Abstract
Purpose
Targeting of cholecystokinin receptor expressing malignancies such as medullary thyroid carcinoma is currently limited by low in vivo stability of radioligands. To increase the stability, we have developed and preclinically evaluated two cyclic 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid (DOTA)-minigastrin analogs radiolabeled with 111In and 68Ga.
Procedures
Radiolabeling efficiency, in vitro characterization, cholecystokinin receptor subtype 2 (CCK-2) binding in human tumor tissues, and cell internalization on CCK-2 receptor expressing AR42J cells, as well as biodistribution and small animal imaging in two different mouse xenograft models were studied.
Results
High receptor affinity and receptor-mediated uptake of the radioligands in AR42J cells was confirmed in vitro. 111In-labeled cyclic DOTA-peptides showed a specific tumor uptake of ~1% ID/g in vivo, 68Ga-labeled analogs of ~3% ID/g. Small animal SPECT imaging resulted to be superior with 111In-DOTA-cyclo-MG2 in comparison with 111In-DOTA-cyclo-MG1.
Conclusions
Cyclic DOTA-minigastrin analogs are promising candidates for gastrin receptor scintigraphy and targeted radionuclide therapy.
Similar content being viewed by others
References
Kwekkeboom DJ, de Herder WW, van Eijck CH, Kam BL, van Essen M, Teunissen JJ, Krenning EP (2010) Peptide receptor radionuclide therapy in patients with gastroenteropancreatic neuroendocrine tumors. Semin Nucl Med 40:78–88
Virgolini IJ, Gabriel M, von Guggenberg E, Putzer D, Kendler D, Decristoforo C (2009) Role of radiopharmaceuticals in the diagnosis and treatment of neuroendocrine tumours. Eur J Cancer 45:S274–S291
Reubi JC (2007) Targeting CCK receptors in human cancers. Curr Top Med Chem 7:1239–1242
Behe M, Behr TM (2002) Cholecystokinin-B (CCK-B)/gastrin receptor targeting peptides for staging and therapy of medullary thyroid cancer and other CCK-B receptor expressing malignancies. Biopolymers 66:399–418
Behr TM, Gotthardt M, Barth A, Behe M (2001) Imaging tumors with peptide-based radioligands. Q J Nucl Med 45:189–200
Gotthardt M, Béhé MP, Beuter D, Battmann A, Bauhofer A, Schurrat T, Schipper M, Pollum H, Oyen WJ, Behr TM (2006) Improved tumour detection by gastrin receptor scintigraphy in patients with metastasised medullary thyroid carcinoma. Eur J Nucl Med Mol Imaging 33:1273–1279
Gotthardt M, Béhé MP, Grass J, Bauhofer A, Rinke A, Schipper ML, Kalinowski M, Arnold R, Oyen WJ, Behr TM (2006) Added value of gastrin receptor scintigraphy in comparison to somatostatin receptor scintigraphy in patients with carcinoids and other neuroendocrine tumours. Endocr Relat Cancer 13:1203–1211
Laverman P, Roosenburg S, Gotthardt M, Park J, Oyen WJ, de Jong M, Hellmich MR, Rutjes FP, van Delft FL, Boerman OC (2008) Targeting of a CCK2 receptor splice variant with 111In-labelled cholecystokinin-8 (CCK8) and 111In-labelled minigastrin. Eur J Nucl Med Mol Imaging 35:386–392
Béhé M, Becker W, Gotthardt M, Angerstein C, Behr TM (2003) Improved kinetic stability of DTPA- dGlu as compared with conventional monofunctional DTPA in chelating indium and yttrium: preclinical and initial clinical evaluation of radiometal labelled minigastrin derivatives. Eur J Nucl Med Mol Imaging 30:1140–1146
von Guggenberg E, Behe M, Behr TM, Saurer M, Seppi T, Decristoforo C (2004) 99mTc-Labeling, in vitro and in vivo evaluation of HYNIC and (Nα-His)-acetic acid modified [D-Glu1]-Minigastrin. Bioconjug Chem 15:864–871
Nock BA, Maina T, Behe M, Nikolopoulou A, Gotthardt M, Schmitt JS, Behr TM, Macke HR (2005) CCK-2/gastrin receptor-targeted tumor imaging with 99mTc-labeled minigastrin analogs. J Nucl Med 46:1727–1736
Melis M, Krenning EP, Bernard BF, de Visser M, Rolleman E, de Jong M (2007) Renal uptake and retention of radiolabeled somatostatin; bombesin; neurotensin; minigastrin and CCK analogs: species and gender differences. Nucl Med Biol 34:633–641
Béhé M, Kluge G, Becker W, Gotthardt M, Behr TM (2005) Use of polyglutamic acids to reduce uptake of radiometal-labeled minigastrin in the kidneys. J Nucl Med 46:1012–1015
