Radioiodinated Exendin-4 Is Superior to the Radiometal-Labelled Glucagon-Like Peptide-1 Receptor Probes Overcoming Their High Kidney Uptake

Autor: Roswitha Tönnesmann, Jos Eersels, Philipp T. Meyer, Helmut R. Maecke, Tilman Läppchen, Svetlana N. Rylova
Přispěvatelé: Supporting clinical sciences, Radiology and nuclear medicine, Amsterdam Neuroscience - Brain Imaging
Rok vydání: 2016
Předmět:
lcsh:Medicine
Pharmacology
Kidney
Lung and Intrathoracic Tumors
030218 nuclear medicine & medical imaging
Diagnostic Radiology
Iodine Radioisotopes
Mice
0302 clinical medicine
Positron Emission Tomography Computed Tomography
Medicine and Health Sciences
Tissue Distribution
lcsh:Science
Internalization
Receptor
610 Medicine & health
Endocrine Tumors
Tomography
media_common
Thyroid
Liquid Chromatography
Mice
Inbred BALB C

Multidisciplinary
Chemistry
Radiology and Imaging
Stomach
Chromatographic Techniques
Oncology
030220 oncology & carcinogenesis
Heterografts
Female
Anatomy
Research Article
Agonist
Biodistribution
medicine.medical_specialty
medicine.drug_class
Imaging Techniques
media_common.quotation_subject
Mice
Nude

Gallium Radioisotopes
Neuroimaging
Endocrine System
Research and Analysis Methods
Glucagon-Like Peptide-1 Receptor
03 medical and health sciences
Exocrine Glands
In vivo
Diagnostic Medicine
Internal medicine
Cell Line
Tumor

Journal Article
medicine
Animals
Humans
Insulinoma
Pancreas
Venoms
lcsh:R
Kidney metabolism
Biology and Life Sciences
Cancers and Neoplasms
Kidneys
Renal System
medicine.disease
In vitro
High Performance Liquid Chromatography
Pancreatic Neoplasms
Gastrointestinal Tract
Endocrinology
Exenatide
lcsh:Q
Radiopharmaceuticals
Peptides
Digestive System
Positron Emission Tomography
Neuroscience
Zdroj: PLoS ONE
Läppchen, Tilman; Tönnesmann, Roswitha; Eersels, Jos; Meyer, Philipp T; Maecke, Helmut R; Rylova, Svetlana N (2017). Radioiodinated Exendin-4 Is Superior to the Radiometal-Labelled Glucagon-Like Peptide-1 Receptor Probes Overcoming Their High Kidney Uptake. PLoS ONE, 12(1), e0170435. Public Library of Science 10.1371/journal.pone.0170435
PLoS ONE, 12(1):e0170435. Public Library of Science
Läppchen, T, Tönnesmann, R, Eersels, J, Meyer, P T, Maecke, H R & Rylova, S N 2017, ' Radioiodinated exendin-4 is superior to the radiometal-labelled glucagon-like peptide-1 receptor probes overcoming their high kidney uptake ', PLoS ONE, vol. 12, no. 1, e0170435 . https://doi.org/10.1371/journal.pone.0170435
PLoS ONE, Vol 12, Iss 1, p e0170435 (2017)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0170435
Popis: GLP-1 receptors are ideal targets for preoperative imaging of benign insulinoma and for quantifying the beta cell mass. The existing clinical tracers targeting GLP-1R are all agonists with low specific activity and very high kidney uptake. In order to solve those issues we evaluated GLP-1R agonist Ex-4 and antagonist Ex(9-39) radioiodinated at Tyr40 side by side with [Nle14,Lys40(Ahx-DOTA-68Ga)NH2]Ex-4 (68Ga-Ex-4) used in the clinic. The Kd, Bmax, internalization and binding kinetics of [Nle14,125I-Tyr40-NH2]Ex-4 and [Nle14,125I-Tyr40-NH2]Ex (9-39) were studied in vitro using Ins-1E cells. Biodistribution and imaging studies were performed in nude mice bearing Ins-1E xenografts. In vitro evaluation demonstrated high affinity binding of the [Nle14,125I-Tyr40-NH2]Ex-4 agonist to the Ins-1E cells with fast internalization kinetics reaching a plateau after 30 min. The antagonist [Nle14,125I-Tyr40-NH2]Ex(9-39) did not internalize and had a 4-fold higher Kd value compared to the agonist. In contrast to [Nle14,125I-Tyr40-NH2]Ex(9-39), which showed low and transient tumor uptake, [Nle14,125I-Tyr40-NH2]Ex-4 demonstrated excellent in vivo binding properties with tumor uptake identical to that of 68Ga-Ex-4, but substantially lower kidney uptake resulting in a tumor-to-kidney ratio of 9.7 at 1 h compared to 0.3 with 68Ga-Ex-4. Accumulation of activity in thyroid and stomach for both peptides, which was effectively blocked by irenat, confirms that in vivodeiodination is the mechanism behind the low kidney retention of iodinated peptides. The 124I congener of [Nle14,125I-Tyr40-NH2]Ex-4 demonstrated a similar favourable biodistribution profile in the PET imaging studies in contrast to the typical biodistribution pattern of [Nle14,Lys40(Ahx-DOTA-68Ga)NH2]Ex-4. Our results demonstrate that iodinated Ex-4 is a very promising tracer for imaging of benign insulinomas. It solves the problem of high kidney uptake of the radiometal-labelled tracers by improving the tumor-to-kidney ratio measured for [Nle14,Lys40(Ahx-DOTA-68Ga)NH2]Ex-4 by 32 fold.
Databáze: OpenAIRE