Abstract

Membrane type-1 matrix metalloproteinase (MT1-MMP or MMP-14) plays an important role in adverse cardiac remodelling. Here, we aimed to develop radiolabeled activatable cell penetrating peptides (ACPP) sensitive to MT1-MMP for the detection of elevated MT1-MMP levels in adverse cardiac remodelling. Three ACPP analogs were synthesized and the most potent ACPP analog was selected using MT1-MMP sensitivity and enzyme specificity assays. This ACPP, called ACPP-B, showed high sensitivity towards MT1-MMP, soluble MMP-2, and MT2-MMP, while limited sensitivity was measured for other members of the MMP family. In in vitro cell assays, radiolabeled ACPP-B showed efficient cellular uptake upon activation. A pilot in vivo study showed increased uptake of the radiolabeled probe in regions of infarcted myocardium compared to remote myocardium, warranting further in vivo evaluation.

Highlights

  • The use of activatable cell penetrating imaging probes is a promising strategy for the in vivo detection of proteolytic activity in pathological conditions [1,2,3]

  • The peptides activatable cell penetrating peptides (ACPP)-A, ACPP-B, and ACPP-C with and without SHPP functionality were successfully prepared by Fmoc solid-phase peptide synthesis and in-solution coupling strategies, and purified by reversed phase—HPLC

  • The calculated volume-of-distribution for ACPP-B is 0.3 L/kg, which is in the same range as for ACPP-2/9, and indicates that the probe is rapidly distributed throughout the extracellular extravascular space [29]. These results indicate that the differences between ACPP-2/9 and ACPP-B activation in the vasculature cannot be attributed to difference in blood kinetics, but are most likely the result of the difference in sensitivity for circulating

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Summary

Introduction

The use of activatable cell penetrating imaging probes is a promising strategy for the in vivo detection of proteolytic activity in pathological conditions [1,2,3]. A radiolabeled activatable cell penetrating peptide (ACPP) sensitive toward matrix metalloproteinases (MMP)-2 and -9 was successfully employed for MMP detection in the course of remodeling post-myocardial infarction in vivo [1]. Besides activation in infarcted heart tissue, the MMP-2/9 sensitive ACPP probe showed a considerable degree of activation in the vascular compartment, leading to background uptake of the activated probe in basically all tissues [1]. Membrane type-1 matrix metalloproteinase (MT1-MMP or MMP-14) has been identified to be such a tissue-specific target. MT1-MMP is involved in several protein modification and biological signaling pathways [4,5]

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