Behe M, Reubi J, Nock B, Mäcke H, Breeman WAP, Bernard HF, Behr TM, De Jong M (2005) Evaluation of a DOTA-minigastrin derivative for therapy and diagnosis for CCK-2 receptor positive tumours. Eur J Nucl Med Mol Imaging 32:S78
Helbok A, Decristoforo C, Behe M, Rangger C, von Guggenberg E (2009) Preclinical evaluation of In-111 and Ga-68 labelled minigastrin analogues for CCK-2 receptor imaging. Current Radiopharm 2:304–310
von Guggenberg E, Dietrich H, Skvortsova I, Gabriel M, Virgolini IJ, Decristoforo C (2007) 99mTc-labelled HYNIC-minigastrin with reduced kidney uptake for targeting of CCK-2 receptor-positive tumours. Eur J Nucl Med Mol Imaging 34:1209–1218
Nikolopoulou A, Nock BA, Petrou C, Ketani E, Cordopatis P, Maina T (2006) In vivo targeting of CCK-2/Gastrin-R and reduction of renal accumulation with truncated [99mTc]Demogastrin 4–6. In: Mazzi U, Giron MC, Nadali A, Rossin R (eds) Technetium, Rhenium and Other Materials in Chemistry and Nuclear Medicine 7. SGEditotoriali, Padova, pp 325–326
Kosowicz J, Mikołajczak R, Czepczyński R, Ziemnicka K, Gryczyńska M, Sowiński J (2007) Two peptide receptor ligands 99mTc-EDDA/HYNIC-Tyr3-octreotide and 99mTc-EDDA/HYNIC-dGlu-octagastrin for scintigraphy of medullary thyroid carcinoma. Cancer Biother Radiopharm 22:613–628
Good S, Walter MA, Waser B, Wang X, Müller-Brand J, Béhé MP, Reubi JC, Maecke HR (2008) Macrocyclic chelator-coupled gastrin-based radiopharmaceuticals for targeting of gastrin receptor-expressing tumours. Eur J Nucl Med Mol Imaging 35:1868–1877
Stone SR, Giragossian C, Mierke DF, Jackson GE (2007) Further evidence for a C-terminal structural motif in CCK2 receptor active peptide hormones. Peptides 28:2211–2222
von Guggenberg E, Sallegger W, Helbok A, Ocak M, King R, Mather SJ, Decristoforo C (2009) Cyclic Minigastrin analogues for gastrin receptor scintography with Technitium-99 m: preclinical evaluation. J Med Chem 52:4786–4793
Svoboda M, Dupuche MH, Lambert M, Bui D, Christophe J (1990) Internalization-sequestration and degradation of cholecystokinin (CCK) in tumoral rat pancreatic AR 4–2 J cells. Biochim Biophys Acta 1055:207–216
Reubi JC, Schaer JC, Waser B (1997) Cholecystokinin(CCK)-A and CCK-B/gastrin receptors in human tumors. Cancer Res 57:1377–1386
Ocak M, Decristoforo C, Rangger C, Helbok A, Sallegger W, von Guggenberg E (2009) 177Lu-DOTA-cyclogastrin: stability assessment and evaluation in vitro. J Label Compd Radiopharm 52:S514
de Visser M, Verwijnen SM, de Jong M (2008) Update: improvement strategies for peptide receptor scintigraphy and radionuclide therapy. Cancer Biother Radiopharm 23:137–157
Reubi JC, Maecke HR (2008) Peptide-based probes for cancer imaging. J Nucl Med 49:1735–1738
Trejtnar F, Laznicek M, Laznickova A, Kopecky M, Petrik M, Béhé M, Schmidt J, Maecke H, Maina T, Nock B (2007) Biodistribution and elimination characteristics of two 111In-labeled CCK-2/gastrin receptor-specific peptides in rats. Anticancer Res 27:907–912
Cremonesi M, Ferrari M, Zoboli S, Chinol M, Stabin MG, Orsi F, Maecke HR, Jermann E, Robertson C, Fiorenza M, Tosi G, Paganelli G (1999) Biokinetics and dosimetry in patients administered with 111In-DOTA-Tyr(3)-octreotide: implications for internal radiotherapy with 90Y-DOTATOC. Eur J Nucl Med 26:877–886
Decristoforo C, Hernandez Gonzalez I, Carlsen J, Rupprich M, Huisman M, Virgolini I, Wester HJ, Haubner R (2008) 68Ga- and 111In-labelled DOTA-RGD peptides for imaging of alphavbeta3 integrin expression. Eur J Nucl Med Mol Imaging 35:1507–1515
Charpentier B, Pelaprat D, Durieux C, Dor A, Reibaud M, Blanchard JC, Roques BP (1988) Cyclic cholecystokinin analogs with high selectivity for central receptors. Proc Natl Acad Sci USA 85:1968–1972
Sosabowski J, Matzow T, Foster J, Mather S (2008) Targeting of CCK2 receptor expressing tumours using an 111In-labelled minigastrin dimer. Q J Nucl Med Mol Imaging 52:S13
Akgün E, Körner M, Gao F, Harikumar KG, Waser B, Reubi JC, Portoghese PS, Miller LJ (2009) Synthesis and in vitro characterization of radioiodinatable benzodiazepines selective for type 1 and type 2 cholecystokinin receptors. J Med Chem 52:2138–2147
