99mTc-labeling and evaluation of a HYNIC modified small-molecular inhibitor of prostate-specific membrane antigen

Nucl Med Biol. 2017 May:48:69-75. doi: 10.1016/j.nucmedbio.2017.01.010. Epub 2017 Jan 28.

Abstract

Introduction: Prostate-specific membrane antigen (PSMA) is a well-established target in the development of radiopharmaceuticals for the diagnosis and therapy of prostate cancer (PCa). In this study, we evaluated a novel 99mTc-labeled small molecular inhibitor of PSMA.

Methods: This new small-molecular inhibitor of PSMA, 6-hydrazinonicotinate-Aminocaproic acid-Lysine-Urea-Glutamate (HYNIC-ALUG) was radiolabeled by 99mTc and was evaluated both in vitro and in vivo using PCa models (PC-3 and LNCaP). Radiation dosimetry was assessed in mice.

Results: 99mTc-HYNIC-ALUG showed excellent stability in different media. A cell assay preliminarily displayed its specificity for PSMA. The inhibitor showed good pharmacokinetics making it suitable for in vivo imaging. PC-3-derived tumors showed no obvious radioactive uptake; however, the LNCaP-derived tumors showed very high radioactive uptake which was significantly decreased by the selective PSMA inhibitor 2-PMPA. Biodistribution in LNCaP xenografts showed an optimum tumor-to-blood ratio of 24.23±3.54 at 2h. Tumor uptake was also decreased in the inhibition experiment with 2-PMPA (19.45±2.14%ID/g versus 1.42±0.15%ID/g at 2h). The effective dose of the 99mTc-HYNIC-ALUG was 8.4E-04mSv/MBq.

Conclusions: A new 99mTc-labeled PSMA inhibitor with specific accumulation in PSMA-positive tumors and low background in other organs was synthesized. The radiopharmaceutical also showed very low radiation dosimetry. This agent may significantly improve the diagnosis, staging, and subsequent monitoring of therapeutic effects in PCa patients.

Keywords: (99m)Tc-radiolabeled agents; Nano-SPECT imaging; PSMA inhibitor; Prostate cancer; Radiation dosimetry.

MeSH terms

  • Animals
  • Antigens, Surface
  • Biological Transport
  • Cell Line, Tumor
  • Drug Stability
  • Enzyme Inhibitors / chemistry*
  • Enzyme Inhibitors / metabolism
  • Enzyme Inhibitors / pharmacokinetics
  • Enzyme Inhibitors / pharmacology
  • Ethanol / chemistry
  • Glutamate Carboxypeptidase II / antagonists & inhibitors*
  • Hydrazines / chemistry*
  • Isotope Labeling
  • Male
  • Mice
  • Nicotinic Acids / chemistry*
  • Prostatic Neoplasms / diagnostic imaging
  • Prostatic Neoplasms / pathology
  • Single Photon Emission Computed Tomography Computed Tomography
  • Technetium*
  • Tissue Distribution
  • Urea / chemistry*
  • Urea / metabolism
  • Urea / pharmacokinetics
  • Urea / pharmacology
  • Water / chemistry

Substances

  • 6-hydrazinopyridine-3-carboxylic acid
  • Antigens, Surface
  • Enzyme Inhibitors
  • Hydrazines
  • Nicotinic Acids
  • Water
  • Ethanol
  • Technetium
  • Urea
  • FOLH1 protein, human
  • Glutamate Carboxypeptidase II