Ontology highlight
ABSTRACT: Purpose
PARP inhibitor (PARPi) therapy is approved for patients with metastatic castration-resistant prostate cancer (mCRPC) and homologous recombination repair (HRR) genomic aberrations. However, only a fraction of patients with BRCA1/2 mutations respond to PARPi therapy. In this pilot study, we assess PARP-1 expression in prostate cancer patients with and without HRR genomic alternations using a novel PARP-based imaging agent.Procedures
Nine advanced prostate cancer patients were studied with PET/CT and [18F]FluorThanatrace (FTT), an analogue of the PARPi rucaparib. Images were analyzed using maximum standardized uptake values (SUVmax). PARP expression was assessed by immunohistochemistry (IHC) when feasible (n = 4).Results
We found great variability in FTT uptake (SUVmax range: 2.3-15.4). Patients with HRR mutations had a significantly higher SUVmax (p = 0.0379) than patients with non-HRR mutations although there was an overlap in FTT uptake between groups. Three patients without HRR and one with HRR mutations had similarly high PARP1 IHC expression.Conclusions
FTT-PET/CT may serve as an alternate biomarker for PARP1 expression and a potential method for PARPi treatment selection.
SUBMITTER: Dehdashti F
PROVIDER: S-EPMC9681698 | biostudies-literature | 2022 Dec
REPOSITORIES: biostudies-literature
Dehdashti Farrokh F Reimers Melissa A MA Shoghi Kooresh I KI Chen Delphine L DL Luo Jingqin J Rogers Buck B Pachynski Russell K RK Sreekumar Sreeja S Weimholt Cody C Zhou Dong D
Molecular imaging and biology 20220614 6
<h4>Purpose</h4>PARP inhibitor (PARPi) therapy is approved for patients with metastatic castration-resistant prostate cancer (mCRPC) and homologous recombination repair (HRR) genomic aberrations. However, only a fraction of patients with BRCA1/2 mutations respond to PARPi therapy. In this pilot study, we assess PARP-1 expression in prostate cancer patients with and without HRR genomic alternations using a novel PARP-based imaging agent.<h4>Procedures</h4>Nine advanced prostate cancer patients we ...[more]