Breeman WAP, de Blois E, van Gameren A, Melis M, Fröberg A, de Jong M, Mäcke H, Krenning EP (2006) Aspects of CCK-2 receptor-targeting with 111In-DOTA-MG. In: Mazzi U, Giron MC, Nadali A, Rossin R (eds) Technetium, rhenium and other materials in Chemistry and Nuclear Medicine 7. SGEditotoriali, Padova, pp 231–232
Mather SJ, McKenzie AJ, Sosabowski JK, Morris TM, Ellison D, Watson SA (2007) Selection of radiolabeled gastrin analogs for peptide receptor-targeted radionuclide therapy. J Nucl Med 48:615–622
Maina T, Nikolopoulou A, Ketani E, Petrou C, Cordopatis P, Nock BA (2006) Oxidation—Nle11/Mox11 replacement of Met11 in [99mTc]demogastrin 2: effects on CCK-2/gastrin-R-interaction. In: Mazzi U, Giron MC, Nadali A, Rossin R (eds) Technetium, rhenium and other materials in Chemistry and Nuclear Medicine 7. SGEditotoriali, Padova, pp 323–324
Sosabowski JK, Lee M, Dekker BA, Simmons BP, Singh S, Beresford H, Hagan SA, McKenzie AJ, Mather SJ, Watson SA (2007) Formulation development and manufacturing of a gastrin/CCK-2 receptor targeting peptide as an intermediate drug product for a clinical imaging study. Eur J Pharm Sci 31:102–111
Werle M, Bernkop-Schnürch A (2006) Strategies to improve plasma half life time of peptide and protein drugs. Amino Acids 30:351–367
Breeman WA, Froberg AC, de Blois E, van Gameren A, Melis M, de Jong M, Maina T, Nock BA, Erion JL, Macke HR, Krenning EP (2008) Optimised labeling, preclinical and initial clinical aspects of CCK-2 receptor-targeting with 3 radiolabeled peptides. Nucl Med Biol 35:839–849
Ocak M, Helbok A, Rangger C, Peitl PK, Nock BA, Morelli G, Eek A, Sosabowski JK, Breeman WA, Reubi JC, Decristoforo C (2011) Comparison of biological stability and metabolism of CCK2 receptor targeting peptides, a collaborative project under COST BM0607. Eur J Nucl Med Mol Imaging (in press)
Reubi JC, Schär JC, Waser B, Wenger S, Heppeler A, Schmitt JS, Mäcke HR (2000) Affinity profiles for human somatostatin receptor subtypes SST1-SST5 of somatostatin radiotracers selected for scintigraphic and radiotherapeutic use. Eur J Nucl Med 27:273–282
Ginj M, Chen J, Walter MA, Eltschinger V, Reubi JC, Maecke HR (2005) Preclinical evaluation of new and highly potent analogues of octreotide for predictive imaging and targeted radiotherapy. Clin Cancer Res 11:1136–1145
Gabriel M, Decristoforo C, Kendler D, Dobrozemsky G, Heute D, Uprimny C, Kovacs P, von Guggenberg E, Bale R, Virgolini IJ (2007) 68Ga-DOTA-Tyr3-octreotide PET in neuroendocrine tumors: comparison with somatostatin receptor scintigraphy and CT. J Nucl Med 48:508–518
Antunes P, Ginj M, Zhang H, Waser B, Baum RP, Reubi JC, Maecke H (2007) Are radiogallium-labelled DOTA-conjugated somatostatin analogues superior to those labelled with other radiometals? Eur J Nucl Med Mol Imaging 34:982–993
de Jong M, Breeman WA, Bernard BF, van Gameren A, de Bruin E, Bakker WH, van der Pluijm ME, Visser TJ, Mäcke HR, Krenning EP (1999) Tumour uptake of the radiolabelled somatostatin analogue [DOTA0, TYR3]octreotide is dependent on the peptide amount. Eur J Nucl Med 26:693–698
Acknowledgments
We would like to thank Werner Sallegger from piCHEM Research and Development (Graz, Austria) for synthesizing the peptide derivatives used in this study. Lieke Joosten (Radboud University Nijmegen Medical Centre) is acknowledged for expert help in radiolabeling. Ciara Finucane, Jerome Burnet, and Julie Foster assisted in the imaging studies carried out at Barts and the London, Queen Mary's School of Medicine and Dentistry. Collaboration within the COST Action BM0607 “Targeted Radionuclide Therapy (TRNT)” is greatly acknowledged. This work was supported by grants from the Austrian Nano Initiative (Nano-Health consortium, Project N208-NAN) and was partly performed within the PhD program Image Guided Diagnosis and Therapy (IGDT) of the Medical University Innsbruck, Austria.
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
von Guggenberg, E., Rangger, C., Sosabowski, J. et al. Preclinical Evaluation of Radiolabeled DOTA-Derivatized Cyclic Minigastrin Analogs for Targeting Cholecystokinin Receptor Expressing Malignancies. Mol Imaging Biol 14, 366–375 (2012). https://doi.org/10.1007/s11307-011-0506-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11307-011-0506-2