TY - JOUR
T1 - An Improved 211At-Labeled Agent for PSMA-Targeted a-Therapy
AU - Mease, Ronnie C.
AU - Kang, Choong Mo
AU - Kumar, Vivek
AU - Banerjee, Sangeeta Ray
AU - Minn, Il
AU - Brummet, Mary
AU - Gabrielson, Kathleen L.
AU - Feng, Yutian
AU - Park, Andrew
AU - Kiess, Ana P.
AU - Sgouros, George
AU - Vaidyanathan, Ganesan
AU - Zalutsky, Michael R.
AU - Pomper, Martin G.
N1 - Publisher Copyright:
COPYRIGHT © 2022 by the Society of Nuclear Medicine and Molecular Imaging.
PY - 2022/2/1
Y1 - 2022/2/1
N2 - A-Particle emitters targeting the prostate-specific membrane antigen (PSMA) proved effective in treating patients with prostate cancer who were unresponsive to the corresponding b-particle therapy. 211At is an a-emitter that may engender less toxicity than other a-emitting agents. We synthesized a new 211At-labeled radiotracer targeting PSMA that resulted from the search for a pharmacokinetically optimized agent. Methods: A small series of 125I-labeled compounds was synthesized from tin precursors to evaluate the effect of the location of the radiohalogen within the molecule and the presence of lutetium in the chelate on biodistribution. On that basis, 211At-3-Lu was selected and evaluated in cell uptake and internalization studies, and biodistribution and PSMA-expressing (PSMA1) PC3 PIP tumor growth control were evaluated in experimental flank and metastatic (PC3-ML-Luc) models. A long-term (13-mo) toxicity study was performed for 211At-3-Lu, including tissue chemistries and histopathology. Results: The radiochemical yield of 211At-3-Lu was 17.8% 6 8.2%. Lead compound 211At-3-Lu demonstrated total uptake within PSMA1 PC3 PIP cells of 13.4 6 0.5% of the input dose after 4 h of incubation, with little uptake in control cells. In SCID mice, 211At-3-Lu provided uptake that was 30.6 6 4.8 percentage injected dose per gram (%ID/g) in PSMA1 PC3 PIP tumor at 1 h after injection, and this uptake decreased to 9.46 6 0.96 %ID/g by 24 h. Tumor-to-salivary gland and tumor-to-kidney ratios were 129 6 99 at 4 h and 130 6 113 at 24 h, respectively. Deastatination was not significant (stomach, 0.34 6 0.20 %ID/g at 4 h). Dose-dependent survival was demonstrated at higher doses (.1.48 MBq) in both flank and metastatic models. There was little off-target toxicity, as demonstrated by hematopoietic stability, unchanged tissue chemistries, weight gain rather than loss throughout treatment, and favorable histopathologic findings. Conclusion: Compound 211At-3-Lu or close analogs may provide limited and acceptable toxicity while retaining efficacy in management of prostate cancer.
AB - A-Particle emitters targeting the prostate-specific membrane antigen (PSMA) proved effective in treating patients with prostate cancer who were unresponsive to the corresponding b-particle therapy. 211At is an a-emitter that may engender less toxicity than other a-emitting agents. We synthesized a new 211At-labeled radiotracer targeting PSMA that resulted from the search for a pharmacokinetically optimized agent. Methods: A small series of 125I-labeled compounds was synthesized from tin precursors to evaluate the effect of the location of the radiohalogen within the molecule and the presence of lutetium in the chelate on biodistribution. On that basis, 211At-3-Lu was selected and evaluated in cell uptake and internalization studies, and biodistribution and PSMA-expressing (PSMA1) PC3 PIP tumor growth control were evaluated in experimental flank and metastatic (PC3-ML-Luc) models. A long-term (13-mo) toxicity study was performed for 211At-3-Lu, including tissue chemistries and histopathology. Results: The radiochemical yield of 211At-3-Lu was 17.8% 6 8.2%. Lead compound 211At-3-Lu demonstrated total uptake within PSMA1 PC3 PIP cells of 13.4 6 0.5% of the input dose after 4 h of incubation, with little uptake in control cells. In SCID mice, 211At-3-Lu provided uptake that was 30.6 6 4.8 percentage injected dose per gram (%ID/g) in PSMA1 PC3 PIP tumor at 1 h after injection, and this uptake decreased to 9.46 6 0.96 %ID/g by 24 h. Tumor-to-salivary gland and tumor-to-kidney ratios were 129 6 99 at 4 h and 130 6 113 at 24 h, respectively. Deastatination was not significant (stomach, 0.34 6 0.20 %ID/g at 4 h). Dose-dependent survival was demonstrated at higher doses (.1.48 MBq) in both flank and metastatic models. There was little off-target toxicity, as demonstrated by hematopoietic stability, unchanged tissue chemistries, weight gain rather than loss throughout treatment, and favorable histopathologic findings. Conclusion: Compound 211At-3-Lu or close analogs may provide limited and acceptable toxicity while retaining efficacy in management of prostate cancer.
KW - At
KW - PSMA
KW - a-emitter
KW - murine models
KW - prostate cancer
KW - radiopharmaceutical therapy
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U2 - 10.2967/JNUMED.121.262098
DO - 10.2967/JNUMED.121.262098
M3 - Article
C2 - 34088772
AN - SCOPUS:85123970010
SN - 0161-5505
VL - 63
SP - 259
EP - 267
JO - Journal of Nuclear Medicine
JF - Journal of Nuclear Medicine
IS - 2
ER -