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Related Experiment Video

Updated: May 14, 2026

Live Imaging of Drug Responses in the Tumor Microenvironment in Mouse Models of Breast Cancer
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Mitochondrial Imaging Detects Early Cardiac Changes Following Cancer Immunotherapy.

Hee-Don Chae1, Uttam Shrestha2, Millie Das3

  • 1CellSight Technologies (United States) San Francisco United States.

Clinical Cancer Research : an Official Journal of the American Association for Cancer Research
|May 13, 2026
PubMed

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Summary

[¹⁸F]F-AraG PET imaging can detect early cardiac changes from cancer therapies. This novel PET tracer shows potential for monitoring cardiotoxicity and immune activity during treatment.

Area of Science:

  • Nuclear medicine and molecular imaging.
  • Cardiology and cardiovascular research.
  • Oncology and cancer therapeutics.

Background:

  • Cancer therapies improve survival but risk cardiotoxicity, often detected late.
  • Current biomarkers for cardiotoxicity have limitations in early detection.
  • [¹⁸F]F-AraG PET targets mitochondrial biogenesis, relevant to cardiomyocytes and immune cells.

Purpose of the Study:

  • To evaluate [¹⁸F]F-AraG PET as an early imaging biomarker for cardiac effects.
  • To assess cardiac involvement and immune activity concurrently during cancer therapy.
  • To investigate [¹⁸F]F-AraG PET's utility across different cancer treatment modalities.

Main Methods:

  • [¹⁸F]F-AraG PET imaging in 26 healthy subjects for baseline myocardial uptake.

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  • Imaging 17 cancer patients (melanoma, NSCLC) before and after immunotherapy.
  • Quantification of myocardial uptake (SUVmax, SUVmean, SUVtotal) in ventricles and analysis of LV regional uptake.
  • Correlation of uptake with ECG data, mitochondrial content, and PGC-1α expression.
  • Main Results:

    • Consistent, uniform baseline myocardial [¹⁸F]F-AraG uptake observed in healthy subjects.
    • Conventional therapy increased global myocardial uptake; immunotherapy induced heterogeneous/focal uptake.
    • Altered myocardial uptake patterns correlated with ECG abnormalities.

    Conclusions:

    • [¹⁸F]F-AraG PET effectively detects therapy-associated myocardial uptake changes.
    • Findings support [¹⁸F]F-AraG PET's potential as a noninvasive early imaging biomarker for cardiotoxicity.
    • This PET tracer may aid in evaluating cardiac effects in cancer patients undergoing treatment.