锝标记的三亚乙基四胺-叶酸

Tc-Labeled tetraethylenepentamine-folate

作者信息

Panwar Puja, Srivastava Vibha, Tandon Vibha, Mishra Pushpa, Chuttani Krishna, Sharma Rakesh, Chandra Ramesh, Mishra Anil, Chopra Arvind

机构信息

Division of Cyclotron and Radiopharmaceutical Sciences, Institute of Nuclear Medicine and allied Sciences, Delhi 110054, India

Dr B. R. Ambedkar Center for Biomedical Research, University of Delhi, Delhi 110007, India

出版信息

DOI:
Abstract

Folic acid (FA; folate) belongs to the B group of vitamins, and its activity is mediated through the membrane-bound folate receptor (FR; also known as the folate-binding protein), which has two isoforms (α and β). A third constitutively secreted form of the receptor (γ) has also been identified in some hematopoietic cells (1). The α and β isoforms of FR show a high affinity for FA and have a restricted expression in certain tissues. FR-α is found in the lungs, glandular tissue, and choroid plexus of the brain. A functional β form is present only in activated monocytes and macrophages, although it is also borne by mature neutrophils and CD34 cells (as an inactive form) (1). Low amounts of FR-α are expressed in normal tissue, but it has been shown to be overexpressed in several cancerous tumors such as those of the breast, colon, head and neck, kidneys, and lungs (2). In addition, overexpression of the FR in tumors indicates a poor prognosis for the patient (3, 4). Therefore, the FR has been targeted in clinical trials for the detection, diagnosis, and treatment of cancers. Several folate-based imaging agents that use techniques such as magnetic resonance imaging, optical imaging, computed tomography, positron emission tomography, and single-photon emission tomography (SPECT) have been developed and evaluated for the noninvasive detection of malignant tumors that overexpress the FR (2). However, except for SPECT-based agents, all imaging agents had limitations and were determined to be unsuitable for the detection of tumors overexpressing the FR as detailed by Sega et al. (2). An indium (In)-labeled folate-based SPECT agent with a good tumor specificity was developed earlier and evaluated in clinical trials, but the nuclide is expensive to produce, has a high γ energy emission (171 and 245 keV) and a long half-life (68 h) (2), and the detection of recurrent cancer with this agent is difficult (5). To overcome the problems associated with the use of In, some investigators developed and evaluated the use of technetium (Tc)-labeled FR imaging agents because this nuclide has a low energy emission (140 keV), has a short half-life (6 h), is inexpensive to produce and, compared with In, produces high-quality images (6-10). Among the Tc-labeled FR imaging agents, only the peptide-based agent Tc-EC20 has been evaluated preclinically (10) and more recently in the clinics (11). In an effort to develop an alternate FR imaging agent, Panwar et al. synthesized and evaluated Tc-tetraethylenepentamine-folate (Tc-TEPA-folate) for scintigraphy in nude mice bearing FR-overexpressing tumors (12). The biodistribution of this radiolabeled compound was also studied in these animals.

摘要

叶酸(FA;叶酸盐)属于B族维生素,其活性通过膜结合叶酸受体(FR;也称为叶酸结合蛋白)介导,该受体有两种异构体(α和β)。在一些造血细胞中还发现了该受体的第三种组成型分泌形式(γ)(1)。FR的α和β异构体对FA具有高亲和力,且在某些组织中表达受限。FR-α存在于肺、腺组织和脑脉络丛中。功能性β形式仅存在于活化的单核细胞和巨噬细胞中,尽管成熟的中性粒细胞和CD34细胞也携带该形式(以非活性形式)(1)。正常组织中FR-α表达量低,但已证明其在几种癌性肿瘤中过度表达,如乳腺癌、结肠癌、头颈癌、肾癌和肺癌(2)。此外,肿瘤中FR的过度表达表明患者预后不良(3,4)。因此,FR已成为癌症检测、诊断和治疗临床试验的靶点。已经开发并评估了几种基于叶酸的成像剂,它们使用磁共振成像、光学成像、计算机断层扫描、正电子发射断层扫描和单光子发射断层扫描(SPECT)等技术来无创检测过度表达FR的恶性肿瘤(2)。然而,除了基于SPECT的成像剂外,所有成像剂都有局限性,并且如Sega等人所述(2),被确定不适合检测过度表达FR的肿瘤。较早前开发了一种具有良好肿瘤特异性的铟(In)标记的基于叶酸的SPECT成像剂,并在临床试验中进行了评估,但该核素生产成本高,γ能量发射高(171和245 keV)且半衰期长(约68小时)(2),用该成像剂检测复发性癌症很困难(5)。为了克服与使用In相关的问题,一些研究人员开发并评估了锝(Tc)标记的FR成像剂的使用,因为这种核素能量发射低(140 keV),半衰期短(约6小时),生产成本低,并且与In相比能产生高质量图像(6 - 10)。在Tc标记的FR成像剂中,只有基于肽的成像剂Tc - EC20已在临床前进行了评估(10),最近也在临床中进行了评估(11)。为了开发一种替代的FR成像剂,Panwar等人合成并评估了Tc - 三亚乙基四胺 - 叶酸(Tc - TEPA - 叶酸)用于对携带过度表达FR肿瘤的裸鼠进行闪烁扫描(12)。还在这些动物中研究了这种放射性标记化合物的生物分布。

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