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Correlation between 18F-1-amino-3-fluorocyclobutane-1-carboxylic acid (18F-fluciclovine) uptake and expression of alanine-serine-cysteine-transporter 2 (ASCT2) and L-type amino acid transporter 1 (LAT1) in primary prostate cancer.


ABSTRACT: PURPOSE:To evaluate the expression of alanine-serine-cysteine-transporter 2 (ASCT2) and L-type amino acid transporter1 (LAT1) in prostate cancer (PCa) and their impact on uptake of 18F-1-amino-3-fluorocyclobutane-1-carboxylic acid (18F-fluciclovine) which is approved for the detection of recurrent PCa. METHODS:Twenty-five hormone-naïve patients with histologically confirmed PCa underwent PET/CT before prostatectomy. Dynamic imaging was performed immediately after injection of 368?±?10?MBq of 18F-fluciclovine and the uptake in PCa was expressed as SUVmax at six sequential 4-min time frames and as tracer distribution volume (VT) using Logan plots over 0-24?min. The expression of ASCT2 and LAT1 was studied with immunohistochemistry (IHC) on a tissue microarray (TMA) containing three cores per carcinoma lesion. The TMA slides were scored independently by two trained readers based on visual intensity of ASCT2/LAT1 expression on a four-tiered scale. The correlations between ASCT2/LAT1 staining intensity, SUVmax/VT, and Gleason grade group (GGG) were assessed using Spearman's rank correlation coefficient (?). RESULTS:Forty tumor foci (>?0.5?mm in diameter, max. 3 per patient) were available for TMA. In visual scoring, low, moderate, and high staining intensity of ASCT2 was observed in 4 (10%), 24 (60%), and 12 (30%) tumors, respectively. No tumors showed high LAT1 staining intensity while moderate intensity was found in 10 (25%), 25 (63%) showed low, and the remaining 5 (12%) were negative for staining with LAT1. Tumors with GGG >?2 showed significantly higher uptake of 18F-fluciclovine and higher LAT1 staining intensity (p?

SUBMITTER: Saarinen I 

PROVIDER: S-EPMC6544711 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

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Correlation between <sup>18</sup>F-1-amino-3-fluorocyclobutane-1-carboxylic acid (<sup>18</sup>F-fluciclovine) uptake and expression of alanine-serine-cysteine-transporter 2 (ASCT2) and L-type amino acid transporter 1 (LAT1) in primary prostate cancer.

Saarinen Irena I   Jambor Ivan I   Kim Mai M   Kuisma Anna A   Kemppainen Jukka J   Merisaari Harri H   Eskola Olli O   Koskenniemi Anna-Riina AR   Perez Ileana Montoya IM   Boström Peter P   Taimen Pekka P   Minn Heikki H  

EJNMMI research 20190531 1


<h4>Purpose</h4>To evaluate the expression of alanine-serine-cysteine-transporter 2 (ASCT2) and L-type amino acid transporter1 (LAT1) in prostate cancer (PCa) and their impact on uptake of <sup>18</sup>F-1-amino-3-fluorocyclobutane-1-carboxylic acid (<sup>18</sup>F-fluciclovine) which is approved for the detection of recurrent PCa.<h4>Methods</h4>Twenty-five hormone-naïve patients with histologically confirmed PCa underwent PET/CT before prostatectomy. Dynamic imaging was performed immediately a  ...[more]

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