PMID- 23861829 OWN - NLM STAT- MEDLINE DCOM- 20140203 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 8 IP - 7 DP - 2013 TI - Early assessment of the efficacy of temozolomide chemotherapy in experimental glioblastoma using [18F]FLT-PET imaging. PG - e67911 LID - 10.1371/journal.pone.0067911 [doi] LID - e67911 AB - Addition of temozolomide (TMZ) to radiation therapy is the standard treatment for patients with glioblastoma (GBM). However, there is uncertainty regarding the effectiveness of TMZ. Considering the rapid evolution of the disease, methods to assess TMZ efficacy early during treatment would be of great benefit. Our aim was to monitor early effects of TMZ in a mouse model of GBM using positron emission tomography (PET) with 3'-deoxy-3'-[(18)F]fluorothymidine ([(18)F]FLT). METHODS: Human glioma cells sensitive to TMZ (Gli36dEGFR-1) were treated with sub-lethal doses of TMZ to obtain cells with lower sensitivity to TMZ (Gli36dEGFR-2), as measured by growth and clonogenic assays. Gli36dEGFR-1 and Gli36dEGFR-2 cells were subcutaneously (s.c.) or intracranially (i.c.) xenografted into nude mice. Mice were treated for 7 days with daily injection of 25 or 50 mg/kg TMZ. Treatment efficacy was measured using [(18)F]FLT-PET before treatment and after 2 days. Computed Tomography (CT) or Magnetic Resonance Imaging (MRI) were used to determine tumor volumes before treatment and after 7 days. RESULTS: A significant difference was observed between TMZ and DMSO treated tumors in terms of variations of [(18)F]FLT T/B ratio as soon as day 2 in the i.c. as well as in the s.c. mouse model. Variations of [(18)F]FLT T/B uptake ratio between days 0 and 2 correlated with variations of tumor size between days 0 and 7 (s.c. model: n(tumor) = 17 in n(mice) = 11, P<0.01; i.c. model: n(tumor/mice) = 9, P<0.01). CONCLUSIONS: Our results indicate that [(18)F]FLT-PET may be useful for an early evaluation of the response of GBM to TMZ chemotherapy in patients with glioma. FAU - Viel, Thomas AU - Viel T AD - European Institute for Molecular Imaging (EIMI), Westfalische Wilhelms-University (WWU), Munster, Germany. FAU - Schelhaas, Sonja AU - Schelhaas S FAU - Wagner, Stefan AU - Wagner S FAU - Wachsmuth, Lydia AU - Wachsmuth L FAU - Schwegmann, Katrin AU - Schwegmann K FAU - Kuhlmann, Michael AU - Kuhlmann M FAU - Faber, Cornelius AU - Faber C FAU - Kopka, Klaus AU - Kopka K FAU - Schafers, Michael AU - Schafers M FAU - Jacobs, Andreas H AU - Jacobs AH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130704 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (Biomarkers, Pharmacological) RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) RN - 7GR28W0FJI (Dacarbazine) RN - YF1K15M17Y (Temozolomide) SB - IM MH - Animals MH - Antineoplastic Agents, Alkylating/*pharmacology MH - Biomarkers, Pharmacological/analysis MH - Brain Neoplasms/*diagnosis/diagnostic imaging/drug therapy MH - Dacarbazine/*analogs & derivatives/pharmacology MH - Early Diagnosis MH - Female MH - *Fluorodeoxyglucose F18/administration & dosage MH - Glioblastoma/*diagnosis/diagnostic imaging/drug therapy MH - Humans MH - Injections, Intraventricular MH - Injections, Subcutaneous MH - Mice MH - Mice, Nude MH - Neoplasms, Experimental/diagnosis/diagnostic imaging/drug therapy MH - Temozolomide MH - Tomography, Emission-Computed MH - Treatment Outcome MH - Tumor Burden/drug effects PMC - PMC3701682 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2013/07/19 06:00 MHDA- 2014/02/04 06:00 PMCR- 2013/07/04 CRDT- 2013/07/18 06:00 PHST- 2012/12/15 00:00 [received] PHST- 2013/05/22 00:00 [accepted] PHST- 2013/07/18 06:00 [entrez] PHST- 2013/07/19 06:00 [pubmed] PHST- 2014/02/04 06:00 [medline] PHST- 2013/07/04 00:00 [pmc-release] AID - PONE-D-12-39584 [pii] AID - 10.1371/journal.pone.0067911 [doi] PST - epublish SO - PLoS One. 2013 Jul 4;8(7):e67911. doi: 10.1371/journal.pone.0067911. Print 2013.