Reporter PET Images Bortezomib Treatment-Mediated Suppression of Cancer Cell Proteasome Activity
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Updated: Feb 6, 2026

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Published on: September 13, 2024
Jin Hee Lee1,2, Kyung-Ho Jung1,2, Cung Hoa Thien Quach1
1Department of Nuclear Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Abstract:
Proteasomal protein degradation is a promising target for cancer therapy. Here, we developed a positron emission tomography (PET) technique based on the sodium-iodide symporter (NIS) gene fused with the carboxyl-terminal of ornithine decarboxylase (cODC) that noninvasively images cancer cells with inhibited proteasome activity. A retroviral vector was constructed in which the murine cODC degron was fused to the human NIS gene (NIS-cODC). Transiently transduced CT26 and HT29 colon cancer cells and stably expressing CT26/NIS-cODC cells were prepared. In cancer cells transiently transduced with NIS-cODC, NIS expression and transport activity was low at baseline, but NIS protein and 125I uptake was significantly increased by inhibition of proteasome activity with bortezomib. Stable CT26/NIS-cODC cells also showed increased cytosolic and membrane NIS by bortezomib, and four different stable clones displayed bortezomib dose-dependent stimulation of 125I and 99mTc-04- uptake. Importantly, bortezomib dose-dependently suppressed survival of CT26/NIS-cODC clones in a manner that closely correlated to the magnitudes of 125I and 99mTc-04- uptake. CT26/NIS-cODC tumors of bortezomib-treated mice demonstrated greater 124I uptake on PET images and increased NIS expression on tissue staining compared to vehicle-injected animals. NIS-cODC PET imaging may allow noninvasive quantitative monitoring of proteasome activity in cancer cells treated with bortezomib.
Insights
We developed a novel positron emission tomography (PET) imaging technique using the sodium-iodide symporter (NIS) gene fused with ornithine decarboxylase (ODC). This method noninvasively images cancer cells with inhibited proteasome activity, showing promise for targeted cancer therapy monitoring.
Area of Science:
- Oncology
- Molecular Imaging
- Biotechnology
Background:
- Proteasomal protein degradation is a key target in cancer therapy.
- Noninvasive imaging of proteasome activity is crucial for treatment monitoring.
Purpose of the Study:
- To develop a novel positron emission tomography (PET) imaging technique to visualize cancer cells with inhibited proteasome activity.
- To assess the efficacy of the NIS-cODC fusion gene system for monitoring proteasome inhibition.
Main Methods:
- Constructed a retroviral vector with the human sodium-iodide symporter (NIS) gene fused to the murine carboxyl-terminal of ornithine decarboxylase (cODC) degron (NIS-cODC).
- Utilized transient and stable transduction of colon cancer cells (CT26, HT29) with the NIS-cODC construct.
- Administered bortezomib to inhibit proteasome activity and measured NIS expression, radioisotope uptake (¹²⁵I, ⁹⁹mTc-O₄⁻, ¹²⁴I), and cell survival.
- Evaluated imaging in CT26/NIS-cODC tumor-bearing mice using PET scans.
Main Results:
- Inhibition of proteasome activity with bortezomib significantly increased NIS expression and radioiodide uptake in NIS-cODC expressing cancer cells.
- Bortezomib treatment demonstrated a dose-dependent correlation between radioisotope uptake and cancer cell survival.
- PET imaging of CT26/NIS-cODC tumors in mice showed increased ¹²⁴I uptake following bortezomib administration.
- Increased NIS expression was confirmed in tumor tissues from treated mice.
Conclusions:
- The NIS-cODC PET imaging system enables noninvasive visualization of proteasome inhibition in cancer cells.
- This technique holds potential for quantitative monitoring of proteasome inhibitor therapy, such as with bortezomib.
- NIS-cODC PET imaging may improve the management and efficacy assessment of targeted cancer therapies.
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