumor to thigh ratio (T/Th) were performed at 0-60 minutes and at 24 hours following injection. For most tumors, T/Th for AFP and DIII was significantly greater than T/Th for Tc-99m sestamibi and Tl-201. In all breast cancers (BT-20, MCF7, MDA-MB-231, T-47D), Tc-99m AFP T/Th increased from 60 minutes to 24 hours, suggesting good tumor retention of this radiopharmaceutical. DIII and AFP had significantly higher %ID/gram than either Tl-201 or Tc-99m sestamibi when considered across all tumor types at both 60 minutes and 24 hours. The data suggests that localization of Tc-99m AFP in human breast cancer xenografts is initially rapid, increases with time, and is superior to Tc-99m sestamibi and Tl-201. Given its high uptake by breast cancer cells, its low non-tumor localization and its rapid renal excretion, these Tc-99m AFP preparations may be useful agents to detect human breast carcinoma.

• Authors: B R Line, P J Feustel, S M Festin, T T Andersen, R N Dansereau, R L Lukasiewicz, S Zhu, J A Bennett
• Journal: Cancer biotherapy & radiopharmaceuticals (Cancer Biother Radiopharm) Vol. 14 Issue 6 Pg. 485-94 (Dec 1999) ISSN: 1084-9785 [Print] United States
• PMID: 10850335 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.)

Chemical References

• Radiopharmaceuticals
• Receptors, Estrogen
• Recombinant Proteins
• Thallium Radioisotopes
• alpha-Fetoproteins
• Technetium
• Technetium Tc 99m Sestamibi

Topics

• Animals
• Breast Neoplasms (diagnostic imaging)
• Carcinoma, Hepatocellular
• Female
• Humans
• Mice
• Mice, Inbred ICR
• Mice, SCID
• Radionuclide Imaging
• Radiopharmaceuticals (pharmacokinetics)
• Receptors, Estrogen (analysis)
• Recombinant Proteins (pharmacokinetics)
• Technetium (pharmacokinetics)
• Technetium Tc 99m Sestamibi (pharmacokinetics)
• Thallium Radioisotopes
• Tissue Distribution
• Transplantation, Heterologous
• Tumor Cells, Cultured
• alpha-Fetoproteins (pharmacokinetics)