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Cyclotron production of manganese-52: a promising avenue for multimodal PET/MRI imaging 回旋加速器生产锰-52:多模态 PET/MRI 成像的前景广阔的途径。
IF 4.4 Q1 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-08-02 DOI: 10.1186/s41181-024-00288-6
Francesca Porto, Sara Cisternino, Emiliano Cazzola, Giorgia Speltri, Liliana Mou, Alessandra Boschi, Lorenza Marvelli, Giovanni Di Domenico, Antonella Pagnoni, Lucia De Dominicis, Irene Calliari, Claudio Gennari, Licia Uccelli, Gaia Pupillo, Giancarlo Gorgoni, Juan Esposito, Petra Martini

Background

The integration of positron emission tomography (PET) and magnetic resonance imaging (MRI) holds promise for advancing diagnostic imaging capabilities. The METRICS project aims to develop cyclotron-driven production of 52Mn for PET/MRI imaging.

Results

Using the 52Cr(p,n)52Mn reaction, we designed chromium metal targets via Spark Plasma Sintering and developed a separation procedure for isolating 52Mn. Labeling tests were conducted with traditional chelators (i.e. S-2-(4-Isothiocyanatobenzyl)-1,4,7,10-tetraazacyclododecane tetraacetic acid) and the 1.4-dioxa-8-azaspiro[4.5]decane-8- carbodithioate ligand to produce radioactive complexes suitable for PET/MRI applications. Our methodology yielded high-quality 52Mn suitable for PET radiopharmaceuticals and PET/MRI imaging. Preliminary studies on phantom imaging using microPET and clinical MRI demonstrated the efficacy of our approach.

Conclusions

The developed technology offers a promising avenue for producing 52Mn and enhancing PET/MRI imaging capabilities. Further in vivo investigations are warranted to evaluate the potential advantages of this hybrid imaging technique.

背景:正电子发射断层扫描(PET)和磁共振成像(MRI)的整合有望提高成像诊断能力。METRICS 项目旨在开发用于 PET/MRI 成像的 52Mn 的回旋加速器驱动生产:利用 52Cr(p,n)52Mn反应,我们通过火花等离子烧结技术设计了铬金属靶,并开发了分离 52Mn 的分离程序。我们使用传统螯合剂(即 S-2-(4-异硫氰基苄基)-1,4,7,10-四氮杂环十二烷四乙酸)和 1.4-二氧杂-8-氮杂螺[4.5]癸烷-8-二硫代碳酸酯配体进行了标记测试,以生成适合 PET/MRI 应用的放射性配合物。我们的方法获得了适合 PET 放射性药物和 PET/MRI 成像的高质量 52Mn。使用 microPET 和临床 MRI 进行的模型成像初步研究证明了我们方法的有效性:结论:所开发的技术为生产 52Mn 和增强 PET/MRI 成像能力提供了一条前景广阔的途径。有必要进行进一步的体内研究,以评估这种混合成像技术的潜在优势。
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引用次数: 0
The development of 177Lu-DOTA-CC-PSMA following a unified “Click Chemistry” protocol of synthesizing metal nuclide-conjugated radiopharmaceuticals 采用统一的 "点击化学 "方法合成金属核素共轭放射性药物,开发出 177Lu-DOTA-CC-PSMA 。
IF 4.4 Q1 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-07-31 DOI: 10.1186/s41181-024-00287-7
Xiaobei Zheng, Shuai Xue, Zhongqi Zhao, Shuxin Jin, Shuhua He, Lina Jia, Zheng Li, Christian Vanhove, Filip De Vos, Zijun Kuang, Tiantian Wang, Sara Neyt, Lan Zhang, Xiao Li

Background

Currently, the synthesis pathway of metal nuclide-labeled radiopharmaceuticals is mainly divided into two steps: first, connecting the chelator with the target molecule, and second, labeling the metal nuclide to the chelator. However, the second step of the reaction to label the metal nuclide requires high temperature (90–100 °C), which tends to denature and inactivate the target molecule, leading to loss of biological activities, especially the targeting ability. A feasible solution may be the click chemistry labeling method, which consists of reacting a metal nuclide with a chelating agent to generate an intermediate and then synthesizing a radiopharmaceutical agent via the click chemistry intermediate and the target molecule-alkyne compound. In this study, through the click chemistry of 177Lu-DOTA-N3 with prostate-specific membrane antigen (PSMA)-alkyne compound, 177Lu-labeled PSMA-targeted molecular probe was synthesized and evaluated for its potential to be cleared from the bloodstream and rapidly distributed to tissues and organs, achieving a high target/non-target ratio. 177Lu-PSMA-617 was utilized as an analogue for comparison in terms of synthesizing efficiency and PSMA-targeting ability.

Results

A novel 177Lu-labeled PSMA radioligand was successfully synthesized through the click chemistry of 177Lu-DOTA-N3 with PSMA-alkyne compound, and abbreviated as 177Lu-DOTA-CC-PSMA, achieving a radiochemical yield of 77.07% ± 0.03% (n = 6) and a radiochemical purity of 97.62% ± 1.49% (n = 6) when purified by SepPak C18 column. Notably, 177Lu-DOTA-CC-PSMA was characterized as a hydrophilic compound that exhibited stability at room temperature and commendable pharmacokinetic properties, such as the superior uptake (19.75 ± 3.02%ID/g at 0.5 h) and retention (9.14 ± 3.16%ID/g at 24 h) within xenografts of 22Rv1 tumor-bearing mice. SPECT/CT imaging indicated that radioactivity in both kidneys and bladder was essentially eliminated after 24 h, while 177Lu-DOTA-CC-PSMA was further enriched and retained in PSMA-expressing tumors, resulting in the high target/non-target ratio.

Conclusion

This study demonstrated the potential of click chemistry to unify the synthesis of metal radiopharmaceuticals, and 177Lu-DOTA-CC-PSMA was found for rapid clearance and appropriate chemical stability as a PSMA-targeted radioligand.

