PMID- 18632807 OWN - NLM STAT- MEDLINE DCOM- 20081014 LR - 20181201 IS - 0161-5505 (Print) IS - 0161-5505 (Linking) VI - 49 IP - 8 DP - 2008 Aug TI - Colorectal tumor cells treated with 5-FU, oxaliplatin, irinotecan, and cetuximab exhibit changes in 18F-FDG incorporation corresponding to hexokinase activity and glucose transport. PG - 1386-94 LID - 10.2967/jnumed.107.047886 [doi] AB - The purpose of this study was to determine therapy-induced changes in 18F-FDG incorporation at the colorectal tumor cell level in response to conventional and novel chemotherapy agents and examine how these changes relate to factors involved in 18F-FDG incorporation. METHODS: SW620 cells were treated with inhibitory concentration of 50% (IC50) doses (determined by MTT) of 5-fluorouracil (5-FU), oxaliplatin, and irinotecan; HCT-8 cells were treated with IC50 doses of irinotecan, cetuximab, and irinotecan plus cetuximab. 18F-FDG incorporation, glucose transport, hexokinase (HK) activity, adenosine triphosphate (ATP) content, annexin V binding, and cell cycle distribution were determined after 24-, 48-, and 72-h treatments. Eight-hour treatments with and without subsequent incubation in drug-free medium were also examined. A clonogenic assay was used to determine the tumor-forming ability of treated cells. RESULTS: Apoptosis was evident in SW620 cells, especially after treatment with irinotecan and 5-FU. 18F-FDG incorporation was increased in SW620 cells after 24- or 48-h treatments with some agents and in HCT-8 cells after irinotecan treatment but was decreased in all 72-h treatments or cell-line combinations including cetuximab. Treatment of SW620 cells for 8 h followed by 64 h in drug-free medium also resulted in decreased 18F-FDG incorporation. Decreased 18F-FDG incorporation broadly corresponded to glucose transport in HCT-8 cells and to HK activity in SW620 cells. Inhibition of glucose transport decreased 18F-FDG incorporation into HCT-8 but not into SW620 cells. ATP levels were decreased by oxaliplatin treatment and increased at 48 or 72 h after irinotecan treatment. CONCLUSION: 18F-FDG incorporation is modulated by therapy-induced changes in both glucose transport and HK activity depending on the tumor cell. Colorectal cells treated with IC50 doses of cetuximab also exhibit decreased 18F-FDG. FAU - Sharma, Rituka I AU - Sharma RI AD - School of Medical Sciences (Biomedical Physics), University of Aberdeen, Foresterhill, Aberdeen, United Kingdom. FAU - Smith, Tim A D AU - Smith TA LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080716 PL - United States TA - J Nucl Med JT - Journal of nuclear medicine : official publication, Society of Nuclear Medicine JID - 0217410 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents) RN - 0 (Organoplatinum Compounds) RN - 0 (Radiopharmaceuticals) RN - 04ZR38536J (Oxaliplatin) RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) RN - 7673326042 (Irinotecan) RN - EC 2.7.1.1 (Hexokinase) RN - IY9XDZ35W2 (Glucose) RN - PQX0D8J21J (Cetuximab) RN - U3P01618RT (Fluorouracil) RN - XT3Z54Z28A (Camptothecin) SB - IM MH - Antibodies, Monoclonal/pharmacology MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Agents/*pharmacology MH - Biological Transport MH - Camptothecin/analogs & derivatives/pharmacology MH - Cell Line, Tumor MH - Cell Survival/drug effects MH - Cetuximab MH - Colorectal Neoplasms MH - Drug Interactions MH - Fluorodeoxyglucose F18/*metabolism MH - Fluorouracil/pharmacology MH - Glucose/*metabolism MH - Hexokinase/*metabolism MH - Humans MH - Irinotecan MH - Organoplatinum Compounds/pharmacology MH - Oxaliplatin MH - Radiopharmaceuticals/metabolism EDAT- 2008/07/18 09:00 MHDA- 2008/10/15 09:00 CRDT- 2008/07/18 09:00 PHST- 2008/07/18 09:00 [pubmed] PHST- 2008/10/15 09:00 [medline] PHST- 2008/07/18 09:00 [entrez] AID - jnumed.107.047886 [pii] AID - 10.2967/jnumed.107.047886 [doi] PST - ppublish SO - J Nucl Med. 2008 Aug;49(8):1386-94. doi: 10.2967/jnumed.107.047886. Epub 2008 Jul 16.