Abstract
Purpose
Glucagon-like peptide-1 receptor (GLP-1R) is a molecular target for imaging of pancreatic beta cells. We compared the ability of [Nle14,Lys40(Ahx-NODAGA-64Cu)NH2]-exendin-4 ([64Cu]NODAGA-exendin-4) and [Nle14,Lys40(Ahx-NODAGA-68Ga)NH2]-exendin-4 ([68Ga]NODAGA-exendin-4) to detect native pancreatic islets in rodents.
Procedures
The stability, lipophilicity and affinity of the radiotracers to the GLP-1R were determined in vitro. The biodistribution of the tracers was assessed using autoradiography, ex vivo biodistribution and PET imaging. Estimates for human radiation dosimetry were calculated.
Results
We found GLP-1R-specific labelling of pancreatic islets. However, the pancreas could not be visualised in PET images. The highest uptake of the tracers was observed in the kidneys. Effective dose estimates for [64Cu]NODAGA-exendin-4 and [68Ga]NODAGA-exendin-4 were 0.144 and 0.012 mSv/MBq, respectively.
Conclusion
[64Cu]NODAGA-exendin-4 might be more effective for labelling islets than [68Ga]NODAGA-exendin-4. This is probably due to the lower specific radioactivity of [68Ga]NODAGA-exendin-4 compared to [64Cu]NODAGA-exendin-4. The radiation dose in the kidneys may limit the use of [64Cu]NODAGA-exendin-4 as a clinical tracer.
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References
Mukai E, Toyoda K, Kimura H et al (2009) GLP-1 receptor antagonist as a potential probe for pancreatic beta-cell imaging. Biochem Biophys Res Commun 389:523–526
Wu Z, Kandeel F (2010) Radionuclide probes for molecular imaging of pancreatic beta-cells. Adv Drug Deliv Rev 62:1125–1138
Holst JJ, Deacon CF, Vilsbøll T et al (2008) Glucagon like peptide-1, glucose homeostasis and diabetes. Trends Mol Med 14:161–168
Nielsen LL, Young AA, Parkes DG (2004) Pharmacology of exenatide (synthetic exendin-4): a potential therapeutic for improved glycemic control of type 2 diabetes. Regul Pept 117:77–88
Tornehave D, Kristensen P, Rømer J et al (2008) Expression of the GLP-1 receptor in mouse, rat, and human pancreas. J Histochem Cytochem 56:841–851
Xu G, Doris A, Stoffers DA, Habener JF, Bonner-Weir S (1999) Exendin-4 stimulates both β-cell replication and neogenesis, resulting in increased β-cell mass and improved glucose tolerance in diabetic rats. Diabetes 48:2270–2276
Reubi JC, Waser B (2003) Concominant expression of several peptide receptors in neuroendocrine tumours: molecular basis for in vivo multireceptor tumour targeting. Eur J Nucl Med Mol Imaging 30:781–793
Körner M, Stöckli M, Waser B, Reubi JC (2007) GLP-1 receptor expression in human tumors and human normal tissues: potential for in vivo targeting. J Nucl Med 48:736–743
Wild D, Christ E, Caplin ME et al (2011) Glucagon-like peptide-1 versus somatostatin receptor targeting reveals 2 distinct forms of malignant insulinomas. J Nucl Med 52:1073–1078
Gotthardt M, Lalyko G, van Eerd-Vismale J et al (2006) A new technique for in vivo imaging of specific GLP-1 binding sites: first results in small rodents. Regul Pept 137:162–167
Wild D, Béhé M, Wicki A et al (2006) [Lys40(Ahx-DTPA-111In)NH2]Exendin-4, a very promising ligand for glucagon-like peptide-1 (GLP-1) receptor targeting. J Nucl Med 47:2025–2033
Brom M, Oyen WJ, Joosten L et al (2010) 68Ga-labeled exendin-3, a new agent for the detection of insulinomas with PET. Eur J Nucl Med Mol Imaging 37:1345–1355
Wu Z, Todorov I, Li L et al (2011) In vivo imaging of transplanted islets with 64Cu-DO3A-VS-Cys40-exendin-4 by targeting GLP-1 receptor. Bioconjug Chem 22:1587–1594
Connolly BM, Vanko A, McQuade P et al (2011) Ex vivo imaging of pancreatic beta cells using a radiolabeled GLP-1 receptor agonist. Mol Imaging Biol 14:79–87
Gao H, Niu G, Yang M et al (2011) PET of insulinoma using 18F-FBEM-EM3106B, a new GLP-1 analogue. Mol Pharm 8:1775–1782
Kiesewetter DO, Gao H, Ma Y et al (2012) 18F-radiolabeled analogs of exendin-4 for PET imaging of GLP-1 in insulinoma. Eur J Nucl Med Mol Imaging 39:463–473
Fani M, Del Pozzo L, Abiraj K et al (2011) PET of somatostatin receptor-positive tumors using 64Cu- and 68Ga-somatostatin antagonists: the chelate makes the difference. J Nucl Med 52:1110–1118
McCarthy DW, Shefer RE, Klinkowstein RE et al (1997) Efficient production of high specific activity 64Cu using a biomedical cyclotron. Nucl Med Biol 24:35–43
