Neuropeptide Y receptor Y1 (NPY1R) is an excellent potential target in glioma. This study aims to prepare 68Ga/211At-labeled NPY1R-targeting peptide as radiopharmaceuticals for glioma-targeted imaging and therapy. Molecular operating environment (MOE) was used for mutation scanning and design peptide sequences. The peptide KINWKFRLRY (KINW) showed low cytotoxicity and efficient tumor targeting. 68Ga-labeled KINW demonstrated the enhanced uptake in U87-MG cell xenograft models, confirming the potential imaging for glioma. KINW-conjugated N-succinimidyl-3-(trimethylstannyl) benzoate (m-MeATE) with 211At labeling (211At-ATE-KINW) exhibited a better stability and higher cellular than free 211At. 211At-ATE-KINW suppressed Akt/GSK3β/β-catenin signaling, reducing invasion, migration, and proliferation in U87-MG cells. Biodistribution revealed minimal normal tissue retention of 211At-ATE-KINW. Moreover, 211At-ATE-KINW had better tumor growth inhibition and significantly prolonged survival in U87-MG cell xenograft models compared to free 211At. Thus, a novel specific NPY1R peptide has potential to be applied in development of 68Ga/ 211At-labeled radiopharmaceuticals for glioma-targeted imaging and therapy.
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