Overexpression of vascular endothelial growth factor (VEGF) and VEGF receptors (VEGFRs) indicates poor prognosis for cancer patients in a variety of clinical studies. Our goal is to develop a tracer for positron emission tomography (PET) imaging of VEGFR expression using recombinant human VEGF
121 with three lysine residues fused to the N-terminus (denoted as K
3-VEGF
121), which can facilitate radiolabeling without affecting its VEGFR binding affinity. K
3-VEGF
121 was conjugated with 1,4,7-triazacyclononane-1,4,7-triacetic acid (NOTA) and labeled with
61Cu (
t1/2: 3.3 h; 62% 尾
+). The IC
50 value of NOTA鈥揔
3-VEGF
121 for VEGFR-2 was comparable to that of K
3-VEGF
121 (1.50 and 0.65 nM, respectively) based on a cell binding assay.
61Cu labeling was achieved with good yield (55 卤 10%) and specific activity (4.2 GBq/mg). Serial PET imaging showed that the 4T1 tumor uptake of
61Cu鈥揘OTA鈥揔
3-VEGF
121 was 3.4 卤 0.5, 4.9 卤 1.0, 5.2 卤 1.0, and 4.8 卤 0.8%ID/g (
n = 4) at 0.5, 2, 4, and 8 h postinjection, respectively, which was consistent with biodistribution data measured by 纬 counting. Blocking experiments and ex vivo histology confirmed the VEGFR specificity of
61Cu鈥揘OTA鈥揔
3-VEGF
121. Extrapolated human dosimetry calculation showed that liver was the organ with the highest radiation dose. The use of
61Cu as the radiolabel is desirable for small proteins such as K
3-VEGF
121, which has a much higher 尾
+ branching ratio than the commonly used
64Cu (62% vs 17%), thereby offering stronger signal intensity and lower tracer dose for PET imaging.
Keywords:
Vascular endothelial growth factor (VEGF); VEGF receptor (VEGFR); 61Cu; positron emission tomography (PET); tumor angiogenesis; molecular imaging