Ga-HBED-CC-WL-12 PET in Diagnosing and Differentiating Pancreatic Cancers in Murine Models.

Positron emission tomography (PET) has been proven as an important technology to detect the expression of programmed death ligand 1 (PD-L1) non-invasively and in real time. As a PD-L1 inhibitor, small peptide WL12 has shown great potential in serving as a targeting molecule to guide PD-L1 blockade therapy in clinic. In this study, WL12 was modified with HBED-CC to label Ga in a modified procedure, and the biologic properties were evaluated in vitro and in vivo. Ga-HBED-CC-WL12 showed good stability in saline and can specifically target PD-L1-positive cells U87MG and PANC02. In PANC02-bearing mice, Ga-HBED-CC-WL12 showed fast permeation in subcutaneous tumors within 20 min (SUV 0.37) and was of higher uptake in 90 min (SUV 0.38). When compared with 18F-FDG, Ga-FAPI-04, and Ga-RGD, Ga-HBED-CC-WL12 also demonstrated great image quality and advantages in evaluating immune microenvironment. This study modified the Ga-labeling procedure of WL12 and obtained better biologic properties and further manifested the clinical potential of Ga-HBED-CC-WL12 for PET imaging and guiding for immunotherapy.