Non-invasive imaging of Mitogenic Extracellular Kinase inhibition by PD0325901


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Julius Leyton1, Graham Smith1, Mark Lees1, Quange-de Nguyen1, Meg Perumal1, Franklin Aigbirhio2, Oksana Golovko2, Quimin He3, Paul Workman4, Eric O Aboagye1

1Imperial College London, London, UK, 2Wolfson Brain Imaging Center, Cambridge, UK, 3Huddinge University Hospital, Stockholm, Sweden, 4Institute of Cancer Research Institute, Sutton, Surrey, UK

Abstract

The mitogenic extracellular kinase1/2 (MEK1/2) inhibitor, PD0325901, has potent activity in a number of cell types in vitro. In SKMEL-28 cells (with an endogenous activating V600E BRAF mutation), the drug rapidly decreased phosphorylated ERK1/2, cyclin D1 and thymidine kinase 1 (TK1) protein levels.

We investigated if 3’-deoxy-3’-[18F]fluorothymidine-positron emission tomography ([18F]FLT-PET) imaging could be used as an early pharmacodynamic read-out of drug-induced growth inhibition in vivo. SKMEL-28 and HCT116 (with endogenous activating mutation in KRAS) tumor-bearing mice treated daily with PD0325901 at 25 mg/kg were imaged by dynamic [18F]FLT-PET after 1 and 10 days of initiating treatment. The drug rapidly decreased [18F]FLT uptake after 1 day of treatment, and this effect was maintained after 10 days of treatment. The normalized uptake of [18F]FLT (at 60 min; NUV60) in SKMEL-28 xenografts after 1 day of vehicle or PD0325901 was 1.52±0.32 versus 0.72±0.26, respectively (P = 0.03). In this model, NUV60 after 10 days was 1.38±0.26 versus 0.93±0.1, respectively (P = 0.03). The corresponding values for HCT116 tumors were 1.70±0.35 versus 0.93±0.19 (P = 0.03) after 1 day, and 1.73±0.08 versus 0.91±0.1 (P = 0.03) after 10 days. Similar changes were found for other [18F]FLT retention parameters. The changes in [18F]FLT-PET occurred in parallel with changes in phosphorylated ERK1/2, cyclin D1, TK1 protein and Ki67 labeling index.

In summary, [18F]FLT-PET is a promising early pharmacodynamic marker of MEK1/2 inhibition in tumors with or without mutation in the BRAF gene.

Acknowledgments

This work was supported by Cancer Research UK.

The mitogenic extracellular kinase1/2 (MEK1/2) inhibitor, PD0325901, has potent activity in a number of cell types in vitro. In SKMEL-28 cells (with an endogenous activating V600E BRAF mutation), the drug rapidly decreased phosphorylated ERK1/2, cyclin D1 and thymidine kinase 1 (TK1) protein levels.

We investigated if 3’-deoxy-3’-[18F]fluorothymidine-positron emission tomography ([18F]FLT-PET) imaging could be used as an early pharmacodynamic read-out of drug-induced growth inhibition in vivo. SKMEL-28 and HCT116 (with endogenous activating mutation in KRAS) tumor-bearing mice treated daily with PD0325901 at 25 mg/kg were imaged by dynamic [18F]FLT-PET after 1 and 10 days of initiating treatment. The drug rapidly decreased [18F]FLT uptake after 1 day of treatment, and this effect was maintained after 10 days of treatment. The normalized uptake of [18F]FLT (at 60 min; NUV60) in SKMEL-28 xenografts after 1 day of vehicle or PD0325901 was 1.52±0.32 versus 0.72±0.26, respectively (P = 0.03). In this model, NUV60 after 10 days was 1.38±0.26 versus 0.93±0.1, respectively (P = 0.03). The corresponding values for HCT116 tumors were 1.70±0.35 versus 0.93±0.19 (P = 0.03) after 1 day, and 1.73±0.08 versus 0.91±0.1 (P = 0.03) after 10 days. Similar changes were found for other [18F]FLT retention parameters. The changes in [18F]FLT-PET occurred in parallel with changes in phosphorylated ERK1/2, cyclin D1, TK1 protein and Ki67 labeling index.

In summary, [18F]FLT-PET is a promising early pharmacodynamic marker of MEK1/2 inhibition in tumors with or without mutation in the BRAF gene.

Acknowledgments

This work was supported by Cancer Research UK.