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Abstract #0168

Metabolic detection of BTK inhibition in mantle cell lymphoma models

Kavindra Nath1, Pradeep Gupta1, Stepan Orlovskiy1, Neil Sen2, Shengchun Wang2, Jyoti Tomar1, David Nelson1, Fernando Arias-Mendoza1,3, Jerry Glickson1, and Mariusz Wasik2
1University of Pennsylvania, Philadelphia, PA, United States, 2Fox Chase Cancer Center, Philadelphia, PA, United States, 3Advanced Imaging Research, Inc., Cleveland, OH, United States

Synopsis

Keywords: Biology, Models, Methods, Cancer, BTK inhibition, mantle cell lymphoma models, early metabolic biomarker of response, 1H MRS with slice selective double frequency Hadamard Selective Multiple Quantum Coherence transfer pulse sequence, STEAM pulse sequence

Motivation: The current approaches to assess Bruton’s kinase inhibitor (BTK) therapeutic effects in cancer are not ideal.

Goal(s): Employing metabolic imaging, we evaluated the mode of action of ibrutinib (IBR), a BTK inhibitor, in mantle cell lymphoma (MCL) cells and xenografts.

Approach: Our approach using 1H MRS demonstrated that, in sensitive MCL models, IBR significantly impacted critical metabolic pathways, including glycolysis, glutaminolysis, and phospholipid metabolism, but had far less of an impact on IBR-poorly responsive cells.

Results: Changes in 1H MRS detectable lactate, alanine, and choline concentrations on various MCL models emerged as promising biomarkers of response or resistance to IBR.

Impact: Decreased intra-tumoral concentrations of lactate, alanine, and choline measured by 1H MRS during treatment can potentially become early and sensitive biomarkers of BTK inhibition in MCL and, likely, other lymphoma treatments.

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Keywords