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Rational Design and Pharmacomodulation of Protein-Binding Theranostic Radioligands for Targeting the Fibroblast Activation Protein.

Abstract
The fibroblast activation protein (FAP), overexpressed on cancer-associated fibroblasts (CAFs), has become a valuable target for tumor diagnosis and therapy. However, most FAP-based radioligands show insufficient tumor uptake and retention. In this study, three novel albumin-binding FAP ligands (denoted as FSDD0I, FSDD1I, and FSDD3I) were labeled with 68Ga and 177Lu to overcome these limitations. Cell-based studies and molecular docking assays were performed to identify the specificity and protein-binding properties for FAP. Positron emission tomography (PET) scans in human hepatocellular carcinoma patient-derived xenografts (HCC-PDXs) animal models revealed longer blood retention of 68Ga-FSDD0I than 68Ga-FAPI-04, 68Ga-FSDD1I, and 68Ga-FSDD3I. Remarkably, 68Ga-FSDD3I had prominent tumor-to-nontarget (T/NT) ratios. The prominent tumor retention properties of 177Lu-FSDD0I in single photon emission computed tomography (SPECT) imaging and biodistribution studies were demonstrated. In summary, this study reports a proof-of-concept study of albumin-binding radioligands for FAP-targeted imaging and targeted radionuclide therapy (TRT).
AuthorsLingxin Meng, Jianyang Fang, Liang Zhao, Tingting Wang, Pu Yuan, Zuoquan Zhao, Rongqiang Zhuang, Qin Lin, Haojun Chen, Xiaoyuan Chen, Xianzhong Zhang, Zhide Guo
JournalJournal of medicinal chemistry (J Med Chem) Vol. 65 Issue 12 Pg. 8245-8257 (06 23 2022) ISSN: 1520-4804 [Electronic] United States
PMID35658448 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Albumins
  • Gallium Radioisotopes
  • Membrane Proteins
Topics
  • Albumins (metabolism)
  • Animals
  • Carcinoma, Hepatocellular
  • Fibroblasts (metabolism)
  • Gallium Radioisotopes
  • Humans
  • Liver Neoplasms
  • Membrane Proteins (metabolism)
  • Molecular Docking Simulation
  • Positron Emission Tomography Computed Tomography
  • Precision Medicine
  • Tissue Distribution

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