First-in-Class CD146-Targeting Peptide Probes for Noninvasive PET Imaging of Melanoma

Qian Zhang1,2, Xiaoyi Guo2, Siqi Hao1,2

  • 1GuiZhou University Medical College , Guiyang550025, Guizhou Province, China.

Insights

Researchers developed novel [68Ga]Ga-labeled peptide imaging agents, [68Ga]Ga-DOTA-P1 and [68Ga]Ga-DOTA-P2, to target CD146. [68Ga]Ga-DOTA-P1 demonstrated rapid tumor uptake and high contrast for noninvasive imaging of CD146-expressing cancers.

Area of Science:

  • Molecular Imaging
  • Oncology
  • Radiochemistry

Background:

  • CD146 is a transmembrane glycoprotein overexpressed in solid tumors and tumor vasculature.
  • CD146-targeting antibody-drug conjugates are in clinical trials, highlighting the need for noninvasive imaging tools.
  • Current imaging methods lack specificity and sensitivity for guiding patient selection in CD146-targeted therapies.

Purpose of the Study:

  • To develop and evaluate novel peptide-based positron emission tomography (PET) imaging agents targeting CD146.
  • To assess the synthesis, stability, affinity, and in vitro/in vivo performance of [68Ga]Ga-labeled DOTA-conjugated peptides (P1 and P2).
  • To establish a noninvasive imaging strategy for patient stratification in CD146-targeted cancer therapy.

Main Methods:

  • Synthesis and radiolabeling of [68Ga]Ga-DOTA-P1 and [68Ga]Ga-DOTA-P2 with high radiochemical yield and purity.
  • In vitro evaluation of probe stability, binding affinity (Kd), and cellular uptake in CD146-positive cells.
  • In vivo preclinical evaluation using PET/CT imaging in CD146-positive tumor models (A375 and SK-Mel-28).
  • Immunohistochemical analysis to confirm CD146 expression in tumor tissues.

Main Results:

  • Both [68Ga]Ga-DOTA-P1 and [68Ga]Ga-DOTA-P2 were synthesized efficiently (>90% yield, >95% purity) and exhibited good in vitro stability.
  • [68Ga]Ga-DOTA-P1 showed high affinity (Kd = 152.3 nM) and specific binding to CD146-positive cells, with robust CD146-mediated uptake.
  • In vivo PET/CT imaging revealed rapid tumor uptake and efficient tissue excretion for [68Ga]Ga-DOTA-P1, achieving a high tumor-to-muscle ratio (5.33 ± 0.58) in the A375 model at 30 min.
  • [68Ga]Ga-DOTA-P1 demonstrated effective imaging in both A375 and SK-Mel-28 CD146-positive tumor models.

Conclusions:

  • [68Ga]Ga-DOTA-P1 is a promising molecular imaging agent for rapid, high-contrast detection of CD146-expressing malignancies.
  • This agent offers a practical noninvasive strategy for patient stratification in the context of CD146-targeted therapies.
  • The development represents a significant advancement in molecular imaging for precision oncology.

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