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Comparative Study
. 2011 Aug;38(8):1410-6.
doi: 10.1007/s00259-011-1806-0. Epub 2011 Apr 2.

Comparative biodistribution of 12 ¹¹¹In-labelled gastrin/CCK2 receptor-targeting peptides

Affiliations
Comparative Study

Comparative biodistribution of 12 ¹¹¹In-labelled gastrin/CCK2 receptor-targeting peptides

Peter Laverman et al. Eur J Nucl Med Mol Imaging. 2011 Aug.

Abstract

Purpose: Cholecystokinin 2 (CCK-2) receptor overexpression has been demonstrated in various tumours such as medullary thyroid carcinomas and small-cell lung cancers. Due to this high expression, CCK-2 receptors might be suitable targets for radionuclide imaging and/or radionuclide therapy. Several CCK-2 receptor-binding radiopeptides have been developed and some have been tested in patients. Here we aimed to compare the in vivo tumour targeting properties of 12 (111)In-labelled 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid (DOTA)-conjugated gastrin/CCK2 receptor-binding peptides.

Methods: Two CCK8-based peptides and ten gastrin-based peptide analogues were tested. All peptides were conjugated with DOTA and labelled with (111)In. Biodistribution studies were performed in mice with subcutaneous CCK2/gastrin receptor-expressing tumours and with receptor-negative tumours contralaterally. Biodistribution was studied by counting dissected tissues at 1 and 4 h after injection.

Results: Both the CCK analogues displayed relatively low tumour uptake (approximately 2.5%ID/g) as compared to minigastrin analogues. Two linear minigastrin peptides (MG0 and sargastrin) displayed moderate tumour uptake at both 1 and 4 h after injection, but also very high kidney uptake (both higher than 48%ID/g). The linear MG11, lacking the penta-Glu sequence, showed lower tumour uptake and also low kidney uptake. Varying the N-terminal Glu residues in the minigastrin analogues led to improved tumour targeting properties, with PP-F11 displaying the optimal biodistribution. Besides the monomeric linear peptides, a cyclized peptide and a divalent peptide were tested.

Conclusion: Based on these studies, optimal peptides for peptide receptor radionuclide targeting of CCK2/gastrin receptor-expressing tumours were the linear minigastrin analogue with six D-Glu residues (PP-F11), the divalent analogue MGD5 and the cyclic peptide cyclo-MG1. These peptides combined high tumour uptake with low kidney retention, and may therefore be good candidates for future clinical studies.

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Figures

Fig. 1
Fig. 1
Tissue distribution of 111In-labelled peptides in mice (n = 5/group) with subcutaneous A431-CCK2R and A431 negative control tumours at 1 and 4 h p.i. Uptake of radioactivity is expressed as percentage of the injected dose per gram (%ID/g). Kidney uptake of MG0 and sargastrin (centre) is truncated to allow comparison with other peptides. Error bars represent standard deviation
Fig. 1
Fig. 1
Tissue distribution of 111In-labelled peptides in mice (n = 5/group) with subcutaneous A431-CCK2R and A431 negative control tumours at 1 and 4 h p.i. Uptake of radioactivity is expressed as percentage of the injected dose per gram (%ID/g). Kidney uptake of MG0 and sargastrin (centre) is truncated to allow comparison with other peptides. Error bars represent standard deviation
Fig. 2
Fig. 2
Tumour-to-blood and tumour-to-kidney ratios of 111In-labelled peptides in A431-CCK2R tumours in mice (n = 5/group) at 1 and 4 h p.i

References

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