Targeted PET imaging strategy to differentiate malignant from inflamed lymph nodes in diffuse large B-cell lymphoma

J Tang, D Salloum, B Carney, C Brand… - Proceedings of the …, 2017 - National Acad Sciences
J Tang, D Salloum, B Carney, C Brand, S Kossatz, A Sadique, JS Lewis, WA Weber
Proceedings of the National Academy of Sciences, 2017National Acad Sciences
Diffuse large B-cell lymphoma (DLBCL) is the most common lymphoma in adults. DLBCL
exhibits highly aggressive and systemic progression into multiple tissues in patients,
particularly in lymph nodes. Whole-body 18F-fluodeoxyglucose positron emission
tomography ([18F] FDG-PET) imaging has an essential role in diagnosing DLBCL in the
clinic; however,[18F] FDG-PET often faces difficulty in differentiating malignant tissues from
certain nonmalignant tissues with high glucose uptake. We have developed a PET imaging …
Diffuse large B-cell lymphoma (DLBCL) is the most common lymphoma in adults. DLBCL exhibits highly aggressive and systemic progression into multiple tissues in patients, particularly in lymph nodes. Whole-body 18F-fluodeoxyglucose positron emission tomography ([18F]FDG-PET) imaging has an essential role in diagnosing DLBCL in the clinic; however, [18F]FDG-PET often faces difficulty in differentiating malignant tissues from certain nonmalignant tissues with high glucose uptake. We have developed a PET imaging strategy for DLBCL that targets poly[ADP ribose] polymerase 1 (PARP1), the expression of which has been found to be much higher in DLBCL than in healthy tissues. In a syngeneic DLBCL mouse model, this PARP1-targeted PET imaging approach allowed us to discriminate between malignant and inflamed lymph nodes, whereas [18F]FDG-PET failed to do so. Our PARP1-targeted PET imaging approach may be an attractive addition to the current PET imaging strategy to differentiate inflammation from malignancy in DLBCL.
National Acad Sciences