Novel tracer developed for precision targeting of non-small cell lung cancer

Researchers have developed a new nuclear medicine tracer that could improve diagnosis and treatment of non-small cell lung cancer. Research published in the November issue of The Journal of Nuclear Medicine found that the new tracer, 99mTc-HYNIC-cMBP, produced clearer images in less time than currently used tracers and was more rapidly eliminated from the body, reducing radiation exposure.

The c-Met receptor--a promising therapeutic target for this disease--is a tyrosine kinase receptor that promotes the growth of cancer cells, particularly in NSCLC. When c-Met receptors are elevated, cells may be resistant to EGFR-targeted therapy. However, with precise targeting of the c-Met receptor, physicians may be able to more effectively treat this disease.

In the study, the novel radiotracer was developed and cultured in two NSCLC cell lines, H1993 (high c-Met expression) and H1299 (no c-Met expression), and the activity and uptake of the 99mTc-HYNIC-cMBP tracer was assessed. These tumor cells were then transplanted into mice, and in vivo tumor specificity was measured by SPECT at various intervals after injection of the tracer. Blocking assays, biodistribution and autoradiography also were conducted to determine the tracer's specificity.

The authors found the preparation of the 99mTc-HYNIC-cMBP imaging agent to be simple, providing a high yield of the tracer with few associated costs. Biodistribution and autoradiography showed significantly higher accumulation of 99mTc-HYNICcMBP in H1993 tumors than in H1299 tumors. In addition, the H1993 tumors were clearly visualized after only a half hour in SPECT images, while the H1299 tumors were not observed at any time. The tracer was also cleared rapidly, which is favorable for reducing exposure to radiation, background noise and long delays between treatment and imaging readout.

"To the best of our knowledge, there are no other c-Met-targeted imaging studies in NSCLC using peptide-based radiotracer to date," noted Baozhong Shen, MD, PhD, professor of medical imaging and nuclear medicine and the first president of the Fourth Hospital of Harbin Medical University. "Our research results confirmed the feasibility of detecting c-Met expression in NSCLC with the novel SPECT tracer. Upon further optimization, the SPECT tracer may be translated into clinical use for screening and monitoring therapeutic response in NSCLC patients."

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This study was made available online in May 2018 ahead of final publication in print in November 2018.

The authors of "Development of a SPECT Tracer to Image c-Met Expression in a Xenograft Model of Non-Small Harbin Medical University Cell Lung Cancer" include Zhaoguo Han, Yadi Xiao, Kai Wang, Ji Yan, Zunyu Xiao, Fang Fang, Zhongnan Jin, Yang Liu and Baozhong Shen, Molecular Imaging Research Center and TOF-PET/CT/MR Center, Fourth Hospital, Harbin Medical University, Harbin, Heilongjiang, China; and Xilin Sun, Molecular Imaging Research Center and TOF-PET/CT/MR Center, Fourth Hospital, Harbin Medical University, Harbin, Heilongjiang, China, and Molecular Imaging Program at Stanford, Department of Radiology, Stanford University School of Medicine, Stanford, California.

This work was supported partly by the National Natural Science Foundation of China (81471724, 81627901, 31210103913, 81101088, and 81130028), the National Basic Research Program of China (2015CB931800), the Heilongjiang Province Foundation for Returned Overseas Chinese Scholars, and the Key Laboratory of Molecular Imaging Foundation (College of Heilongjiang Province). No other potential conflict of interest relevant to this article was reported.

Please visit the SNMMI Media Center to view the PDF of the study, including images, and more information about molecular imaging and personalized medicine. To schedule an interview with the researchers, please contact Rebecca Maxey at (703) 652-6772 or rmaxey@snmmi.org. Current and past issues of The Journal of Nuclear Medicine can be found online at http://jnm.snmjournals.org.

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