Comparison of the Anti-Tumour Activity of the Somatostatin Receptor (SST) Antagonist [<sup>177</sup>Lu]Lu-Satoreotide Tetraxetan and the Agonist [<sup>177</sup>Lu]Lu-DOTA-TATE in Mice Bearing AR42J SST<sub>2</sub>-Positive Tumours

Limited experiments have compared the treatment effects of repetitive cycles of radiolabelled somatostatin (SST) analogues. In vitro and in vivo experiments were conducted in an AR42J cancer cell model, comparing the antagonist [<sup>177</sup>Lu]Lu-satoreotide tetraxetan with the agonist...

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Main Authors: Pascale Plas, Lorenzo Limana, Denis Carré, Amath Thiongane, Olivier Raguin, Rosalba Mansi, Florence Meyer-Losic, Stéphane Lezmi
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/15/9/1085
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author Pascale Plas
Lorenzo Limana
Denis Carré
Amath Thiongane
Olivier Raguin
Rosalba Mansi
Florence Meyer-Losic
Stéphane Lezmi
author_facet Pascale Plas
Lorenzo Limana
Denis Carré
Amath Thiongane
Olivier Raguin
Rosalba Mansi
Florence Meyer-Losic
Stéphane Lezmi
author_sort Pascale Plas
collection DOAJ
description Limited experiments have compared the treatment effects of repetitive cycles of radiolabelled somatostatin (SST) analogues. In vitro and in vivo experiments were conducted in an AR42J cancer cell model, comparing the antagonist [<sup>177</sup>Lu]Lu-satoreotide tetraxetan with the agonist [<sup>177</sup>Lu]Lu-DOTA-TATE in terms of their binding properties, biodistribution, anti-tumour activity and toxicity. Histopathological and immunohistochemical examinations were performed at different timepoints. In the in vitro assays, [<sup>177</sup>Lu]Lu-satoreotide tetraxetan recognised twice as many SST<sub>2</sub> binding sites as [<sup>177</sup>Lu]Lu-DOTA-TATE. In mice treated once a week for four consecutive weeks, [<sup>177</sup>Lu]Lu-satoreotide tetraxetan (15 MBq) revealed a significantly greater median time taken to reach a tumour volume of 850 mm<sup>3</sup> (68 days) compared to [<sup>177</sup>Lu]Lu-DOTA-TATE at 15 MBq (43 days) or 30 MBq (48 days). This was associated with a higher tumour uptake, enhanced DNA damage and no or mild effects on body weight, haematological toxicity, or renal toxicity with [<sup>177</sup>Lu]Lu-satoreotide tetraxetan (15 MBq). At the end of the study, complete tumour senescence was noted in 20% of animals treated with [<sup>177</sup>Lu]Lu-satoreotide tetraxetan, in 13% of those treated with [<sup>177</sup>Lu]Lu-DOTA-TATE at 30 MBq, and in none of those treated with [<sup>177</sup>Lu]Lu-DOTA-TATE at 15 MBq. In conclusion, repeated administrations of [<sup>177</sup>Lu]Lu-satoreotide tetraxetan were able to potentiate peptide receptor radionuclide therapy with a higher tumour uptake, longer median survival, and enhanced DNA damage, with a favourable efficacy/safety profile compared to [<sup>177</sup>Lu]Lu-DOTA-TATE.
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spelling doaj.art-9b5dea50747d4fda984a66cc498c85c72023-11-23T18:18:20ZengMDPI AGPharmaceuticals1424-82472022-08-01159108510.3390/ph15091085Comparison of the Anti-Tumour Activity of the Somatostatin Receptor (SST) Antagonist [<sup>177</sup>Lu]Lu-Satoreotide Tetraxetan and the Agonist [<sup>177</sup>Lu]Lu-DOTA-TATE in Mice Bearing AR42J SST<sub>2</sub>-Positive TumoursPascale Plas0Lorenzo Limana1Denis Carré2Amath Thiongane3Olivier Raguin4Rosalba Mansi5Florence Meyer-Losic6Stéphane Lezmi7IPSEN Innovation, 91940 Les Ulis, FranceIPSEN Innovation, 91940 Les Ulis, FranceIPSEN Innovation, 91940 Les Ulis, FranceIPSEN Innovation, 91940 Les Ulis, FranceOncodesign, 21000 Dijon, FranceDivision of Radiopharmaceutical Chemistry, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, University of Basel, 4031 Basel, SwitzerlandIPSEN Innovation, 91940 Les Ulis, FranceIPSEN Innovation, 91940 Les Ulis, FranceLimited experiments have compared the treatment effects of repetitive cycles of radiolabelled somatostatin (SST) analogues. In vitro and in vivo experiments were