Cancer cells that express or overexpress specific receptors have lead to the development of synthetic peptides that target these receptors. Peptides conjugated to metal chelates (e.g, DOTA, NOTA, etc.) offer an attractive approach for both imaging of cancer tissues and as therapies that deliver cytotoxic cargo to cancer cells. The interleukin-13 receptor alpha 2 (IL13RA2) is a receptor that is abundantly overexpressed in most GBMs but not present in healthy brain cells. Ligands that specifically target this receptor may offer new approaches to the treatment of GBM. Because IL13RA2 is internalized upon binding IL13, this receptor is an attractive target for therapies involving the delivery of cytotoxic cargo to Glioblastoma (GBM) cells. Peptide-1 linear (Pep-1L) has been evaluated for its ability to localize at IL13RA2 and deliver cytotoxic alpha-particle emitters (Actinium-225, Ac-225) to GBM cells (right).

Chemical Structures of Common Chelates

Metal chelates for peptide conjugation

Table of Common Metal Chelates

ACRONYM FULL CHELATE NAME
DOTA 1,4,7,10-tetraazacyclododecane-N,N,N,N-tetraacetic acid
NOTA 1,4,7-triazacyclononane-N,N,N-triacetic acid
TETA 1,4,8,11-tetraazacyclotetradecane-1,4,8,11-tetraacetic acid
DTPA diethylenetriaminepentaacetic acid
IDA Iminodiacetic acid
CB-TE2A 4,11-bis(carboxymethyl)-1,4,8,11-tetraazabicyclo[6.6.2]hexadecane
DiAmSar1,8-Diamino-3,6,10,13,16,19-hexaazabicyclo[6,6,6]-eicosane
TRAP3,3′,3”-(((1,4,7-triazonane-1,4,7-triyl)tris(methylene))tris(hydroxyphosphoryl))tripropanoic acid

PD-L1 Binding Peptides

An immune checkpoint protein called programmed cell death ligand (PD-L1) is a common biomarker for cancer because it is over-expressed in many tumor cells as an adaptive immune response to cytotoxic T-cells. Binding of PD-L1 to programmed cell death protein 1 (PD-1) receptors of infiltrating host immune cells triggers deactivation and immune suppression. Rapid and non-invasive positron emission topography (PET) imaging that can monitor PD-L1 expression levels and distribution would enable more efficient treatment options for cancer patients. Current immunotherapies rely on radiolabeled anti-PD-L1 antibodies to determine PD-L1 expression levels non-invasively in human tumors. Radiolabeled antibody conjugates, however, have long clearance times that limit the amount of imaging agents that can be injected and increases diagnosis time. Peptide-based PET tracers, on the other hand, have lower molecular weights compared to proteins and show enhanced clearance rates.

Chatterjee and co-workers hypothesized that PD-L1 binding peptides would more efficiently and rapidly detect PD-L1 expression levels in tumors. From a library of PD-L1 binding peptides, peptide WL12 (below) was selected to test their hypothesis. The peptide has several structural features that make it more resistant to proteolytic metabolism, namely: (1) macrocyclization (thioether), (2) N-methylated substituents and (3) the incorporation of unnatural amino acids. The single primary amine of the ornithine side chain provides a relatively easy method in which to conjugate a DOTA chelator for radiolabeling with 64Cu.

RGD-DOTA Peptide Conjugates

Cell-targeting peptides (CTPs) have emerged as effective tools for targeting cancer cells that overexpress certain receptor proteins that recognize and internalize CTPs. Inhibition of αvβ3 integrin receptors has been associated with tumor prevention and reduced tumor growth by antagonizing angiogenesis. RGD peptides, ligands which bind αvβ3 integrin receptors, are the most well studied for their importance in tumor angiogenesis and metastasis regulation. One of the most potent and selective of these peptide antagonists, cyclo[Arg-Gly-Asp-D-Phe-Val] (c[RGDfV]), was developed by Kessler and co-workers.[2]

