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Updated: May 30, 2026

Positron Emission Tomography Imaging of Cell Trafficking: A Method of Cell Radiolabeling
Published on: October 27, 2023
Novel positron emission tomography tracer distinguishes normal from cancerous cells
Muhammad Saeed1, David Sheff, Amnon Kohen
1Department of Chemistry, University of Iowa, Iowa City, Iowa 52242, USA.
Abstract:
Development of tumor-specific probes for imaging by positron emission tomography has broad implications in clinical oncology, such as diagnosis, staging, and monitoring therapeutic responses in patients, as well as in biomedical research. Thymidylate synthase (TSase)-based de novo biosynthesis of DNA is an important target for drug development. Increased DNA replication in proliferating cancerous cells requires TSase activity, which catalyzes the reductive methylation of dUMP to dTMP using (R)-N(5),N(10)-methylene-5,6,7,8-tetrahydrofolate (MTHF) as a cofactor. In principle, radiolabeled MTHF can be used as a substrate for this reaction to identify rapidly dividing cells. In this proof-of-principle study, actively growing (log phase) breast cancer (MCF7, MDA-MB-231, and hTERT-HME1), normal breast (human mammary epithelial and MCF10A), colon cancer (HT-29), and normal colon (FHC) cells were incubated with [(14)C]MTHF in culture medium from 30 min to 2 h, and uptake of radiotracer was measured. Cancerous cell lines incorporated significantly more radioactivity than their normal counterparts. The uptake of radioactively labeled MTHF depended upon a combination of cell doubling time, folate receptor status, S phase percentage, and TSase expression in the cells. These findings suggest that the recently synthesized [(11)C]MTHF may serve as a new positron emission tomography tracer for cancer imaging.
Insights
Radiolabeled (R)-N(5),N(10)-methylene-5,6,7,8-tetrahydrofolate ((14)C]MTHF) uptake was higher in cancer cells than normal cells. This suggests [(11)C]MTHF could be a novel positron emission tomography tracer for cancer imaging.
Area of Science:
- Oncology
- Biomedical Imaging
- Molecular Biology
Background:
- Positron emission tomography (PET) probes are crucial for cancer diagnosis, staging, and treatment monitoring.
- Thymidylate synthase (TSase) is a key enzyme in DNA synthesis and a target for cancer drug development.
- Rapidly dividing cancer cells exhibit increased TSase activity, utilizing (R)-N(5),N(10)-methylene-5,6,7,8-tetrahydrofolate (MTHF) as a cofactor.
Purpose of the Study:
- To evaluate the potential of radiolabeled MTHF as a substrate for identifying rapidly dividing cancer cells.
- To investigate the uptake of [(14)C]MTHF in various cancer and normal cell lines.
- To establish proof-of-principle for [(11)C]MTHF as a novel PET imaging tracer.
Main Methods:
- Cancerous (MCF7, MDA-MB-231, hTERT-HME1) and normal (human mammary epithelial, MCF10A, HT-29, FHC) cell lines were incubated with [(14)C]MTHF.
- Radiotracer uptake was measured after incubation periods ranging from 30 minutes to 2 hours.
- Factors influencing MTHF uptake, including cell doubling time, folate receptor status, S phase percentage, and TSase expression, were analyzed.
Main Results:
- Cancer cell lines demonstrated significantly higher [(14)C]MTHF incorporation compared to their normal counterparts.
- MTHF uptake correlated with cell doubling time, folate receptor status, S phase percentage, and TSase expression.
- These findings indicate differential MTHF metabolism between cancerous and normal cells.
Conclusions:
- [(14)C]MTHF uptake can distinguish between cancerous and normal cells.
- The study supports the potential of [(11)C]MTHF as a novel PET tracer for cancer imaging.
- Further research is warranted to validate [(11)C]MTHF for clinical applications in oncology.
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