背景:目前,金属核素标记放射性药物的合成途径主要分为两步:第一步是将螯合剂与靶分子连接,第二步是将金属核素标记到螯合剂上。然而,第二步标记金属核素的反应需要高温(90-100 ℃),容易使靶分子变性和失活,导致生物活性丧失,尤其是靶向能力。可行的解决方案可能是点击化学标记法,该方法是将金属核素与螯合剂反应生成中间体,然后通过点击化学中间体和靶分子-炔化合物合成放射性药物制剂。本研究通过177Lu-DOTA-N3与前列腺特异性膜抗原(PSMA)-炔化合物的点击化学反应,合成了177Lu标记的PSMA靶向分子探针,并评估了其从血液中清除并迅速分布到组织和器官的潜力,实现了高靶/非靶比。以 177Lu-PSMA-617 为类似物,对其合成效率和 PSMA 靶向能力进行了比较:通过177Lu-DOTA-N3与PSMA-炔化合物的点击化学反应,成功合成了一种新型177Lu标记的PSMA放射性配体,简称177Lu-DOTA-CC-PSMA,经SepPak C18柱纯化后,其放射化学收率为77.07%±0.03%(n = 6),放射化学纯度为97.62%±1.49%(n = 6)。值得注意的是,177Lu-DOTA-CC-PSMA 是一种亲水性化合物,在室温下表现出稳定性和值得称道的药代动力学特性,例如在 22Rv1 肿瘤小鼠的异种移植体内具有优异的摄取率(0.5 h 为 19.75 ± 3.02%ID/g)和保留率(24 h 为 9.14 ± 3.16%ID/g)。SPECT/CT成像显示,肾脏和膀胱中的放射性在24小时后基本消除,而177Lu-DOTA-CC-PSMA则进一步富集并保留在表达PSMA的肿瘤中,因此靶标/非靶标比很高:这项研究证明了点击化学在统一合成金属放射性药物方面的潜力,并发现 177Lu-DOTA-CC-PSMA 作为 PSMA 靶向放射性配体具有快速清除和适当的化学稳定性。
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引用次数: 0
In vitro and in vivo analyses of eFAP: a novel FAP-targeting small molecule for radionuclide theranostics and other oncological interventions eFAP 的体外和体内分析:用于放射性核素治疗学和其他肿瘤干预的新型 FAP 靶向小分子。
IF 4.4 Q1 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-07-29 DOI: 10.1186/s41181-024-00283-x
Circe D. van der Heide, Hanyue Ma, Mark W.H. Hoorens, Joana D. Campeiro, Debra C. Stuurman, Corrina M.A. de Ridder, Yann Seimbille, Simone U. Dalm

Background

Fibroblast activation protein (FAP), a transmembrane serine protease overexpressed by cancer-associated fibroblasts in the tumor stroma, is an interesting biomarker for targeted radionuclide theranostics. FAP-targeting radiotracers have demonstrated to be superior to [18F]FDG PET/CT in various solid cancers. However, these radiotracers have suboptimal tumor retention for targeted radionuclide therapy (TRT). We aimed to develop a novel FAP-targeting pharmacophore with improved pharmacokinetics by introducing a substitution at the 8-position of (4-quinolinoyl)-glycyl-2-cyanopyrrolidine, which allows for conjugation of a chelator, dye, or other payloads.

Results

Here we showed the synthesis of DOTA-conjugated eFAP-6 and sulfo-Cyanine5-conjugated eFAP-7. After chemical characterization, the uptake and specificity of both tracers were determined on FAP-expressing cells. In vitro, [111In]In-eFAP-6 demonstrated a superior affinity and a more rapid, although slightly lower, peak uptake than gold standard [111In]In-FAPI-46. Confocal microscopy demonstrated a quick FAP-mediated internalization of eFAP-7. Studies with HT1080-huFAP xenografted mice confirmed a more rapid uptake of [177Lu]Lu-eFAP-6 vs. [177Lu]Lu-FAPI-46. However, tumor retention at 24 h post injection of [177Lu]Lu-eFAP-6 was lower than that of [177Lu]Lu-FAPI-46, hereby currently limiting its use for TRT.

Conclusion

The superior affinity and faster tumor accumulation of eFAP-6 over FAPI-46 makes it a suitable compound for radionuclide imaging. After further optimization, the eFAP series has great potential for various oncological interventions, including fluorescent-guided surgery and effective targeted radionuclide theranostics.

背景:成纤维细胞活化蛋白(FAP)是一种跨膜丝氨酸蛋白酶,由肿瘤基质中与癌症相关的成纤维细胞过度表达,是一种有趣的放射性核素靶向治疗生物标记物。在各种实体癌中,FAP 靶向放射性核素已被证明优于[18F]FDG PET/CT。然而,这些放射性核素在放射性核素靶向治疗(TRT)中的肿瘤保留率并不理想。我们的目标是通过在(4-喹啉酰基)-甘氨酰-2-氰基吡咯烷的 8 位引入取代,开发一种新型 FAP 靶向药源体,改善药代动力学:结果:我们在此展示了DOTA共轭eFAP-6和磺基-氰基5共轭eFAP-7的合成。经过化学鉴定后,我们确定了这两种示踪剂在表达 FAP 的细胞中的吸收和特异性。在体外,[111In]In-eFAP-6 比金标准[111In]In-FAPI-46 表现出更高的亲和力和更快的摄取峰值,尽管略低于金标准[111In]In-FAPI-46。共聚焦显微镜显示了由 FAP 介导的 eFAP-7 快速内化。对HT1080-huFAP异种移植小鼠的研究证实,[177Lu]Lu-eFAP-6的摄取比[177Lu]Lu-FAPI-46更快。然而,注射[177Lu]Lu-eFAP-6后24小时的肿瘤保留率低于[177Lu]Lu-FAPI-46,因此目前限制了其在TRT中的应用:结论:与 FAPI-46 相比,eFAP-6 具有更高的亲和力和更快的肿瘤蓄积速度,因此适合用于放射性核素成像。经过进一步优化后,eFAP 系列在各种肿瘤干预方面具有巨大潜力,包括荧光引导手术和有效的靶向放射性核素治疗技术。
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引用次数: 0
Generic semi-automated radiofluorination strategy for single domain antibodies: [18F]FB-labelled single domain antibodies for PET imaging of fibroblast activation protein-α or folate receptor-α overexpression in cancer 单结构域抗体的通用半自动化放射性荧光策略:用于癌症中成纤维细胞活化蛋白-α或叶酸受体-α过表达的 PET 成像的[18F]FB 标记单结构域抗体。
IF 4.4 Q1 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-07-24 DOI: 10.1186/s41181-024-00286-8
Herlinde Dierick, Laurent Navarro, Hannelore Ceuppens, Thomas Ertveldt, Ana Rita Pombo Antunes, Marleen Keyaerts, Nick Devoogdt, Karine Breckpot, Matthias D’Huyvetter, Tony Lahoutte, Vicky Caveliers, Jessica Bridoux

