Toward Stability Enhancement of NTS<sub>1</sub>R-Targeted Radioligands: Structural Interventions on [<sup>99m</sup>Tc]Tc-DT1

The neurotensin subtype 1 receptor (NTS<sub>1</sub>R) is overexpressed in a number of human tumors, thereby representing a valid target for cancer theranostics with radiolabeled neurotensin (NT) analogs like [<sup>99m</sup>Tc]Tc-DT1 (DT1, N<sub>4</sub>-Gly<sup&...

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Main Authors: Panagiotis Kanellopoulos, Berthold A. Nock, Eric P. Krenning, Theodosia Maina
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/15/8/2092
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author Panagiotis Kanellopoulos
Berthold A. Nock
Eric P. Krenning
Theodosia Maina
author_facet Panagiotis Kanellopoulos
Berthold A. Nock
Eric P. Krenning
Theodosia Maina
author_sort Panagiotis Kanellopoulos
collection DOAJ
description The neurotensin subtype 1 receptor (NTS<sub>1</sub>R) is overexpressed in a number of human tumors, thereby representing a valid target for cancer theranostics with radiolabeled neurotensin (NT) analogs like [<sup>99m</sup>Tc]Tc-DT1 (DT1, N<sub>4</sub>-Gly<sup>7</sup>-NT(8-13)). Thus far, the fast degradation of intravenously injected NT–radioligands by neprilysin (NEP) and angiotensin-converting enzyme (ACE) has compromised their clinical applicability. Aiming at metabolic stability enhancements, we herein introduce (i) DT7 ([DAsn<sup>14</sup>]DT1) and (ii) DT8 ([β-Homoleucine<sup>13</sup>]DT1), modified at the C-terminus, along with (iii) DT9 ([(palmitoyl)Lys<sup>7</sup>]DT1), carrying an albumin-binding domain (ABD) at Lys<sup>7</sup>. The biological profiles of the new [<sup>99m</sup>Tc]Tc–radioligands were compared with [<sup>99m</sup>Tc]Tc-DT1, using NTS<sub>1</sub>R-expressing AsPC-1 cells and mice models without or during NEP/ACE inhibition. The radioligands showed enhanced in vivo stability vs. [<sup>99m</sup>Tc]Tc-DT1, with [<sup>99m</sup>Tc]Tc-DT9 displaying full resistance to both peptidases. Furthermore, [<sup>99m</sup>Tc]Tc-DT9 achieved the highest cell internalization and tumor uptake even without NEP/ACE-inhibition but with unfavorably high background radioactivity levels. Hence, unlike C-terminal modification, the introduction of a pendant ABD group in the linker turned out to be the most promising strategy toward metabolic stability, cell uptake, and tumor accumulation of [<sup>99m</sup>Tc]Tc-DT1 mimics. To improve the observed suboptimal pharmacokinetics of [<sup>99m</sup>Tc]Tc-DT9, the replacement of palmitoyl on Lys<sup>7</sup> by other ABD groups is currently being pursued.
