PMID- 21492782 OWN - NLM STAT- MEDLINE DCOM- 20110823 LR - 20220129 IS - 1872-9614 (Electronic) IS - 0969-8051 (Linking) VI - 38 IP - 3 DP - 2011 Apr TI - Changes in 2-fluoro-2-deoxy-D-glucose incorporation, hexokinase activity and lactate production by breast cancer cells responding to treatment with the anti-HER-2 antibody trastuzumab. PG - 339-46 LID - 10.1016/j.nucmedbio.2010.09.005 [doi] AB - INTRODUCTION: Changes in 2-[(18)F]-fluoro-2-deoxy-D-glucose (FDG) incorporation by tumors, detected using positron emission tomography, during response to chemotherapy are utilized clinically in patient management. Here, the effect of treatment with growth-inhibitory doses of the anti-human epidermal growth factor receptor-2 antibody trastuzumab (Herceptin) on the incorporation of FDG by breast tumor cells was measured along with hexokinase (HK) and glucose transport to determine the potential of FDG-positron emission tomography in predicting response to these biological anti-cancer therapies and their modulatory effects on the steps involved in FDG incorporation. METHODS: The sensitivity to trastuzumab of three breast tumor cell lines, SKBr3, MDA-MB-453 and MDA-MB-468, expressing human epidermal growth factor receptor-2 at high, medium and low levels, respectively, was determined using MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] assay over a 6-day period, and a clonogenic assay was carried out after 7- and 10-day exposures. FDG incorporation by cells treated with growth-inhibitory doses of trastuzumab was carried out after 4 h and 2, 4 and 6 days of treatment. Glucose transport (rate of uptake of the non-metabolizable analogue [(3)H]O-methyl-D-glucose), HK activity and lactate production were measured on cells treated with inhibitory doses of trastuzumab for 6 days. RESULTS: The IC(50) doses for SKBr3 and MDA-MB-453 and the IC(20) dose for MDA-MB-468 after 6 days of treatment with trastuzumab were 0.25, 1 and 170 mug/ml, respectively. FDG incorporation by SKBr3 and MDA-MB-453 cells was found to be decreased using IC(50) doses of trastuzumab for 6 days. At the IC(50) doses, FDG incorporation was also decreased at 4 days and, in the case of MDA-MB-453, even after 4 h of treatment. Decreased FDG incorporation corresponded with decreased HK activity in these cells. Lactate production, previously suggested to be a potential measure of response, was found to be significantly decreased by SKBr3 and MDA-MB-453 cells responding to trastuzumab. CONCLUSION: FDG incorporation at the tumor cell level is modulated by treatment with growth-inhibitory doses of trastuzumab due to modulation of HK activity. Changes in lactate production may also be a useful determinant of response to trastuzumab. CI - Copyright (c) 2011 Elsevier Inc. All rights reserved. FAU - Cheyne, Richard W AU - Cheyne RW AD - School of Medical Sciences, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZD, UK. FAU - Trembleau, Laurent AU - Trembleau L FAU - McLaughlin, Abbie AU - McLaughlin A FAU - Smith, Tim A D AU - Smith TA LA - eng GR - 2006NOVPHD16/BCN_/Breast Cancer Now/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101203 PL - United States TA - Nucl Med Biol JT - Nuclear medicine and biology JID - 9304420 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Tetrazolium Salts) RN - 0 (Thiazoles) RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) RN - 33X04XA5AT (Lactic Acid) RN - EC 2.7.1.1 (Hexokinase) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EUY85H477I (thiazolyl blue) RN - IY9XDZ35W2 (Glucose) RN - P188ANX8CK (Trastuzumab) SB - IM MH - Antibodies, Monoclonal/*immunology/*pharmacology MH - Antibodies, Monoclonal, Humanized MH - Biological Transport/drug effects MH - Breast Neoplasms/metabolism/*pathology MH - Cell Line, Tumor MH - Fluorodeoxyglucose F18/*metabolism MH - Glucose/metabolism MH - Hexokinase/*metabolism MH - Humans MH - Lactic Acid/*biosynthesis MH - Receptor, ErbB-2/*immunology MH - Tetrazolium Salts/metabolism MH - Thiazoles/metabolism MH - Trastuzumab MH - Tumor Stem Cell Assay EDAT- 2011/04/16 06:00 MHDA- 2011/08/24 06:00 CRDT- 2011/04/16 06:00 PHST- 2010/07/13 00:00 [received] PHST- 2010/08/20 00:00 [revised] PHST- 2010/09/08 00:00 [accepted] PHST- 2011/04/16 06:00 [entrez] PHST- 2011/04/16 06:00 [pubmed] PHST- 2011/08/24 06:00 [medline] AID - S0969-8051(10)00445-2 [pii] AID - 10.1016/j.nucmedbio.2010.09.005 [doi] PST - ppublish SO - Nucl Med Biol. 2011 Apr;38(3):339-46. doi: 10.1016/j.nucmedbio.2010.09.005. Epub 2010 Dec 3.