E. Ponty et al., BIODISTRIBUTION STUDY OF TC-99M-LABELED LDL IN B16-MELANOMA-BEARING MICE - VISUALIZATION OF A PREFERENTIAL UPTAKE BY THE TUMOR, International journal of cancer, 54(3), 1993, pp. 411-417
Since there is strong evidence of a preferential LDL accumulation in t
umor cells, LDL might be of interest for tumor imaging. We have tested
the ability of Tc-99m-LDL in tumor imaging with B 16-melanoma-bearing
mice as a model for further applications in human studies. The LDL fi
xation rate was higher with Tc-99m-labeled LDL than with I-125 labeled
LDL. Since technetium-99m remains trapped in the cells, Tc-99m-LDL is
a well-adapted radioligand because of information given by this radio
tracer on the receptor metabolism. We observed that, at early growth s
tages, the tumor took up the LDL at a maximal rate, suggesting differe
nces in cholesterol metabolism as a function of tumor growth. Accumula
tion of label in the tumor area was perfectly observable in tumor-bear
ing mice on scintigraphic images. Computerized quantification of the r
egions of interest (as well as biodistribution studies including killi
ng of the animals) showed a 1.81-fold increase in uptake by the tumor
as compared to the liver and a 28-fold increase as compared with corre
sponding normal tissue (muscle of the left leg) at day 8 of tumor grow
th. These data give strong support to the value of this non-invasive m
ethod in visualizing and quantifying the tissue LDL uptake in vivo, in
cluding the precise information provided by nuclear scintigraphy on th
e distribution of the radiolabeled LDL in the different tissues. Tc-99
m-LDL could be an efficient tool for further diagnostic or therapeutic
exploration in cancer patients.