Development of an FAP-Targeted PET Probe Based on a Novel Quinolinium Molecular Scaffold

Lei Li1,2,3, Rui Cao4, Kaixin Chen1,2,3

  • 1School of Chinese Materia Medica, Nanjing University of Chinese Medicine, Nanjing 201203, China.

PubMed

Insights

A novel fibroblast activation protein inhibitor (FAPI) ligand, SMIC-3002, was developed using a quinolinium scaffold. The resulting PET probe, [68Ga]Ga-SMIC-3002, shows high tumor uptake and potential for theranostic applications.

Area of Science:

  • Radiopharmaceutical chemistry
  • Molecular imaging
  • Oncology

Background:

  • Fibroblast activation protein (FAP) is a key tumor biomarker with significant diagnostic and therapeutic potential.
  • Current fibroblast activation protein inhibitors (FAPI) radiotracers show promise but require further optimization for theranostics.
  • Development of novel FAPI ligands is crucial for advancing cancer imaging and therapy.

Purpose of the Study:

  • To design and synthesize a novel FAPI ligand, SMIC-3002, by modifying the quinoline core to a quinolinium scaffold.
  • To develop and evaluate a positron emission tomography (PET) probe, [68Ga]Ga-SMIC-3002, for FAP-targeted imaging.
  • To assess the in vitro and in vivo performance of [68Ga]Ga-SMIC-3002 for potential clinical translation.

Main Methods:

  • Design of SMIC-3002 by altering the quinoline motif of FAPI-04 to a quinolinium scaffold.
  • Radiolabeling of SMIC-3002 with Gallium-68 (68Ga) to create the PET probe [68Ga]Ga-SMIC-3002.
  • In vitro stability assays and binding affinity studies (protein and cell-based).
  • In vivo small animal PET/CT imaging in U87MG tumor-bearing mice to evaluate tumor uptake and biodistribution.

Main Results:

  • The novel FAPI ligand SMIC-3002 was successfully synthesized with a quinolinium core.
  • [68Ga]Ga-SMIC-3002 exhibited high in vitro stability and nanomolar affinity for FAP (8 nM protein, 23 nM U87MG cells).
  • The PET probe demonstrated specific uptake in FAP-expressing tumors with a tumor/muscle ratio of 19.1 and tumor uptake of 1.48 ± 0.03 ID/g% at 0.5 h post-injection in mice.

Conclusions:

  • The quinolinium scaffold is a viable strategy for developing novel FAP-targeted tracers.
  • [68Ga]Ga-SMIC-3002 displays excellent properties for FAP-targeted PET imaging, indicating high potential for clinical theranostics.
  • This study provides valuable insights for the design of next-generation FAPI radiopharmaceuticals.