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In vivo molecular imaging of chemokine receptor CXCR4 expression in patients with advanced multiple myeloma

  • Kathrin Philipp-Abbrederis
  • , Ken Herrmann
  • , Stefan Knop
  • , Margret Schottelius
  • , Matthias Eiber
  • , Katharina Lückerath
  • , Elke Pietschmann
  • , Stefan Habringer
  • , Carlos Gerngroß
  • , Katharina Franke
  • , Martina Rudelius
  • , Andreas Schirbel
  • , Constantin Lapa
  • , Kristina Schwamborn
  • , Sabine Steidle
  • , Elena Hartmann
  • , Andreas Rosenwald
  • , Saskia Kropf
  • , Ambros J. Beer
  • , Christian Peschel
  • Hermann Einsele, Andreas K. Buck, Markus Schwaiger, Katharina Götze, Hans Jürgen Wester, Ulrich Keller
  • Technical University of Munich
  • University Hospital Würzburg
  • German Cancer Research Center
  • Scintomics GmbH
  • University of Ulm

Research output: Contribution to journalArticlepeer-review

206 Scopus citations

Abstract

CXCR4 is a G-protein-coupled receptor that mediates recruitment of blood cells toward its ligand SDF-1. In cancer, high CXCR4 expression is frequently associated with tumor dissemination and poor prognosis. We evaluated the novel CXCR4 probe [68Ga]Pentixafor for in vivo mapping of CXCR4 expression density in mice xenografted with human CXCR4-positive MM cell lines and patients with advanced MM by means of positron emission tomography (PET). [68Ga]Pentixafor PET provided images with excellent specificity and contrast. In 10 of 14 patients with advanced MM [68Ga]Pentixafor PET/CT scans revealed MM manifestations, whereas only nine of 14 standard [18F]fluorodeoxyglucose PET/CT scans were rated visually positive. Assessment of blood counts and standard CD34+ flow cytometry did not reveal significant blood count changes associated with tracer application. Based on these highly encouraging data on clinical PET imaging of CXCR4 expression in a cohort of MM patients, we conclude that [68Ga]Pentixafor PET opens a broad field for clinical investigations on CXCR4 expression and for CXCR4-directed therapeutic approaches in MM and other diseases.

Original languageEnglish
Pages (from-to)477-487
Number of pages11
JournalEMBO Molecular Medicine
Volume7
Issue number4
DOIs
StatePublished - 1 Apr 2015

Keywords

  • CXCR4
  • Chemokine receptor
  • Multiple myeloma
  • Positron emission tomography
  • in vivo imaging

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