Background

Radiofluorination of single domain antibodies (sdAbs) via N-succinimidyl-4-[18F]fluorobenzoate ([18F]SFB) has shown to be a promising strategy in the development of sdAb-based PET tracers. While automation of the prosthetic group (PG) [18F]SFB production, has been successfully reported, no practical method for large scale sdAb labelling has been reported. Therefore, we optimized and automated the PG production, enabling a subsequently efficient manual conjugation reaction to an anti-fibroblast activation protein (FAP)-α sdAb (4AH29) and an anti-folate receptor (FR)-α sdAb (2BD42). Both the alpha isoform of FAP and the FR are established tumour markers. FAP-α is known to be overexpressed mainly by cancer-associated fibroblasts in breast, ovarian, and other cancers, while its expression in normal tissues is low or undetectable. FR-α has an elevated expression in epithelial cancers, such as ovarian, brain and lung cancers. Non-invasive imaging techniques, such as PET-imaging, using tracers targeting specific tumour markers can provide molecular information over both the tumour and its environment, which aides in the diagnosis, therapy selection and assessment of the cancer treatment.

Results

[18F]SFB was synthesized using a fully automated three-step, one-pot reaction. The total procedure time was 54 min and results in [18F]SFB with a RCP > 90% and a RCY d.c. of 44 ± 4% (n = 13). The manual conjugation reaction after purification produced [18F]FB-sdAbs with a RCP > 95%, an end of synthesis activity > 600 MBq and an apparent molar activity > 10 GBq/µmol. Overall RCY d.c., corrected to the trapping of [18F]F on the QMA, were 9% (n = 1) and 5 ± 2% (n = 3) for [18F]FB-2BD42 and [18F]FB-4AH29, respectively.

Conclusion

[18F]SFB synthesis was successfully automated and upscaled on a Trasis AllInOne module. The anti-hFAP-α and anti-hFR-α sdAbs were radiofluorinated, yielding similar RCYs d.c. and RCPs, showing the potential of this method as a generic radiofluorination strategy for sdAbs. The radiofluorinated sdAbs showed a favourable biodistribution pattern and are attractive for further characterization as new PET tracers for FAP-α and FR-α imaging.

背景:通过 N-琥珀酰亚胺基-4-[18F]氟苯甲酸酯([18F]SFB)对单域抗体(sdAbs)进行放射性氟化已被证明是开发基于 sdAb 的 PET 示踪剂的一种有前途的策略。虽然已有成功的报道称人工基团(PG)[18F]SFB 生产实现了自动化,但还没有报道过用于大规模 sdAb 标记的实用方法。因此,我们对 PG 的生产进行了优化并实现了自动化,这样就能对抗成纤维细胞活化蛋白(FAP)-α sdAb(4AH29)和抗叶酸受体(FR)-α sdAb(2BD42)进行高效的人工共轭反应。FAP 的α异构体和 FR 都是公认的肿瘤标志物。众所周知,FAP-α 主要在乳腺癌、卵巢癌和其他癌症的癌相关成纤维细胞中过表达,而在正常组织中的表达很低或检测不到。FR-α在卵巢癌、脑癌和肺癌等上皮癌中的表达量较高。使用针对特定肿瘤标记物的示踪剂进行 PET 成像等非侵入性成像技术可提供肿瘤及其环境的分子信息,有助于诊断、治疗选择和癌症治疗评估:结果:[18F]SFB 是通过全自动三步一步反应合成的。结果:[18F]SFB 是采用全自动三步一步反应合成的,整个过程耗时 54 分钟,合成的[18F]SFB RCP > 90%,RCY d.c. 为 44 ± 4%(n = 13)。纯化后的人工共轭反应产生的[18F]FB-sdAbs 的 RCP > 95%,合成末活性 > 600 MBq,表观摩尔活性 > 10 GBq/µmol。根据[18F]F-在 QMA 上的俘获进行校正后,[18F]FB-2BD42 和[18F]FB-4AH29 的总体 RCY d.c. 分别为 9% (n = 1)和 5 ± 2%(n = 3):结论:[18F]SFB 合成在 Trasis AllInOne 模块上成功实现了自动化和升级。对抗 hFAP-α 和抗 hFR-α sdAbs 进行了放射性氟化,得到了相似的 RCYs d.c.和 RCPs,显示了该方法作为 sdAbs 通用放射性氟化策略的潜力。放射性氟化的 sdAbs 显示出良好的生物分布模式,作为 FAP-α 和 FR-α 成像的新 PET 示踪剂,具有进一步表征的吸引力。
{"title":"Generic semi-automated radiofluorination strategy for single domain antibodies: [18F]FB-labelled single domain antibodies for PET imaging of fibroblast activation protein-α or folate receptor-α overexpression in cancer","authors":"Herlinde Dierick,&nbsp;Laurent Navarro,&nbsp;Hannelore Ceuppens,&nbsp;Thomas Ertveldt,&nbsp;Ana Rita Pombo Antunes,&nbsp;Marleen Keyaerts,&nbsp;Nick Devoogdt,&nbsp;Karine Breckpot,&nbsp;Matthias D’Huyvetter,&nbsp;Tony Lahoutte,&nbsp;Vicky Caveliers,&nbsp;Jessica Bridoux","doi":"10.1186/s41181-024-00286-8","DOIUrl":"10.1186/s41181-024-00286-8","url":null,"abstract":"<div><h3>Background</h3><p>Radiofluorination of single domain antibodies (sdAbs) via <i>N</i>-succinimidyl-4-[<sup>18</sup>F]fluorobenzoate ([<sup>18</sup>F]SFB) has shown to be a promising strategy in the development of sdAb-based PET tracers. While automation of the prosthetic group (PG) [<sup>18</sup>F]SFB production, has been successfully reported, no practical method for large scale sdAb labelling has been reported. Therefore, we optimized and automated the PG production, enabling a subsequently efficient manual conjugation reaction to an anti-fibroblast activation protein (FAP)-α sdAb (4AH29) and an anti-folate receptor (FR)-α sdAb (2BD42). Both the alpha isoform of FAP and the FR are established tumour markers. FAP-α is known to be overexpressed mainly by cancer-associated fibroblasts in breast, ovarian, and other cancers, while its expression in normal tissues is low or undetectable. FR-α has an elevated expression in epithelial cancers, such as ovarian, brain and lung cancers. Non-invasive imaging techniques, such as PET-imaging, using tracers targeting specific tumour markers can provide molecular information over both the tumour and its environment, which aides in the diagnosis, therapy selection and assessment of the cancer treatment.</p><h3>Results</h3><p>[<sup>18</sup>F]SFB was synthesized using a fully automated three-step, one-pot reaction. The total procedure time was 54 min and results in [<sup>18</sup>F]SFB with a RCP &gt; 90% and a RCY d.c. of 44 ± 4% (n = 13). The manual conjugation reaction after purification produced [<sup>18</sup>F]FB-sdAbs with a RCP &gt; 95%, an end of synthesis activity &gt; 600 MBq and an apparent molar activity &gt; 10 GBq/µmol. Overall RCY d.c., corrected to the trapping of [<sup>18</sup>F]F<sup>−</sup> on the QMA, were 9% (n = 1) and 5 ± 2% (n = 3) for [<sup>18</sup>F]FB-2BD42 and [<sup>18</sup>F]FB-4AH29, respectively.</p><h3>Conclusion</h3><p>[<sup>18</sup>F]SFB synthesis was successfully automated and upscaled on a Trasis AllInOne module. The anti-hFAP-α and anti-hFR-α sdAbs were radiofluorinated, yielding similar RCYs d.c. and RCPs, showing the potential of this method as a generic radiofluorination strategy for sdAbs. The radiofluorinated sdAbs showed a favourable biodistribution pattern and are attractive for further characterization as new PET tracers for FAP-α and FR-α imaging.</p></div>","PeriodicalId":534,"journal":{"name":"EJNMMI Radiopharmacy and Chemistry","volume":"9 1","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11269545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Process validation and preclinical development of a new PET cerebral blood flow tracer [11C]MMP for initial clinical trials 新型 PET 脑血流示踪剂 [11C]MMP 的工艺验证和临床前开发,用于初步临床试验。
IF 4.4 Q1 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-07-23 DOI: 10.1186/s41181-024-00285-9
Jun Toyohara, Tetsuro Tago, Muneyuki Sakata