Avila-Rodriguez MA, Nye JA, Nickles RJ (2007) Simultaneous production of high specific activity 64Cu and 61Co with 11.4 MeV protons on enriched 64Ni nuclei. Appl Radiat Isot 65:1115–1120
Rajander J, Schlesinger J, Avila-Rodriguez MA, Solin O (2009) Increasing specific activity in Cu-64 production by reprocessing the Ni-64 target material. J Labelled Comp Radiopharm 52:234
Någren K, Halldin C (1998) Methylation of amide and thiol functions with [11C]methyl triflate, as exemplified by [11C]NMSP, [11C]Flumazenil and [11C]Methionine. J Labelled Comp Radiopharm 41:831–841
Howell RW, Wessels BW, Lovinger R (1999) The MIRD perspective 1999. J Nucl Med 40:3–10
Stabin MG, Sparks R, Crowe E (2005) OLINDA/EXM: the second generation personal computer software for internal dose assessment in nuclear medicine. J Nucl Med 46:1023–1027
Wild D, Mäcke H, Christ E et al (2008) Glucagon-like peptide 1-receptor scans to localize occult insulinomas. N Engl J Med 359:766–768
Christ E, Wild D, Forrer F et al (2009) Glucagon-like peptide-1 receptor imaging for localization of insulinomas. J Clin Endocrinol Metab 94:4398–4405
Pattou F, Kerr-Conte J, Wild D (2010) GLP-1-receptor scanning for imaging of human beta cells transplanted in muscle. N Engl J Med 363:1289–1290
Andralojc K, Srinivas M, Brom M et al (2012) Obstacles on the way to the clinical visualisation of beta cells: looking for the Aeneas of molecular imaging to navigate between Scylla and Charybdis. Diabetologia 55:1247–1257
Blomberg BA, Moghbel MC, Alavi A (2012) PET imaging of β-cell mass: is it feasible? Diabetes Metab Res Rev 28:601–602
Sweet IR, Cook DL, Lernmark A et al (2004) Non-invasive imaging of beta cell mass: a quantitative analysis. Diabetes Technol Ther 6:652–659
Selvaraju RK, Velikyan I, Johansson L et al (2013) In vivo imaging of the glucagon like peptide 1 receptor in the pancreas with 68Ga-labeled DO3A-exendin-4. J Nucl Med 54:1–6
Schmidtler J, Dehne K, Allescher HD et al (1994) Rat parietal cell receptors for GLP-1-(7-36) amide: Northern blot, cross-linking, and radioligand binding. Am J Physiol 267:G423–432
Schmidtler J, Schepp W, Janczewska I et al (1991) GLP-1-(7-36) amide, -(1-37), and (1-36) amide: potent cAMP-dependent stimuli of rat parietal cell function. Am J Physiol 260:G940–950
Holst JJ (2000) Gut hormones as pharmaceuticals from enteroglucagon to GLP-1 and GLP-2. Regul Pept 93:45–51
Vegt E, Melis M, Eek A et al (2011) Renal uptake of different radiolabelled peptides is mediated by megalin: SPECT and biodistribution studies in megalin-deficient mice. Eur J Nucl Med Mol Imaging 38:623–632
Wessels BW, Konijnenberg MW, Dale RG et al (2008) MIRD pamphlet No. 20: the effect of model assumptions on kidney dosimetry and response—implications for radionuclide therapy. J Nucl Med 49:1884–1899
Acknowledgments
The authors thank Dr. Jörn Schlesinger for technical expertise and scientific discussions and Vesa Oikonen MSc for helping with PET/CT data analysis. Aake Honkaniemi, Elisa Riuttala, Merja Tuomas and Marko Vehmanen are acknowledged for their technical assistance. The study was conducted within the Finnish Centre of Excellence in Molecular Imaging in Cardiovascular and Metabolic Research, financially supported by the Academy of Finland, the University of Turku, Turku University Hospital and Åbo Akademi University. The research leading to these results has received funding from the European Community’s Seventh Framework Programme (FP7/2007-2013) under grant agreement 222980 and from the Diabetes Research Foundation, Finland.
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The authors declare that they have no conflict of interest.
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Mikkola Kirsi and Yim Cheng-Bin contributed equally to this work.
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Kirsi, M., Cheng-Bin, Y., Veronica, F. et al. 64Cu- and 68Ga-Labelled [Nle14,Lys40(Ahx-NODAGA)NH2]-Exendin-4 for Pancreatic Beta Cell Imaging in Rats. Mol Imaging Biol 16, 255–263 (2014). https://doi.org/10.1007/s11307-013-0691-2
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DOI: https://doi.org/10.1007/s11307-013-0691-2