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Experimental Therapeutics |
Research Services, Harry S. Truman Memorial Veterans Hospital, Columbia, Missouri 65201 [G. L. S., W. A. V., T. J. H.], and Departments of Internal Medicine [T. J. H.] and Radiology [C. J. S., N. K. O., D. L. H., D. G. M., R. K., W. A. V.], University of Missouri-Columbia School of Medicine, Columbia, Missouri 65211
| ABSTRACT |
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| INTRODUCTION |
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= 140 keV (89%)], and well-established labeling chemistries, 99mTc continues to be the most versatile radioisotope in nuclear medicinal applications today. In fact, 99mTc accounts for >85% of all diagnostic applications performed in medical facilities each year (1)
. Aside from the traditional approach [i.e., 99mTc(V) or 188Re(V) labeling via N or S chelating donors] of radiolabeling small molecules and biologically active targets with technetium, a more recently developed "Organometallic" labeling strategy has been investigated (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22)
. This effort was pioneered by Jaouen et al. (2)
; however, recent investigations by Alberto et al. have led to the development of some remarkable Tc(I) and Re(I) chemistry (3, 4, 5, 6)
. Albertos group has established the organometallic chemistry of Tc(I) and Re(I) tricarbonyl complexes containing the fac-M(CO)3 moiety (3, 4, 5, 6)
. They showed that the fac-M(CO)3 moiety can be obtained by direct carbonylation of the permetallate salt by the action of borohydride under atmospheric carbon monoxide pressure (3, 4, 5, 6)
. However, initial investigations during the development of a clinically useful 99mTc/188Re tricarbonyl radiosynthon for the labeling of even the simplest biomolecules proved futile because of multistep, high-pressure synthetic protocols. With the advent of the new organometallic aquaion [99mTc(H2O)3(CO)3]+, a new avenue for the successful radiolabeling of bioactive molecules with low-valent 99mTc/188Re has been developed (3, 4, 5, 6)
. The new [99mTc(H2O)3(CO)3]+ aquaion has been found to be remarkably stable over a wide range of pH values, presumably because of the low-spin, d6 electronic configuration of Tc(I). Furthermore, the lability of the three water molecules coordinated to the fac-M(CO)3 moiety account for excellent labeling efficiencies with a number of donor groups, including amines, thioethers, phosphines, and thiols (3, 4, 5, 6)
.
The feasibility of using the [99mTc(H2O)3(CO)3]+ aquaion as a radiosynthon for the successful labeling of bioactive molecules has been reported (6
, 22)
. By simply functionalizing the NH2 terminus of Neurotensin with histidine or (N
-histidinyl)acetic acid, Alberto et al. were able to successfully radiolabel Neurotensin, achieving relatively high specific activity radiocomplexes. Furthermore, biological activity of the peptide was maintained (22)
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In recent years, our laboratory has focused significant effort toward the successful radiolabeling of new BBN3 analogues to be used as diagnostic and/or therapeutic radiopharmaceuticals in nuclear medicine (23, 24, 25, 26, 27, 28, 29) . BBN is a 14 amino acid peptide with very high affinity for the GRPr. GRP function and in vivo distribution have been well established. Furthermore, the GRPr is expressed in the central nervous system and peripheral tissues, such as the pancreas or intestinal tract (30, 31, 32, 33, 34, 35) . A variety of tumors also expresses the BBN receptor/GRPr, including those of breast, prostate, gastric, colon, pancreatic, and small cell lung cancer (30, 31, 32, 33, 34, 35) . Therefore, radiolabeled BBN/GRP analogues hold potential to be used as site-directed diagnostic and/or therapeutic targeting motifs. We herein report a new method of radiolabeling the BBN analogue Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2) via the 99mTc(I)-precursor, [99mTc(H2O)3(CO)3]+. The in vitro and in vivo efficacy of targeting the GRPr on human, PC-3 cancer cells is reported.
| MATERIALS AND METHODS |
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SPPS
Peptide synthesis was performed on a Perkin-Elmer-Applied Biosystems Model 432A automated peptide synthesizer using traditional Fmoc chemistry. The reaction of the HBTU-activated carboxyl group on the reactant with the NH2-terminal amino group on the growing peptide, anchored via the COOH terminus to the resin, provided for stepwise amino acid addition. Rink amide MBHA resin (25 µmol) and Fmoc-protected amino acids, with appropriate side-chain protections, and Fmoc-Dpr(Fmoc)-OH were used for SPPS of the nonmetallated BBN conjugate. The preselected synthetic sequence was designed to produce the Dpr-(X)-BBN conjugate with the following general structure: Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2), 2 (Fig. 1)
. The final product was cleaved by a standard procedure using a cocktail containing thioanisol, water, ethanedithiol, and trifluoracetic acid in a ratio of 2:1:1:36 and precipitated into methyl-t-butyl ether. The crude peptide was purified by HPLC, and the solvents were removed on a SpeedVac concentrator. Typical yields of the crude peptide were 8085%. ES-MS was used to determine the molecular constitution of the conjugate.
