Sven H Hausner, Ryan A Davis, Tanushree Ganguly, Rebecca Harris, Julie L Sutcliffe
{"title":"Evaluation of [<sup>18</sup>F]AlF NOTA-5G, an Aluminum [<sup>18</sup>F]fluoride Labeled Peptide Targeting the Cell Surface Receptor Integrin Alpha(v)beta(6) for PET Imaging.","authors":"Sven H Hausner, Ryan A Davis, Tanushree Ganguly, Rebecca Harris, Julie L Sutcliffe","doi":"10.1007/s11307-025-01989-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Peptide-based probes targeting integrin α<sub>v</sub>β<sub>6</sub> have shown promise in clinical trials for cancer imaging based on the high over-expression of this epithelial-specific cell surface receptor in many cancerous tissues. Recently, the α<sub>v</sub>β<sub>6</sub>-targeting gallium-68 labeled DOTA-5G peptide, [<sup>68</sup>Ga]Ga DOTA-5G, demonstrated diagnostic value in patients with metastatic pancreatic cancer. To facilitate adoption at sites without access to gallium-68 and take advantage of the characteristics of fluorine-18 through convenient [<sup>18</sup>F]fluoride chelation chemistry, this study evaluated the fluorine-18 labeled analog, [<sup>18</sup>F]AlF NOTA-5G, in vitro and in vivo in a tumor mouse model, and compared it to [<sup>68</sup>Ga]Ga DOTA-5G.</p><p><strong>Procedures: </strong>NOTA-5G was synthesized on solid phase and radiolabeled with aluminum [<sup>18</sup>F]fluoride to generate [<sup>18</sup>F]AlF NOTA-5G. Cell binding and internalization of [<sup>18</sup>F]AlF NOTA-5G were evaluated in paired DX3puroβ6 (α<sub>v</sub>β<sub>6</sub> +) and DX3puro (α<sub>v</sub>β<sub>6</sub> -), and pancreatic BxPC-3 (α<sub>v</sub>β<sub>6</sub> +) cells. Imaging (1-6 h) and biodistribution were performed in BxPC-3 tumor-bearing mice.</p><p><strong>Results: </strong>[<sup>18</sup>F]AlF NOTA-5G was obtained in > 93% radiochemical purity. Cell binding was α<sub>v</sub>β<sub>6</sub>-targeted (1 h: 66% bound to DX3puroβ6, vs 2% to DX3puro), and ≥ 50% of bound activity was internalized; analogous to [<sup>68</sup>Ga]Ga DOTA-5G, PET imaging showed clearly delineated tumors. Excretion remained primarily renal (1 to 4 h: 18.6 to 12.5% ID/g). Tumor uptake remained relatively steady (1 to 4 h: 2.3 ± 0.4 to 1.8 ± 0.6% ID/g - closely matching [<sup>68</sup>Ga]Ga DOTA-5G with 2.6 ± 0.8 and 2.0 ± 0.6% ID/g at 1 and 2 h), resulting in tumor/pancreas, tumor/liver, and tumor/blood ratios of 18/1, 24/1, and 162/1, respectively (4 h); by comparison, for [<sup>68</sup>Ga]Ga DOTA-5G the values were 21/1, 20/1, and 22/1 (2 h).</p><p><strong>Conclusions: </strong>[<sup>18</sup>F]AlF NOTA-5G demonstrated selective α<sub>v</sub>β<sub>6</sub>-targeting and tumor uptake similar to [<sup>68</sup>Ga]Ga DOTA-5G. The tumor-to-background ratio resulted high-contrast PET images, with an extended imaging window compared to [<sup>68</sup>Ga]Ga DOTA-5G. The synthesis of [<sup>18</sup>F]AlF NOTA-5G is currently being optimized for clinical production.</p>","PeriodicalId":18760,"journal":{"name":"Molecular Imaging and Biology","volume":" ","pages":""},"PeriodicalIF":3.0000,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Molecular Imaging and Biology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11307-025-01989-3","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
Evaluation of [18F]AlF NOTA-5G, an Aluminum [18F]fluoride Labeled Peptide Targeting the Cell Surface Receptor Integrin Alpha(v)beta(6) for PET Imaging.
