Proton MRS detects metabolic changes in hormone sensitive and resistant human prostate cancer models CWR22 and CWR22r

H Carl Le1, Mihaela Lupu, Khushali Kotedia

  • 1Department of Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA. lec@mskcc.org

Insights

17-Allylamino, 17-demethoxygeldanamycin (17-AAG) effectively targets tumor heat shock protein 90 (hsp90), reducing oncogenic proteins and showing promise in prostate cancer. Tumor total choline levels, measured by proton MR spectroscopy, decreased post-treatment, indicating potential as an early biomarker for targeted therapy response.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • 17-Allylamino, 17-demethoxygeldanamycin (17-AAG) is an inhibitor of heat shock protein 90 (hsp90).
  • 17-AAG preferentially inhibits tumor hsp90 over normal cells, showing efficacy in various cancers, including hormone-resistant prostate cancer.
  • Treatment with 17-AAG reduces critical oncogenic proteins like androgen receptor and HER2/neu, and induces metabolic changes in tumor cells.

Purpose of the Study:

  • To investigate the metabolic changes in total choline levels in prostate cancer xenografts following 17-AAG treatment.
  • To assess the utility of proton magnetic resonance spectroscopic imaging (MRSI) in detecting these metabolic changes as an early biomarker of treatment response.

Main Methods:

  • Proton MR spectroscopy was used to measure total choline distributions in CWR22 (hormone-sensitive) and CWR22r (hormone-resistant) prostate cancer xenograft tumors in mice.
  • Measurements were taken before and at 4 h and 48 h after a single-bolus administration of 17-AAG (100 mg/kg).
  • Immunohistochemistry and tumor growth inhibition were also assessed.

Main Results:

  • Total choline levels significantly declined at 4 h post-treatment in CWR22 tumors (P = 0.001) and at 48 h in CWR22r tumors (P = 0.003).
  • Metabolic changes in total choline intensity detected by MRSI correlated with immunohistochemistry findings and tumor growth inhibition in CWR22r (P = 0.01).
  • Prostate-specific antigen levels remained constant in control CWR22 but increased in treated CWR22r tumors.

Conclusions:

  • Metabolic changes in total choline, detectable by proton MRSI, serve as an early indicator of response to 17-AAG targeted therapy in advanced-stage prostate cancer.
  • Proton MRSI can be a valuable non-invasive biomarker for monitoring treatment efficacy.
  • These findings support the use of 17-AAG as a targeted therapy for prostate cancer, with MRSI aiding in early response assessment.

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