NGR-Based Radiopharmaceuticals for Angiogenesis Imaging: A Preclinical Review

Int J Mol Sci. 2023 Aug 11;24(16):12675. doi: 10.3390/ijms241612675.

Abstract

Angiogenesis plays a crucial role in tumour progression and metastatic spread; therefore, the development of specific vectors targeting angiogenesis has attracted the attention of several researchers. Since angiogenesis-associated aminopeptidase N (APN/CD13) is highly expressed on the surface of activated endothelial cells of new blood vessels and a wide range of tumour cells, it holds great promise for imaging and therapy in the field of cancer medicine. The selective binding capability of asparagine-glycine-arginine (NGR) motif containing molecules to APN/CD13 makes radiolabelled NGR peptides promising radiopharmaceuticals for the non-invasive, real-time imaging of APN/CD13 overexpressing malignancies at the molecular level. Preclinical small animal model systems are major keystones for the evaluation of the in vivo imaging behaviour of radiolabelled NGR derivatives. Based on existing literature data, several positron emission tomography (PET) and single-photon emission computed tomography (SPECT) radioisotopes have been applied so far for the labelling of tumour vasculature homing NGR sequences such as Gallium-68 (68Ga), Copper-64 (64Cu), Technetium-99m (99mTc), Lutetium-177 (177Lu), Rhenium-188 (188Re), or Bismuth-213 (213Bi). Herein, a comprehensive overview is provided of the recent preclinical experiences with radiolabelled imaging probes targeting angiogenesis.

Keywords: NGR (asparagine-glycine-arginine); aminopeptidase N (APN/CD13); angiogenesis; preclinical; radioisotope.

Publication types

  • Review

MeSH terms

  • Animals
  • CD13 Antigens
  • Cardiovascular Physiological Phenomena
  • Disease Models, Animal
  • Endothelial Cells*
  • Radiopharmaceuticals*

Substances

  • Radiopharmaceuticals
  • CD13 Antigens

Grants and funding

The work is supported by the GINOP-2.3.2-15-2016-00043 (G.H.) grant co-financed by the European Union and the State of Hungary through the European Regional Development Fund and by the Thematic Excellence Programme TKP2021-EGA-20 (Biotechnology) of the Ministry for Innovation and Technology in Hungary (G.H.).