Basic Science Investigation
Development of 177Lu-EB-RGD molecular probe and its imaging and therapy in the patient-derived xenografts of non-small cell lung cancer
Kaili Fu, Liang Zhao, Zhide Guo, Xuejun Wen, Lanlin Yao, Xianzhong Zhang, Xiaoyuan Chen, Qin Lin, Hua Wu, Haojun Chen
Published 2020-04-25
Cite as Chin J Nucl Med Mol Imaging, 2020, 40(4): 231-237. DOI: 10.3760/cma.j.cn321828-20190626-00118
Abstract
ObjectiveTo develop a novel αvβ3-targeted theranostic agent 177Lu-Evans blue (EB)-Arg-Gly-Asp (RGD) and evaluate its value for SPECT imaging and targeted radionuclide therapy in the non-small cell lung cancer (NSCLC)-patient-derived xenografts (PDX).
MethodsThe αvβ3-targeted molecule RGD was conjugated with the albumin binding moiety EB to obtain EB-RGD, and EB-RGD was further conjugated with the chelator 1, 4, 7, 10-tetraazacyclododecane-1, 4, 7, 10-tetraacetic acid (DOTA) for 177Lu radiolabeling. NSCLC-PDX mice models (n=68) were established. 177Lu-EB-RGD SPECT imaging, biodistribution study were performed in 28 PDX mice models after being injected with 177Lu-EB-RGD or 177Lu-RGD. Targeted radionuclide therapy were subsequently performed in NSCLC-PDX mice models, saline group (group A), 18.5 MBq 177Lu-RGD group (group B), 18.5 MBq 177Lu-EB-RGD group (group C), 29.6 MBq 177Lu-EB-RGD group (group D), n=10 in each group; tumor volumes of PDX mice models in each group were observed within 50 d. Differences between 2 groups were compared using independent-sample t test.
Results177Lu-EB-RGD was radiolabeled at a specific activity of (55±14) GBq/μmol, with a radiochemical yield of more than 95% and a radiochemical purity of more than 95%. Regarding the SPECT imaging, tumors in NSCLC-PDX mice were clearly observed from 4 to 96 h post-injection and the tumor to muscle ratio (T/M) reached 7.34±0.67, 14.63±3.82, 15.69±3.58 and 15.99±5.42 at 4, 24, 72, 96 h post-injection, respectively. Biodistribution study further confirmed the findings from SPECT imaging, and the tumor uptake of 177Lu-EB-RGD were markedly increased compared to 177Lu-RGD 4 h post-injection ((10.15±1.17) vs (3.30±1.47) percent injection dose per gram (%ID/g); t=18.60, P<0.05). Regarding targeted radiotherapy, the tumor volumes were quickly increased within 50 d after treatment in group A and B, while the tumor volumes were decreased in group C and D, until the tumors in group C and D disappeared at the 28th day after initial treatment with no sign of recurrence during the observation period.
Conclusions177Lu-EB-RGD can target αvβ3-positive NSCLC-PDX with intense tumor to background ratio and strong tumor inhibition efficacy. The preclinical data suggests that 177Lu-EB-RGD may be an effective new treatment option for advanced NSCLC patients with resistance or ineffective results for targeted therapy.
Key words:
Carcinoma, non-small-cell lung; Xenograft model antitumor assays; Evans blue; Arginine-glycine-aspartic acid; Lutetium; Mice, nude
Contributor Information
Kaili Fu
Department of Radiation Oncology, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Liang Zhao
Department of Radiation Oncology, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Zhide Guo
Center for Molecular Imaging and Translational Medicine, Xiamen University, Xiamen 361102, China
Xuejun Wen
Center for Molecular Imaging and Translational Medicine, Xiamen University, Xiamen 361102, China
Lanlin Yao
Department of Nuclear Medicine, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Xianzhong Zhang
Center for Molecular Imaging and Translational Medicine, Xiamen University, Xiamen 361102, China
Xiaoyuan Chen
Laboratory of Molecular Imaging and Nanomedicine, National Institute of Biomedical Imaging and Bioengineering, National Institutes of Health, Bethesda, Maryland MD 20892, USA
Qin Lin
Department of Radiation Oncology, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Hua Wu
Department of Nuclear Medicine, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China
Haojun Chen
Department of Nuclear Medicine, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China