Noninvasive quantitation of cytosine deaminase transgene expression in human tumor xenografts with in vivo magnetic resonance spectroscopy Journal Article


Authors: Stegman, L. D.; Rehemtulla, A.; Beattie, B.; Kievit, E.; Lawrence, T. S.; Blasberg, R. G.; Tjuvajev, J. G.; Ross, B. D.
Article Title: Noninvasive quantitation of cytosine deaminase transgene expression in human tumor xenografts with in vivo magnetic resonance spectroscopy
Abstract: Analysis of transgene expression in vivo currently requires destructive and invasive molecular assays of tissue specimens. Noninvasive methodology for assessing the location, magnitude, and duration of transgene expression in vivo will facilitate subject-by-subject correlation of therapeutic outcomes with transgene expression and will be useful in vector development. Cytosine deaminase (CD) is a microbial gene undergoing clinical trials in gene-directed enzyme prodrug gene therapy. We hypothesized that in vivo magnetic resonance spectroscopy could be used to measure CD transgene expression in genetically modified tumors by directly observing the CD- catalyzed conversion of the 5-fluorocytosine (5-FC) prodrug to the chemotherapeutic agent 5-fluorouracil (5-FU). The feasibility of this approach is demonstrated in subcutaneous human colorectal carcinoma xenografts in nude mice by using yeast CD (yCD). A three-compartment model was used to analyze the metabolic fluxes of 5-FC and its metabolites. The rate constants for yCD-catalyzed prodrug conversion (k1(app)), 5-FU efflux from the observable tumor volume (k2(app)), and formation of cytotoxic fluorinated nucleotides from 5-FU (k3(app)) were 0.49 ± 0.27 min-1, 0.766 ± 0.006 min-1, and 0.0023 ± 0.0007 min-1, respectively. The best fits of the 5-FU concentration data assumed first-order kinetics, suggesting that yCD was not saturated in vivo in the presence of measured intratumoral 5-FC concentrations well above the in vitro K(m). These results demonstrate the feasibility of using magnetic resonance spectroscopy to noninvasively monitor therapeutic transgene expression in tumors. This capability provides an approach for measuring gene expression that will be useful in clinical gene therapy trials.
Keywords: controlled study; fluorouracil; nonhuman; methodology; magnetic resonance imaging; mouse; animals; mice; gene expression; animal experiment; animal model; tumor xenograft; tumor cells, cultured; colorectal carcinoma; kinetics; gene therapy; transgene; transplantation, heterologous; nuclear magnetic resonance spectroscopy; catalysis; transgenes; gene expression regulation, enzymologic; cytosine deaminase; flucytosine; humans; female; priority journal; article; nucleoside deaminases
Journal Title: Proceedings of the National Academy of Sciences of the United States of America
Volume: 96
Issue: 17
ISSN: 0027-8424
Publisher: National Academy of Sciences  
Date Published: 1999-08-01
Start Page: 9821
End Page: 9826
Language: English
DOI: 10.1073/pnas.96.17.9821
PUBMED: 10449778
PROVIDER: scopus
PMCID: PMC22294
DOI/URL:
Notes: Article -- Export Date: 16 August 2016 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Juri Gelovani
    125 Gelovani
  2. Ronald G Blasberg
    272 Blasberg
  3. Bradley Beattie
    131 Beattie