A large ma
jority of tumors of the reproductive system express the gonadotropin releasing hormone receptor (GnRHR). Blockade and activation of this receptor with various antagonistic and agonistic analogues of native GnRH-I (pGlu
1-His
2-Trp
3-Ser
4-Tyr
5-Gly
6-Leu
7-Arg
8-Pro
9-Gly
10-NH
2), respectively, has shown efficient suppression of tumor growth. In this study, the GnRH-receptor system has been evaluated with respect to its suitability as a target for in vivo peptide receptor targeting using radiolabeled GnRH-analogues, and in parallel, new
18F- and
68Ga-labeled GnRH analogues have been developed. In vitro radioligand binding assays performed with various GnRHR-expressing human cell lines using [
125I]Triptorelin (
D-Trp
6-GnRH-I) as the standard radioligand revealed a very low level of GnRH receptor expression on the cell surface. Generally, total cellular activity was very low (~3% of the applied activity), and only a small fraction (max. 40%) of cell-associated activity could be attributed to receptor-specific radioligand binding/internalization. However, substitution of fetal calf serum by NU serum in the culture medium led to increased and stable GnRHR-expression, especially in the ovarian cancer cell line EFO-27, thus allowing for a stable experimental setup for the evaluation of the new radiolabeled GnRH-I analogues. The new radiolabeled GnRH-I analogues developed in this study were all based on the
D-Lys
6-GnRH-I-scaffold. For
68Ga-labeling, the latter was coupled with DOTA at
D-Lys
6. To allow
18F-labeling via chemoselective oxime formation,
D-Lys
6-GnRH-I was also con
jugated with Ahx (aminohexanoic acid) or β-Ala, which in turn was coupled with Boc-aminooxyacetic acid.
18F-labeling via oxime formation with 4-[
18F]fluorobenzaldehyde was performed using the Boc-protected precursors. Receptor affinities of [
68Ga]DOTA-GnRH-I,
D-Lys
6-Ahx([
18F]FBOA)-GnRH-I, and
D-Lys
6-βAla([
18F]FBOA)-GnRH-I (FBOA = fluorobenzyloxime acetyl) were determined using GnRHR-membrane preparations, and internalization efficiency of the new radioligands was determined in EFO-27 cells. Both quantities were highest for
D-Lys
6-Ahx([
18F]FBOA)-GnRH-I (IC
50 = 0.50
0.08 nM vs 0.13
0.08 nM for Triptorelin; internalization: 86
16% of the internal reference [
125I]Triptorelin), already substantially reduced in the case of the -βAla([
18F]FBOA)-derivative (IC
50 = 0.86
0.13 nM; internalization: 42
3% of [
125I]Triptorelin), while the [
68Ga]DOTA-analogue showed almost complete loss of binding affinity and ligand internalization (IC
50 = 13.3
1.0 nM; internalization: 2.6
1.0% of [
125I]Triptorelin). Generally, the lipophilic residue [
18F]FBOA is much better tolerated as a modification of the
D-Lys
6-side chain, with receptor affinity of the respective analogues strongly depending upon spacer length between the
D-Lys
6-side chain and the [
18F]FBOA-moiety. In summary,
D-Lys
6(Ahx-[
18F]FBOA)-GnRH-I shows the highest potential for efficient GnRHR-targeting in vivo of the compounds investigated. Unfortunately, however, the very low cell surface expression of GnRH-receptors and thus very low radioligand uptake by GnRHR-positive tumor cells found in vitro was also confirmed by a preliminary biodistribution study in OVCAR-3 xenografted nude mice using the standard GnRHR radioligand [
125I]Triptorelin. Tumor uptake was lower than blood activity concentration at 1 h p.i. (0.49
0.05 vs 0.96
0.13 for tumor and blood, respectively). These data seriously challenge the suitability of the GnRHR-system as a suitable target for in vivo peptide receptor imaging using radiolabeled GnRH-I derivatives, despite the availability of high-affinity radiolabeled receptor−ligands such as
D-Lys
6(Ahx-[
18F]FBOA)-GnRH-I.