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Radiolabeling of Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2), 4
To 100 µg (6 x 10-8 mol) of 2 was added 1 ml of [99mTc(H2O)3(CO)3]+ (1)
. The solution was allowed to incubate at 75°C for 0.5 h. Quality control (radiochemical yield and purity determination) of the product was determined by RP-HPLC. Peak purification of the labeled species was performed by collecting the sample off of the chromatographic system into a solution of 1 mg/ml BSA/0.1 M Na2HPO4. All additional analyses were carried out using the HPLC-purified product.
Synthesis of [99mTc(P(CH2OH)3)(CO)3-Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2)], 5
To a peak collected sample of the radiolabeled conjugate 4 was added 100 µg of tris(hydroxymethyl)phosphine [P(CH2OH)3] in 100 µl of deionized water. The solution was allowed to incubate at room temperature for 1 h. Quality control of the product was determined by RP-HPLC. Peak purification of the labeled species was performed by collecting the sample off of the chromatographic system into a solution of 1 mg/ml BSA/0.1 M Na2HPO4. All additional analyses were carried out using the HPLC-purified product.
HPLC Analysis of Conjugates 25
HPLC analysis of each new compound was performed using an analytical C-18 reversed phase column (Phenomenex, 50 x 4.6 mm, 5 µm). The mobile phase consisted of a linear gradient system, with solvent A corresponding to 100% water with 0.1% trifluoroacetic acid and solvent B corresponding to 100% acetonitrile with 0.1% trifluoroacetic acid. The mobile phase started with solvent compositions of 95% A:5% B. At 20 min, the solvent compositions were 20% A:80% B. Solvent compositions of 20% A:80% B were maintained for a period of 5 min, at which point the solvent compositions were changed to 95% A:5% B for column re-equilibration. The flow rate of the mobile phase was 1.5 ml/min. The chart speed of the integrator was 0.5 cm/min.
In Vitro Cell Binding Affinity Studies
In Vitro Receptor Binding.
The IC50 value of 3 was determined by a competitive displacement cell binding assay using 125I-Tyr4 -BBN as the radiolabel. Briefly,
3 x 106 PC-3 cells [suspended in D-MEM/F-12K media containing 0.01 M MEM and 2% BSA (pH 5.5)] were incubated at 37°C for 1 h in the presence of 20,000 cpm 125I-Tyr4 -BBN and increasing concentrations of 3. On completion of the incubation, the reaction medium was aspirated, and the cells were washed four times with media. Cell-associated radioactivity was determined by counting in a Packard Riastar gamma counting system.
Internalization and Efflux Analysis.
In vitro internalization analysis of 4 was carried out by incubation of
3 x 106 PC-3 cells [in D-MEM/F-12K media containing 0.01 M MEM and 2% BSA (pH 5.5)] in the presence of 20,000 cpm of 4 at 37°C for selected time points of 10, 20, 30, 45, 60, 90, and 120 min. On completion of the incubation, the reaction medium was aspirated, and the cells were washed four times with media. Surface-bound radioactivity was removed by washing the cells with 0.2 N acetic acid/0.5 M NaCl (pH 2.5). The percentage of internalized, cell-associated radioactivity as a function of time was determined by counting in a Packard Riastar gamma counting system. Efflux evaluation was performed after a 40-min internalization period. The cellular medium was washed three times with buffer at room temperature and resuspended for further incubation. Selected sampling at 0-, 20-, 40-, 60-, 90-, 120-, and 150-min postinternalization was performed by an initial cold buffer wash of the cells, followed by washing with acetic acid/saline (pH 2.5 at 4°C).
| Biodistribution Analyses of 4 and 5 in Normal, CF-1, Mouse Models |
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| Biodistribution Analyses of 4 and 5 in PC-3 Tumor-bearing SCID Mice |
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Human prostate PC-3 cells were injected on the bilateral s.c. flank with
5 x 106 cells in a suspension of 100 µl of normal sterile saline per injection site. PC-3 cells were allowed to grow in vivo 23 weeks postinoculation, developing tumors ranging in sizes from 0.02 to 1.3 grams.
