Influence of the Molar Activity of <sup>203/212</sup>Pb-PSC-PEG<sub>2</sub>-TOC on Somatostatin Receptor Type 2-Binding and Cell Uptake

(1) Background: In neuroendocrine tumors (NETs), somatostatin receptor subtype 2 is highly expressed, which can be targeted by a radioactive ligand such as [<sup>177</sup>Lu]Lu-1,4,7,10-tetraazacyclododecane-<i>N</i>,<i>N</i>',<i>N</i>",<i...

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Main Authors: Marc Pretze (Author), Enrico Michler (Author), Roswitha Runge (Author), Kerstin Wetzig (Author), Katja Tietze (Author), Florian Brandt (Author), Michael K. Schultz (Author), Jörg Kotzerke (Author)
Format: Book
Published: MDPI AG, 2023-11-01T00:00:00Z.
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Summary:(1) Background: In neuroendocrine tumors (NETs), somatostatin receptor subtype 2 is highly expressed, which can be targeted by a radioactive ligand such as [<sup>177</sup>Lu]Lu-1,4,7,10-tetraazacyclododecane-<i>N</i>,<i>N</i>',<i>N</i>",<i>N</i>‴,-tetraacetic acid-[Tyr<sup>3</sup>,Thr<sup>8</sup>]-octreotide (<sup>177</sup>Lu-DOTA-TOC) and, more recently, by a lead specific chelator (PSC) containing <sup>203/212</sup>Pb-PSC-PEG<sub>2</sub>-TOC (PSC-TOC). The molar activity (A<sub>M</sub>) can play a crucial role in tumor uptake, especially in receptor-mediated uptake, such as in NETs. Therefore, an investigation of the influence of different molar activities of <sup>203/212</sup>Pb-PSC-TOC on cell uptake was investigated. (2) Methods: Optimized radiolabeling of <sup>203/212</sup>Pb-PSC-TOC was performed with 50 µg of precursor in a NaAc/AcOH buffer at pH 5.3-5.5 within 15-45 min at 95° C. Cell uptake was studied in AR42 J, HEK293 sst2, and ZR75-1 cells. (3) Results: <sup>203/212</sup>Pb-PSC-TOC was radiolabeled with high radiochemical purity >95% and high radiochemical yield >95%, with A<sub>M</sub> ranging from 0.2 to 61.6 MBq/nmol. The cell uptake of <sup>203</sup>Pb-PSC-TOC (A<sub>M</sub> = 38 MBq/nmol) was highest in AR42 J (17.9%), moderate in HEK293 sstr (9.1%) and lowest in ZR75-1 (0.6%). Cell uptake increased with the level of A<sub>M</sub>. (4) Conclusions: A moderate A<sub>M</sub> of 15-40 MBq/nmol showed the highest cell uptake. No uptake limitation was found in the first 24-48 h. Further escalation experiments with even higher A<sub>M</sub> should be performed in the future. It was shown that A<sub>M</sub> plays an important role because of its direct dependence on the cellular uptake levels, possibly due to less receptor saturation with non-radioactive ligands at higher A<sub>M</sub>.
Item Description:10.3390/ph16111605
1424-8247