RP463: A Stabilized Technetium-99m Complex of a Hydrazino Nicotinamide Derivatized Chemotactic Peptide for Infection Imaging
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文摘
A HYNIC-conjugated chemotactic peptide (fMLFK-HYNIC) was labeled with 99mTc using tricine andTPPTS as coligands. The combination of fMLFK-HYNIC, tricine, and TPPTS with 99mTc produced aternary ligand complex [99mTc(fMLFK-HYNIC)(tricine)(TPPTS)] (RP463). RP463 was synthesized eitherin two steps, in which the binary ligand complex [99mTc(fMLFK-HYNIC)(tricine)2] (RP469) was formedfirst and then reacted with TPPTS, or in one step by direct reduction of [99mTc]pertechnetate withstannous chloride in the presence of fMLFK-HYNIC, tricine, and TPPTS. The radiolabeling yield forRP463 was usually 90% using 10 g of fMLFK-HYNIC and 100 mCi of [99mTc]pertechnetate. UnlikeRP469, which decomposed rapidly in the absence of excess tricine coligand, RP463 was stable in solutionfor at least 6 h. [99Tc]RP463 was prepared and characterized by HPLC and electrospray massspectrometry. In an in vitro assay, [99Tc]RP463 showed an IC50 of 2 nM against binding of [3H]fMLFto receptors on PMNs. [99Tc]RP463 also induces effectively the superoxide release of polymorphonuclearleukocytes (PMNs) with an EC50 value of 0.2 ± 0.2 nM. The localization of RP463 in the infection fociwas assessed in a rabbit infection model. RP463 was cleared from the blood faster than RP469 andwas excreted mainly through the renal system. As a result of rapid blood clearance and increaseduptake, the target-to-background ratios continuously increased from 1.5 ± 0.2 at 15 min postinjectionto 7.5 ± 0.4 at 4 h postinjection. Visualization of the infected area could be as early as 2 h. A transientdecrease in white blood cell count of 35% was observed during the first 30 min after injection of theHPLC-purified RP463 in the infected rabbit. This suggests that future research in this area shouldfocus on developing highly potent antagonists for chemotactic peptide receptor or other receptors onPMNs and monocytes.

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