01.07.2006 | Original article
[99mTc]Demotate 2 in the detection of sst2-positive tumours: a preclinical comparison with [111In]DOTA-tate
Erschienen in: European Journal of Nuclear Medicine and Molecular Imaging | Ausgabe 7/2006
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Purpose
The aim of this study was to evaluate [99mTc]Demotate 2 ([99mTc-N4
0-1,Asp0,Tyr3]octreotate) as a candidate for in vivo imaging of sst2-positive tumours and to compare it with [111In]DOTA-tate ([111In-DOTA0,Tyr3]octreotate).
Methods
Labelling of Demotate 2 with 99mTc was performed at room temperature using SnCl2 as reductant in the presence of citrate at alkaline pH. Radiochemical analysis involved ITLC and HPLC methods. Peptide conjugate affinities for sst2 were determined by receptor autoradiography on rat brain cortex sections using [DOTA0,125I-Tyr3]octreotate as the radioligand. The affinity profile of Demotate 2 for human sst1–sst5 was studied by receptor autoradiography in cell preparations using the universal somatostatin radioligand [125I][Leu8,(D)Trp22,Tyr25]somatostatin-28. The internalisation rates of [99mTc]Demotate 2 and [111In]DOTA-tate were compared in sst2-positive and -negative control cell lines. Biodistribution of radiopeptides was studied in male Lewis rats bearing CA20948 tumours.
Results
Peptide conjugates showed selectivity and a high affinity binding for sst2 (Demotate 2 IC50=3.2 nM and DOTA-tate IC50=5.4 nM). [99mTc]Demotate 2, like [111In]DOTA-tate, internalised rapidly in all sst2-positive cells tested, but not in sst2-negative control cells. After injection in CA20948 tumour-bearing rats both radiopeptides showed high and specific uptake in the sst2-positive organs and in the implanted tumour and rapid excretion from non-target tissues via the kidneys.
Conclusion
[99mTc]Demotate 2, similarly to the known sst2-targeting agent [111In]DOTA-tate, showed promising biological qualities for application in the scintigraphy of sst2-positive tumours.
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