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spelling doaj.art-3463a33f5dd0475b8b34fef879e407fa2023-11-19T02:36:41ZengMDPI AGPharmaceutics1999-49232023-08-01158209210.3390/pharmaceutics15082092Toward Stability Enhancement of NTS<sub>1</sub>R-Targeted Radioligands: Structural Interventions on [<sup>99m</sup>Tc]Tc-DT1Panagiotis Kanellopoulos0Berthold A. Nock1Eric P. Krenning2Theodosia Maina3Molecular Radiopharmacy, INRaSTES, NCSR “Demokritos”, 15341 Athens, GreeceMolecular Radiopharmacy, INRaSTES, NCSR “Demokritos”, 15341 Athens, GreeceCyclotron Rotterdam BV, Erasmus MC, 3015 CE Rotterdam, The NetherlandsMolecular Radiopharmacy, INRaSTES, NCSR “Demokritos”, 15341 Athens, GreeceThe neurotensin subtype 1 receptor (NTS<sub>1</sub>R) is overexpressed in a number of human tumors, thereby representing a valid target for cancer theranostics with radiolabeled neurotensin (NT) analogs like [<sup>99m</sup>Tc]Tc-DT1 (DT1, N<sub>4</sub>-Gly<sup>7</sup>-NT(8-13)). Thus far, the fast degradation of intravenously injected NT–radioligands by neprilysin (NEP) and angiotensin-converting enzyme (ACE) has compromised their clinical applicability. Aiming at metabolic stability enhancements, we herein introduce (i) DT7 ([DAsn<sup>14</sup>]DT1) and (ii) DT8 ([β-Homoleucine<sup>13</sup>]DT1), modified at the C-terminus, along with (iii) DT9 ([(palmitoyl)Lys<sup>7</sup>]DT1), carrying an albumin-binding domain (ABD) at Lys<sup>7</sup>. The biological profiles of the new [<sup>99m</sup>Tc]Tc–radioligands were compared with [<sup>99m</sup>Tc]Tc-DT1, using NTS<sub>1</sub>R-expressing AsPC-1 cells and mice models without or during NEP/ACE inhibition. The radioligands showed enhanced in vivo stability vs. [<sup>99m</sup>Tc]Tc-DT1, with [<sup>99m</sup>Tc]Tc-DT9 displaying full resistance to both peptidases. Furthermore, [<sup>99m</sup>Tc]Tc-DT9 achieved the highest cell internalization and tumor uptake even without NEP/ACE-inhibition but with unfavorably high background radioactivity levels. Hence, unlike C-terminal modification, the introduction of a pendant ABD group in the linker turned out to be the most promising strategy toward metabolic stability, cell uptake, and tumor accumulation of [<sup>99m</sup>Tc]Tc-DT1 mimics. To improve the observed suboptimal pharmacokinetics of [<sup>99m</sup>Tc]Tc-DT9, the replacement of palmitoyl on Lys<sup>7</sup> by other ABD groups is currently being pursued.https://www.mdpi.com/1999-4923/15/8/2092neurotensin subtype 1 receptorradiolabeled neurotensintargeted tumor imagingTc-99mmetabolic stabilityneprilysin
spellingShingle Panagiotis Kanellopoulos
Berthold A. Nock
Eric P. Krenning
Theodosia Maina
Toward Stability Enhancement of NTS<sub>1</sub>R-Targeted Radioligands: Structural Interventions on [<sup>99m</sup>Tc]Tc-DT1
Pharmaceutics
neurotensin subtype 1 receptor
radiolabeled neurotensin
targeted tumor imaging
Tc-99m
metabolic stability
neprilysin
title Toward Stability Enhancement of NTS<sub>1</sub>R-Targeted Radioligands: Structural Interventions on [<sup>99m</sup>Tc]Tc-DT1
title_full Toward Stability Enhancement of NTS<sub>1</sub>R-Targeted Radioligands: Structural Interventions on [<sup>99m</sup>Tc]Tc-DT1
title_fullStr Toward Stability Enhancement of NTS<sub>1</sub>R-Targeted Radioligands: Structural Interventions on [<sup>99m</sup>Tc]Tc-DT1
title_full_unstemmed Toward Stability Enhancement of NTS<sub>1</sub>R-Targeted Radioligands: Structural Interventions on [<sup>99m</sup>Tc]Tc-DT1
title_short Toward Stability Enhancement of NTS<sub>1</sub>R-Targeted Radioligands: Structural Interventions on [<sup>99m</sup>Tc]Tc-DT1
title_sort toward stability enhancement of nts sub 1 sub r targeted radioligands structural interventions on sup 99m sup tc tc dt1
topic neurotensin subtype 1 receptor
radiolabeled neurotensin
targeted tumor imaging
Tc-99m
metabolic stability
neprilysin
url https://www.mdpi.com/1999-4923/15/8/2092
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