Novel Imaging Detects Various Triple Negative Breast Cancer
A newly developed molecular imaging technique can identify multiple subtypes of triple-negative breast cancer (TNBC), enabling earlier and more accurate detection of this aggressive disease, according to new research published in the June issue of The Journal of Nuclear Medicine. This approach has the potential to lead to better diagnosis, treatment planning, and monitoring for patients with TNBC.
TNBC is a heterogeneous disease, meaning it encompasses a wide range of different subtypes with varying biological behaviors and clinical outcomes. This makes it harder to identify, and as a result, TNBC lags behind other breast cancer types in targeted therapeutic and diagnostic imaging agent development.
“Noninvasive imaging is essential for diagnosing and staging TNBC and predicting and measuring treatment response,” says Jason Lewis, PhD, Emily Tow Chair at Memorial Sloan Kettering Cancer Center in New York. “In our study, we sought to overcome tumor cell marker heterogeneity by developing an imaging agent that could detect multiple TNBC subtypes and improve diagnostic capacity.”
Researchers targeted extra domain A of fibronectin (EDA-FN), a stable protein in the tumor stromal environment, which is abundantly expressed in breast cancer. A monoclonal antibody-based PET tracer ([89Zr]Zr-DFO-F8) was created to detect EDA-FN. This tracer was then evaluated in vitro and in vivo in several preclinical xenograft models of multiple TNBC subtypes.
[89Zr]Zr-DFO-F8 exhibited specific, blockable EDA-FN binding activity in vitro. In vivo experiments demonstrated high tumor uptake in preclinical TNBC xenograft models. [89Zr]Zr-DFO-F8 also detected EDA-FN in subcutaneous and orthotopic TNBC xenografts and accumulated in aggressive disease concordantly with EDA-FN expression.
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“It is important to remember that plaques that don’t yet cause symptoms can rapidly evolve in ways that make them more dangerous. One of the key findings of our work is that calcified plaques may not be as harmless as once thought, since these plaques were found to be at risk of intraplaque bleeding, which in itself is the most important cause of plaque rupture and subsequent stroke.”
— Daniel Bos, MD, PhD, an associate professor in clinical epidemiology and neurovascular imaging at Erasmus MC, University Medical Center Rotterdam in the Netherlands, and author of a study of the dangers of carotid artery plaque changing over time |
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