MC1 receptors are known to be over-expressed in human skin melanomas (
5,
6). Based on this fact we assumed that targeting of the MC1 receptor with an optimized analogue of α-MSH would be very interesting for imaging of melanoma. The aim of this study wastarget the MC1 receptor
in-vitro on a tumor cell line and
in-vivo by a mouse tumor model, using an analogue of α-MSH containing a HYNIC-coupled lactam bridge-cyclic structure. Also, the optimum radiolabeling conditions was thoroughly investigated.
This new [HYNIC-GABA-Nle]-CycMSH
hept derivative was conveniently synthesized by solid phase peptide synthesis on sieber amide resin via Fmoc strategy and it was obtained inan overall yield of 35% based on the removal of the first Fmoc group after cleavage, purification and lyophilization. The composition and structural identity of the purified HYNIC-peptide conjugate were verified by analytical HPLC and LC-MS (
Table 1). The purity was >98% as confirmed by HPLC (
Figure 1.). ESI-Mass analysis was consistent with the calculated molecular weight for the HYNIC-peptide (
Figure 2.).
A variety of bifunctional chelating agents (BFCA) have been used to label proteins, peptides, and other biologically active molecules by
99mTc (
26-
28).More recently HYNIC became a more popular BFCA because high specific activity products could be prepared, in the presence of various co-ligands that had an effect on the hydrophilicity and pharmacokinetics of radiopeptide (
22,
23,
29 and
30). Of the different co-ligands, tricine achieves the best radiolabeling efficiency.
To develop a
99mTc-HYNIC-peptide, an optimal combination of individual ingredients including peptide ligand, SnCl
2 and tricine were systematically examined. As shown in
Figure 3. and
Table. 2. The amount of SnCl
2 and tricine affect the labeling yield of
99mTc-HYNIC-peptide, respectively. The optimal amounts required of SnCl
2 and tricine were found to be 20-30 μg of SnCl
2 and 10-20 mg of tricine. A stable radioligand with radiochemical purity of more than 98% could be obtained by using a combination of 30 μg SnCl
2 and 20 mg of tricine.The amount of peptide used in the labeling also is important, because the excess of free ligand may lead to an increased risk ofinducing pharmacologically undesired side effects and alsodecreasing the specific activity of labeled ligand. Therefore, reducing the amount of ligand used in the formulation is desirable. As was shown in
Table 3. by lowering the amount of peptide to 8 μg a labeling yield of greater than 96% can besuccessfully reached. A significant reduction of labeling yieldby further reducing the amount of free ligand was observed. No significant improvement of radiochemical purityobserved while concentration of peptide exceeded 8 μg. On the other hand, by increasing the amount of peptide from 2 to 60 μg, specific activities decreased from 815.0 to 27.2 MBq, respectively. On the basis of these observations, maximum amount of HYNIC-peptide up to 10 μg was used for the labeling to insurepresence of sufficient amount of ligand for complex formation.
The effect of reaction pH was also investigated and theoptimal pH range to produce a high labeling yield of
99mTc-HYNIC-peptide was found to be around 4–5 (without any additional pH adjustment) (
Figure 4.). Either end of pH ranges willreduce the labeling yield (40% at pH = 1 and 8% at pH=12).
Also when labeling reaction was carried out by heating the mixture at 90 °C for 10 min, labeling yield of >98% was observedin contrast to ambient temperature condition in which the labelingyield was <90%.
HPLC chromatogram of synthesized HYNIC-peptide with UV detector and L= 280nm (Rt = 13.98 and purity >98%).
Mass spectrum of synthesized HYNIC-peptide.
Effect of SnCl2 on labeling yield of 99mTc-HYNIC-peptide (mean ± SD, n=3).
Effect of reaction pH on 99mTc-HYNIC-peptide labeling yield (mean ± SD, n=3).
A proposed structure of [HYNIC-GABA-Nle-CycMSHhept] after 99mTc labeling in a tricine co-ligand system.
Radiochromatogram of 99mTc-labeled HYNIC-peptide using tricine as a co-ligand after 6h (The retention time for radiopeptide: 15.37 min).
Radiochromatogram of 99mTc-labeled HYNIC-peptide using tricine as a co-ligand after 24 h (The retention time for radiopeptide: 15.47 min).