conducted in an AR42J cancer cell model, comparing the antagonist [<sup>177</sup>Lu]Lu-satoreotide tetraxetan with the agonist [<sup>177</sup>Lu]Lu-DOTA-TATE in terms of their binding properties, biodistribution, anti-tumour activity and toxicity. Histopathological and immunohistochemical examinations were performed at different timepoints. In the in vitro assays, [<sup>177</sup>Lu]Lu-satoreotide tetraxetan recognised twice as many SST<sub>2</sub> binding sites as [<sup>177</sup>Lu]Lu-DOTA-TATE. In mice treated once a week for four consecutive weeks, [<sup>177</sup>Lu]Lu-satoreotide tetraxetan (15 MBq) revealed a significantly greater median time taken to reach a tumour volume of 850 mm<sup>3</sup> (68 days) compared to [<sup>177</sup>Lu]Lu-DOTA-TATE at 15 MBq (43 days) or 30 MBq (48 days). This was associated with a higher tumour uptake, enhanced DNA damage and no or mild effects on body weight, haematological toxicity, or renal toxicity with [<sup>177</sup>Lu]Lu-satoreotide tetraxetan (15 MBq). At the end of the study, complete tumour senescence was noted in 20% of animals treated with [<sup>177</sup>Lu]Lu-satoreotide tetraxetan, in 13% of those treated with [<sup>177</sup>Lu]Lu-DOTA-TATE at 30 MBq, and in none of those treated with [<sup>177</sup>Lu]Lu-DOTA-TATE at 15 MBq. In conclusion, repeated administrations of [<sup>177</sup>Lu]Lu-satoreotide tetraxetan were able to potentiate peptide receptor radionuclide therapy with a higher tumour uptake, longer median survival, and enhanced DNA damage, with a favourable efficacy/safety profile compared to [<sup>177</sup>Lu]Lu-DOTA-TATE.https://www.mdpi.com/1424-8247/15/9/1085[<sup>177</sup>Lu]Lu-satoreotide tetraxetan[<sup>177</sup>Lu]Lu-DOTA-TATEsomatostatin receptor subtype 2AR42Jpeptide receptor radionuclide therapy
spellingShingle Pascale Plas
Lorenzo Limana
Denis Carré
Amath Thiongane
Olivier Raguin
Rosalba Mansi
Florence Meyer-Losic
Stéphane Lezmi
Comparison of the Anti-Tumour Activity of the Somatostatin Receptor (SST) Antagonist [<sup>177</sup>Lu]Lu-Satoreotide Tetraxetan and the Agonist [<sup>177</sup>Lu]Lu-DOTA-TATE in Mice Bearing AR42J SST<sub>2</sub>-Positive Tumours
Pharmaceuticals
[<sup>177</sup>Lu]Lu-satoreotide tetraxetan
[<sup>177</sup>Lu]Lu-DOTA-TATE
somatostatin receptor subtype 2
AR42J
peptide receptor radionuclide therapy
title Comparison of the Anti-Tumour Activity of the Somatostatin Receptor (SST) Antagonist [<sup>177</sup>Lu]Lu-Satoreotide Tetraxetan and the Agonist [<sup>177</sup>Lu]Lu-DOTA-TATE in Mice Bearing AR42J SST<sub>2</sub>-Positive Tumours
title_full Comparison of the Anti-Tumour Activity of the Somatostatin Receptor (SST) Antagonist [<sup>177</sup>Lu]Lu-Satoreotide Tetraxetan and the Agonist [<sup>177</sup>Lu]Lu-DOTA-TATE in Mice Bearing AR42J SST<sub>2</sub>-Positive Tumours
title_fullStr Comparison of the Anti-Tumour Activity of the Somatostatin Receptor (SST) Antagonist [<sup>177</sup>Lu]Lu-Satoreotide Tetraxetan and the Agonist [<sup>177</sup>Lu]Lu-DOTA-TATE in Mice Bearing AR42J SST<sub>2</sub>-Positive Tumours
title_full_unstemmed Comparison of the Anti-Tumour Activity of the Somatostatin Receptor (SST) Antagonist [<sup>177</sup>Lu]Lu-Satoreotide Tetraxetan and the Agonist [<sup>177</sup>Lu]Lu-DOTA-TATE in Mice Bearing AR42J SST<sub>2</sub>-Positive Tumours
title_short Comparison of the Anti-Tumour Activity of the Somatostatin Receptor (SST) Antagonist [<sup>177</sup>Lu]Lu-Satoreotide Tetraxetan and the Agonist [<sup>177</sup>Lu]Lu-DOTA-TATE in Mice Bearing AR42J SST<sub>2</sub>-Positive Tumours
title_sort comparison of the anti tumour activity of the somatostatin receptor sst antagonist sup 177 sup lu lu satoreotide tetraxetan and the agonist sup 177 sup lu lu dota tate in mice bearing ar42j sst sub 2 sub positive tumours
topic [<sup>177</sup>Lu]Lu-satoreotide tetraxetan
[<sup>177</sup>Lu]Lu-DOTA-TATE
somatostatin receptor subtype 2
AR42J
peptide receptor radionuclide therapy
url https://www.mdpi.com/1424-8247/15/9/1085
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