Abstract

Currently, the search for promising NK1R-positive tumor-targeting radiopharmaceuticals based on the structure of small molecular antagonists of neurokinin-1 receptor can be observed. Following this trend, we continued our evaluation of aprepitant-based 177Lu-radioconjugates in terms of future oncological applications. For this purpose, three novel aprepitant homologues were synthesized to broaden the previously obtained derivative portfolio, functionalized with the DOTA chelator and labeled with 68Ga and 177Lu. The newly evaluated radioconjugates showed the intended significant increase in lipophilicity compared to the previous ones, while maintaining stability in the human serum. Then, in a receptor binding study to the human NK1 receptor, we compared the two series of 177Lu-radioconjugates of aprepitant with each other and with the reference Substance P derivative currently used in glioblastoma therapy, clearly indicating the high affinity and better binding capacity of the novel radioconjugates. The in vitro experimental results included in the presented study, supported by labeling optimization, radioconjugate characterization and docking modeling of new aprepitant-derived radioagents, confirm our assumptions about the usefulness of aprepitant as a NK1R targeting vector and point out the perspectives for the forthcoming first in vivo trials.

Highlights

  • Over the last few years, a significant increase of the interest in small molecular antagonists of neurokinin-1 receptor (NK1R) in terms of oncological applications can be observed

  • The contribution presented describes the evaluation of three novel aprepitantbased DOTA conjugates, effectively labeled with 68 Ga and 177 Lu with high radiochemical yield (RCY) and specific activity

  • These developed radioconjugates were characterized by high lipophilicity and full stability in human serum

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Summary

Introduction

Over the last few years, a significant increase of the interest in small molecular antagonists of neurokinin-1 receptor (NK1R) in terms of oncological applications can be observed. It results in a distraction from the radiopharmaceuticals based on derivatives of Substance P (SP) or other peptide ligands of this receptor, due to several inconveniences that characterize this group of compounds. These radiopharmaceuticals currently used in therapy of gliomas (e.g., [213 Bi]Bi-DOTA-[Thi8 ,Met(O2 )11 ]Substance. Targeted alpha therapy utilizing [213 Bi]Bi/[225 Ac]Ac-DOTA-[Thi8 ,Met(O2 )11 ]SP in locoregional application is a promising

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