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.