Abstract
Purpose
Fibroblast activation protein (FAP) is a pan-cancer target and now the state-of-the-art to develop radiopharmaceuticals. FAP inhibitors have been of great success in developing imaging tracers. Yet, the overly rapid clearance cannot match with the long half-lives of regular therapeutic radionuclides. Though strategies that aim to elongate the circulation of FAPIs are being developed, here we describe an innovation that uses α-emitters of short half-lives (e.g., 213Bi) to pair the rapid pharmacokinetics of FAPIs.
Methods
An organotrifluoroborate linker is engineered to FAPIs to give two advantages: (1) selectively increases tumor uptake and retention; (2) facile 18F-radiolabeling for positron emission tomography to guide radiotherapy with α-emitters, which can hardly be traced in general.
Results
The organotrifluoroborate linker helps to improve the internalization in cancer cells, resulting in notably higher tumor uptake while the background is clean. In FAP-expressed tumor-bearing mice, this FAPI labeled with 213Bi, a short half-life α-emitter, exhibits almost complete suppression to tumor growth while the side effect is negligible. Additional data shows that this strategy is generally applicable to guide other α-emitters, such as 212Bi, 212Pb, and 149Tb.
Conclusion
The organotrifluoroborate linker may be of importance to optimize FAP-targeted radiopharmaceuticals, and the short half-lived α-emitters may be of choice for the rapid-cleared small molecule-based radiopharmaceuticals.
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Data availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
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Acknowledgements
We acknowledge the facility support from the Analytical Instrumentation Center of Peking University.
Funding
We gratefully acknowledge the Beijing Municipal Natural Science Foundation (Grant No. Z200018), the National Natural Science Foundation of China (Grant No. U1867209), the Ministry of Science and Technology of the People’s Republic of China (Grant Nos. 2021YFA1601400 and 2017YFA0506300), the Special Foundation of Beijing Municipal Education Commission (Grant No. 3500–12020123), and the Li Ge-Zhao Ning Life Science Youth Research Foundation (LGZNQN202004) to Z.L.
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Y.L. participated in all the experiments. H.T. and T.S. assisted in cell and animal experiments. M.X. and J.C. provided radionuclides and guided the radiolabeling. Y.L. and XY.C. wrote the manuscipt. Y.H. and Z.L. helped analyze the experimental data. Z.L. designed the study and revised the manuscipt. All authors read and approved the final manuscript.”
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Liu, Y., Tang, H., Song, T. et al. Organotrifluoroborate enhances tumor targeting of fibroblast activation protein inhibitors for targeted radionuclide therapy. Eur J Nucl Med Mol Imaging 50, 2636–2646 (2023). https://doi.org/10.1007/s00259-023-06230-3
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DOI: https://doi.org/10.1007/s00259-023-06230-3