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Published on: February 3, 2023
Radiolabelled GLP-1 receptor antagonist binds to GLP-1 receptor-expressing human tissues
Beatrice Waser1, Jean Claude Reubi
1Division of Cell Biology and Experimental Cancer Research, Institute of Pathology, University of Berne, PO Box 62, Murtenstrasse 31, 3010, Berne, Switzerland.
Purpose:
Radiolabelled glucagon-like peptide 1 (GLP-1) receptor agonists have recently been shown to successfully image benign insulinomas in patients. For the somatostatin receptor targeting of tumours, however, it was recently reported that antagonist tracers were superior to agonist tracers. The present study therefore evaluated various forms of the (125)iodinated-Bolton-Hunter (BH)-exendin(9-39) antagonist tracer for the in vitro visualization of GLP-1 receptor-expressing tissues in rats and humans and compared it with the agonist tracer (125)I-GLP-1(7-36)amide.
Methods:
Receptor autoradiography studies with (125)I-GLP-1(7-36)amide agonist or (125)I-BH-exendin(9-39) antagonist radioligands were performed in human and rat tissues.
Results:
The antagonist (125)I-BH-exendin(9-39) labelled at lysine 19 identifies all human and rat GLP-1 target tissues and GLP-1 receptor-expressing tumours. Binding is of high affinity and is comparable in all tested tissues in its binding properties with the agonist tracer (125)I-GLP-1(7-36)amide. For comparison, (125)I-BH-exendin(9-39) with the BH labelled at lysine 4 did identify the GLP-1 receptor in rat tissues but not in human tissues.
Conclusion:
The GLP-1 receptor antagonist exendin(9-39) labelled with (125)I-BH at lysine 19 is an excellent GLP-1 radioligand that identifies human and rat GLP-1 receptors in normal and tumoural tissues. It may therefore be the molecular basis to develop suitable GLP-1 receptor antagonist radioligands for in vivo imaging of GLP-1 receptor-expressing tissues in patients.
Insights
A novel radioligand, (125)I-BH-exendin(9-39), effectively visualizes glucagon-like peptide 1 (GLP-1) receptors in both normal and tumor tissues. This antagonist tracer shows promise for developing new imaging agents for GLP-1 receptor-expressing conditions.
Area of Science:
- Nuclear medicine
- Molecular imaging
- Endocrinology
Background:
- Radiolabeled glucagon-like peptide 1 (GLP-1) receptor agonists are used for imaging benign insulinomas.
- Antagonist tracers may offer superior targeting for somatostatin receptor tumors compared to agonists.
Purpose of the Study:
- To evaluate (125)iodinated-Bolton-Hunter (BH)-exendin(9-39) antagonist tracers for in vitro visualization of GLP-1 receptor-expressing tissues.
- To compare the antagonist tracer with the agonist tracer (125)I-GLP-1(7-36)amide in rat and human tissues.
Main Methods:
- Receptor autoradiography was performed using (125)I-GLP-1(7-36)amide (agonist) and (125)I-BH-exendin(9-39) (antagonist) radioligands.
- Studies were conducted on both human and rat tissues to assess tracer binding.
Main Results:
- The (125)I-BH-exendin(9-39) antagonist, labeled at lysine 19, successfully identified GLP-1 target tissues and GLP-1 receptor-expressing tumors in humans and rats.
- Binding affinity was high and comparable to the agonist tracer (125)I-GLP-1(7-36)amide.
- Labeling at lysine 4 resulted in identification of rat GLP-1 receptors but not human receptors.
Conclusions:
- The GLP-1 receptor antagonist exendin(9-39) labeled with (125)I-BH at lysine 19 is an effective radioligand for visualizing GLP-1 receptors.
- This tracer identifies GLP-1 receptors in normal and tumor tissues in both rats and humans.
- It provides a foundation for developing in vivo imaging agents for GLP-1 receptor-expressing tissues.
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