Introduction
The αvβ3 integrin, which is expressed by
angiogenic epithelium and some tumor cells, is an attractive target for the development
of both imaging agents and therapeutics. While optimal implementation of
αvβ3-targeted therapeutics will require a priori
identification of the presence of the target, the clinical evaluation of these compounds
has typically not included parallel studies with
αvβ3-targeted diagnostics. This is at least
partly due to the relatively limited availability of PET radiopharmaceuticals in
comparison to those labeled with 99mTc. In an effort to begin to address this
limitation, we evaluated the tumor uptake of 99mTc-NC100692, a cyclic RGD
peptide that binds to αvβ3 with ~1-nM
affinity in an αvβ3-positive tumor model as well
as its in vivo specificity.
Methods
MicroSPECT imaging was used to assess the ability of cilengitide, a therapeutic
with high affinity for αvβ3, to block and displace
99mTc-NC100692 in an orthotopic U87 glioma tumor. The specificity of
99mTc-NC100692 was quantitatively evaluated in mice bearing subcutaneous
U87MG tumors, by comparison of the biodistribution of 99mTc-NC100692 with
that of the non-specific structural analogue 99mTc-AH-111744 and by blocking
uptake of 99mTc-NC100692 with excess unlabeled NC100692.
Results
MicroSPECT imaging studies demonstrated that uptake of
99mTc-NC100692 in the intracranial tumor model was both blocked and displaced
by the αvβ3-targeted therapeutic cilengitide.
Biodistribution studies provided quantitative confirmation of these imaging results.
Tumor uptake of 99mTc-NC100692 at 1 h post-injection was 2.8 ±
0.7% ID/g compared to 0.38 ± 0.1% ID/g for
99mTc-AH-111744 (p < 0.001). Blocking
99mTc-NC100692 uptake by pre-injecting the mice with excess unlabeled
NC100692 reduced tumor uptake by approximately fivefold, to 0.68 ± 0.3%
ID/g (p = 0.01).
Conclusion
These results confirm that 99mTc-NC100692 does, in fact, target the
αvβ3 and may, therefore, be useful in
identifying patients prior to anti-αvβ3 therapy as
well as monitoring the response of these patients to therapy.