白蛋白结合物偶联成纤维细胞激活蛋白抑制剂放射性药物用于癌症治疗。

Albumin Binder-Conjugated Fibroblast Activation Protein Inhibitor Radiopharmaceuticals for Cancer Therapy.

机构信息

Radiochemistry and Radiation Chemistry Key Laboratory of Fundamental Science, Beijing National Laboratory for Molecular Sciences, College of Chemistry and Molecular Engineering, Peking University, Beijing, China.

Department of Nuclear Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China; and.

出版信息

J Nucl Med. 2022 Jun;63(6):952-958. doi: 10.2967/jnumed.121.262533. Epub 2021 Sep 30.

Abstract

Fibroblast activation protein (FAP) has become an attractive target for diagnosis and therapy, and a series of FAP inhibitor (FAPI)-based radiotracers has been developed and had excellent performance for diagnosis outcomes in clinical applications. Yet, their fast clearance and insufficient tumor retention have hampered their further clinical application in cancer treatment. In this study, we developed 2 albumin binder-conjugated FAPI radiotracers, TEFAPI-06 and TEFAPI-07. They were derived from FAPI-04 and were optimized by conjugating 2 types of well-studied albumin binders, 4-(-iodophenyl) butyric acid moiety (TEFAPI-06) and truncated Evans blue moiety (TEFAPI-07), to try to overcome the above limitations at the expense of prolonging the blood circulation. TEFAPI-06 and TEFAPI-07 were synthesized and labeled with Ga, Y, and Lu successfully. A series of cell assays was performed to identify the binding affinity and FAP specificity in vitro. PET imaging, SPECT imaging, and biodistribution studies were performed to evaluate the pharmacokinetics in pancreatic cancer patient-derived xenograft (PDX) animal models. The cancer treatment efficacy of Lu-TEFAPI-06 and Lu-TEFAPI-07 were evaluated in pancreatic cancer PDX-bearing mice. The binding affinities (dissociation constants) to FAP of Ga-TEFAPI-06 and Ga-TEFAPI-07 were 10.16 ± 2.56 nM and 7.81 ± 2.28 nM, respectively, which were comparable with that of Ga-FAPI-04. Comparative PET imaging of HT-1080-FAP and HT-1080 tumor-bearing mice and a blocking study showed the FAP-targeting ability in vivo of these 2 tracers. Compared with Lu-FAPI-04, PET imaging, SPECT imaging, and biodistribution studies of TEFAPI-06 and TEFAPI-07 demonstrated their remarkably enhanced tumor accumulation and retention, respectively. Notable tumor growth inhibition by Lu-TEFAPI-06 and Lu-TEFAPI-07 were observed, whereas the control group and the group treated by Lu-FAPI-04 showed a slight therapeutic effect. Two albumin binder-conjugated FAPI radiopharmaceuticals have been developed and evaluated in vitro and in vivo. Significantly improved tumor uptake and retention were observed, compared with the original FAPI tracer. Both Lu-TEFAPI-06 and Lu-TEFAPI-07 showed remarkable growth inhibition of PDX tumors, whereas the side effects were almost negligible, demonstrating that these radiopharmaceuticals are promising for further clinical translational studies.

摘要

成纤维细胞激活蛋白 (FAP) 已成为诊断和治疗的一个有吸引力的靶点,并且已经开发出一系列基于 FAP 抑制剂 (FAPI) 的放射性示踪剂,这些示踪剂在临床应用中具有出色的诊断效果。然而,它们的快速清除和不足的肿瘤保留阻碍了它们在癌症治疗中的进一步临床应用。在这项研究中,我们开发了两种白蛋白结合物缀合的 FAPI 放射性示踪剂,TEFAPI-06 和 TEFAPI-07。它们源自 FAPI-04,并通过缀合两种经过充分研究的白蛋白结合物,4-(-碘代苯基)丁酸部分 (TEFAPI-06) 和截断的 Evans 蓝部分 (TEFAPI-07),来尝试克服上述限制,从而延长血液循环时间。TEFAPI-06 和 TEFAPI-07 成功地用 Ga、Y 和 Lu 进行了合成和标记。进行了一系列细胞测定以鉴定体外的结合亲和力和 FAP 特异性。在胰腺癌细胞来源的异种移植 (PDX) 动物模型中进行了 PET 成像、SPECT 成像和生物分布研究,以评估其药代动力学。在携带胰腺癌细胞 PDX 的小鼠中评估了 Lu-TEFAPI-06 和 Lu-TEFAPI-07 的癌症治疗效果。Ga-TEFAPI-06 和 Ga-TEFAPI-07 与 FAP 的结合亲和力(解离常数)分别为 10.16 ± 2.56 nM 和 7.81 ± 2.28 nM,与 Ga-FAPI-04 相当。HT-1080-FAP 和 HT-1080 肿瘤荷瘤小鼠的比较 PET 成像和阻断研究表明了这两种示踪剂在体内的 FAP 靶向能力。与 Lu-FAPI-04 相比,TEFAPI-06 和 TEFAPI-07 的 PET 成像、SPECT 成像和生物分布研究表明,它们的肿瘤积累和保留显著增强。观察到 Lu-TEFAPI-06 和 Lu-TEFAPI-07 明显的肿瘤生长抑制作用,而对照组和 Lu-FAPI-04 治疗组则表现出轻微的治疗效果。已经开发并评估了两种白蛋白结合物缀合的 FAPI 放射性药物,与原始 FAPI 示踪剂相比,观察到肿瘤摄取和保留显著提高。Lu-TEFAPI-06 和 Lu-TEFAPI-07 均能显著抑制 PDX 肿瘤的生长,而副作用几乎可以忽略不计,表明这些放射性药物具有进一步临床转化研究的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19b7/9157728/5e555647070a/jnumed.121.262533absf1.jpg

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