The mice were injected with 5 µCi of the 99mTc conjugates in 100 µl of isotonic saline via the tail vein. The mice were euthanized, and tissues and organs were excised from the animals at 1-, 4-, and 24-h p.i. Subsequently, the tissues and organs were weighed and counted in a NaI well counter, and the %ID and %ID/gram of each organ or tissue were calculated. The %ID in whole blood was estimated assuming a whole-blood volume of 6.5% the total body weight. Receptor-blocking studies were carried out by administration of 100 µg of commercially available BBN in conjunction with the conjugates. The animals were sacrificed at 1-h p.i. The tissues were removed, weighed, and counted as described previously.
| RESULTS |
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80%. ES-MS analysis of the conjugate was consistent with the calculated molecular weight (calculated, 1286.4; experimental, 1287.8).
The 99mTc(I)-synthon, 1, was prepared by methods similar to those reported previously (Refs. 3
and 4
; Fig. 2
). The radiosynthon was produced in high yields (
95%, confirmed by RP-HPLC) on addition of 99mTcO4- to a pressurized, 10-ml serum vial (1 atm of CO) containing NaBH4 as the reducing agent. The pH of the reaction mixture during the formation of the 99mTc-precursor 1 was
10. The radiometallated complex 1 was adjusted to a working pH of
7.5 using 0.1 N HCl.
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Aliphatic diamine ligands have been found to have relatively slow reaction rates with the [99mTc(H2O)3(CO)3]+ moiety as compared with those bidentate ligand frameworks containing an aromatic amine (7)
. The 99mTc-conjugate of the Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2) peptide, on the other hand, was produced in high yield on addition of 1 to a vial containing 100 µg (
6 x 10-8 mol) of 2 with heating (Fig. 2)
. The radiochemical yield of the new 99mTc conjugate was monitored by RP-HPLC. The HPLC chromatographic profile for the HPLC-purified 99mTc conjugate of Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2) is shown in Fig. 3
. The chromatogram shows a single peak (tR = 16.5 min) corresponding to the new radiometallated conjugate. It can be concluded that the 99mTc-complex of Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2) and nonradioactive Re-complex 3 are chemically similar based on the same respective HPLC retention times. Pertechnetate had a retention time of 3 min under identical HPLC conditions.
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24 h. The metallated Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2) derivative exhibits high affinity binding to PC-3 cells, as demonstrated by competitive displacement assays. The IC50 for the metallated conjugate, [Re(H2O)(CO)3-Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2)], was found to be 0.86 ± 0.22 nM.
Specific binding of the [99mTc(H2O)(CO)3-Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2)] conjugate to GRPrs expressed on PC-3 cells was demonstrated after incubation (40 min) of 3 x 104 PC-3 cells with high specific activity 99mTc-analogue. In the absence of the corresponding nonmetallated analogue,
36% of the 99mTc activity was associated with the PC-3 cells. In contrast, if 10-5 M the corresponding unlabeled Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2) conjugate or BBN (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
is present during the 30-min incubation, <0.5% of the 99mTc activity is cell associated. Fig. 4
summarizes the results of studies to assess the degree of uptake (internalization) of 4 in PC-3 cells. At 90-min postincubation, the amount of internalized activity is 80% of the total activity administered. Fig. 5
summarizes the results of studies to assess the degree of trapping (efflux) of 4 in PC-3 cells. The total 99mTc activity associated with the cells after the 40-min incubation was measured after washing the cells with the pH 7.4 incubation media. After washing these cells with the pH 2.5 buffer to remove surface bound 99mTc activity,
84% remained trapped by the cells (Fig. 5)
. Results of measurements at 20, 40, 60, 90, 120, and 150 min show that activity remains trapped by the PC-3 cells, with
46% of the 99mTc activity associated with the cells at t = 0 remaining residualized at 150 min. Thus, at 150 min,
55% of the activity remains residualized when normalized to the 84% trapped in the cells at t = 0. The specific trapping mechanism of 99mTc activity within the PC-3 cells is not fully understood. It is very likely that lysosomal proteases degrade the conjugate into peptide fragments. Those fragments to which 99mTc remains attached are residulaized within the cell, within the perinuclear space of the lysosome (36)
. Additional work is needed to identify the structures of these radiometallated fragments to elucidate the specific trapping mechanisms involved (29)
. The same studies, when performed with 125I-Tyr4 -BBN, show that after a 40-min incubation of PC-3 cells with 125I-Tyr4 -BBN,
100% of the cell-associated 125I-activity is internalized (29)
. Furthermore, efflux of radioactivity of 125I-Tyr4 -BBN is comparable with that of the 99mTc(I) conjugate. Therefore, incorporation of the 99mTc(I)-chelate onto Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2) has little or no effect on the internalization properties of the 99mTc conjugate in GRPr-specific, PC-3 cells. The binding of these radioligands to PC-3 cells is receptor specific, because addition of 10-5 M corresponding unlabeled BBN analogues essentially eliminated the uptake of radioactivity by these cells.
