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Development of Heterobivalent Theranostic Probes Having High Affinity/Selectivity for the GRPR/PSMA.
Rajendra P Bandari1,2, Terry L Carmack1,3, Anil Malhotra1
1Research Division, Harry S. Truman Memorial Veterans' Hospital, Research Service Room A005, 800 Hospital Drive, Columbia, Missouri 65201, United States.
Journal of Medicinal Chemistry
|February 3, 2021
Summary
New heterobivalent radiotracers targeting gastrin-releasing peptide receptor (GRPR) and prostate-specific membrane antigen (PSMA) show high tumor uptake and favorable pharmacokinetics for imaging and therapy.
Area of Science:
- Nuclear Medicine
- Radiopharmaceutical Chemistry
- Molecular Imaging
Background:
- Gastrin-releasing peptide receptor (GRPR) and prostate-specific membrane antigen (PSMA) are key targets in prostate cancer.
- Development of targeted radiopharmaceuticals is crucial for accurate cancer imaging and therapy.
Purpose of the Study:
- To develop and evaluate novel heterobivalent radiotracers targeting both GRPR and PSMA.
- To assess the in vitro and in vivo performance of these radiotracers for potential clinical applications.
Main Methods:
- Synthesis and characterization of heterobivalent radiotracers [DUPA-6-Ahx-([111In]In-DO3A)-8-Aoc-BBN ANT] and [DUPA-6-Ahx-([177Lu]Lu-DO3A)-8-Aoc-BBN ANT].
- In vitro binding affinity assays using PC-3 and LNCaP cell membranes.
- In vivo biodistribution and micro-single-photon emission computed tomography (microSPECT) imaging in tumor-bearing mice.
Main Results:
- Radiotracers demonstrated high binding affinity for GRPR and PSMA.
- Favorable pharmacokinetic and excretion profiles observed.
- High tumor uptake (4.74-7.51%ID/g at 1h) and retention in PC-3 or PC-3 PIP tumor models.
- MicroSPECT imaging confirmed high tumor accumulation with minimal off-target tissue uptake.
Conclusions:
- The developed heterobivalent radiotracers exhibit excellent selectivity and specificity for GRPR/PSMA-expressing cells.
- These radiotracers show promising potential for diagnostic imaging and targeted radionuclide therapy in prostate cancer.

