4.8 Article

[18F]Fluoromethyl-[1,2-2H4]-Choline: A Novel Radiotracer for Imaging Choline Metabolism in Tumors by Positron Emission Tomography

Journal

CANCER RESEARCH
Volume 69, Issue 19, Pages 7721-7728

Publisher

AMER ASSOC CANCER RESEARCH
DOI: 10.1158/0008-5472.CAN-09-1419

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Funding

  1. MRC [MC_U120081322] Funding Source: UKRI
  2. Cancer Research UK [A10337, 10337] Funding Source: Medline
  3. Medical Research Council [U1200.005.00001.01, MC_U120081322] Funding Source: Medline
  4. Cancer Research UK [10337] Funding Source: researchfish
  5. Medical Research Council [MC_U120081322] Funding Source: researchfish

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Current radiotracers for positron emission tomography imaging of choline metabolism have poor systemic metabolic stability, in vivo. We describe a novel radiotracer, [F-18]fluoromethyl-[1,2-H-2(4)]-choline (D4-FCH), that employs deuterium isotope effect to improve metabolic stability. D4-FCH proved more resistant to oxidation than its nondeuterated analogue, [F-18]fluoromethylcholine, in plasma, kidneys, liver, and tumor, while retaining phosphorylation potential. Tumor radiotracer levels, a determinant of sensitivity in imaging studies, were improved by deuterium substitution; tumor uptake values expressed as percent injected dose per voxel at 60 min were 7.43 +/- 0.47 and 5.50 +/- 0.49 for D4-FCH and [F-18]fluoromethylcholine, respectively (P = 0.04). D4-FCH was also found to be a useful response biomarker. Treatment with the mitogenic extracellular kinase inhibitor PD0325901 resulted in a reduction in tumor radiotracer uptake that occurred in parallel with reductions in choline kinase A expression. In conclusion, D4-FCH is a very promising metabolically stable radiotracer for imaging choline metabolism in tumors. [Cancer Res 2009;69(19):7721-8]

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