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5%ID/gram). Blocking studies in which high levels of cold BBN (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
was administered 30 min before the 99mTc-ligands reduced the %ID/gram uptake/retention in the pancreas at 30-min p.i. by a factor of 810, demonstrating the in vivo specificity of these analogues for GRPr-expressing cells.
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| DISCUSSION |
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-NH2(CH2)2COOH,
-NH2(CH2)4COOH,
-NH2(CH2)7COOH,
-NH2(CH2)10COOH] (29)
. 99mTc conjugates of N3S-X-BBN(7, 8, 9, 10, 11, 12, 13, 14)
NH2 were produced in high yield via the prelabeling, postconjugation and postlabeling, preconjugation approaches using 99mTc(V)-gluconate as the synthon (29)
. The 99mTc-N3S conjugates were shown to retain high in vitro and in vivo stability and specifically target GRPr-expressing cells in vitro and in CF-1 animal models. Results reported herein, however, suggest the new conjugates 4 and 5 to be superior to the 99mTc-N3S conjugates in the same animal model.
The only accessible organ expressing GRPrs is the pancreas, and therefore, notably high pancreatic uptake is observed versus all other tissues. However, significant washout from normal pancreas is observed at 24-h p.i. for each of the two conjugates. Pancreatic uptake and retention for 5, however, is
5%ID/gram even at 24-h p.i. for reasons not fully understood. Tumor uptake and retention were apparent for each of the new 99mTc-Dpr conjugates 4 and 5, confirming the agonistic nature of the conjugates (Tables 3
and 4
). However, uptake in normal pancreas versus tumor is evident and presumably caused by the ability of the conjugates to effectively target the well-vascularized pancreas and GRPrs thereon as compared with the inoculated tumor tissue. It is important to note that recent studies in our laboratory demonstrated successful control of tumors without significant radiotoxicity to the pancreas when targeted with 177Lu/90Y-labeled BBN conjugates (38)
. Furthermore, receptor density can vary greatly from rodent models to humans, potentially eliminating any radiotoxicity in human patients (39)
. Retention of 99mTc activity, even at 24-h p.i., complements in vitro studies in PC-3 cells (internalization and efflux) and is presumably caused by the presence of metabolized 99mTc-peptidic fragments within the lysosome (29
, 36)
. The potential utility of a [99mTc(CO)3-N
-histidinyl acetate]-BBN (7, 8, 9, 10, 11, 12, 13, 14)
construct as a cancer-specific imaging agent was recently demonstrated by LaBella et al. (40)
in PC-3 tumor-bearing mice. Their studies showed that [99mTc(CO)3-N
-histidinyl acetate]-BBN (7, 8, 9, 10, 11, 12, 13, 14)
localized minimally in tumors, presumably because of weak vascularization of the tumor model (40)
. These studies have shown that tumor uptake and retention of the new conjugates 4 and 5 are superior to [99mTc(CO)3-N
-histidinyl acetate]-BBN (7, 8, 9, 10, 11, 12, 13, 14)
in xenografted human prostate (PC3) cells in rodent models.
The trans-effect of the carbonyl ligand inherently labilizes the coordinating ancillary third ligand (i.e., H2O or Cl-) from the bidentate conjugate. Although bidentate ligand frameworks generally are able to sterically protect the metal center from competitive displacement of the third ligand (41) , the labile ligand position on the metal center could potentially result in nonspecific serum protein binding in vivo (i.e., coordination to free thiols, histidine, or methionine residues). However, there is no evidence of serum-associated activity as indicated from biodistribution analyses of the conjugates in normal and tumor-bearing mice. Furthermore, the reaction with BBN(7, 8, 9, 10, 11, 12, 13, 14) NH2 showed little or no complexation with 1; thus, it may be ascertained that no nonspecific binding is occurring on the histidine or methionine residues of BBN. Biodistribution analyses show that these new, low-valent conjugates clear rapidly from the bloodstream, with little or no radioactivity present at 4-h p.i.