Internalization rate of 99mTc-Tricin-HYNIC-peptideinto B16/F10 cells. Data are from three independent experiments with triplicates in each experiment and are expressed as specific internalization
Externalization over time for 99mTc-Tricin-HYNIC-peptide into B16/F10 cells. Data result from two independent experiments with triplicates in each experimentand are expressed as percentage of total internalized amount
Scintigraphy image of tumor bearing nude mice 4h after injection of 99mTc-HYNIC-peptide, which shows tumor and kidneys.
| Variable | Subgroup | Intervention group | Control group | p value |
|---|
| Age (year) | N/A | 50.38 ± 12.25+ | 51.48 ± 12.49 | 0.74 |
| Sex | Male | 5 (17.24%) | 3 (11.11%) | 0.71 |
| Female | 24 (82.76%) | 24 (88.88%) |
| RA history (years) | N/A | 6.69 ± 4.44[6.00, 4.00-8.50]* | 7.09 ± 5.20[6.00, 3.00-12.00] | 0.98 |
| Main referral reason | New case | 3 (10.34%) | 4 (14.81%) | 0.81 |
| Flare-up | 13 (44.83%) | 10 (37.04%) |
| Follow up | 13 (44.83%) | 13 (48.15%) |
| Concurrent rheumatoid disease | Yes | 9 (31.03%) | 9 (33.33%) | 0.85 |
| No | 20 (68.97%) | 18 (66.67%) |
| Comorbidity | Yes | 8 (27.59%) | 10 (37.04%) | 0.45 |
| No | 21 (72.41%) | 17 (62.96%) |
| Concurrent drug | Yes | 8 (27.59%) | 7 (25.93%) | 0.89 |
| No | 21 (72.41%) | 20 (74.07) |
| No of tender joints | N/A | [3.00, 2.00-6.50] | [3.00, 1.00-4.00] | 0.24 |
| No of swollen joints | N/A | [3.00, 2.00-5.00] | [2.00, 1.00-4.00] | 0.07 |
| Patient global assessment | N/A | 81.38 ± 19.95[80.00, 70.00-100.00] | 79.26 ± 23.85[80.00, 50.00-100.00] | 0.98 |
| ESR | N/A | 26.41 ± 19.78[21.00, 12.00-33.50] | 21.63 ± 17.38[15.00, 10.00-32.00] | 0.23 |
| DAS28_ESR | N/A | 4.81 ± 1.00 | 4.31 ± 1.05 | 0.07 |
| Menopause female patients | Yes | 16 (66.67%) | 15 (62.50%) | 0.76 |
| No | 8 (33.33%) | 9 (37.50%) |
[Median, Interquartile range] for discrete or non-normally distributed variables; ESR: Erythrocyte Sedimentation Rate.
| Remission indicator | Repeated Measures ANOVA Result |
|---|
| Multivariatep value | Within-subjects contrastsp value |
|---|
| DAS28_ESR | 0.55 | 0.33 |
| No of Tender joints | 0.60 | 0.84 |
| No of swollen joints | 0.68 | 0.81 |
| ESR | 0.43 | 0.29 |
| PtGA | 0.25 | 0.03 |
| Remission indicator | Intervention group | Control group | p value |
|---|
| DAS28_ESR | 1.76 ± 1.39+ | 1.37 ± 1.35 | 0.34 |
| No of Tender joints | [2.00, 1.00-4.00]* | [2.00, 0.00-3.00] | 0.49 |
| No of swollen joints | [2.00, 1.00-3.25] | [1, 0.00-3.00] | 0.45 |
| ESR | 7.65 ± 16.16 | 3.57 ± 11.90 | 0.33 |
| PtGA | 44.09 ± 30.03 | 25.22 ± 26.26 | 0.03 |
[Median, Interquartile range] for discrete or non-normally distributed variables.
Combining the previous results for acquiring maximum complexation yield with highest possible specific activity showed that by using 10 μg HYNIC-peptide as a ligand, 20 mg tricine as a co-ligand, and 30 μg stannous chloride dihydrate as reducing agent at pH = 4.5, a high yield (>98%) and a specific activity of 163MBq/nmol for radioligand could be reached. The proposed structure for desired complex is shown in
Figure 5.
The analysis results by RP-HPLC (
Figure 6.) show labeling yield of >98%at 15.37min retention time for
99mTc-tricine-HYNIC-peptide. Also, stability studies in aqueous solution and human serum showed radiolabeled complex with no significant release of
99mTcO
4− or peptide degradation up to 6 h, but in 24 h, labeling yield reduce to 75% (
Figure 7.). It has been reported that with tricine as a co-ligand,
99mTc-tricine-complex was not stable, particularly in dilute solutions, because of the different bonding modalities of the hydrazine moiety of the HYNIC and the tricineco-ligand (
31,
32).
