Preparation and biological evaluation of (64)Cu labeled Tyr(3)-octreotate using a phosphonic acid-based cross-bridged

Yunjun Guo1, Riccardo Ferdani, Carolyn J Anderson

  • 1Mallinckrodt Institute of Radiology, Washington University, St. Louis, MO, USA.

Insights

A novel chelator, CB-TE1A1P, was developed for radiolabeling somatostatin analogues like Y3-TATE with copper-64. This new agent shows improved tumor targeting and reduced off-target accumulation for neuroendocrine tumor imaging and therapy.

Area of Science:

  • Nuclear Medicine
  • Radiopharmaceutical Chemistry
  • Oncology

Background:

  • Somatostatin receptors (SSTr) are overexpressed in neuroendocrine tumors, making them targets for imaging and therapy.
  • Radiolabeled somatostatin analogues are used for positron emission tomography (PET) imaging and radionuclide therapy of SSTr-positive tumors, particularly subtype-2 (SSTr2).

Purpose of the Study:

  • To develop a novel somatostatin analogue, Tyr(3)-octreotate (Y3-TATE), conjugated to a new cross-bridged macrocyclic chelator, 11-carboxymethyl-1,4,8,11-tetraazabicyclo[6.6.2]hexadecane-4-methanephosphonic acid (CB-TE1A1P).
  • To evaluate the radiolabeling efficiency, binding characteristics, and in vivo performance of the (64)Cu-labeled CB-TE1A1P-Y3-TATE conjugate for PET imaging.

Main Methods:

  • Radiolabeling of CB-TE1A1P-Y3-TATE and CB-TE2A-Y3-TATE with copper-64 ((64)Cu) under mild conditions.
  • Saturation binding assays using AR42J rat pancreatic tumor cell membranes.
  • In vivo studies in AR42J tumor-bearing rats to assess biodistribution, blood clearance, and tumor uptake.
  • Small animal PET/CT imaging.

Main Results:

  • (64)Cu-CB-TE1A1P-Y3-TATE was successfully radiolabeled with high purity and specific activity under mild conditions.
  • The new conjugate exhibited comparable binding affinity but increased binding site availability compared to (64)Cu-CB-TE2A-Y3-TATE.
  • (64)Cu-CB-TE1A1P-Y3-TATE showed improved blood clearance and higher tumor/blood ratios, with reduced accumulation in nontarget organs (liver, lung, bone) compared to the control.
  • PET/CT imaging confirmed significant tumor uptake and good contrast.

Conclusions:

  • CB-TE1A1P is a promising bifunctional chelator for developing (64)Cu-labeled Y3-TATE for neuroendocrine tumor imaging and therapy.
  • The novel conjugate offers high binding affinity, target tissue uptake, efficient radiolabeling, and improved tumor-to-nontarget ratios.
  • This agent holds potential for enhanced diagnostic and therapeutic applications in SSTr-positive cancers.

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