The in vivo stability and coordinating ability of the (hydroxymethyl)phosphine (-P(CH2OH)2) functionality, a strong
-acid donor, to the fac-M(CO)3 moiety have been well established (14)
. Therefore, we considered that the coordination of monodentate, tris(hydroxymethyl)phosphine (P(CH2OH)3), as a third donor would eliminate potential dissociation or reactions of the metal center in competing environments and serve to increase the hydrophilicity of the conjugate, providing for more suitable pharmacokinetics of the radiopharmaceutical in vivo. The use of water-soluble phosphines as coligands at an ancillary position on the Tc/Re metal center has been well established. In fact, Liu and Edwards (42)
have used trisulfonated triarylphosphines to stabilize the HYNIC ligand framework in vitro/in vivo. Introduction of P(CH2OH)3 onto the metal center did not alter the degree of receptor-mediated pancreatic uptake (i.e., pancreas = 20.5 ± 4.12%ID/gram at 1-h p.i., compared with 16.3 ± 1.38%ID/gram for X = H2O), indicating retention of receptor specificity. Receptor-mediated tumor uptake for this conjugate was lower than that of the corresponding aquo derivative, however. A noticeable increase in the hydrophilicity of the radioconjugate was evident, which could provide an alternative method for tuning the in vivo pharmacokinetics of future radiolabeled conjugates.
The results of this study demonstrate that the [99mTc(X)(CO)3-Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2)] constructs discussed herein provide for 99mTc(I)-labeled conjugates that retain high in vitro and in vivo specificity targeting of GRPr-expressing cells. It was shown that the structures of these conjugates could be varied with little or no compromise of agonistic binding to GRPrs. The potential clinical utility of a [99mTc-N3S-5-Ava-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2)] construct, designed and developed in our laboratory, as a cancer-specific imaging agent was recently demonstrated by Van de Weile et al. (43 , 44) in human patients with either prostate or breast cancer. Their studies showed that the N3S conjugate localizes in tumors with high specificity producing good tumor:normal tissue uptake ratios and high-quality SPECT images (43 , 44) . Tumor uptake and retention in human prostate (PC-3) cells for the new conjugate [99mTc(H2O)(CO)3-Dpr-Ser-Ser-Ser-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2)], 4, is superior to the 99mTc-N3S conjugate in the same animal model (45) . However, the clinical superiority of this compound over [99mTc-N3S-5-Ava-Gln-Trp-Ala-Val-Gly-His-Leu-Met-(NH2)] has yet to be established. These results further show the versatility of manipulating each the tethering moiety and ancillary third ligand, providing an effective strategy for optimizing pharmacokinetics of the radiolabeled BBN conjugates.
| FOOTNOTES |
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1 Supported by the Harry S. Truman Memorial Veterans Hospital and University of Missouri-Columbia School of Medicine Departments of Radiology and Internal Medicine. This work was also supported in part by American Cancer Society Grant RPG-99-331-01-CDD), National Cancer Institute Grant CA72942, NIH Grant DHHS-RO1CA72942, and grants from Resolution Pharmaceuticals, Inc. ![]()
2 To whom requests for reprints should be addressed, at Radiopharmaceutical Sciences Institute, 143 Major Hall, University of Missouri-Columbia, Columbia, MO 65211. Phone: (573) 814-6000, extension 3683; Fax: (573) 882-1663; E-mail: smithcj{at}missouri.edu ![]()
3 The abbreviations used are: BBN, bombesin; GRP, gastrin-releasing peptide; GRPr, gastrin-releasing peptide receptor; SPPS, solid phase peptide synthetic; HPLC, high-performance liquid chromatographic; p.i., postinjection; ES-MS, electrospray ionization-mass spectrometry; %ID, percentage injected dose; RP-HPLC, reversed phase high-performance liquid chromatographic; SCID, severely compromised immunodeficient. ![]()
4 R. Schibli, personal communication. ![]()
Received 1/24/03. Accepted 5/ 7/03.
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