Preliminary evaluation of a 64Cu-labeled DNA aptamer for PET imaging of glioblastoma

To develop a DNA aptamer-based PET tracer for imaging of glioblastoma. 5 mM of NOTA-AS1411, 60-min, and 37 °C were selected as the optimal condition for 64Cu radiolabeling of AS1411. 64Cu-NOTA-AS1411 remained stable in PBS and 100% mouse serum for at least six hours. From the PET images, 64Cu-NOTA-AS1411 tended to be excreted out through the kidneys and there was high tracer accumulation in the bladder. There was a higher tumor uptake in the AS1411 group than that in the control group. 64Cu-NOTA-AS1411 is a suitable potential PET tracer for imaging murine glioblastoma.

Due to their great target affinity, enhanced heat stability, and excellent biocompatibility, aptamers prove promising for molecular imaging. Last two decades, we have witnessed the development of aptamer-based molecular imaging using various imaging modalities [26], such as fluorescent imaging [27,28], ultrasound molecular imaging [29,30], magnetic resonance imaging [31,32], and nuclear medicine imaging techniques [33][34][35] including positron emission tomography (PET) and single-photon emission computed tomography (SPECT). Nuclear medicine imaging utilizes probes carrying radioactive isotopes for imaging, generally named radiopharmaceuticals or radiotracers. Once administrated into living organisms, PET or SPECT scanners may find the signal emitted from such probes. The signal can later be reconstructed for data analysis and allow for subsequent analysis to identify diseased tissues via tracer uptake quantification at different time points after administration. PET imaging detects positron-emitting (β + ) radionuclides (such as 11 C, 13 N, 18 F, 64 Cu, 68 Ga) and offers higher imaging resolution and improved quantifiability than SPECT imaging. Based on the advantages of nuclear medicine imaging and aptamer, Li et al. [36] conducted 64 Cu radiolabeling of AS1411 with four different chelators. In vivo PET/CT imaging showed that the molecular probe obtained using chelator CB-TE2A showed significant uptake at the tumor and also exhibited lower liver uptake and higher tumor to background contrast. 64 Cu-CB-TE2A-AS1411 probe is suitable for lung cancer imaging.
Herein, we developed a DNA aptamer (AS1411)-based PET tracer for imaging of glioblastoma. AS1411 was functionalized with NOTA chelator and 64 Cu (half-life 12.7 h) was later labeled for PET imaging. We systematically investigated different labeling conditions to optimize the labeling efficiency. The obtained tracer, 64 Cu-NOTA-AS1411 was further used for imaging of U87MG tumor-bearing mice. Uptake of 64 Cu-NOTA-AS1411 and 64 Cu-NOTA-CS (control sequence) was studied in U87MG tumor-bearing mice using PET. Results showed that AS1411 showed significantly higher affinity than the control ssDNA, based on semiquantitative PET analysis.

Materials and methods
General AS1411 aptamer (5′-GGT GGT GGT GGT TGT GGT GGT GGT GG-3′) [37] in the form of single-strand DNA (ssDNA) was purchased from Sangon Biotech (Shanghai) Co., Ltd. (China), from which a control sequence (CS) with the same number of DNA bases but a random sequence was also obtained. Amine group was designed at the 5' end of AS1411 and CS.
Other reagents were purchased from Sinopharm Chemical Reagent Co., Ltd., and used as received, unless stated otherwise.

Bifunctional chelator conjugation
To achieve 64 Cu radiolabeling of ssDNA, p-SCN-Bn-NOTA was conjugated to the amine group at the end of ssDNA. SsDNA (AS1411 or CS) was dissolved in 1 × PBS (phosphate buffered saline) to achieve a final concentration of 0.1 mM. 0.5-1 mg of p-SCN-Bn-NOTA was weighed, dissolved in DMSO, and then added to the ssDNA solution, of which the final pH was adjusted to 9.0-9.2 using a carbonate buffer. The reaction was allowed for 2 h with constant shaking under room temperature. p-SCN-Bn-NOTA conjugated ssDNA (NOTA-AS1411 or NOTA-CS) was purified with a NAP-5 column (GE Healthcare, Fairfield, CT, USA) with 1 × PBS as the elution buffer and DNA concentration of each fraction was examined with UV-VIS spectroscopy (Agilent Cary 60, Agilent Technologies, Santa Clara, CA, USA).