Protein binding of radiolabeled peptide was measured by precipitationmethod resulting 37%forradioconjugate. Plasma proteins binding could be due to transchelation, which is possible with exchange reactions among co-ligands and the possible action of HYNIC as a mono- or bi-dentated ligand complexing
99mTc. Previous studies have also suggested that similar affects such as the exchange reactions of tricine co-ligand with proteins in plasma and lysosomes may occur (
33,
34).
The calculated partition coefficient for labeled compound was (log P = −1.31 ± 0.12 %), which is a good indicator of its high hydrophilicity.
Figure 8. shows the results of the test for specific internalization of the radioligand into B16/F10 cells as a function of time. The specific cell uptake after 1 h was 8.40 ± 0.6%,which increased to 13.35±0.9% after 4 h.This specific internalization was not unexpected because α-MSHsequence offers agonistic property to the compound.Previous studies in a series of
99mTc-labeled cyclic-MSH derivatives have demonstrated internalization and receptor mediated trapping of labeled compounds (
17,
35 and
36). This finding could be a result of the receptor mediated endocytosis mechanism which also called clathrin-dependent endocytosis (CME). As known, binding of peptide to MC1 receptor leads to internalization by CME mechanism to the acidified endosomes where the complex dissociates. Consequently, peptide is degraded and MC1 receptor is re-expressed on the cell surface (
37,
38). CME could be the responsible mechanism for internalization of
99mTc labeled HYNIC-peptide on B16/F10 cells in the same way. The internalization ability of a radioligand is important to make it the ideal as it can no longer take part in the equilibrium process and also it guarantees intracellular delivery of the radioisotope (
39). Differences in uptake between blocked and unblocked cells at various time periods are very noticeable (*
p<0.05).Considering its fast and receptorspecific internalization of this radiopeptide as it was demonstratedin its uptake results in MC1 receptor blocked cells experiments, is anindication that binding properties of this radiopeptide is not affected by modification and labeling procedures.
Besides efflux curve (
Figure 9.) of
99mTc-tricine- HYNIC-peptide in B16/F10 cells after 2 h of internalization showed an acceptable intracellular trapping. After 15 min, 18.46 ± 1.13% of radioactivity was externalized, and this amount increased to 51.32 ± 2.14 % up to 4 h which was the maximum and after that the percentage of externalization reaches a plateau. In other words approximately 50% of the internalized activity remained inside the cells after 4 h. In comparison, a less stable compound shows a significant decrease of internalized activity at the very first hours. It can be due to a rapid degradation of the compound in the tumor cells. So, the more stable the compound, the higher the radioactivity retention.
Results from biodistribution studies using the
99mTc-tricine- HYNIC-peptide are presented in Table 4. The data were expressed as the percentage of injected dose per gram of tissue (% ID/g) based on the previous reported studies (
40). The highest uptake was observed in kidneys (7.38 ± 0.56% ID/g at 1 h after injection) and generally, a rapid elimination via the urinary tract could be observed. Uptake values in liver and heart were lower than 2.0% ID/g which confirms the hydrophilicity of the radiolabeled peptide.
In overall, the rapid renal excretion of activity which was observed for this peptide conjugate resulted in the lowest values in blood (1.26 ± 0.13% ID/g at 1 h), liver (1.48 ± 0.08% ID/g at 1 h), and intestines (0.65±0.05% ID/g at 1 h). So, it should be noticed that the main percentage of the total dose injected is located very early in the kidneys. This is also in good agreement with the calculated partition coefficient of the labeled compound (log P = −1.31 ± 0.12%), showing high hydrophilic character for the radiopeptide.
Aside from the kidneys, accumulation of radiopeptide in MC1 receptor positive tissues like the tumor was observed. The uptake in tumor was specific and receptor mediated, as shown by the lower uptake after co-injection of cold peptide. Tumor uptake was significantly reduced from 5.20% ID/g in the control group (un-blocked) to 2.33 % ID/g in the blocked group. On the other hand, the uptake reduction in non-targeted tissues due to blocking was not significant. The tumor accumulation of this radioconjugate and its efficient pharmacokinetic behavior such as low tendency to accumulate in liver followed by its high kidney excretion due to low lipophilicity are the major advantages of this compound.
The tumor location could be visualized through scintigraphy within 4 h after injection which confirms the specific uptake of radiopeptide by the tumor (
Figure 10.). The mainly renal excretion at the early stages is an attractive pharmacokinetic behavior for a diagnostic radiopharmaceutical of interest.