Background

2-deoxy-2-[18F]fluoro-D-glucose ([18F]FDG) is commonly used for diagnosis of dementia because brain glucose metabolism reflects neuronal activity. However, as [18F]FDG is an analogue of glucose, accumulation of tracer in the brain is affected by plasma glucose levels. In contrast, cerebral blood flow (CBF) tracers are theoretically unaffected by plasma glucose levels and are therefore expected to be useful alternatives for the diagnosis of dementia in patients with diabetes. The techniques currently used for CBF imaging using single photon emission computed tomography (SPECT) and [15O]H2O positron emission tomography (PET), but these are limited by their insufficient resolution and sensitivity for regional brain imaging, especially in patients with brain atrophy. N-isopropyl-4-[11C]methylamphetamine ([11C]MMP) is a possible CBF tracer with high resolution and sensitivity that exhibits comparable performance to that of [15O]H2O in conscious monkey brains. We performed process validation of the radiosynthesis and preclinical development of [11C]MMP prior to clinical translation.

Results

The decay-corrected yields of [11C]MMP at the end of synthesis were 41.4 ± 6.5%, with 99.7 ± 0.3% radiochemical purity, and 192.3 ± 22.5 MBq/nmol molar activity. All process validation batches complied with the product specifications. The acute toxicity of MMP was evaluated at a dose of 3.55 mg/kg body weight, which is 10,000 times the potential maximum clinical dose of [11C]MMP. The acute toxicity of [11C]MMP injection at 150 or 200 times, to administer a postulated dose of 740 MBq of [11C]MMP, was also evaluated after the decay-out of 11C. No acute toxicity of MMP and [11C]MMP injection was found. No mutagenic activity was observed for MMP. The effective dose calculated according to the Medical Internal Radiation Dose (MIRD) method was 5.4 µSv/MBq, and the maximum absorbed dose to the bladder wall was 57.6 µGy/MBq. MMP, a derivative of phenylalkylamine, showed binding to the sigma receptor, but had approximately 1/100 of the affinity of existing sigma receptor imaging agents. The affinity for other brain neuroreceptors was low.

Conclusions

[11C]MMP shows acceptable pharmacological safety at the dose required for adequate PET imaging. The potential risk associated with [11C]MMP PET imaging is well within the acceptable dose limit.

背景:2-脱氧-2-[18F]氟-D-葡萄糖([18F]FDG)通常用于诊断痴呆症,因为脑葡萄糖代谢反映了神经元的活动。然而,由于[18F]FDG 是葡萄糖的类似物,示踪剂在大脑中的积累受血浆葡萄糖水平的影响。相比之下,脑血流(CBF)示踪剂理论上不受血浆葡萄糖水平的影响,因此有望成为诊断糖尿病患者痴呆症的有效替代方法。目前用于 CBF 成像的技术有单光子发射计算机断层扫描(SPECT)和[15O]H2O 正电子发射计算机断层扫描(PET),但这些技术的局限性在于对区域性脑成像的分辨率和灵敏度不够,尤其是在脑萎缩患者中。N-异丙基-4-[11C]甲基安非他明([11C]MMP)是一种可能的CBF示踪剂,具有高分辨率和灵敏度,在有意识的猴脑中表现出与[15O]H2O相当的性能。在临床转化之前,我们对[11C]MMP 的放射合成和临床前开发进行了过程验证:结果:合成结束时,[11C]MMP 的衰变校正产率为 41.4 ± 6.5%,放射化学纯度为 99.7 ± 0.3%,摩尔活性为 192.3 ± 22.5 MBq/nmol。所有工艺验证批次均符合产品规格。MMP 的急性毒性评估剂量为 3.55 毫克/千克体重,是[11C]MMP 潜在最大临床剂量的 10,000 倍。在 11C 衰变后,还评估了[11C]MMP 150 或 200 倍注射的急性毒性,即注射 740 MBq [11C]MMP 的假设剂量。没有发现 MMP 和[11C]MMP 注射剂有急性毒性。未发现 MMP 有诱变活性。根据医用内部辐射剂量法(MIRD)计算的有效剂量为 5.4 µSv/MBq,膀胱壁的最大吸收剂量为 57.6 µGy/MBq。MMP是苯烷基胺的一种衍生物,它能与σ受体结合,但其亲和力约为现有σ受体成像剂的1/100。对其他脑神经受体的亲和力较低:结论:[11C]MMP显示了可接受的药理学安全性,其剂量足以满足PET成像的需要。与[11C]MMP PET 成像相关的潜在风险远在可接受的剂量范围之内。
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引用次数: 0
Preclinical evaluation of CXCR4 peptides for targeted radionuclide therapy in glioblastoma 用于胶质母细胞瘤放射性核素靶向治疗的 CXCR4 肽的临床前评估。
IF 4.4 Q1 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-07-15 DOI: 10.1186/s41181-024-00282-y
Anthony Waked, Melissa Crabbé, Virginie Neirinckx, Sunay Rodriguez Pérez, Jasmien Wellens, Bernard Rogister, M. Abderrafi Benotmane, Koen Vermeulen