The binding of RGD peptides to αvβ3 integrin receptors has been exploited in positron emission tomography (PET) for early detection and diagnosis of cancer. αvβ3 Integrins are co-localized with MMP-2 (a matrix metalloproteinases) in a variety of cancer cells and the expression level of MMP-2 has been correlated with tumor stage, invasiveness, and metastasis. To study the co-localization αvβ3 Integrin and MMP-2, Mebrahtu (left) designed an RGD-DOTA peptide conjugate that incorporates both integrin targeting and MMP-2 substrate moieties. Combining the peptide with DOTA provides the PET agent: cyclo(RGDfE)K-(DOTA)PLGVRY. The incorporation of a C-terminal tyrosine, for radio-halogenation (123I), enables the peptide to give a SPECT (single photon emission computed tomography) signal. The dually radiolabeled peptide provides a diagnostic tool for simultaneous imaging of cancer cells and monitoring of their pathophysiologic activity.

Selected Peptide Chelate Citations

References

  1. Aumailley, M.; Gurrath, M.; Müller, G.; Calvete, J.; Timpl, R.; Kessler, H. FEBS Lett. 291 (1991): 50.
  2. Chatterjee, Samit, et al. “Rapid PD-L1 detection in tumors with PET using a highly specific peptide.” Biochemical and Biophysical Research Communications 483.1 (2017): 258-263.

