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Clinical Translation of a 68Ga-Labeled Integrin αvβ6-Targeting Cyclic Radiotracer for PET Imaging of Pancreatic Cancer.


ABSTRACT: The overexpression of integrin αvβ6 in pancreatic cancer makes it a promising target for noninvasive PET imaging. However, currently, most integrin αvβ6-targeting radiotracers are based on linear peptides, which are quickly degraded in the serum by proteinases. Herein, we aimed to develop and assess a 68Ga-labeled integrin αvβ6-targeting cyclic peptide (68Ga-cycratide) for PET imaging of pancreatic cancer. Methods: 68Ga-cycratide was prepared, and its PET imaging profile was compared with that of the linear peptide (68Ga-linear-pep) in an integrin αvβ6-positive BxPC-3 human pancreatic cancer mouse model. Five healthy volunteers (2 women and 3 men) underwent whole-body PET/CT imaging after injection of 68Ga-cycratide, and biodistribution and dosimetry were calculated. PET/CT imaging of 2 patients was performed to investigate the potential role of 68Ga-cycratide in pancreatic cancer diagnosis and treatment monitoring. Results: 68Ga-cycratide exhibited significantly higher tumor uptake than did 68Ga-linear-pep in BxPC-3 tumor-bearing mice, owing-at least in part-to markedly improved in vivo stability. 68Ga-cycratide could sensitively detect the pancreatic cancer lesions in an orthotopic mouse model and was well tolerated in all healthy volunteers. Preliminary PET/CT imaging in patients with pancreatic cancer demonstrated that 68Ga-cycratide was comparable to 18F-FDG for diagnostic imaging and postsurgery tumor relapse monitoring. Conclusion: 68Ga-cycratide is an integrin αvβ6-specific PET radiotracer with favorable pharmacokinetics and a favorable dosimetry profile. 68Ga-cycratide is expected to provide an effective noninvasive PET strategy for pancreatic cancer lesion detection and therapy response monitoring.

SUBMITTER: Feng X 

PROVIDER: S-EPMC7539652 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Clinical Translation of a <sup>68</sup>Ga-Labeled Integrin α<sub>v</sub>β<sub>6</sub>-Targeting Cyclic Radiotracer for PET Imaging of Pancreatic Cancer.

Feng Xun X   Wang Yanpu Y   Lu Dehua D   Xu Xiaoxia X   Zhou Xin X   Zhang Huiyuan H   Zhang Ting T   Zhu Hua H   Yang Zhi Z   Wang Fan F   Li Nan N   Liu Zhaofei Z  

Journal of nuclear medicine : official publication, Society of Nuclear Medicine 20200221 10


The overexpression of integrin α<sub>v</sub>β<sub>6</sub> in pancreatic cancer makes it a promising target for noninvasive PET imaging. However, currently, most integrin α<sub>v</sub>β<sub>6</sub>-targeting radiotracers are based on linear peptides, which are quickly degraded in the serum by proteinases. Herein, we aimed to develop and assess a <sup>68</sup>Ga-labeled integrin α<sub>v</sub>β<sub>6</sub>-targeting cyclic peptide (<sup>68</sup>Ga-cycratide) for PET imaging of pancreatic cancer. <b  ...[more]

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