A broad spectrum of radiolabeled peptides with high affinity for receptors expressed on tumor cells iscurrently under preclinical and clinical investigation for scintigraphic imaging and radionuclidetherapy. The present paper evaluates two
99mTc-labeled forms of the C-terminal
octapeptide of
cholecystokinin (CCK8): sulfated (s)CCK8, with high affinity for CCK1 and CCK2 receptors, andnonsulfated (ns)CCK8, with high affinity for CCK2 receptors but low affinity for CCK1 receptors.Peptides were conjugated with the bifunctional chelator
N-hydroxysuccinimidyl hydrazino niconitate(s-HYNIC).
99mTc-labeling, performed in the presence of nicotinic acid and tricine, was highly efficient(~95%) and yielded products with a high specific activity (~700 Ci/mmol) and good stability (~5%release of radiolabel during 16 h incubation in phosphate buffered saline at 37
C). Chinese hamsterovary cells stably expressing the CCK1 receptor (CHO-CCK1 cells) internalized ~3% of added
99mTc-sCCK8 per confluent well during 2 h at 37
C. Internalization was effectively blocked by excessunlabeled sCCK8. CHO-CCK1 cells did not internalize
99mTc-nsCCK8. Displacement of
99mTc-sCCK8and -nsCCK8 by unlabeled CCK-8 (performed at 0
C to prevent internalization) revealed 50%inhibitory concentrations (IC
50) of 8 nM and >1
M, respectively. CHO-CCK2 cells internalized ~25%and ~5% of added
99mTc-sCCK8 and -nsCCK8, respectively. In both cases internalization was blockedby excess unlabeled peptide. IC
50 values for the displacement of
99mTc-sCCK8 and -nsCCK8 were 3nM and 10 nM, respectively. CHO-CCK1 cell-derived tumors present in one flank of athymic miceaccumulated 2.0% of injected
99mTc-sCCK8 per gram tissue at 1 h postinjection. This value decreasedto 0.6% following coinjection with excess unlabeled peptide. Uptake of
99mTc-nsCCK8 was low (0.2%)and not did change by excess unlabeled peptide (0.3%). Accumulation of
99mTc-sCCK8 and -nsCCK8by CHO-CCK2 cell-derived tumors (present in the other flank) amounted to 4.2% and 0.6%, respectively.In both cases uptake was significantly reduced by excess unlabeled peptide to 1.0% and 0.4% forsCCK8 and nsCCK8, respectively. Accumulation of
99mTc-sCCK8 was also high in pancreas (11.7%),stomach (2.0%), and kidney (2.1%), whereas uptake of
99mTc-nsCCK8 was high in stomach (0.7%) andkidney (1.4%). Both radiolabeled peptides showed a rapid blood clearance. In conclusion, these datashow that CCK8 analogues can be efficiently labeled with
99mTc using s-HYNIC as chelator and nicotinicacid/tricine as coligand system without compromising receptor binding. Furthermore, the present studydemonstrates that CCK1 tumors hardly accumulate
99mTc-nsCCK8, CCK2 tumors accumulate 2 timesmore
99mTc-sCCK8 than CCK1 tumors, and CCK2 tumors accumulate 15 times more
99mTc-sCCK8than
99mTc-nsCCK8. Although accumulation in some nontarget organs was also higher with
99mTc-sCCK8, this may not reflect the human situation due to a different receptor expression pattern inhumans as compared to mice. Therefore, further studies are warranted to investigate the possibleuse of
99mTc-sCCK8 for scintigraphic imaging of CCK receptor-positive tumors in humans.