Bm. Mehta et al., IN-VIVO UPTAKE OF CARBON-14-COLCHICINE FOR IDENTIFICATION OF TUMOR MULTIDRUG-RESISTANCE, The Journal of nuclear medicine, 35(7), 1994, pp. 1179-1184
A major limitation in the treatment of cancer with natural product che
motherapeutic agents is the development of multidrug resistance (MDR).
Multidrug resistance is attributed to enhanced expression of the mult
idrug resistance gene MDR1. Colchicine (CHC) is known to be one of the
MDR drugs. We have previously demonstrated that it is possible to dis
tinguish multidrug-resistant tumors from multidrug-sensitive tumors in
vivo on the basis of tritium (H-3) uptake following injection of H-3-
CHC. Methods: The present studies were carried out in xenografted anim
als using C-14-CHC which may be more indicative of C-11-labeled CHC di
stribution with regard to circulating metabolites, since metabolic pro
cesses following injection of (ring C, methoxy-C-11)-CHC may produce s
ignificant amounts of circulating 1-carbon fragments (i.e., methanol a
nd/or formaldehyde). Experiments were carried out at a dose of 2 mg/kg
. Results: Activity concentration per injected dose was approximately
twice as great in sensitive as in resistant tumors (p < 0.05) at 60 mi
n following intravenous injection of C-14-CHC. About 75% of total acti
vity was CHC in the sensitive tumors. The findings are further confirm
ed by the quantitative autoradiographic evaluation of resistant and se
nsitive tumors. Conclusions: These studies confirm our previous observ
ations that it is possible to noninvasively distinguish multidrug-resi
stant tumors from sensitive tumors in vivo based on uptake of an injec
ted MDR drug using a C-14- labeled CHC at the same position and of com
parable specific activity to a C-11-CHC tracer used for PET imaging.