A radiohybrid theranostics ligand labeled with fluorine-18 and lutetium-177 for fibroblast activation protein-targeted imaging and radionuclide therapy

© 2023. The Author(s)..

PURPOSE: A series of radiotracers targeting fibroblast activation protein (FAP) with great pharmacokinetics have been developed for cancer diagnosis and therapy. Nevertheless, the use of dominant PET tracers, gallium-68-labeled FAPI derivatives, was limited by the short nuclide half-life and production scale, and the therapeutic tracers exhibited rapid clearance and insufficient tumor retention. In this study, we developed a FAP targeting ligand, LuFL, containing organosilicon-based fluoride acceptor (SiFA) and DOTAGA chelator, capable of labeling fluorine-18 and lutetium-177 in one molecular with simple and highly efficient labeling procedure, to achieve cancer theranostics.

METHODS: The precursor LuFL (20) and [natLu]Lu-LuFL (21) were successfully synthesized and labeled with fluorine-18 and lutetium-177 using a simple procedure. A series of cellular assays were performed to characterize the binding affinity and FAP specificity. PET imaging, SPECT imaging, and biodistribution studies were conducted to evaluate pharmacokinetics in HT-1080-FAP tumor-bearing nude mice. A comparison study of [177Lu]Lu-LuFL ([177Lu]21) and [177Lu]Lu-FAPI-04 was carried out in HT-1080-FAP xenografts to determine the cancer therapeutic efficacy.

RESULTS: LuFL (20) and [natLu]Lu-LuFL (21) demonstrated excellent binding affinity towards FAP (IC50: 2.29 ± 1.12 nM and 2.53 ± 1.87 nM), compared to that of FAPI-04 (IC50: 6.69 ± 0.88 nM). In vitro cellular studies showed that 18F-/177Lu-labeled 21 displayed high specific uptake and internalization in HT-1080-FAP cells. Micro-PET, SPECT imaging and biodistribution studies with [18F]/[177Lu]21 revealed higher tumor uptake and longer tumor retention than those of [68 Ga]/[177Lu]Ga/Lu-FAPI-04. The radionuclide therapy studies showed significantly greater inhibition of tumor growth for the [177Lu]21 group, than for the control group and the [177Lu]Lu-FAPI-04 group.

CONCLUSION: The novel FAPI-based radiotracer containing SiFA and DOTAGA was developed as a theranostics radiopharmaceutical with simple and short labeling process, and showed promising properties including higher cellular uptake, better FAP binding affinity, higher tumor uptake and prolong retention compared to FAPI-04. Preliminary experiments with 18F- and 177Lu-labeled 21 showed promising tumor imaging properties and favorable anti-tumor efficacy.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:50

Enthalten in:

European journal of nuclear medicine and molecular imaging - 50(2023), 8 vom: 17. Juli, Seite 2331-2341

Sprache:

Englisch

Beteiligte Personen:

Yang, Tianhong [VerfasserIn]
Peng, Lei [VerfasserIn]
Qiu, Jia [VerfasserIn]
He, Xingjin [VerfasserIn]
Zhang, Dake [VerfasserIn]
Wu, Renbo [VerfasserIn]
Liu, Jianbo [VerfasserIn]
Zhang, Xiangsong [VerfasserIn]
Zha, Zhihao [VerfasserIn]

Links:

Volltext

Themen:

BRH40Y9V1Q
FAP inhibitor
Fluorine Radioisotopes
Fluorine-18
GZ5I74KB8G
Gallium Radioisotopes
Journal Article
Ligands
Lutetium-177
Radiohybrid
Silicon-fluoride-acceptor
Theranostics

Anmerkungen:

Date Completed 12.06.2023

Date Revised 01.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s00259-023-06169-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM353702811