Journal
JOURNAL OF MEDICINAL CHEMISTRY
Volume 66, Issue 18, Pages 13332-13345Publisher
AMER CHEMICAL SOC
DOI: 10.1021/acs.jmedchem.3c01475
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By increasing the number of pharmacophores specifically binding to PSMA, the new PSMA tracer [68Ga]Ga-PSMA-D5 has shown better tumor uptake and lower renal uptake in diagnosing prostate cancer. Additionally, [68Ga]Ga-PSMA-D5 exhibits advantages such as high tumor uptake, straightforward synthesis and labeling, and convenient labeling with therapeutic radionuclides, providing potential for targeted radioligand therapy in prostate cancer.
Radioisotope-labeled prostate-specific membrane antigen (PSMA) PET tracers have gained popularity in diagnosing prostate cancer (PCa). This study aimed to improve the affinity and tumor-targeting capabilities of new PSMA tracers by increasing the number of pharmacophores that specifically bind to PSMA. Using biphenyl as a core scaffold, we investigated the relationship among spacer segments, affinity, and pharmacokinetic properties. In preclinical PET studies on mice with 22Rv1 tumors, compared with [Ga-68]Ga-PSMA-11 (SUVmax = 3.37), [Ga-68]Ga-PSMA-D5 (K-i = 0.15) showed higher tumor uptake (SUVmax = 3.51) and lower renal uptake (T/K = 1.84). In the first-in-human study, [Ga-68]G-aPSMA-D5 effectively detected small PCa-associated lesions and distant metastases. The advantages of [Ga-68]Ga-PSMA-D5 include high tumor uptake, straightforward synthesis, and labeling, making it a promising PSMA PET tracer. Furthermore, [Ga-68]Ga-PSMA-D5 contains a DOTA chelator, allowing convenient labeling with therapeutic radionuclides such as Lu-177 and Ac-225, providing the potential for targeted radioligand therapy in PCa.
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