Early detection in a mouse model of pancreatic cancer by imaging DNA damage response signalling

<p><strong>Rationale:</strong> Despite its widespread use in oncology, the PET radiotracer 18F-FDG is ineffectivefor improving early detection of pancreatic ductal adenocarcinoma (PDAC). An alternative strategy for early detection of pancreatic cancer involves visualisation of high...

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Main Authors: Cornelissen, B, Knight, J, Baguna Torres, J, Goldin, R, Mosley, M, Dias, G, Contreras Bravo, L, Kersemans, V, Allen, P, Mukherjee, S, Smart, S
Format: Journal article
Published: Society of Nuclear Medicine 2019
_version_ 1797058375712768000
author Cornelissen, B
Knight, J
Baguna Torres, J
Goldin, R
Mosley, M
Dias, G
Contreras Bravo, L
Kersemans, V
Allen, P
Mukherjee, S
Smart, S
author_facet Cornelissen, B
Knight, J
Baguna Torres, J
Goldin, R
Mosley, M
Dias, G
Contreras Bravo, L
Kersemans, V
Allen, P
Mukherjee, S
Smart, S
author_sort Cornelissen, B
collection OXFORD
description <p><strong>Rationale:</strong> Despite its widespread use in oncology, the PET radiotracer 18F-FDG is ineffectivefor improving early detection of pancreatic ductal adenocarcinoma (PDAC). An alternative strategy for early detection of pancreatic cancer involves visualisation of high-grade pancreatic intraepithelial neoplasias (PanIN-3), generally regarded as the non-invasive precursors of PDAC. The DNA damage response is known to be hyper-activated in late-stage PanINs. Therefore, we investigated whether the SPECT imaging agent, 111In-anti-γH2AX-TAT, allows visualisation of the DNA damage repair marker γH2AX in PanIN-3s in an engineered mouse model of PDAC, to facilitate early detection of PDAC.</p> <p><strong>Methods:</strong> Genetically engineered KPC mice (KRasLSL.G12D/+; p53LSL.R172H/+; PdxCre) were imaged with 18F-FDG and 111In-anti-γH2AX-TAT. PanIN/PDAC presence visualised by histology was compared with autoradiography and immunofluorescence. Separately, the survival of KPC mice imaged with 111In-anti-γH2AX-TAT was evaluated.</p> <p><strong>Results:</strong> In KPC mouse pancreata, γH2AX expression was increased in high-grade PanINs, but not in PDAC, corroborating earlier results obtained from human pancreas sections. Uptake of 111In-anti-γH2AX-TAT, but not 111In-IgG-TAT or 18F-FDG, within the pancreas was positively correlated with the age of KPC mice, which was correlated with the number of highgrade PanINs. 111In-anti-γH2AX-TAT localises preferentially in high-grade PanIN lesions, but not in established PDAC. Younger, non-tumour-bearing KPC mice that show uptake of 111Inanti-γH2AX-TAT in the pancreas survive significantly shorter than mice with physiological 111In-anti-γH2AX-TAT uptake.</p> <p><strong>Conclusion:</strong> 111In-anti-γH2AX-TAT imaging allows non-invasive detection of DNA damage repair signalling upregulation in pre-invasive PanIN lesions and is a promising new tool to aid in the early detection and staging of pancreatic cancer.</p>
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spelling oxford-uuid:23856588-9eef-478a-b3c1-95825f5756b72022-03-26T11:44:46ZEarly detection in a mouse model of pancreatic cancer by imaging DNA damage response signallingJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:23856588-9eef-478a-b3c1-95825f5756b7Symplectic Elements at OxfordSociety of Nuclear Medicine2019Cornelissen, BKnight, JBaguna Torres, JGoldin, RMosley, MDias, GContreras Bravo, LKersemans, VAllen, PMukherjee, SSmart, S<p><strong>Rationale:</strong> Despite its widespread use in oncology, the PET radiotracer 18F-FDG is ineffectivefor improving early detection of pancreatic ductal adenocarcinoma (PDAC). An alternative strategy for early detection of pancreatic cancer involves visualisation of high-grade pancreatic intraepithelial neoplasias (PanIN-3), generally regarded as the non-invasive precursors of PDAC. The DNA damage response is known to be hyper-activated in late-stage PanINs. Therefore, we investigated whether the SPECT imaging agent, 111In-anti-γH2AX-TAT, allows visualisation of the DNA damage repair marker γH2AX in PanIN-3s in an engineered mouse model of PDAC, to facilitate early detection of PDAC.</p> <p><strong>Methods:</strong> Genetically engineered KPC mice (KRasLSL.G12D/+; p53LSL.R172H/+; PdxCre) were imaged with 18F-FDG and 111In-anti-γH2AX-TAT. PanIN/PDAC presence visualised by histology was compared with autoradiography and immunofluorescence. Separately, the survival of KPC mice imaged with 111In-anti-γH2AX-TAT was evaluated.</p> <p><strong>Results:</strong> In KPC mouse pancreata, γH2AX expression was increased in high-grade PanINs, but not in PDAC, corroborating earlier results obtained from human pancreas sections. Uptake of 111In-anti-γH2AX-TAT, but not 111In-IgG-TAT or 18F-FDG, within the pancreas was positively correlated with the age of KPC mice, which was correlated with the number of highgrade PanINs. 111In-anti-γH2AX-TAT localises preferentially in high-grade PanIN lesions, but not in established PDAC. Younger, non-tumour-bearing KPC mice that show uptake of 111Inanti-γH2AX-TAT in the pancreas survive significantly shorter than mice with physiological 111In-anti-γH2AX-TAT uptake.</p> <p><strong>Conclusion:</strong> 111In-anti-γH2AX-TAT imaging allows non-invasive detection of DNA damage repair signalling upregulation in pre-invasive PanIN lesions and is a promising new tool to aid in the early detection and staging of pancreatic cancer.</p>
spellingShingle Cornelissen, B
Knight, J
Baguna Torres, J
Goldin, R
Mosley, M
Dias, G
Contreras Bravo, L
Kersemans, V
Allen, P
Mukherjee, S
Smart, S
Early detection in a mouse model of pancreatic cancer by imaging DNA damage response signalling
title Early detection in a mouse model of pancreatic cancer by imaging DNA damage response signalling
title_full Early detection in a mouse model of pancreatic cancer by imaging DNA damage response signalling
title_fullStr Early detection in a mouse model of pancreatic cancer by imaging DNA damage response signalling
title_full_unstemmed Early detection in a mouse model of pancreatic cancer by imaging DNA damage response signalling
title_short Early detection in a mouse model of pancreatic cancer by imaging DNA damage response signalling
title_sort early detection in a mouse model of pancreatic cancer by imaging dna damage response signalling
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