Background

Glioblastoma (GBM), is the most fatal form of brain cancer, with a high tendency for recurrence despite combined treatments including surgery, radiotherapy, and chemotherapy with temozolomide. The C-X-C chemokine receptor 4 (CXCR4) plays an important role in tumour radioresistance and recurrence, and is considered as an interesting GBM target. TRT holds untapped potential for GBM treatment, with CXCR4-TRT being a promising strategy for recurrent GBM treatment. Our study focuses on the preclinical assessment of different 177Lu-labelled CXCR4-targeting peptides, CTCE-9908, DV1-K-DV3, and POL3026 for GBM treatment and exploring some of the radiobiological mechanisms underlying these therapies.

Results

All three DOTA-conjugated peptides could be radiolabelled with 177Lu with > 95% radiochemical yield. Binding studies show high specific binding of [177Lu]Lu-DOTA-POL3026 to U87-CXCR4 + cells, with 42% of the added activity binding to the membrane at 1 nM, and 6.5% internalised into the cells. In the presence of the heterologous CXCR4 blocking agent, AMD11070, membrane binding was reduced by 95%, a result confirmed by quantitative in vitro autoradiography of orthotopic GBM xenograft sections. An activity-dependent decrease in cell viability was observed for [177Lu]Lu-DOTA-DV1-K-DV3 and [177Lu]Lu-DOTA-POL3026, along with a slight increase in the induction of apoptotic markers. Additionally, the expression of γH2AX increased in a time-and activity-dependent manner. Ex vivo biodistribution studies with [177Lu]Lu-DOTA-POL3026 show uptake in the tumour reaching a SUV of 1.9 at 24 h post-injection, with higher uptake in the kidneys, lungs, spleen, and liver. Dosimetry estimations show an absorbed dose of 0.93 Gy/MBq in the tumour. A blocking study with AMD11070 showed a 38% reduction in tumour uptake, with no significant reduction observed in µSPECT imaging. Although no brain uptake was observed in the ex vivo biodistribution study, autoradiography on U87-CXCR4 + tumour inoculated mouse brain slices shows non-specific binding in the brain, next to high specific binding to the tumour.

Conclusions

In conclusion, we compared different 177Lu-radiolabelled CXCR4-targeting peptides for their binding potential in GBM, and demonstrated their varied cytotoxic action against GBM cells in vitro, with POL3026 being the most promising, causing considerable DNA damage. Though the peptide’s systemic biodistribution remains to be improved, our data demonstrate the potential of [177Lu]Lu-DOTA-POL3026 for CXCR4-TRT in the context of GBM.

背景:胶质母细胞瘤(GBM)是最致命的脑癌,尽管接受了包括手术、放疗和替莫唑胺化疗在内的综合治疗,但仍有很高的复发倾向。C-X-C 趋化因子受体 4 (CXCR4) 在肿瘤放射抗性和复发中起着重要作用,被认为是一种有趣的 GBM 靶点。TRT在GBM治疗中具有尚未开发的潜力,而CXCR4-TRT是治疗复发性GBM的一种有前途的策略。我们的研究重点是对不同的 177Lu 标记 CXCR4 靶向肽(CTCE-9908、DV1-K-DV3 和 POL3026)用于 GBM 治疗进行临床前评估,并探索这些疗法的放射生物学机制:结果:所有三种 DOTA 共轭多肽都能用 177Lu 进行放射标记,放射化学收率大于 95%。结合研究显示,[177Lu]Lu-DOTA-POL3026 与 U87-CXCR4 + 细胞的特异性结合率很高,在 1 nM 时,42% 的添加活性与细胞膜结合,6.5% 内化到细胞中。在异源 CXCR4 阻断剂 AMD11070 存在的情况下,膜结合率降低了 95%,这一结果通过正位 GBM 异种移植切片的体外定量自显影证实。[177Lu]Lu-DOTA-DV1-K-DV3和[177Lu]Lu-DOTA-POL3026的细胞活力下降与活性有关,同时诱导细胞凋亡标志物也略有增加。此外,γH2AX的表达以时间和活性依赖的方式增加。[177Lu]Lu-DOTA-POL3026的体内外生物分布研究显示,注射后24小时,肿瘤摄取的SUV值达到1.9,肾脏、肺部、脾脏和肝脏的摄取量更高。剂量测定估计显示,肿瘤的吸收剂量为 0.93 Gy/MBq。使用 AMD11070 进行的阻断研究显示,肿瘤摄取量降低了 38%,而 µSPECT 成像未观察到明显降低。虽然在体内外生物分布研究中没有观察到脑摄取,但对接种了U87-CXCR4+肿瘤的小鼠脑切片进行的自动放射成像显示,在脑内有非特异性结合,而在肿瘤内则有高特异性结合:总之,我们比较了不同的 177Lu 放射性标记 CXCR4 靶向肽在 GBM 中的结合潜力,并在体外证明了它们对 GBM 细胞的不同细胞毒性作用,其中 POL3026 最有前途,它能造成相当大的 DNA 损伤。虽然该肽的全身生物分布还有待改善,但我们的数据证明了[177Lu]Lu-DOTA-POL3026在GBM中用于CXCR4-TRT的潜力。
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引用次数: 0
cGMP compliant one-step, one-pot automated [18F]FBnTP production for clinical imaging of mitochondrial activity 符合 cGMP 标准的一步法、一锅式自动[18F]FBnTP 生产,用于线粒体活性的临床成像。
IF 4.4 Q1 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-06-27 DOI: 10.1186/s41181-024-00274-y
Mai Lin, Cong-Dat Pham, Robert T. Ta, H. Charles Manning

Background

4-[18F]fluorobenzyl-triphenylphosphonium ([18F]FBnTP) is a lipophilic cation PET tracer. The cellular uptake of [18F]FBnTP is correlated with oxidative phosphorylation by mitochondria, which has been associated with multiple critical diseases. To date, [18F]FBnTP has been successfully applied for imaging myocardial perfusion, assessment of severity of coronary artery stenosis, delineation of the ischemic area after transient coronary occlusion, and detection/quantification of apoptosis in various animal models. Recent preclinical and clinical studies have also expanded the possibilities of using [18F]FBnTP in oncological diagnosis and therapeutic monitoring. However, [18F]FBnTP is typically prepared through a tediously lengthy four-step, three-pot reaction and required multiple synthesizer modules; Thus, such an approach remains a challenge for this promising radiopharmaceutical to be implemented for routine clinical studies. Herein, we report an optimized one-step, one-pot automated approach to produce [18F]FBnTP through a single standard commercially-available radiosynthesizer that enables centralized production for clinical use.