CPC Scientific PRRT Citations

  1. Suthiram, J.; Pieters, A.; Mohamed Moosa, Z.; Zeevaart, J. R.; Sathekge, M. M.; Ebenhan, T.; Anderson, R. C.; Newton, C. L., Tachykinin Receptor-Selectivity of the Potential Glioblastoma-Targeted Therapy, DOTA-[Thi8, Met (O2) 11]-Substance P. International Journal of Molecular Sciences 2023, 24 (3), 2134.
  2. Mishra, A.; Kumar, D.; Gupta, K.; Lofland, G.; Sharma, A. K.; Banka, D. S.; Hobbs, R. F.; Dannals, R. F.; Rowe, S. P.; Gabrielson, E.; Nimmagadda, S., Gallium-68-labeled Peptide PET Quantifies Tumor Exposure of PD-L1 Therapeutics. Clin Cancer Res 2023, 29 (3), 581-591.
  3. Lin, W.; Aluicio-Sarduy, E.; Houson, H. A.; Barnhart, T. E.; Tekin, V.; Jeffery, J. J.; Weichmann, A. M.; Barrett, K. E.; Lapi, S. E.; Engle, J. W., Theranostic cobalt-55/58m for neurotensin receptor-mediated radiotherapy in vivo: A pilot study with dosimetry. Nuclear Medicine and Biology 2023, 118, 108329.
  4. Houson, H.; Tekin, V.; Lin, W.; Aluicio-Sarduy, E.; Engle, J.; Lapi, S., PET Imaging of the Neurotensin Targeting Peptide NOTA-NT-20.3 Using Cobalt-55, Copper-64 and Gallium-68. Pharmaceutics 2022, 14, 2724. s Note: MDPI stays neutral with regard to jurisdictional claims in published …: 2022.
  5. Esposito, T. V. F.; Rodriguez-Rodriguez, C.; Blackadar, C.; Haney, E. F.; Pletzer, D.; Hancock, R. E. W.; Saatchi, K.; Hafeli, U. O., Biodistribution and toxicity of innate defense regulator 1018 (IDR-1018). Eur J Pharm Biopharm 2022, 179, 11-25.
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  7. Makris, G.; Shegani, A.; Kankanamalage, P. H.; Kuchuk, M.; Bandari, R. P.; Smith, C. J.; Hennkens, H. M., Preclinical evaluation of novel 64Cu-labeled gastrin-releasing peptide receptor bioconjugates for PET imaging of prostate cancer. Bioconjugate Chemistry 2021, 32 (7), 1290-1297.
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  9. Hao, L.; Rohani, N.; Zhao, R. T.; Pulver, E. M.; Mak, H.; Kelada, O. J.; Ko, H.; Fleming, H. E.; Gertler, F. B.; Bhatia, S. N., Microenvironment-triggered multimodal precision diagnostics. Nat Mater 2021, 20 (10), 1440-1448.
  10. Mac, Q. D.; Xu, C.; Bowen, J. R.; Sivakumar, A.; Phuengkham, H.; Su, F.-Y.; Stentz, S. Z.; Sim, H.; Harris, A. M.; Li, T. T., Activity-based urinary biomarkers of response and resistance to checkpoint blockade immunotherapy. BioRxiv 2020, 2020.12. 10.420265.
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  12. Lesniak, W. G.; Mease, R. C.; Chatterjee, S.; Kumar, D.; Lisok, A.; Wharram, B.; Kalagadda, V. R.; Emens, L. A.; Pomper, M. G.; Nimmagadda, S., Development of [18F] FPy-WL12 as a PD-L1 specific PET imaging peptide. Molecular imaging 2019, 18, 1536012119852189.
  13. Kumar, D.; Lisok, A.; Dahmane, E.; McCoy, M.; Shelake, S.; Chatterjee, S.; Allaj, V.; Sysa-Shah, P.; Wharram, B.; Lesniak, W. G.; Tully, E.; Gabrielson, E.; Jaffee, E. M.; Poirier, J. T.; Rudin, C. M.; Gobburu, J. V.; Pomper, M. G.; Nimmagadda, S., Peptide-based PET quantifies target engagement of PD-L1 therapeutics. J Clin Invest 2019, 129 (2), 616-630.
  14. Zhao, Y.; Pang, B.; Detering, L.; Luehmann, H.; Yang, M.; Black, K.; Sultan, D.; Xia, Y.; Liu, Y., Melanocortin 1 Receptor Targeted Imaging of Melanoma With Gold Nanocages and Positron Emission Tomography. Mol Imaging 2018, 17, 1536012118775827.
  15. De Silva, R. A.; Kumar, D.; Lisok, A.; Chatterjee, S.; Wharram, B.; Venkateswara Rao, K.; Mease, R.; Dannals, R. F.; Pomper, M. G.; Nimmagadda, S., Peptide-based 68Ga-PET radiotracer for imaging PD-L1 expression in cancer. Molecular pharmaceutics 2018, 15 (9), 3946-3952.
  16. de Oliveira, E. A.; Faintuch, B. L.; Seo, D.; Barbezan, A. B.; Funari, A.; Targino, R. C.; Moro, A. M., Radiolabeled GX1 Peptide for Tumor Angiogenesis Imaging. Appl Biochem Biotechnol 2018, 185 (4), 863-874.
  17. Bandara, N.; Reynolds, T. J. S.; Schehr, R.; Bandari, R. P.; Diebolder, P. J.; Krieger, S.; Xu, J.; Miao, Y.; Rogers, B. E.; Smith, C. J., Matched-pair, 86Y/90Y-labeled, bivalent RGD/bombesin antagonist,[RGD-Glu-[DO3A]-6-Ahx-RM2], as a potential theranostic agent for prostate cancer. Nuclear medicine and biology 2018, 62, 71-77.
