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Publication : Distinctive detection of insulinoma using [<sup>18</sup>F]FB(ePEG12)12-exendin-4 PET/CT.

First Author  Murakami T Year  2021
Journal  Sci Rep Volume  11
Issue  1 Pages  15014
PubMed ID  34294854 Mgi Jnum  J:308631
Mgi Id  MGI:6740078 Doi  10.1038/s41598-021-94595-6
Citation  Murakami T, et al. (2021) Distinctive detection of insulinoma using [(18)F]FB(ePEG12)12-exendin-4 PET/CT. Sci Rep 11(1):15014
abstractText  Specifying the exact localization of insulinoma remains challenging due to the lack of insulinoma-specific imaging methods. Recently, glucagon-like peptide-1 receptor (GLP-1R)-targeted imaging, especially positron emission tomography (PET), has emerged. Although various radiolabeled GLP-1R agonist exendin-4-based probes with chemical modifications for PET imaging have been investigated, an optimal candidate probe and its scanning protocol remain a necessity. Thus, we investigated the utility of a novel exendin-4-based probe conjugated with polyethylene glycol (PEG) for [(18)F]FB(ePEG12)12-exendin-4 PET imaging for insulinoma detection. We utilized [(18)F]FB(ePEG12)12-exendin-4 PET/CT to visualize mouse tumor models, which were generated using rat insulinoma cell xenografts. The probe demonstrated high uptake value on the tumor as 37.1 +/- 0.4%ID/g, with rapid kidney clearance. Additionally, we used Pdx1-Cre;Trp53(R172H);Rb(f/f) mice, which developed endogenous insulinoma and glucagonoma, since they enabled differential imaging evaluation of our probe in functional pancreatic neuroendocrine neoplasms. In this model, our [(18)F]FB(ePEG12)12-exendin-4 PET/CT yielded favorable sensitivity and specificity for insulinoma detection. Sensitivity: 30-min post-injection 66.7%, 60-min post-injection 83.3%, combined 100% and specificity: 30-min post-injection 100%, 60-min post-injection 100%, combined 100%, which was corroborated by the results of in vitro time-based analysis of internalized probe accumulation. Accordingly, [(18)F]FB(ePEG12)12-exendin-4 is a promising PET imaging probe for visualizing insulinoma.
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