Results

The fully automated production of [18F]FBnTP took less than 55 min with radiochemical yields ranging from 28.33 ± 13.92% (non-decay corrected), apparent molar activity of 69.23 ± 45.62 GBq/µmol, and radiochemical purities of 99.79 ± 0.41%. The formulated [18F]FBnTP solution was determined to be sterile and colorless with a pH of 4.0–6.0. Our data has indicated no observable radiolysis after 8 h from the time of final product formulation and maximum assay of 7.88 GBq.

Conclusions

A simplified and cGMP-compliant radiosynthesis of [18F]FBnTP has been established on the commercially available synthesizer in high activity concentration and radiochemical purity. While the preclinical and clinical studies using [18F]FBnTP PET are currently underway, the automated approaches reported herein facilitate clinical adoption of this radiotracer and warrant centralized production of [18F]FBnTP for imaging multiple patients.

背景:4-[18F]氟苄基三苯基膦([18F]FBnTP)是一种亲脂性阳离子 PET 示踪剂。细胞对[18F]FBnTP的摄取与线粒体的氧化磷酸化有关,而线粒体的氧化磷酸化与多种危重疾病相关。迄今为止,[18F]FBnTP 已成功应用于各种动物模型的心肌灌注成像、冠状动脉狭窄严重程度评估、一过性冠状动脉闭塞后缺血区域的划分以及细胞凋亡的检测/量化。最近的临床前和临床研究也拓展了将[18F]FBnTP 用于肿瘤诊断和治疗监测的可能性。然而,[18F]FBnTP 的制备通常需要经过繁琐冗长的四步三锅反应,并且需要多个合成模块;因此,这种方法仍然是将这种前景广阔的放射性药物用于常规临床研究的一个挑战。在此,我们报告了一种经过优化的一步法、一锅法自动化生产[18F]FBnTP的方法,只需一台标准的市售放射合成仪即可实现临床使用的集中生产:全自动生产[18F]FBnTP的时间不到55分钟,放射化学收率为28.33 ± 13.92%(非衰变校正),表观摩尔活度为69.23 ± 45.62 GBq/µmol,放射化学纯度为99.79 ± 0.41%。经测定,配制的[18F]FBnTP 溶液无菌、无色,pH 值为 4.0-6.0。我们的数据显示,从最终产品配制开始,经过 8 小时后,没有观察到放射性分解,最大测定值为 7.88 GBq:结论:[18F]FBnTP 的简化和符合 cGMP 标准的放射合成已在高活性浓度和放射化学纯度的市售合成器上完成。虽然目前正在进行使用[18F]FBnTP PET 的临床前和临床研究,但本文所报告的自动化方法有助于这种放射性示踪剂在临床上的应用,并保证了[18F]FBnTP 的集中化生产,以便对多名患者进行成像。
{"title":"cGMP compliant one-step, one-pot automated [18F]FBnTP production for clinical imaging of mitochondrial activity","authors":"Mai Lin,&nbsp;Cong-Dat Pham,&nbsp;Robert T. Ta,&nbsp;H. Charles Manning","doi":"10.1186/s41181-024-00274-y","DOIUrl":"10.1186/s41181-024-00274-y","url":null,"abstract":"<div><h3>Background</h3><p>4-[<sup>18</sup>F]fluorobenzyl-triphenylphosphonium ([<sup>18</sup>F]FBnTP) is a lipophilic cation PET tracer. The cellular uptake of [<sup>18</sup>F]FBnTP is correlated with oxidative phosphorylation by mitochondria, which has been associated with multiple critical diseases. To date, [<sup>18</sup>F]FBnTP has been successfully applied for imaging myocardial perfusion, assessment of severity of coronary artery stenosis, delineation of the ischemic area after transient coronary occlusion, and detection/quantification of apoptosis in various animal models. Recent preclinical and clinical studies have also expanded the possibilities of using [<sup>18</sup>F]FBnTP in oncological diagnosis and therapeutic monitoring. However, [<sup>18</sup>F]FBnTP is typically prepared through a tediously lengthy four-step, three-pot reaction and required multiple synthesizer modules; Thus, such an approach remains a challenge for this promising radiopharmaceutical to be implemented for routine clinical studies. Herein, we report an optimized one-step, one-pot automated approach to produce [<sup>18</sup>F]FBnTP through a single standard commercially-available radiosynthesizer that enables centralized production for clinical use.</p><h3>Results</h3><p>The fully automated production of [<sup>18</sup>F]FBnTP took less than 55 min with radiochemical yields ranging from 28.33 ± 13.92% (non-decay corrected), apparent molar activity of 69.23 ± 45.62 GBq/µmol, and radiochemical purities of 99.79 ± 0.41%. The formulated [<sup>18</sup>F]FBnTP solution was determined to be sterile and colorless with a pH of 4.0–6.0. Our data has indicated no observable radiolysis after 8 h from the time of final product formulation and maximum assay of 7.88 GBq.</p><h3>Conclusions</h3><p>A simplified and cGMP-compliant radiosynthesis of [<sup>18</sup>F]FBnTP has been established on the commercially available synthesizer in high activity concentration and radiochemical purity. While the preclinical and clinical studies using [<sup>18</sup>F]FBnTP PET are currently underway, the automated approaches reported herein facilitate clinical adoption of this radiotracer and warrant centralized production of [<sup>18</sup>F]FBnTP for imaging multiple patients.</p></div>","PeriodicalId":534,"journal":{"name":"EJNMMI Radiopharmacy and Chemistry","volume":"9 1","pages":""},"PeriodicalIF":4.4,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11211300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141454428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Automated radiosynthesis and preclinical evaluation of two new PSMA-617 derivatives radiolabelled via [18F]AlF2+ method 通过[18F]AlF2+方法放射性标记的两种新型 PSMA-617 衍生物的自动放射合成和临床前评估。
IF 4.4 Q1 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-06-21 DOI: 10.1186/s41181-024-00280-0
Marco Nicola Iannone, Silvia Valtorta, Stefano Stucchi, Stefano Altomonte, Elia Anna Turolla, Elisa Vino, Paolo Rainone, Valentina Zecca, Alessia Lo Dico, Marco Maspero, Mariangela Figini, Matteo Bellone, Samuele Ciceri, Diego Colombo, Clizia Chinello, Lisa Pagani, Rosa Maria Moresco, Sergio Todde, Patrizia Ferraboschi

