Abstract

BackgroundEribulin, an inhibitor of microtubule dynamics, shows antitumor potency against a variety of solid cancers through its antivascular activity and remodeling of tumor vasculature. 18F-Fluoromisonidazole (18F-FMISO) is the most widely used PET probe for imaging tumor hypoxia. In this study, we utilized 18F-FMISO to clarify the effects of eribulin on the tumor hypoxic condition in comparison with histological findings.Material and methodsMice bearing a human cancer cell xenograft were intraperitoneally administered a single dose of eribulin (0.3 or 1.0 mg/kg) or saline. Three days after the treatment, mice were injected with 18F-FMISO and pimonidazole (hypoxia marker for immunohistochemistry), and intertumoral 18F-FMISO accumulation levels and histological characteristics were determined. PET/CT was performed pre- and post-treatment with eribulin (0.3 mg/kg, i.p.).ResultsThe 18F-FMISO accumulation levels and percent pimonidazole-positive hypoxic area were significantly lower, whereas the number of microvessels was higher in the tumors treated with eribulin. The PET/CT confirmed that 18F-FMISO distribution in the tumor was decreased after the eribulin treatment.ConclusionsUsing 18F-FMISO, we demonstrated the elimination of the tumor hypoxic condition by eribulin treatment, concomitantly with the increase in microvessel density. These findings indicate that PET imaging using 18F-FMISO may provide the possibility to detect the early treatment response in clinical patients undergoing eribulin treatment.

Highlights

  • Eribulin, an inhibitor of microtubule dynamics, shows antitumor potency against a variety of solid cancers through its antivascular activity and remodeling of tumor vasculature. 18F-Fluoromisonidazole (18F-FMISO) is the most widely used positron emission tomography (PET) probe for imaging tumor hypoxia

  • Using 18F-FMISO, we demonstrated the elimination of the tumor hypoxic condition by eribulin treatment, concomitantly with the increase in microvessel density

  • These findings indicate that PET imaging using 18F-FMISO may provide the possibility to detect the early treatment response in clinical patients undergoing eribulin treatment

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Summary

Introduction

An inhibitor of microtubule dynamics, shows antitumor potency against a variety of solid cancers through its antivascular activity and remodeling of tumor vasculature. 18F-Fluoromisonidazole (18F-FMISO) is the most widely used PET probe for imaging tumor hypoxia. Recent studies have identified that eribulin has combination activity with multiple agents from different classes in several human cancer models, including breast, non-small cell lung cancer, ovarian, and melanoma [11]. These findings suggest the potential of eribulin to improve tumor hypoxic condition, it remains to be clarified. Positron emission tomography (PET) using 18F-fluoromisonidazole (18F-FMISO) has been recognized as a non-invasive method of imaging hypoxic tumors It has been used for several types of tumor, including brain, head and neck, lung, and kidney tumors [12,13,14,15]. On the basis of these previous findings, we utilized 18FFMISO to clarify the effects of eribulin on the tumor hypoxic condition in comparison with histological findings in mice bearing a human solid cancer cell xenograft

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