Background: The GRPR-antagonist-based radioligands [67/68Ga/111In/177Lu]NeoBOMB1 have shown excellent theragnostic profiles in preclinical prostate cancer models, while [68Ga]NeoBOMB1 effectively visualized prostate cancer lesions in patients. We were further interested to explore the theragnostic potential of NeoBOMB1 in GRPR-positive mammary carcinoma, by first studying [67Ga]NeoBOMB1 in breast cancer models; Methods: We investigated the profile of [67Ga]NeoBOMB1, a [68Ga]NeoBOMB1 surrogate, in GRPR-expressing T-47D cells and animal models; Results: NeoBOMB1 (IC50s of 2.2 ± 0.2 nM) and [natGa]NeoBOMB1 (IC50s of 2.5 ± 0.2 nM) exhibited high affinity for the GRPR. At 37 °C [67Ga]NeoBOMB1 strongly bound to the T-47D cell-membrane (45.8 ± 0.4% at 2 h), internalizing poorly, as was expected for a radioantagonist. [67Ga]NeoBOMB1 was detected >90% intact in peripheral mouse blood at 30 min pi. In mice bearing T-47D xenografts, [67Ga]NeoBOMB1 specifically localized in the tumor (8.68 ± 2.9% ID/g vs. 0.6 ± 0.1% ID/g during GRPR-blockade at 4 h pi). The unfavorably high pancreatic uptake could be considerably reduced (206.29 ± 17.35% ID/g to 42.46 ± 1.31% ID/g at 4 h pi) by increasing the NeoBOMB1 dose from 10 pmol to 200 pmol, whereas tumor uptake remained unaffected. Notably, tumor values did not decline from 1 to 24 h pi; Conclusions: [67Ga]NeoBOMB1 can successfully target GRPR-positive breast cancer in animals with excellent prospects for clinical translation.
背景:基于GRPR拮抗剂的放射性
配体[67/68Ga/111In/177Lu]NeoBOMB1在临床前前列腺癌模型中显示出了极佳的疗效,而[68Ga]NeoBOMB1则能有效显示患者的前列腺癌病灶。通过首先研究乳腺癌模型中的[67Ga]NeoBOMB1,我们进一步探索了 NeoBOMB1 在 GRPR 阳性乳腺癌中的治疗潜力:我们研究了[67Ga]NeoBOMB1(一种[68Ga]NeoBOMB1替代物)在表达GRPR的T-47D细胞和动物模型中的概况;结果:[67Ga]NeoBOMB1(IC50)在GRPR阳性乳腺癌中的预后潜力为0.5%:NeoBOMB1(IC50 为 2.2 ± 0.2 nM)和[natGa]NeoBOMB1(IC50 为 2.5 ± 0.2 nM)对 GRPR 具有高亲和力。37 °C时,[67Ga]NeoBOMB1与T-47D细胞膜结合力很强(2小时内为45.8 ± 0.4%),内化程度很低,这也是放射性拮抗剂的预期效果。30 分钟后,在小鼠外周血中检测到的[67Ga]NeoBOMB1 的完整率大于 90%。在T-47D异种移植小鼠体内,[67Ga]NeoBOMB1特异性地定位在肿瘤中(8.68 ± 2.9% ID/g vs. 4 h pi时GRPR阻断期间的0.6 ± 0.1% ID/g)。通过将 NeoBOMB1 的剂量从 10 pmol 增加到 200 pmol,胰腺摄取的不利的高摄取量可大大减少(4 h pi 时为 206.29 ± 17.35% ID/g 到 42.46 ± 1.31% ID/g),而肿瘤摄取量则不受影响。值得注意的是,肿瘤摄取值在 1 到 24 小时内没有下降:[67Ga]NeoBOMB1能成功地在动物体内靶向GRPR阳性乳腺癌,具有良好的临床应用前景。