Background

In the last decade the development of new PSMA-ligand based radiopharmaceuticals for the imaging and therapy of prostate cancer has been a highly active and important area of research. The most promising derivative in terms of interaction with the antigen and clinical properties has been found to be “PSMA-617”, and its lutetium-177 radiolabelled version has recently been approved by EU and USA regulatory agencies for therapeutic purposes. For the above reasons, the development of new derivatives of PSMA-617 radiolabelled with fluorine-18 may still be of great interest. This paper proposes the comparison of two different PSMA-617 derivatives functionalized with NODA and RESCA chelators, respectively, radiolabelled via [18F]AlF2+ complexation.

Results

The organic synthesis of two PSMA-617 derivatives and their radiolabelling via [18F]AlF2+ complexation resulted to proceed efficiently and successfully. Moreover, stability in solution and in plasma has been evaluated. The whole radiosynthesis procedure has been fully automated, and the final products have been obtained with radiochemical yield and purity potentially suitable for clinical studies. The biodistribution of the two derivatives was performed both in prostate cancer and glioma tumour models. Compared with the reference [18F]F-PSMA-1007 and [18F]F-PSMA-617-RESCA, [18F]F-PSMA-617-NODA derivative showed a higher uptake in both tumors, faster clearance in non-target organs, and lower uptake in salivary glands.

Conclusion

PSMA-617 NODA and RESCA derivatives were radiolabelled successfully via [18F]AlF2+ chelation, the former being more stable in solution and human plasma. Moreover, preclinical biodistribution studies showed that [18F]F-PSMA-617-NODA might be of potential interest for clinical applications.

背景:近十年来,用于前列腺癌成像和治疗的基于 PSMA 配体的新型放射性药物的开发一直是一个非常活跃和重要的研究领域。就与抗原的相互作用和临床特性而言,最有前途的衍生物是 "PSMA-617",其镥-177 放射性标记版本最近已被欧盟和美国监管机构批准用于治疗目的。鉴于上述原因,开发用氟-18 辐射标记的 PSMA-617 新衍生物可能仍然具有重大意义。本文比较了两种不同的 PSMA-617 衍生物,它们分别与 NODA 和 RESCA 螯合剂功能化,并通过 [18F]AlF2+ 复合物进行放射性标记:结果:两种 PSMA-617 衍生物的有机合成及其通过[18F]AlF2+ 复合物进行放射性标记的过程高效而成功。此外,还对其在溶液和等离子体中的稳定性进行了评估。整个放射合成过程实现了全自动化,最终产品的放射化学收率和纯度均可用于临床研究。这两种衍生物在前列腺癌和胶质瘤肿瘤模型中进行了生物分布研究。与参考[18F]F-PSMA-1007和[18F]F-PSMA-617-RESCA相比,[18F]F-PSMA-617-NODA衍生物在两种肿瘤中的摄取量更高,在非靶器官中的清除速度更快,而在唾液腺中的摄取量较低:结论:PSMA-617 NODA和RESCA衍生物通过[18F]AlF2+螯合成功地进行了放射性标记,前者在溶液和人体血浆中更为稳定。此外,临床前生物分布研究表明,[18F]F-PSMA-617-NODA 可能具有潜在的临床应用价值。
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引用次数: 0
Recently developed radiopharmaceuticals for bacterial infection imaging 最近开发的用于细菌感染成像的放射性药物。
IF 4.6 Q1 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-06-19 DOI: 10.1186/s41181-024-00279-7
Maryke Kahts, Beverley Summers, Aadil Gutta, Wilfrid Pilloy, Thomas Ebenhan

Background

Infection remains a major cause of morbidity and mortality, regardless of advances in antimicrobial therapy and improved knowledge of microorganisms. With the major global threat posed by antimicrobial resistance, fast and accurate diagnosis of infections, and the reliable identification of intractable infection, are becoming more crucial for effective treatment and the application of antibiotic stewardship. Molecular imaging with the use of nuclear medicine allows early detection and localisation of infection and inflammatory processes, as well as accurate monitoring of treatment response. There has been a continuous search for more specific radiopharmaceuticals to be utilised for infection imaging. This review summarises the most prominent discoveries in specifically bacterial infection imaging agents over the last five years, since 2019.

Main body

Some promising new radiopharmaceuticals evaluated in patient studies are reported here, including radiolabelled bacterial siderophores like [68Ga]Ga-DFO-B, radiolabelled antimicrobial peptide/peptide fragments like [68Ga]Ga-NOTA-UBI29-41, and agents that target bacterial synthesis pathways (folic acid and peptidoglycan) like [11C]para-aminobenzoic acid and D-methyl-[11C]-methionine, with clinical trials underway for [18F]fluorodeoxy-sorbitol, as well as for 11C- and 18F-labelled trimethoprim.

Conclusion

It is evident that a great deal of effort has gone into the development of new radiopharmaceuticals for infection imaging over the last few years, with remarkable progress in preclinical investigations. However, translation to clinical trials, and eventually clinical Nuclear Medicine practice, is apparently slow. It is the authors’ opinion that a more structured and harmonised preclinical setting and well-designed clinical investigations are the key to reliably evaluate the true potential of the newly proposed infection imaging agents.

