MicroPET and autoradiographic imaging of breast cancer alpha(v)-integrin expression using F-18- and Cu-64-labeled RGD peptide

Cell adhesion molecules alpha(v)beta(3) and alpha(v)beta(5) play a pivotal role in tumor angiogenesis and metastasis. Antiangiogenic therapy by using small peptide antagonists of alpha(v)-integrins slows tumor growth and prevents tumor spread. The ability to visualize and quantify integrin expression will enable selection of appropriate patients for clinical trials, following determination of treatment efficacy and development of new potent drugs. We have previously labeled cyclic RGD peptide c(RGDyK) with I-125 and F-18 and applied the radiotracers to both subcutaneous and orthotopic brain tumor models. Here we conjugated c(RGDyK) with 1,4,7,10-tetraaza-1,4,7,10-tetradodecane-N,N',N,N'''-tetraacetic acid (DOTA) and labeled the DOTA-RGD conjugate with Cu-64 (t(1/2) = 12.8 h, 19% beta(+)) in high radiochemical purity and specific activity. The tumor targeting ability and in vivo kinetics of Cu-64-DOTA-RGD was compared with [F-18]FB-RGD and I-125-RGD in orthotopic MDA-MB-435 breast cancer model. All three radiotracers revealed fast blood clearance and high tumor-to-blood and tumor-to-muscle ratios. I-125-RGD had higher tumor uptake than the corresponding F-18 and Cu-64 analogues. [F-18]FB-RGD indicated a fast tumor washout rate and an unfavorable hepatobiliary excretion pathway, resulting in significant activity accumulation in gallbladder and intestines. 64Cu-DOTA-RGD had prolonged tumor retention (1.44 +/- 0.09 %ID/g at 4 h postinjection) and persistent uptake in the liver. All three tracers revealed receptor specific tumor accumulation which were illustrated by effective blocking via coinjection with a blocking dose of c(RGDyK). Static microPET imaging and whole-body autoradiography showed strong contrast from the contralateral background. In conclusion, overall molecular charge and characteristics of radiolabels have profound effects on tumor accumulation and in vivo kinetics of radiolabeled RGD peptide. Further modification of the RGD peptide and optimization of the tracer for prolonged tumor uptake and improved in vivo kinetics are being explored.