Development of caspase-3-selective activity-based probes for PET imaging of apoptosis

Louis Lauwerys1,2, Lucas Beroske1,2, Angelo Solania3

  • 1Molecular Imaging and Radiology, University of Antwerp, Universiteitsplein 1, 2610, Wilrijk, Antwerp, Belgium.

Abstract

Insights

Researchers developed novel caspase-3-selective activity-based probes (ABPs) for apoptosis imaging. While the PET tracer [18F]MICA-316 showed promise in vitro, it had limited in vivo tumor uptake, highlighting the need for improved probes for cancer treatment response evaluation.

Area of Science:

  • Biomedical Imaging
  • Molecular Imaging
  • Cancer Research

Background:

  • Caspase-3 is a key executioner protease in apoptosis, making it a potential biomarker for cancer therapy response.
  • Previous PET tracers for caspase-3 lacked sufficient tumor uptake or selectivity for clinical use.
  • Developing selective activity-based probes (ABPs) is crucial for effective apoptosis imaging in cancer patients.

Purpose of the Study:

  • To develop and preclinically evaluate novel caspase-3-selective ABPs for apoptosis imaging.
  • To identify a PET tracer capable of accurately assessing treatment response by detecting tumor cell death.

Main Methods:

  • Synthesis and 18F-labeling of a library of caspase-3-selective ABPs.
  • In vitro evaluation of binding kinetics and selectivity.
  • Preclinical testing of promising tracers in in vitro apoptosis models and in vivo colorectal cancer models.
  • Comparison with a known cell death imaging agent, [99mTc]Tc-duramycin.

Main Results:

  • A second-generation ABP based on Ac-ATS010-KE showed improved binding kinetics over the first generation.
  • [18F]MICA-316 demonstrated increased uptake in apoptotic cells in vitro.
  • In vivo, [18F]MICA-316 exhibited limited tumor uptake and could not differentiate treated from untreated tumors.
  • [99mTc]Tc-duramycin effectively detected increased cell death, outperforming the developed PET tracers.

Conclusions:

  • A novel library of caspase-3-binding PET tracers was developed with binding kinetics similar to the parent inhibitor.
  • [18F]MICA-316 selectively bound caspase-3 in apoptotic cells in vitro but showed insufficient in vivo performance.
  • Future generations of caspase-3-selective ABPs require enhanced tumor accumulation and in vivo stability for effective cancer treatment response assessment.