背景:尽管抗菌治疗取得了进步,对微生物的认识也有所提高,但感染仍然是发病和死亡的主要原因。抗菌药耐药性对全球构成重大威胁,快速准确地诊断感染和可靠地识别难治性感染对于有效治疗和应用抗生素管理变得越来越重要。利用核医学进行分子成像可以早期检测和定位感染和炎症过程,并准确监测治疗反应。人们一直在寻找更具特异性的放射性药物用于感染成像。本综述总结了自2019年以来,过去五年中在特异性细菌感染成像药物方面最突出的发现:本文报告了在患者研究中进行评估的一些前景广阔的新型放射性药物,包括放射性标记的细菌苷元(如[68Ga]Ga-DFO-B)、放射性标记的抗菌肽/肽片段(如[68Ga]Ga-NOTA-UBI29-41)以及针对细菌合成(如[68Ga]Ga-DFO-B)的药物、以及针对细菌合成途径(叶酸和肽聚糖)的制剂,如[11C]对氨基苯甲酸和 D-甲基-[11C]蛋氨酸,[18F]氟脱氧山梨醇以及 11C 和 18F 标记的三甲氧苄氨嘧啶的临床试验正在进行中。结论显然,在过去几年中,用于感染成像的新型放射性药物的研发工作付出了巨大努力,临床前研究也取得了显著进展。然而,将其转化为临床试验并最终应用于临床核医学实践的工作显然进展缓慢。作者认为,更有条理、更协调的临床前环境和精心设计的临床研究是可靠评估新提出的感染成像药物真正潜力的关键。
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引用次数: 0
In vivo stable 211At-labeled prostate-specific membrane antigen-targeted tracer using a neopentyl glycol structure 使用新戊二醇结构的体内稳定 211At 标记前列腺特异性膜抗原靶向示踪剂。
IF 4.6 Q1 CHEMISTRY, INORGANIC & NUCLEAR Pub Date : 2024-06-17 DOI: 10.1186/s41181-024-00278-8
Hiroyuki Suzuki, Kento Kannaka, Mizuki Hirayama, Tomoki Yamashita, Yuta Kaizuka, Ryota Kobayashi, Takahiro Yasuda, Kazuhiro Takahashi, Tomoya Uehara

Background

Prostate cancer is a common cancer among men worldwide that has a very poor prognosis, especially when it progresses to metastatic castration-resistant prostate cancer (mCRPC). Therefore, novel therapeutic agents for mCRPC are urgently required. Because prostate-specific membrane antigen (PSMA) is overexpressed in mCRPC, targeted alpha therapy (TAT) for PSMA is a promising treatment for mCRPC. Astatine-211 (211At) is a versatile α-emitting radionuclide that can be produced using a cyclotron. Therefore, 211At-labeled PSMA compounds could be useful for TAT; however, 211At-labeled compounds are unstable against deastatination in vivo. In this study, to develop in vivo stable 211At-labeled PSMA derivatives, we designed and synthesized 211At-labeled PSMA derivatives using a neopentyl glycol (NpG) structure that can stably retain 211At in vivo. We also evaluated their biodistribution in normal and tumor-bearing mice.

Results

We designed and synthesized 211At-labeled PSMA derivatives containing two glutamic acid (Glu) linkers between the NpG structure and asymmetric urea (NpG-L-PSMA ((L-Glu)2 linker used) and NpG-D-PSMA ((D-Glu)2 linker used)). First, we evaluated the characteristics of 125I-labeled NpG derivatives because 125I was readily available. [125I]I-NpG-L-PSMA and [125I]I-NpG-D-PSMA showed low accumulation in the stomach and thyroid, indicating their high in vivo stability against deiodination. [125I]I-NpG-L-PSMA was excreted in urine as hydrophilic radiometabolites in addition to the intact form. Meanwhile, [125I]I-NpG-D-PSMA was excreted in urine in an intact form. In both cases, no radioactivity was observed in the free iodine fraction. [125I]I-NpG-D-PSMA showed higher tumor accumulation than [125I]I-NpG-L-PSMA. We then developed 211At-labeled PSMA using the NpG-D-PSMA structure. [211At]At-NpG-D-PSMA showed low accumulation in the stomach and thyroid in normal mice, indicating its high stability against deastatination in vivo. Moreover, [211At]At-NpG-D-PSMA showed high accumulation in tumor similar to that of [125I]I-NpG-D-PSMA.

Conclusions

[211At]At-NpG-D-PSMA showed high in vivo stability against deastatination and high tumor accumulation. [211At]At-NpG-D-PSMA should be considered as a potential new TAT for mCRPC.

背景:前列腺癌是全球常见的男性癌症,预后极差,尤其是当它发展为转移性耐受性前列腺癌(mCRPC)时。因此,迫切需要针对mCRPC的新型治疗药物。由于前列腺特异性膜抗原(PSMA)在mCRPC中过度表达,针对PSMA的靶向α疗法(TAT)是治疗mCRPC的一种很有前景的方法。砹-211(211At)是一种多功能α发射放射性核素,可通过回旋加速器生产。因此,211At标记的PSMA化合物可用于TAT;然而,211At标记的化合物在体内不稳定,易发生脱稳。在本研究中,为了开发体内稳定的 211At 标记 PSMA 衍生物,我们设计并合成了采用新戊二醇(NpG)结构的 211At 标记 PSMA 衍生物,它们能在体内稳定地保留 211At。我们还评估了它们在正常小鼠和肿瘤小鼠体内的生物分布:我们设计并合成了 211At 标记的 PSMA 衍生物,这些衍生物在 NpG 结构和不对称脲之间含有两个谷氨酸(Glu)连接体(NpG-L-PSMA(使用(L-Glu)2 连接体)和 NpG-D-PSMA(使用(D-Glu)2 连接体))。首先,我们评估了 125I 标记的 NpG 衍生物的特性,因为 125I 很容易获得。[125I]I-NpG-L-PSMA和[125I]I-NpG-D-PSMA在胃和甲状腺中的蓄积较低,表明它们在体内对脱碘具有很高的稳定性。除了完整的形式外,[125I]I-NpG-L-PSMA 还以亲水性放射性代谢物的形式从尿液中排出。同时,[125I]I-NpG-D-PSMA 以完整的形式从尿液中排出。在这两种情况下,游离碘部分均未观察到放射性。与[125I]I-NpG-L-PSMA相比,[125I]I-NpG-D-PSMA显示出更高的肿瘤蓄积性。随后,我们利用 NpG-D-PSMA 结构开发了 211At 标记的 PSMA。[211At]At-NpG-D-PSMA在正常小鼠的胃和甲状腺中的蓄积量较低,这表明它在体内具有很高的稳定性,不会发生脱落。此外,[211At]At-NpG-D-PSMA 在肿瘤中的高积累与[125I]I-NpG-D-PSMA 相似:结论:[211At]At-NpG-D-PSMA 在体内表现出高度的稳定性,可防止脱落,并在肿瘤中大量蓄积。[211At]At-NpG-D-PSMA应被视为治疗mCRPC的潜在新TAT。
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EJNMMI Radiopharmacy and Chemistry
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