Scintigraphic detection of breast cancer xenografts with Tc-99m natural and recombinant human alpha-fetoprotein

Because adenocarcinoma of the breast expresses receptors for alpha-fetoprot ein (AFP), we studied Tc-99m AFP as a radiopharmaceutical to detect breast cancer The biodistribution of Tc-99m radiolabeled natural human AFP (full l ength) and recombinant domain III (DIII) of human AFP was compared to Tc-99 m sestamibi and Tl-201 in a murine model of human breast cancer. Estrogen r eceptor positive (MCF7, T-47D) and estrogen receptor negative (MDA-MB-231, BT-20) human breast cancer xenografts were grown subcutaneously in the late ral thorax region of immunosuppressed mice (ICR SCID). Quantitative compari sons of percent-injected dose per gram of tissue (%ID/gram) and tumor to th igh ratio (T/Th) were performed at 0-60 minutes and at 24 hours following i njection. For most tumors, T/Th for AFP and DIII was significantly greater than T/Th for Tc-99m sestamibi and Tl-201. In all breast cancers (BT-20, MC F7, MDA-MB-231, T-47D), Tc-99m AFP T/Th increase fr om 60 minutes to 24 hou rs, suggesting good tumor retention of this radiopharmaceutical. DIII and A FP had significantly higher %ID/gram than either Tl-201 or Tc-99m sestamibi when considered across all tumor types at both 60 minutes and 24 hours. Th e data suggests that localization of Tc-99m AFP in human breast cancer xeno grafts is initially rapid, increases with time, and is superior to Tc-99m s estamibi and Tl-201. Given its high uptake by breast cancer cells, its low non-tumor localization and its rapid renal excretion, these Tc-99m AFP prep arations may be useful agents to detect human breast carcinoma.