Purpose: Peptide-based probes targeting integrin αvβ6 have shown promise in clinical trials for cancer imaging based on the high over-expression of this epithelial-specific cell surface receptor in many cancerous tissues. Recently, the αvβ6-targeting gallium-68 labeled DOTA-5G peptide, [68Ga]Ga DOTA-5G, demonstrated diagnostic value in patients with metastatic pancreatic cancer. To facilitate adoption at sites without access to gallium-68 and take advantage of the characteristics of fluorine-18 through convenient [18F]fluoride chelation chemistry, this study evaluated the fluorine-18 labeled analog, [18F]AlF NOTA-5G, in vitro and in vivo in a tumor mouse model, and compared it to [68Ga]Ga DOTA-5G.
Procedures: NOTA-5G was synthesized on solid phase and radiolabeled with aluminum [18F]fluoride to generate [18F]AlF NOTA-5G. Cell binding and internalization of [18F]AlF NOTA-5G were evaluated in paired DX3puroβ6 (αvβ6 +) and DX3puro (αvβ6 -), and pancreatic BxPC-3 (αvβ6 +) cells. Imaging (1-6 h) and biodistribution were performed in BxPC-3 tumor-bearing mice.
Results: [18F]AlF NOTA-5G was obtained in > 93% radiochemical purity. Cell binding was αvβ6-targeted (1 h: 66% bound to DX3puroβ6, vs 2% to DX3puro), and ≥ 50% of bound activity was internalized; analogous to [68Ga]Ga DOTA-5G, PET imaging showed clearly delineated tumors. Excretion remained primarily renal (1 to 4 h: 18.6 to 12.5% ID/g). Tumor uptake remained relatively steady (1 to 4 h: 2.3 ± 0.4 to 1.8 ± 0.6% ID/g - closely matching [68Ga]Ga DOTA-5G with 2.6 ± 0.8 and 2.0 ± 0.6% ID/g at 1 and 2 h), resulting in tumor/pancreas, tumor/liver, and tumor/blood ratios of 18/1, 24/1, and 162/1, respectively (4 h); by comparison, for [68Ga]Ga DOTA-5G the values were 21/1, 20/1, and 22/1 (2 h).
Conclusions: [18F]AlF NOTA-5G demonstrated selective αvβ6-targeting and tumor uptake similar to [68Ga]Ga DOTA-5G. The tumor-to-background ratio resulted high-contrast PET images, with an extended imaging window compared to [68Ga]Ga DOTA-5G. The synthesis of [18F]AlF NOTA-5G is currently being optimized for clinical production.
期刊介绍:
Molecular Imaging and Biology (MIB) invites original contributions (research articles, review articles, commentaries, etc.) on the utilization of molecular imaging (i.e., nuclear imaging, optical imaging, autoradiography and pathology, MRI, MPI, ultrasound imaging, radiomics/genomics etc.) to investigate questions related to biology and health. The objective of MIB is to provide a forum to the discovery of molecular mechanisms of disease through the use of imaging techniques. We aim to investigate the biological nature of disease in patients and establish new molecular imaging diagnostic and therapy procedures.
Some areas that are covered are:
Preclinical and clinical imaging of macromolecular targets (e.g., genes, receptors, enzymes) involved in significant biological processes.
The design, characterization, and study of new molecular imaging probes and contrast agents for the functional interrogation of macromolecular targets.
Development and evaluation of imaging systems including instrumentation, image reconstruction algorithms, image analysis, and display.
Development of molecular assay approaches leading to quantification of the biological information obtained in molecular imaging.
Study of in vivo animal models of disease for the development of new molecular diagnostics and therapeutics.
Extension of in vitro and in vivo discoveries using disease models, into well designed clinical research investigations.
Clinical molecular imaging involving clinical investigations, clinical trials and medical management or cost-effectiveness studies.