Abstract

PurposeMelanocortin receptor 1 (MC1R) is overexpressed in melanoma and may be a molecular target for imaging and peptide receptor radionuclide therapy. 68Gallium (68Ga) labeling of DOTA-conjugated peptides is an established procedure in the clinic for use in positron emission tomography (PET) imaging. Aim of this study was to compare a standard labeling protocol against the 68Ga-DOTA peptide purified from the excess of unlabeled peptide.ProceduresThe MC1R ligand DOTA-NAPamide was labeled with 68Ga using a standard clinical protocol. Radioactive peptide was separated from the excess of unlabeled DOTA-NAPamide by HPLC. Immediately after the incubation of peptide and 68Ga (95°C, 15 min), the reaction was loaded on a C18 column and separated by a water/acetonitrile gradient, allowing fractionation in less than 20 minutes. Radiolabeled products were compared in biodistribution studies and PET imaging using nude mice bearing MC1R-expressing B16/F1 xenograft tumors.ResultsIn biodistribution studies, non-purified 68Ga-DOTA-NAPamide did not show significant uptake in the tumor at 1 h post injection (0.78% IA/g). By the additional HPLC step, the molar activity was raised around 10,000-fold by completely removing unlabeled peptide. Application of this rapid purification strategy led to a more than 8-fold increase in tumor uptake (7.0% IA/g). The addition of various amounts of unlabeled DOTA-NAPamide to the purified product led to a blocking effect and decreased specific tumor uptake, similar to the result seen with non-purified radiopeptide. PET imaging was performed using the same tracer preparations. Purified 68Ga-DOTA-NAPamide, in comparison, showed superior tumor uptake.ConclusionsWe demonstrated that chromatographic separation of radiolabeled from excess unlabeled peptide is technically feasible and beneficial, even for short-lived isotopes such as 68Ga. Unlabeled peptide molecules compete with receptor binding sites in the target tissue. Purification of the radiopeptide therefore improved tumor uptake.

Highlights

  • Cutaneous malignant melanoma is one of the most lethal forms of cancer

  • We demonstrated that chromatographic separation of radiolabeled from excess unlabeled peptide is technically feasible and beneficial, even for short-lived isotopes such as 68Ga

  • We investigated the influence of peptide mass/molar activity on tumor accumulation of the MC1R ligand 68Ga-DOTA-NAPamide

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Summary

Introduction

Cutaneous malignant melanoma is one of the most lethal forms of cancer. Its incidence is increasing rapidly, making it a significant public health threat [1]. Melanocortin receptor 1 (MC1R) is overexpressed in most melanomas, making it a promising molecular target for diagnosis and peptide receptor radionuclide therapy (PRRT) [2]. Because of their low molecular weight, low immunogenicity and excellent tumor penetration, radiopeptides have attracted a steadily increasing interest in receptor-mediated tumor targeting [3, 4]. The applied excess of cold peptide mass for 68Ga chelator loading typically ranges from 1,000-fold to 10,000-fold This fraction is usually not removed before injection into the patient and it may compete for binding sites at the tumor, resulting in lower detection sensitivity. We investigated the influence of peptide mass/molar activity on tumor accumulation of the MC1R ligand 68Ga-DOTA-NAPamide

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