Breeman W A, Hofland L J, van der Pluijm M, van Koetsveld P M, de Jong M, Setyono-Han B, Bakker W H, Kwekkeboom D J, Visser T J, Lamberts S W
Department of Nuclear Medicine, University Hospital Dijkzigt, Rotterdam, The Netherlands.
Eur J Nucl Med. 1994 Apr;21(4):328-35.
We have evaluated the potential usefulness of indium-111 labelled [DTPA-D-Phe1]RC-160, derived from the octapeptide somatostatin analogue RC-160, as a radiopharmaceutical for the in vivo detection of somatostatin receptor-positive tumours. For this purpose 111In-and 115In-labelled [DTPA-D-Phe1]RC-160 was tested for its biological activity, and applied for somatostatin receptor scintigraphy in vivo to rats bearing the transplantable rat pancreatic tumour CA20948, which expresses somatostatin receptors. We previously described the development of the 111In-labelled somatostatin analogue [DTPA-D-Phe1]octreotide and its use in the in vivo visualization of somatostatin receptor-positive tumours in rats and in humans. Like [111In-DTPA-D-Phe1]octreotide, [111In-DTPA-D-Phe1]RC-160 showed uptake in and specific binding in vivo to somatostatin receptor-positive organs and tumours, and the tumours were clearly visualized by gamma camera scintigraphy. However, as compared to [111In-DTPA-D-Phe1]octreotide, blood radioactivity (background) was higher, resulting in a lower tumour to blood (background) ratio. Using this animal model we therefore conclude that [111In-DTPA-D-Phe1]RC-160 has no advantage over [111In-DTPA-D-Phe1]octreotide as a radiopharmaceutical in the visualization of somatostatin receptors which bind both analogues. However, recent reports suggest the existence of different somatostatin receptor subtypes on some human cancers, which differentially bind RC-160 and not octreotide. These tumours include cancers of the breast, ovary, exocrine pancreas, prostate and colon. [111In-DTPA-D-Phe1]RC-160 might be of interest for future use in such cancer patients as a radiopharmaceutical for imaging somatostatin receptor-positive tumours, which do not bind octreotide.
我们评估了源自八肽生长抑素类似物RC - 160的铟 - 111标记的[DTPA - D - Phe1]RC - 160作为一种放射性药物用于体内检测生长抑素受体阳性肿瘤的潜在效用。为此,对111In和115In标记的[DTPA - D - Phe1]RC - 160的生物活性进行了测试,并将其应用于携带可移植大鼠胰腺肿瘤CA20948(该肿瘤表达生长抑素受体)的大鼠体内进行生长抑素受体闪烁显像。我们之前描述过铟 - 111标记的生长抑素类似物[DTPA - D - Phe1]奥曲肽的研发及其在大鼠和人类体内对生长抑素受体阳性肿瘤的可视化应用。与[111In - DTPA - D - Phe1]奥曲肽一样,[111In - DTPA - D - Phe1]RC - 160在体内显示出对生长抑素受体阳性器官和肿瘤的摄取及特异性结合,并且通过γ相机闪烁显像能清晰地看到肿瘤。然而,与[111In - DTPA - D - Phe1]奥曲肽相比,血液放射性(本底)更高,导致肿瘤与血液(本底)的比值更低。因此,利用这个动物模型我们得出结论,在可视化同时结合这两种类似物的生长抑素受体方面,[111In - DTPA - D - Phe1]RC - 160作为一种放射性药物并不比[111In - DTPA - D - Phe1]奥曲肽有优势。然而,最近的报告表明在一些人类癌症上存在不同的生长抑素受体亚型,它们对RC - 160有不同程度的结合,而对奥曲肽无结合。这些肿瘤包括乳腺癌、卵巢癌、外分泌胰腺癌、前列腺癌和结肠癌。[111In - DTPA - D - Phe1]RC - 160可能在未来对于此类癌症患者作为一种用于对不结合奥曲肽的生长抑素受体阳性肿瘤进行成像的放射性药物具有应用价值。