  18. Sattiraju, A.; Solingapuram Sai, K. K.; Xuan, A.; Pandya, D. N.; Almaguel, F. G.; Wadas, T. J.; Herpai, D. M.; Debinski, W.; Mintz, A., IL13RA2 targeted alpha particle therapy against glioblastomas. Oncotarget 2017, 8 (26), 42997-43007.
  19. Liu, Y.; Gunsten, S. P.; Sultan, D. H.; Luehmann, H. P.; Zhao, Y.; Blackwell, T. S.; Bollermann-Nowlis, Z.; Pan, J. H.; Byers, D. E.; Atkinson, J. J.; Kreisel, D.; Holtzman, M. J.; Gropler, R. J.; Combadiere, C.; Brody, S. L., PET-based Imaging of Chemokine Receptor 2 in Experimental and Disease-related Lung Inflammation. Radiology 2017, 283 (3), 758-768.
  20. Chatterjee, S.; Lesniak, W. G.; Miller, M. S.; Lisok, A.; Sikorska, E.; Wharram, B.; Kumar, D.; Gabrielson, M.; Pomper, M. G.; Gabelli, S. B., Rapid PD-L1 detection in tumors with PET using a highly specific peptide. Biochemical and biophysical research communications 2017, 483 (1), 258-263.
  21. Zhao, Y.; Pang, B.; Luehmann, H.; Detering, L.; Yang, X.; Sultan, D.; Harpstrite, S.; Sharma, V.; Cutler, C. S.; Xia, Y., Gold nanoparticles doped with 199Au atoms and their use for targeted cancer imaging by SPECT. Advanced healthcare materials 2016, 5 (8), 928-935.
  22. Pandya, D. N.; Hantgan, R.; Budzevich, M. M.; Kock, N. D.; Morse, D. L.; Batista, I.; Mintz, A.; Li, K. C.; Wadas, T. J., Preliminary therapy evaluation of 225Ac-DOTA-c (RGDyK) demonstrates that Cerenkov radiation derived from 225Ac daughter decay can be detected by optical imaging for in vivo tumor visualization. Theranostics 2016, 6 (5), 698.
  23. Malamas, A. S.; Gameiro, S. R.; Knudson, K. M.; Hodge, J. W., Sublethal exposure to alpha radiation (223Ra dichloride) enhances various carcinomas’ sensitivity to lysis by antigen-specific cytotoxic T lymphocytes through calreticulin-mediated immunogenic modulation. Oncotarget 2016, 7 (52), 86937.
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  25. Reynolds, T. J. S.; Schehr, R.; Liu, D.; Xu, J.; Miao, Y.; Hoffman, T. J.; Rold, T. L.; Lewis, M. R.; Smith, C. J., Characterization and evaluation of DOTA-conjugated Bombesin/RGD-antagonists for prostate cancer tumor imaging and therapy. Nuclear Medicine and Biology 2015, 42 (2), 99-108.
  26. Oliveira, E. A.; Faintuch, B. L., Radiolabeling and biological evaluation of the GX1 and RGD-GX1 peptide sequence for angiogenesis targeting. Nucl Med Biol 2015, 42 (2), 123-30.
  27. Mastren, T.; Marquez, B. V.; Sultan, D. E.; Bollinger, E.; Eisenbeis, P.; Voller, T.; Lapi, S. E., Cyclotron Production of High-Specific Activity 55Co and In Vivo Evaluation of the Stability of 55Co Metal-Chelate-Peptide Complexes. Mol Imaging 2015, 14 (10), 526-33.
  28. Lesniak, W. G.; Sikorska, E.; Shallal, H.; Behnam Azad, B.; Lisok, A.; Pullambhatla, M.; Pomper, M. G.; Nimmagadda, S., Structural characterization and in vivo evaluation of β-hairpin peptidomimetics as specific CXCR4 imaging agents. Molecular pharmaceutics 2015, 12 (3), 941-953.
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  30. Marquez, B. V.; Ikotun, O. F.; Parry, J. J.; Rogers, B. E.; Meares, C. F.; Lapi, S. E., Development of a Radiolabeled Irreversible Peptide Ligand for PET Imaging of Vascular Endothelial Growth Factor. J Nucl Med 2014, 55 (6), 1029-34.
  31. Luehmann, H. P.; Pressly, E. D.; Detering, L.; Wang, C.; Pierce, R.; Woodard, P. K.; Gropler, R. J.; Hawker, C. J.; Liu, Y., PET/CT imaging of chemokine receptor CCR5 in vascular injury model using targeted nanoparticle. J Nucl Med 2014, 55 (4), 629-34.
  32. Durkan, K.; Jiang, Z.; Rold, T. L.; Sieckman, G. L.; Hoffman, T. J.; Bandari, R. P.; Szczodroski, A. F.; Liu, L.; Miao, Y.; Reynolds, T. S., A heterodimeric [RGD-Glu-[64Cu-NO2A]-6-Ahx-RM2] αvβ3/GRPr-targeting antagonist radiotracer for PET imaging of prostate tumors. Nuclear medicine and biology 2014, 41 (2), 133-139.
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