64
Cu Radiolabeling of NOTA-ssDNA 64 Cu was produced by the PETtrace cyclotron (GE Healthcare) via the 64 Ni(p,n) 64 Cu reaction. 64 Cu in 0.1 M HCl was added to 100 μL of sodium acetate (0.05 M, pH 5.5) and further mixed with 500 μL of NOTA-ssDNA. The reaction was performed at a certain temperature for a certain amount of time with constant shaking. Radiolabeling efficiency was determined by thin layer chromatography (TLC) at different time points during the labeling reaction. Sodium EDTA solution (0.05 M) was used as the mobile phase. The reaction solution was purified by a NAP-5 column and the fraction with the highest radioactivity, which was 64 Cu-NOTA-ssDNA, was used for stability tests and animal studies.

In vitro stability test
To investigate in vitro stability, 64 Cu-NOTA-AS1411 was added to 1 × PBS and 100% mouse serum for incubation under 37 °C, and the radiochemical purity was determined by TLC at different time points.

Glioma tumor model establishment
Human malignant glioblastoma cells (U87MG) were purchased from Fuheng Biotechnology Co., Ltd. (Shanghai, China) and cultured in DMEM supplemented with 10% FBS at 37 °C in a humidified incubator with 5% CO 2 .
About 5 × 10 6 U87MG cells in 100 μL 1 × PBS were subcutaneously injected into the right flank of each athymic mouse (4-6 weeks old, female, Beijing Vital River Laboratory Animal Technology Co., Ltd.). The mice were subjected to subsequent PET imaging when the tumors reached 0.

Cu radiolabeling of AS1411
To label AS1411 with 64 Cu, AS1411 was modified first with a bifunctional chelator p-SCN-Bn-NOTA. NOTA-AS1411was successfully obtained through p-SCN-Bn-NOTA being conjugated to the amine group at the end of AS1411, which was shown in Fig. 1.
To improve the labeling efficiency and obtain the best radiochemical purity, we planned to conduct several experiments by variating from the aspects of DNA concentration, reaction time, and reaction temperature. Results are shown in Fig. 2.
According to the previous results of our research, the concentration of ssDNA is one of the important reaction parameters to improve the labeling efficiency in the study of labeling ssDNA with 18 F or 99m Tc. Thus, in this study, for 64 Cu radiolabeling of AS1411, we set five different ssDNA concentrations at 0.1, 0.5, 1, 5, and 10 mM with the reaction time being 60 min and the reaction temperature being 37 °C. When araising from 0.1 to 10 mM of AS1411 concentration, the labeling efficiency improved from 5% to almost 90%, indicative of the positive correlation between radiochemical yield (RCY) and precursor concentration (AS1411), as shown in Fig. 2a.
The reaction time and reaction temperature also played pivotal roles in the 64 Cu radiolabeling of AS1411. As shown in Fig. 2b, the labeling efficiency increased in function of time with 5 mM of NOTA-AS1411 and 37 °C. However, compared with the 60-min reaction, the labeling efficiency of 120-min reaction did not significantly improve (62.03 ± 2.61 at 60 min vs 63.03 ± 2.97 at 120 min). The higher reaction temperature proved beneficial for the labeling efficiency from 54.50 ± 3.31 at 25 °C to 71.73 ± 2.23 at 90 °C, which were shown in Fig. 2c. After considering various important reaction parameters, we selected 5 mM of NOTA-AS1411, 60-min reaction time, and 37 °C as the condition for 64 Cu radiolabeling of AS1411, which was similar to the labeling condition reported in the literature [36]. The reaction solution was purified by a NAP-5 column, and the specific activity of 64 Cu-NOTA-AS1411 was in the range of 0.8-1.7 mCi/nmol.

