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Linker Chemistry in Radiopharmaceutical Design.

Ava Stoddard1,2,3, Kiarra Furey1,2,3, Gina Dehlavi1,3,4

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Linker chemistry is crucial for optimizing molecularly targeted bioconjugates in nuclear medicine. Innovations in linker design enhance probe performance for imaging and therapy, drawing lessons from antibody-drug conjugates.

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Area of Science:

  • Nuclear medicine
  • Radiopharmaceutical chemistry
  • Molecularly targeted bioconjugates

Background:

  • Molecularly targeted bioconjugates have transformed nuclear medicine over 50 years.
  • These probes, used in PET, SPECT, and therapy, consist of a targeting vector, radionuclide, labeling moiety, and linker.
  • Linkers are essential for stable in vivo attachment but are often overlooked.

Purpose of the Study:

  • To systematically review how linker chemistry optimizes radiopharmaceutical in vivo performance.
  • To highlight innovative linker strategies and nascent methodologies.
  • To explore cross-disciplinary lessons from antibody-drug conjugate development.

Main Methods:

  • Review of existing literature on radiopharmaceutical linker chemistry.
  • Analysis of strategies for altering linker hydrophobicity and bioavailability.
  • Discussion of stimuli-responsive linker cleavage mechanisms.

Main Results:

  • Linker structure significantly impacts probe hydrophobicity and bioavailability.
  • Innovative linker strategies are emerging, including stimuli-responsive designs.
  • Lessons from antibody-drug conjugate linkers offer valuable insights for radiopharmaceuticals.

Conclusions:

  • Linker chemistry is a critical, yet often underestimated, component in radiopharmaceutical design.
  • Optimizing linker properties can significantly enhance the efficacy of nuclear imaging and therapeutic probes.
  • Further research into advanced linker technologies, informed by other fields, holds great promise.