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Preclinical Development and First-in-Human Imaging of the Integrin αvβ6 with [18F]αvβ6-Binding Peptide in Metastatic Carcinoma.


ABSTRACT:

Purpose

The study was undertaken to develop and evaluate the potential of an integrin αvβ6-binding peptide (αvβ6-BP) for noninvasive imaging of a diverse range of malignancies with PET.

Experimental design

The peptide αvβ6-BP was prepared on solid phase and radiolabeled with 4-[18F]fluorobenzoic acid. In vitro testing included ELISA, serum stability, and cell binding studies using paired αvβ6-expressing and αvβ6-null cell lines. In vivo evaluation (PET/CT, biodistribution, and autoradiography) was performed in a mouse model bearing the same paired αvβ6-expressing and αvβ6-null cell xenografts. A first-in-human PET/CT imaging study was performed in patients with metastatic lung, colon, breast, or pancreatic cancer.

Results

[18F]αvβ6-BP displayed excellent affinity and selectivity for the integrin αvβ6 in vitro [IC50vβ6) = 1.2 nmol/L vs IC50vβ3) >10 μmol/L] in addition to rapid target-specific cell binding and internalization (72.5% ± 0.9% binding and 52.5% ± 1.8%, respectively). Favorable tumor affinity and selectivity were retained in the mouse model and excretion of unbound [18F]αvβ6-BP was rapid, primarily via the kidneys. In patients, [18F]αvβ6-BP was well tolerated without noticeable adverse side effects. PET images showed significant uptake of [18F]αvβ6-BP in both the primary lesion and metastases, including metastasis to brain, bone, liver, and lung.

Conclusions

The clinical impact of [18F]αvβ6-BP PET imaging demonstrated in this first-in-human study is immediate for a broad spectrum of malignancies.

SUBMITTER: Hausner SH 

PROVIDER: S-EPMC6377828 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature

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Publications

Preclinical Development and First-in-Human Imaging of the Integrin α<sub>v</sub>β<sub>6</sub> with [<sup>18</sup>F]α<sub>v</sub>β<sub>6</sub>-Binding Peptide in Metastatic Carcinoma.

Hausner Sven H SH   Bold Richard J RJ   Cheuy Lina Y LY   Chew Helen K HK   Daly Megan E ME   Davis Ryan A RA   Foster Cameron C CC   Kim Edward J EJ   Sutcliffe Julie L JL  

Clinical cancer research : an official journal of the American Association for Cancer Research 20181106 4


<h4>Purpose</h4>The study was undertaken to develop and evaluate the potential of an integrin α<sub>v</sub>β<sub>6</sub>-binding peptide (α<sub>v</sub>β<sub>6</sub>-BP) for noninvasive imaging of a diverse range of malignancies with PET.<h4>Experimental design</h4>The peptide α<sub>v</sub>β<sub>6</sub>-BP was prepared on solid phase and radiolabeled with 4-[<sup>18</sup>F]fluorobenzoic acid. <i>In vitro</i> testing included ELISA, serum stability, and cell binding studies using paired α<sub>v</s  ...[more]

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