Different Efflux Transporter Affinity and Metabolism of 99mTc-2-Methoxyisobutylisonitrile and 99mTc-Tetrofosmin for Multidrug Resistance Monitoring in Cancer
Different Efflux Transporter Affinity and Metabolism of 99mTc-2-Methoxyisobutylisonitrile and 99mTc-Tetrofosmin for Multidrug Resistance Monitoring in Cancer
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DOI:
10.1007/s11095-018-2548-5
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发表时间:
2019-01-01
影响因子:
3.7
通讯作者:
Kawai, Keiichi
中科院分区:
文献类型:
--
作者:
Kobayashi, Masato;Tsujiuchi, Takafumi;Kawai, Keiichi
BackgroundLittle is known about the affinity and stability of Tc-99m-labeled 2-methoxyisobutylisonitrile (Tc-99m-MIBI) and tetrofosmin (Tc-99m-TF) for imaging of multiple drug resistance transporters in cancer. We examined the affinity of Tc-99m-labeled compounds for these transporters and their stability.Methods(99m)Tc-MIBI and Tc-99m-TF were incubated in vesicles expressing P-glycoprotein (MDR1), multidrug resistance-associated protein (MRP)1-4, or breast cancer resistance protein with and without verapamil (MDR1 inhibitor) or MK-571 (MRP inhibitor). Time activity curves of Tc-99m-labeled compounds were established using SK-N-SH neuroblastoma, SK-MEL-28 melanoma, and PC-3 prostate adenocarcinoma cell lines, and transporter expression of multiple drug resistance was measured in these cells. The stability was evaluated.ResultsIn vesicles, Tc-99m-labeled compounds had affinity for MDR1 and MRP1. Tc-99m-TF had additional affinity for MRP2 and MRP3. In SK-N-SH cells expressing MDR1 and MRP1, MK-571 produced the highest uptake of both Tc-99m-labeled compounds. Tc-99m-MIBI uptake with inhibitors was higher than Tc-99m-TF uptake with inhibitors. Tc-99m-TF was taken up more in SK-MEL-28 cells expressing MRP1 and MRP2 than PC-3 cells expressing MRP1 and MRP3. Tc-99m-MIBI was metabolized, whereas Tc-99m-TF had high stability.Conclusion(99m)Tc-MIBI is exported via MDR1 and MRP1 (MRP1>MDR1) at greater levels and more quickly compared to Tc-99m-TF, which is exported via MDR1 and MRP1-3 (MRP1>MDR1; MRP1, 2>MRP3). Because Tc-99m-MIBI is metabolized, clinical imaging for monitoring MDR and shorter examination times may be possible with an earlier scanning time on late phase imaging. Tc-99m-TF has high stability and accurately reflects the function of MDR1 and MRP1-3.