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  1. 学位論文
  2. 博士論文(医学)

Evaluation of 3'-deoxy-3'-[18F]-fluorothymidine (18F-FLT) kinetics correlated with thymidine kinase-1 expression and cell proliferation in newly diagnosed gliomas

https://kagawa-u.repo.nii.ac.jp/records/207
https://kagawa-u.repo.nii.ac.jp/records/207
3247d509-56dd-4633-89d8-ec3533772944
名前 / ファイル ライセンス アクション
Med_A592_abstract.pdf 内容の要旨 (264.2 kB)
Med_A592_result.pdf 審査の結果の要旨 (369.2 kB)
Item type 学位論文 / Thesis or Dissertation(1)
公開日 2014-03-24
タイトル
タイトル Evaluation of 3'-deoxy-3'-[18F]-fluorothymidine (18F-FLT) kinetics correlated with thymidine kinase-1 expression and cell proliferation in newly diagnosed gliomas
言語 en
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_db06
資源タイプ doctoral thesis
著者 四宮, あや

× 四宮, あや

en Shinomiya, Aya

ja 四宮, あや

ja-Kana シノミヤ, アヤ


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内容記述タイプ Abstract
内容記述 Purpose
The thymidine analog 3′-deoxy-3′-[18F]fluorothymidine (18F-FLT) has been developed as a positron emission tomography (PET) tracer to assess the proliferation activity of tumors in vivo. The present study investigated the relationship between the kinetic parameters of 18F-FLT in vivo and thymidine kinase-1 (TK-1) expression and cell proliferation rate in vitro, and blood–brain barrier (BBB) breakdown in human brain gliomas.
言語 en
抄録
内容記述タイプ Abstract
内容記述 Methods
A total of 21 patients with newly diagnosed gliomas were examined by 18F-FLT PET kinetic analysis. Maximum standardized uptake value (SUVmax) and tumor-to-normal (T/N) ratio of 18F-FLT in the tumor and 18F-FLT kinetic parameters in the corresponding contralateral region were determined. The expression levels of TK-1 protein and mRNA were determined by immunohistochemistry (IHC) and real-time polymerase chain reaction (PCR), respectively, using surgical specimens. The cell proliferation rate of the tumor was determined in terms of the Ki-67 labeling index. BBB breakdown was evaluated on MR images with contrast enhancement.
言語 en
抄録
内容記述タイプ Abstract
内容記述 Results
18F-FLT SUVmax and T/N ratio were significantly correlated with the influx rate constant (K 1; P = 0.001 and P < 0.001, respectively), but not with the phosphorylation rate constant (k 3). IHC and real-time PCR studies demonstrated a significant correlation between K 1 and TK-1 mRNA expression (P = 0.001), but not between k 3 and TK-1 protein and mRNA expression. Linear regression analysis revealed a significant correlation between K 1 and the Ki-67 index (P = 0.003), but not between k 3 and the Ki-67 index. TK-1 mRNA expression was significantly correlated with the Ki-67 index (P = 0.009). 18F-FLT SUVmax and T/N ratio were significantly correlated with BBB breakdown evaluated by contrast enhancement in MR images (P = 0.003 and P = 0.011, respectively).
言語 en
抄録
内容記述タイプ Abstract
内容記述 Conclusion
These results indicate that 18F-FLT uptake in the tumor is significantly related to transport through the disrupted BBB, but not through phosphorylation activity. Although the tissue TK-1 expression reflects tumor proliferation activity, the phosphorylation rate constant k 3 determined by 18F-FLT PET kinetic analysis does not accurately reflect TK-1 expression in the tissue and should not be used as a surrogate biomarker of cell proliferation activity in human brain gliomas.
言語 en
学位名
言語 ja
学位名 博士(医学)
学位授与機関
識別子Scheme kakenhi
識別子 16201
言語 ja
機関名 香川大学
言語 en
機関名 Kagawa University
学位授与年月日
学位授与年月日 2014-03-24
学位授与番号
学位授与番号 甲第592号
PubMed番号
識別子タイプ PMID
関連識別子 23229746
関連サイト
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1007/s00259-012-2275-9
KEID
27475
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