Translocator protein (TSPO) 18 kDa overexpression has been observed in a large variety of human cancers, especially breast cancers. PK 11195, an isoquinoline analogue, is one of the ligands of highest TSPO binding affinity. Due to the long biological half life of our photosensitizers, there is a need to label them with a long lived radioisotope, for example I-124. Our objectives are to find translocator protein targeted photosensitizers for both tumor imaging (PET) and photodynamic therapy (PDT). I-PK 11195 is conjugated with the tumor avid photosensitizer HPPH. We find that those two tumor avid components complement each other and make the conjugate molecule even more tumor avid; compared to the photosensitizer itself, the conjugate is found to show improved PDTefficacy. It is concluded that I-PK 11195 can be a good vehicle to deliver radionuclide and photosensitizer to TSPO overexpressed tumor regions. Such conjugates could be useful for both tumor imaging (PET) and PDT.KEYWORDS Photodynamic therapy (PDT), translocator protein (TSPO), peripheral benzodiazepine receptor (PBR), positron emission tomography (PET), PK 11195, cancer target specific P BR (peripheral benzodiazepine receptor) is suggested to be named Translocator Protein (18 kDa) (TSPO 18 kDa) by Papadopoulos et al.1 based on its structure and molecular function. TSPO is involved in numerous functions, [2][3][4] including the role in steroidogenesis and mitochondrial respiration 5,6 and apoptosis regulation. 7-9 A number of findings argue in favor of the development of TSPO targeting approaches in the treatment of human cancers. (i) TSPO overexpression has been observed in a large variety of human cancers, 10 especially in breast cancers.11 (ii) TSPO is a component of the central regulatory complex of apoptosis; 12 this suggests that TSPO targeting could be of interest in combination with various antitumor therapies. (iii) TSPO binding by high-affinity ligands enhances apoptosis induction of numerous inducers; moreover, TSPO ligands are able to reverse the Bcl-2 cytoprotective effect.
13For breast cancers, it was reported 11 that TSPO expression and TSPO-mediated cholesterol transport are involved in cell proliferation and aggressive phenotype expression, thus participating in the advancement of the disease. Altogether, these observations justify the use of TSPO ligands in combination with other antitumor therapies for the diagnosis and treatment of breast cancers. Although a number of wide varieties of endogenous and synthetic molecules were reported to have high affinities for TSPO, 14 currently PK 11195 is still the most widely used TSPO ligand and regarded as the gold standard.