Prostate cancer imaging of FSHR antagonist modified with a hydrophilic linker

Chen Zhu1, Qing Xu1, Donghui Pan2

  • 1Department of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China.

Insights

A new PET imaging probe, (18)F-Al-NOTA-MAL-FSH2, targets Follicle-stimulating hormone receptor (FSHR) in prostate cancer. This improved probe shows clear tumor visualization and better pharmacokinetics for enhanced cancer diagnosis and therapy.

Area of Science:

  • Biomedical imaging
  • Radiochemistry
  • Oncology

Background:

  • Follicle-stimulating hormone receptor (FSHR) is a promising target for prostate cancer (PCa) diagnosis and therapy due to its selective expression in PCa endothelial cells.
  • Existing PET imaging probes like (18)F-Al-NOTA-MAL-FSH1 face challenges with unfavorable abdominal backgrounds, potentially limiting clinical application.

Purpose of the Study:

  • To design and evaluate a novel PET imaging probe, (18)F-Al-NOTA-MAL-FSH2, utilizing a hydrophilic linker (GGGRDN) to improve imaging quality for FSHR-positive prostate cancer.
  • To assess the radiolabeling efficiency, stability, pharmacokinetic properties, and in vivo performance of the new probe.

Main Methods:

  • GGGRDN-FSH1 (FSH2) was synthesized and conjugated with NOTA-MAL for (18)F-Al radiolabeling.
  • Radiochemical yield, purity, and specific activity of (18)F-Al-NOTA-MAL-FSH2 were determined.
  • In vitro stability was assessed in PBS and human serum.
  • In vivo microPET imaging and biodistribution studies were conducted in PC-3 human PCa xenograft-bearing mice.

Main Results:

  • (18)F-Al-NOTA-MAL-FSH2 was prepared efficiently in a one-step method with good radiochemical yield (41.46 ± 10.36%) and high purity (>95%).
  • The probe demonstrated excellent stability in vitro and favorable pharmacokinetics with clear visualization of PC-3 tumors in vivo.
  • Tumor uptake was significant, and biodistribution showed low accumulation in off-target organs like the liver and intestine.

Conclusions:

  • (18)F-Al-NOTA-MAL-FSH2 is a successfully developed PET imaging agent for FSHR-positive tumors, prepared via a facile one-step radiolabeling process.
  • The probe exhibits improved characteristics compared to previous agents, suggesting its potential as a valuable tool for prostate cancer imaging.
  • Further preclinical evaluation supports (18)F-Al-NOTA-MAL-FSH2 as a promising candidate for clinical translation in FSHR-positive tumor detection.

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