李灵珥, 高新, 袁秀双, 邱学力, 吴江, 张露露, 黄宏怡, 张思琪, 王峰, 张应子, 胡宽. 新型前列腺特异性膜抗原靶向诊疗一体化分子68GaGa-/177LuLu-PSMA-SCN的制备与评价J. 药学学报, 2025, 60(10): 3120-3130. DOI: 10.16438/j.0513-4870.2025-0802
引用本文: 李灵珥, 高新, 袁秀双, 邱学力, 吴江, 张露露, 黄宏怡, 张思琪, 王峰, 张应子, 胡宽. 新型前列腺特异性膜抗原靶向诊疗一体化分子68GaGa-/177LuLu-PSMA-SCN的制备与评价J. 药学学报, 2025, 60(10): 3120-3130. DOI: 10.16438/j.0513-4870.2025-0802
LI Ling-er, GAO Xin, YUAN Xiu-shuang, QIU Xue-li, WU Jiang, ZHANG Lu-lu, HUANG Hong-yi, ZHANG Si-qi, WANG Feng, ZHANG Ying-zi, HU Kuan. Synthesis and evaluation of 68GaGa-/177LuLu-PSMA-SCN as a novel prostate-specific membrane antigen-targeting agent for theranosticsJ. Acta Pharmaceutica Sinica, 2025, 60(10): 3120-3130. DOI: 10.16438/j.0513-4870.2025-0802
Citation: LI Ling-er, GAO Xin, YUAN Xiu-shuang, QIU Xue-li, WU Jiang, ZHANG Lu-lu, HUANG Hong-yi, ZHANG Si-qi, WANG Feng, ZHANG Ying-zi, HU Kuan. Synthesis and evaluation of 68GaGa-/177LuLu-PSMA-SCN as a novel prostate-specific membrane antigen-targeting agent for theranosticsJ. Acta Pharmaceutica Sinica, 2025, 60(10): 3120-3130. DOI: 10.16438/j.0513-4870.2025-0802

新型前列腺特异性膜抗原靶向诊疗一体化分子68GaGa-/177LuLu-PSMA-SCN的制备与评价

Synthesis and evaluation of 68GaGa-/177LuLu-PSMA-SCN as a novel prostate-specific membrane antigen-targeting agent for theranostics

  • 摘要: 转移性去势抵抗前列腺癌(metastatic castration-resistant prostate cancer, mCRPC) 属于前列腺癌晚期阶段, 一线治疗手段疗效不佳, 已成为男性健康的重大威胁。前列腺特异性膜抗原(prostate-specific membrane antigen, PSMA) 靶向治疗核药177LuLu-PSMA-617已于2022年获得FDA批准用于mCRPC治疗, 临床患者获益显著。本研究基于PSMA-617的分子结构, 开发了基于螯合体p-SCN-Bn-DOTA的放射性配体PSMA-SCN, 并系统评估其前列腺癌诊疗性能。分子对接与细胞竞争抑制结果均表明, p-SCN-Bn-DOTA的引入提升了PSMA-SCN与靶蛋白PSMA的亲和力。MicroPET成像结果显示68GaGa-PSMA-SCN在两种荷瘤小鼠模型的肿瘤摄取值(46.27 ± 0.45) 和(31.15 ± 0.21)%ID·g-1 均高于68GaGa-PSMA-617 (16.8 ± 0.98) 和(13.38 ± 1.44)%ID·g-1, 且非靶器官清除速率快。这是由于p-SCN-Bn-DOTA的引入提高了PSMA-SCN与靶向蛋白的亲和力, 同时药物代谢没有受到明显影响。177LuLu-PSMA-SCN的肿瘤生长抑制率高于177LuLu-PSMA-617, 并表现出良好的安全性。综上所述, PSMA靶向分子PSMA-SCN的理论分析和生物评价证实了其在前列腺癌的诊断与治疗中的潜在价值。研究使用的实验动物与实验过程遵循中国医学科学院药物研究所实验动物伦理规范, 伦理证书编号: 00002217。

     

    Abstract: Metastatic castration-resistant prostate cancer (mCRPC) is an advanced stage of prostate cancer. It is resistant to first-line prostate cancer treatments and poses a significant threat to men's health. The prostate-specific membrane antigen (PSMA)-targeting radiopharmaceutical 177LuLu-PSMA-617 has been approved by the FDA in 2022 to treat PSMA-positive patients with mCRPC, demonstrating significant clinical benefits on patients. In this work, we introduced a chelator, p-SCN-Bn-DOTA, instead of DOTA for radiolabeling and constructed the radioligand, PSMA-SCN, and systematically evaluated its diagnostic and therapeutic performance in prostate cancer. Both molecular docking and cellular competitive inhibition assays indicated that the introduction of p-SCN-Bn-DOTA enhanced the binding affinity of PSMA-SCN for the target protein PSMA compared to PSMA-617. For diagnosis, 68GaGa-PSMA-SCN was used to evaluate the tumor imaging capability and in vivo metabolic profiling by microPET/CT. Quantitative analysis of microPET images shows higher tumor uptake of 68GaGa-PSMA-SCN (46.27 ± 0.45) and (31.15 ± 0.21)%ID·g-1 than that of 68GaGa-PSMA-617 (16.8 ± 0.98) and (13.38 ± 1.44)%ID·g-1 in LNCaP and RM-1 (PSMA+) tumor-bearing mouse models, respectively. 68GaGa-PSMA-SCN also has faster clearance rates in non-targeted organs. The possible reason is that the introduction of p-SCN-Bn-DOTA improves the affinity of PSMA-SCN to the targeting protein and has no significant effect on pharmacokinetic metabolism. For therapeutics, 177LuLu-PSMA-SCN was used in the treatment of tumor-bearing mice to assess its inhibitory effect on tumor growth, and the results demonstrated a favorable safety profile. These results confirm that PSMA-SCN has significant advantages in the theranostics of prostate cancer in comparison with PSMA-617. In conclusion, both theoretical analysis and biological evaluation of the PSMA-targeting molecule PSMA-SCN confirm its potential value for the diagnosis and treatment of prostate cancer. All experimental procedures involving animals were conducted in strict accordance with the ethical guidelines of the Institute of Materia Medica, Chinese Academy of Medical Sciences (ethics approval No. 00002217).

     

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