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Research ArticleTranslational

Development of Quinoline-Based Theranostic Ligands for the Targeting of Fibroblast Activation Protein

Thomas Lindner, Anastasia Loktev, Annette Altmann, Frederik Giesel, Clemens Kratochwil, Jürgen Debus, Dirk Jäger, Walter Mier and Uwe Haberkorn
Journal of Nuclear Medicine September 2018, 59 (9) 1415-1422; DOI: https://doi.org/10.2967/jnumed.118.210443
Thomas Lindner
1Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
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Anastasia Loktev
1Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
2Clinical Cooperation Unit Nuclear Medicine, German Cancer Research Center (DKFZ), Heidelberg, Germany
3Faculty of Biosciences, Heidelberg University, Heidelberg, Germany
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Annette Altmann
1Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
2Clinical Cooperation Unit Nuclear Medicine, German Cancer Research Center (DKFZ), Heidelberg, Germany
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Frederik Giesel
1Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
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Clemens Kratochwil
1Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
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Jürgen Debus
4Department of Radiation Oncology, University Hospital Heidelberg, Heidelberg, Germany
5Clinical Cooperation Unit Radiation Oncology, German Cancer Research Center (DKFZ), Heidelberg, Germany; and
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Dirk Jäger
6Department of Medical Oncology, National Center for Tumor Diseases (NCT), Heidelberg, Germany
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Walter Mier
1Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
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Uwe Haberkorn
1Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany
2Clinical Cooperation Unit Nuclear Medicine, German Cancer Research Center (DKFZ), Heidelberg, Germany
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  • FIGURE 1.
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    FIGURE 1.

    Overview of synthesized FAPI derivatives. EC50 obtained by competition experiments is shown for selected compounds. §Discussed in previous publication (28). *ε-amine modified by DOTA. **Cysteine-thiol attached to maleimide-carrying piperazinylpropoxy moiety. n.d. = not determined.

  • FIGURE 2.
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    FIGURE 2.

    Relative binding and internalization rates of 177Lu-labeled FAPI derivatives compared with FAPI-02 (set to 100%) on FAP-expressing HT-1080 cells at 1 h (A), 4 h (B), and 24 h (C) after radiotracer administration.

  • FIGURE 3.
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    FIGURE 3.

    (A–C) Biodistribution of selected FAPI derivatives in HT-1080 FAP xenografts at 1 h (A), 4 h (B), and 24 h (C) after radiotracer administration. (D) Tumor uptake of selected compounds.

  • FIGURE 4.
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    FIGURE 4.

    PET imaging of FAPI-04 in mice bearing SK-LMS-1 and HT-1080 FAP tumors, along with corresponding time–activity curves.

  • FIGURE 5.
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    FIGURE 5.

    PET imaging of FAPI-04 in HT-1080 FAP tumor-bearing mice with and without simultaneous injection of unlabeled FAPI-04 as competitor, along with corresponding time–activity curves.

  • FIGURE 6.
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    FIGURE 6.

    PET maximum-intensity projections of patient with metastasized breast cancer 10 min, 1 h, and 3 h after administration of 263 MBq of 68Ga-FAPI-04. Activity is seen in renal pelvis, bladder, and metastases. Normal organs show low uptake resulting in high image contrast.

  • FIGURE 7.
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    FIGURE 7.

    (A) PET maximum-intensity projection of patient with metastasized breast cancer 1 h after administration of 270 MBq of 68Ga-FAPI-04. Robust uptake is seen in metastases. (B) Bremsstrahlung images showing uptake at 3 h and even 1 d after treatment with 90Y-FAPI-04 in same patient.

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Journal of Nuclear Medicine: 59 (9)
Journal of Nuclear Medicine
Vol. 59, Issue 9
September 1, 2018
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Development of Quinoline-Based Theranostic Ligands for the Targeting of Fibroblast Activation Protein
Thomas Lindner, Anastasia Loktev, Annette Altmann, Frederik Giesel, Clemens Kratochwil, Jürgen Debus, Dirk Jäger, Walter Mier, Uwe Haberkorn
Journal of Nuclear Medicine Sep 2018, 59 (9) 1415-1422; DOI: 10.2967/jnumed.118.210443

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Development of Quinoline-Based Theranostic Ligands for the Targeting of Fibroblast Activation Protein
Thomas Lindner, Anastasia Loktev, Annette Altmann, Frederik Giesel, Clemens Kratochwil, Jürgen Debus, Dirk Jäger, Walter Mier, Uwe Haberkorn
Journal of Nuclear Medicine Sep 2018, 59 (9) 1415-1422; DOI: 10.2967/jnumed.118.210443
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Keywords

  • oncology
  • PET
  • Radiopharmaceuticals
  • FAP
  • small molecules
  • Theranostic
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