Optimization of PSMA-I&T radiolabeling with 177Lu
DOI:
https://doi.org/10.15392/2319-0612.2024.2690Keywords:
Radiolabeling 1, PSMA I&T 2, Optimization 3, Lutetium-177 4Abstract
Prostate cancer (PCa) is the second most common type of cancer in men and the fifth cause of mortality worldwide. Metastatic prostate cancer is associated with a poor prognosis and decreased life expectancy. Prostate-specific membrane antigen (PSMA) is a type II transmembrane glycoprotein that is anchored in the epithelial prostate cell membrane, overexpressed in prostate cancer, increased in metastatic castration-resistant prostate cancer (mCRPC) patients and with a consensus that its expression level is correlated to the malignancy of the disease. 177 Lu-PSMA-I&T stands out as a promissor radiopharmaceutical for therapy of prostate cancer and currently is being described based on this specifically bind to PSMA with the Glu-urea-Lys pharmacophoric group. This present work aimed to determine the most favorable conditions for labeling PSMA I&T with carried-added lutetium-177, evaluating the influence of molar ratio, pH, temperature and reaction time, to obtain the radiopharmaceutical with high radiochemical purity (%RP ≥95%), avoiding the final purification step. The percentage of radiochemical purity was evaluated by High Pressure Liquid Chromatography (HPLC) and Thin Layer Chromatography on silica gel 60 plate (TLC-SG). The results obtained with this work made it possible to define and standardize the best condition for PSMA I&T radiolabeling with carried-added 177Lu.
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[1] GLOBOCAN 2022. Global Cancer Observatory. Disponível em: https://gco.iarc.fr. Acesso em 20 Mar. 2024.)
[2] MORBECK, I. A. P., GADIA, R., CHAVES, N. R., SANTOS, M. Câncer de próstata. Diretrizes Oncológicas. p. 1-24, 2019. Disponível em: https://diretrizesoncologicas.com.br/wpcontent/uploads/2019/10/Diretrizes-oncologicas_separata_Prostata.pdf. Acesso em 20 mar 2024.
[3] CHATALIC, K. LS. et al., Towards Personalized Treatment of Prostate Cancer: PSMA I&T, a Promising Prostate-Specific Membrane Antigen, Targeted Theranostic Agent Theranostics, vol. 6, 18387640. p. 849-861, 2016. DOI: https://doi.org/10.7150/thno.14744
[4] BAUM, R.P. et al., 177Lu -Labeled Prostate-Specific Membrane Antigen Radioligand Therapy of Metastatic Castration-Resistant Prostate Cancer: Safety and Efficacy, Journal of Nuclear Medicine, vol. 57, p. 1006–1013, 2016. DOI: https://doi.org/10.2967/jnumed.115.168443
[5] WEINEISEN, M et. al., 68Ga- and 177Lu -Labeled PSMA I&T: Optimization of a PSMA-Targeted Theranostic Concept and First Proof-of-Concept Human Studies, Journal of Nuclear Medicine, vol. 56, p.1169–1176, 2015. DOI: https://doi.org/10.2967/jnumed.115.158550
[6] VYAS M., LIM, R., FAGAN, J., CHANDRASHEKCAR, R., Stability matters: Radiochemical Stability of Therapeutic Radiopharmaceutical 177Lu -PSMA I&T., Journal of Nuclear Medicine Technology, vol. 50, p. 244-247, 2022. DOI: https://doi.org/10.2967/jnmt.121.262423
[7] MALIK, N. et al., Radiofluorination of PSMA-HBED via AI(18)F(2+) Chelation and Biological Evaluations In Vitro. Molecular Imaging and Biology, vol.17, p. 777-785, 2015. DOI: https://doi.org/10.1007/s11307-015-0844-6
[8] RUANGMA A., KIJPRAYOON, S., NGOKPOL, S., PSMA for PET imaging of prostate cancer. The Bangkok Medical Journal, vol. 14, p. 95, 2018. DOI: https://doi.org/10.31524/bkkmedj.2018.09.016
[9] DI LORIO, V. et al., Production and Quality Control of [177Lu] Lu-PSMA-I&T: Development of an Investigational Medicinal Product Dossier for Clinical Trials. Molecules, vol.27, p.4143-4158, 2022. DOI: https://doi.org/10.3390/molecules27134143
[10] CHAKRABORTY S, S., et al., Prospects of medium specific activity 177Lu in targeted therapy of prostate cancer using 177Lu -labeled PSMA inhibitor. Journal of Labelled Componds and Radiopharmaceutical, vol. 59, p. 364-371, 2016. DOI: https://doi.org/10.1002/jlcr.3414
[11] ZALUTSKY, M.R. Radionuclide Therapy. In: VÉRTES, A.; NAGY, S.; ZOLTÁN, K. Handbook of Nuclear Chemistry. Netherlands: Kluwer Academic Publishers, v. 4, p. 315-348, 2003.
[12] BOAS, C. A. W. V., et al., In vitro and in vivo response of PSMA-617 radiolabeled with CA and NCA lutetium-177, Applied Radiation and Isotopes, vol. 180, p 1-7, 2022. DOI: https://doi.org/10.1016/j.apradiso.2021.110064
[13] DASH, A.; PILLAI, M.R.A.; KNAPP, F.F.JR.; Production of (177) Lu for Targeted Radionuclide Therapy: Available Options. Nuclear Medicine and Molecular Imaging, Vol 49, p. 85-107, 2015. DOI: https://doi.org/10.1007/s13139-014-0315-z
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Copyright (c) 2024 Luiza Mascarenhas Balieiro, Maria das Dores Domingos, Luana Pereira da Silva, Joel Mendes dos Santos, Margareth Mie Nakamura Matsuda, Luis Alberto Pereira Dias, Elaine Bortoleti de Araújo

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