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新型镓/镥标记的前列腺特异性膜抗原(PSMA)抑制剂的研发与评估:增强药代动力学及前列腺癌肿瘤成像

Development and Evaluation of Novel Ga/Lu-Labeled PSMA Inhibitors with Enhanced Pharmacokinetics and Tumor Imaging for Prostate Cancer.

作者信息

Li Haiyang, Liu Yang, Yuan Hongmei, Cai Ping, Wu Tongtong, Yang Zhicong, Nie Jiaqi, Zhang Wei, Huang Zhanwen, Liu Nan, Chen Yue, Zhou Zhijun

机构信息

Department of Nuclear Medicine, Affiliated Hospital of Southwest Medical University, Jiangyang District, Luzhou, Sichuan 646000, China.

Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province, Jiangyang District, Luzhou, Sichuan 646000, China.

出版信息

Mol Pharm. 2025 Mar 3;22(3):1584-1597. doi: 10.1021/acs.molpharmaceut.4c01302. Epub 2025 Feb 14.

Abstract

Prostate-specific membrane antigen (PSMA) has been a key target for diagnosing and treating prostate cancer, particularly in high-grade, metastatic, and therapy-resistant tumors. This study presents a series of novel Ga- and Lu-labeled PSMA inhibitors, derived from the previously developed [Ga]Ga-Flu-1. We explored the impact of PEG chains, lipophilic macrocycles, and dimerization on their in vivo properties. The Ga- and Lu-labeled inhibitors were assessed for biodistribution and tumor targeting in PC3-PIP tumor xenografts, leading to the identification of several promising candidates based on imaging and tumor-specific uptake. Positron emission tomography (PET) imaging revealed that the poly(ethylene glycol)-modified [Ga]Ga-BisPSMA-P4 demonstrated rapid tumor penetration and excellent tumor-to-background contrast. In comparative biodistribution studies, the naphthalene ring-modified [Ga]Ga-BisPSMA-Nph-P4 showed higher tumor uptake (∼60% ID/g at 1 h postinjection) and rapid renal clearance (∼25% ID/g at 2 h postinjection). Additionally, [Lu]Lu-BisPSMA-Nph-P4 displayed superior retention, with significant uptake on day 7, highlighting its potential as a novel PSMA inhibitor for prostate cancer diagnosis and treatment.

摘要

前列腺特异性膜抗原(PSMA)一直是诊断和治疗前列腺癌的关键靶点,特别是在高级别、转移性和治疗抵抗性肿瘤中。本研究展示了一系列新型的镓和钇标记的PSMA抑制剂,它们衍生自先前开发的[Ga]Ga-Flu-1。我们探究了聚乙二醇链、亲脂性大环以及二聚化对其体内性质的影响。对镓和钇标记的抑制剂在PC3-PIP肿瘤异种移植模型中进行生物分布和肿瘤靶向评估,基于成像和肿瘤特异性摄取鉴定出了几个有前景的候选物。正电子发射断层扫描(PET)成像显示,聚乙二醇修饰的[Ga]Ga-BisPSMA-P4表现出快速的肿瘤渗透和出色的肿瘤与背景对比度。在比较生物分布研究中,萘环修饰的[Ga]Ga-BisPSMA-Nph-P4显示出更高的肿瘤摄取(注射后1小时约为60% ID/g)和快速的肾脏清除(注射后2小时约为25% ID/g)。此外,[Lu]Lu-BisPSMA-Nph-P4表现出优异的滞留性,在第7天有显著摄取,突出了其作为新型PSMA抑制剂用于前列腺癌诊断和治疗的潜力。

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