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铜-PSMA I&T PET 用于前列腺癌的可行性。

The Feasibility of Cu-PSMA I&T PET for Prostate Cancer.

机构信息

Department of Nuclear Medicine, Korea Cancer Centre Hospital, Korea Institute of Radiological and Medical Sciences, Seoul, Republic of Korea.

Division of Applied RI, Research Institute of Radiological & Medical Sciences, Korea Institute of Radiological and Medical Sciences, Seoul, Republic of Korea.

出版信息

Cancer Biother Radiopharm. 2022 Aug;37(6):417-423. doi: 10.1089/cbr.2020.4189. Epub 2021 Jan 12.

DOI:10.1089/cbr.2020.4189
PMID:33434438
Abstract

The goal of this research was to investigate the feasibility of Cu labeling in prostate-specific membrane antigen imaging and therapy (PSMA I&T) for PSMA positron emission tomography (PET) imaging and biodistribution evaluation. PSMA I&T was labeled with Cu, and stability in human and mouse sera was evaluated. Prostate cancer cell lines were used for specific uptake assays (22RV1 for PSMA-positive, PC-3 for -negative). Both PC-3 and 22RV1 cells were transplanted into the left and right thighs in a mouse for PET/computed tomography (CT) imaging. Biodistribution was performed using 22RV1 tumor models. Labeling yield (decay corrected) of Cu-PSMA I&T was more than 95% compared to the free Cu peak. The serum stability of Cu-PSMA I&T was maintained at more than 90% until 60 h. Regarding the specific binding of Cu-PSMA I&T was 7.5-fold higher to 22RV1 cells than PC-3 cells ( < 0.001). On PET/CT imaging, more specific Cu-PSMA I&T uptake was observed to 22RV1 tumors than to PC-3 tumors. In the PSMA blocking study using 2-phosphonomethoxypropyl adenine (2-PMPA), the Cu-PSMA I&T signal significantly decreased in the 22RV1 tumor region. In the biodistribution study, the kidney uptake was the highest among all organs at 2 h (52.6 ± 20.8%ID/g) but sharply decreased at 24 and 48 h. Also, the liver showed similar uptake over time (range, 10-12%ID/g). On the contrary, Cu-PSMA I&T uptake of the tumors increased with time and peaked at 48 h (5.6 ± 0.1%ID/g). PSMA I&T labeled with Cu showed the feasibility of the PSMA specific PET imaging through and studies. Furthermore, Cu-PSMA I&T might be considered as the candidate of future clinical trial.

摘要

这项研究的目的是探讨在前列腺特异性膜抗原成像和治疗(PSMA I&T)中使用铜标记进行 PSMA 正电子发射断层扫描(PET)成像和生物分布评估的可行性。PSMA I&T 用 Cu 标记,并评估其在人血清和鼠血清中的稳定性。使用前列腺癌细胞系进行特异性摄取测定(22RV1 为 PSMA 阳性,PC-3 为阴性)。将 PC-3 和 22RV1 细胞分别移植到小鼠的左右大腿中进行 PET/计算机断层扫描(CT)成像。使用 22RV1 肿瘤模型进行生物分布研究。与游离 Cu 峰相比,Cu-PSMA I&T 的标记产率(衰减校正后)超过 95%。Cu-PSMA I&T 的血清稳定性在 60 小时内保持在 90%以上。关于 Cu-PSMA I&T 的特异性结合,22RV1 细胞的结合是 PC-3 细胞的 7.5 倍( < 0.001)。在 PET/CT 成像中,与 PC-3 肿瘤相比,22RV1 肿瘤中观察到更多的特异性 Cu-PSMA I&T 摄取。在使用 2-磷甲氧基丙氨酸(2-PMPA)的 PSMA 阻断研究中,22RV1 肿瘤区域的 Cu-PSMA I&T 信号显著降低。在生物分布研究中,2 小时时肾脏摄取最高(52.6 ± 20.8%ID/g),但在 24 小时和 48 小时时急剧下降。同样,肝脏在整个时间内的摄取相似(范围为 10-12%ID/g)。相反,肿瘤中 Cu-PSMA I&T 的摄取随时间增加,并在 48 小时时达到峰值(5.6 ± 0.1%ID/g)。用 Cu 标记的 PSMA I&T 通过体内和体外研究显示了 PSMA 特异性 PET 成像的可行性。此外,Cu-PSMA I&T 可能被视为未来临床试验的候选药物。

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