In vitro stability test
The as-prepared 64 Cu-NOTA-AS1411 was further tested to validate the radiolabeling stability in 1 × PBS and 100% mouse serum. As shown in Fig. 3, 64 Cu-NOTA-AS1411

PET imaging of 64 Cu-NOTA-AS1411
To validate the DNA aptamer tracer for PET imaging of glioblastoma, we prepared mice bearing U87MG subcutaneous tumors on their right shoulder. To better highlight the specificity of the DNA aptamer AS1411, we also radiolabeled CS to serve as a control. As shown in Fig. 4a, we could find that 64 Cu-NOTA-ssDNA tended to be excreted out through the kidneys and we saw high tracer accumulation in the bladder in both groups (51.20 ± 44.30% ID/g for AS1411 vs 37.10 ± 22.70% ID/g for CS, at 0.5 h after injection). We found a higher tumor uptake from 1.50 ± 0.12% ID/g at 0.5 h to 1.80 ± 0.14% ID/g at 3 h in the AS1411 group, while in the control group, the tumor uptakes were 0.90 ± 0.24% ID/g at 0.5 h and 0.80 ± 0.15% ID/g at 3 h after injection, which was shown in Fig. 4b. From the ratio of radioactive uptake in tumor and heart, the ratio of AS1411 group (0.71 at 0.5 h and 1.50 at 3 h) was significantly higher than that of CS group (0.25 at 0.5 h and 0.36 at 3 h) at both time points, suggesting that compared with 64 Cu-NOTA-CS, more 64 Cu-NOTA-AS1411 infiltrated into the tumor tissue from the blood, and could be specifically concentrated in the tumor tissue. As to tumor-to-background ratios, tumor/muscle ratios in AS1411 group (4.33 at 0.5 h and 10.72 at 3 h) were also higher than that in CS group (0.91 at 0.5 h and 0.92 at 3 h), further demonstrating the specificity of AS1411 for glioblastoma. We also found that CS showed a higher uptake in the liver (3.70 ± 0.81% ID/g for AS1411 vs 6.70 ± 0.51% ID/g for CS, at 0.5 h after injection), while AS1411 cleared out of the body relatively faster (3.00 ± 1.00% ID/g for AS1411 vs 9.60 ± 1.70% ID/g for CS, at 3 h after injection in the kidneys). The liver uptake significantly increased the background signal of CS group and produced too many noises to delineate the tumor. In the reported literature [36], 64 Cu-CB-TE2A-AS1411, prepared with CB-TE2A as the chelator, showed the highest tumor/background ratio at 1 h after injection. The majority of 64 Cu-CB-TE2A-AS1411 was accumulated in the liver with slow clearance from kidney, which was similar to the results in this study.

Conclusions
In summary, we prepared a 64 Cu-labeled DNA aptamer AS1411 ( 64 Cu-NOTA-AS1411) as a PET tracer for imaging of U87MG in murine cancer models. During the radiolabeling process, we compared and identified the optimal labeling conditions for 64 Cu labeling of AS1411 via NOTA chelation. The as-prepared 64 Cu-NOTA-AS1411 showed excellent stability in both 1 × PBS and 100% mouse serum, suggesting its potential for in vivo studies. In animal PET imaging, we found that 64 Cu-NOTA-AS1411 showed higher tumor uptake and lower liver uptake than its nonspecific counterpart ( 64 Cu-NOTA-CS).
Funding National Natural Science Foundation of China (No. 82060324) and "Youth Science and Technology Talents in Colleges and Universities" Support Program Project of Inner Mongolia Education Department (NJYT22016).
Data availability All data generated or analysed during this study are included in this published article.

Conflict of interest
The authors declare that they have no competing interests.
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