Title Clinical Translation of a Ga-68-Labeled Integrin alpha(v)beta(6)-Targeting Cyclic Radiotracer for PET Imaging of Pancreatic Cancer
Authors Feng, Xun
Wang, Yanpu
Lu, Dehua
Xu, Xiaoxia
Zhou, Xin
Zhang, Huiyuan
Zhang, Ting
Zhu, Hua
Yang, Zhi
Wang, Fan
Lie, Nan
Liu, Zhaofei
Affiliation Peking Univ, Sch Basic Med Sci, Hlth Sci Ctr, Med Isotopes Res Ctr, Beijing, Peoples R China
Peking Univ, Sch Basic Med Sci, Hlth Sci Ctr, Dept Radiat Med, Beijing, Peoples R China
Peking Univ Canc Hosp & Inst, Dept Nucl Med, Minist Educ Beijing, Key Lab Carcinogenesis & Translat Res, Beijing, Peoples R China
Keywords POSITRON-EMISSION-TOMOGRAPHY
CYSTINE KNOT PEPTIDES
ALPHA-V-BETA-6 INTEGRIN
PHOTODYNAMIC THERAPY
EXPRESSION
Issue Date 1-Oct-2020
Publisher JOURNAL OF NUCLEAR MEDICINE
Abstract The overexpression of integrin alpha(v)beta(6) in pancreatic cancer makes it a promising target for noninvasive PET imaging. However, currently, most integrin alpha(v)beta(6)-targeting radiotracers are based on linear peptides, which are quickly degraded in the serum by proteinases. Herein, we aimed to develop and assess a Ga-68-labeled integrin alpha(v)beta(6)-targeting cyclic peptide (Ga-68-cycratide) for PET imaging of pancreatic cancer. Methods: Ga-68-cycratide was prepared, and its PET imaging profile was compared with that of the linear peptide (Ga-68-linear-pep) in an integrin alpha(v)beta(6)-positive BxPC-3 human pancreatic cancer mouse model. Five healthy volunteers (2 women and 3 men) underwent whole-body PET/CT imaging after injection of Ga-68-cycratide, and biodistribution and dosimetry were calculated. PET/CT imaging of 2 patients was performed to investigate the potential role of 68Ga-cycratide in pancreatic cancer diagnosis and treatment monitoring. Results: Ga-68-cycratide exhibited significantly higher tumor uptake than did Ga-68-linear-pep in BxPC-3 tumor-bearing mice, owing-at least in part-to markedly improved in vivo stability. Ga-68-cycratide could sensitively detect the pancreatic cancer lesions in an orthotopic mouse model and was well tolerated in all healthy volunteers. Preliminary PET/CT imaging in patients with pancreatic cancer demonstrated that Ga-68-cycratide was comparable to F-18-FDG for diagnostic imaging and postsurgery tumor relapse monitoring. Conclusion: 68Ga-cycratide is an integrin alpha(v)beta(6)-specific PET radiotracer with favorable pharmacokinetics and a favorable dosimetry profile. Ga-68-cycratide is expected to provide an effective noninvasive PET strategy for pancreatic cancer lesion detection and therapy response monitoring.
URI http://hdl.handle.net/20.500.11897/593146
ISSN 0161-5505
DOI 10.2967/jnumed.119.237347
Indexed SCI(E)
Appears in Collections: 基础医学院
北京肿瘤医院

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