Application of Neurokinin-1 Receptor in Targeted Strategies for Glioma Treatment. Part I: Synthesis and Evaluation of Substance P Fragments Labeled with 99m Tc and 177 Lu as Potential Receptor Radiopharmaceuticals.

Gliomas, particularly WHO grade IV glioblastoma multiforme, are one of the most common and aggressive primary tumors of the central nervous system. The neuropeptide, substance P (SP), is the physiological ligand of the neurokinin-1 (NK-1) receptor that is consistently overexpressed in glioblastoma cells. The aim of this work was to study physico-chemical and biological properties of different SP analogues labeled with technetium-99m and lutetium-177 radionuclides. The synthesized compounds were characterized in vitro by partition coefficients (log P ) and their stability was investigated in various physiological solutions. Biological properties ( K _d , B _max ) were characterized using the U373 MG cell line. The obtained lipophilicity values of the [ ^99m Tc]NS₃/CN-SP and [ ¹⁷⁷ Lu]DOTA-SP radiobioconjugates were in the range of -0.3 to +0.6 and -2.5 to -5.0, respectively. The studied radiobioconjugates were stable in PBS buffer and CSF, as well as in 10 mM histidine and/or cysteine solutions whereas in human serum showed enzymatic biodegradation. [ ¹⁷⁷ Lu]DOTA-[Thi⁸,Met(O₂) ¹¹ ]SP(1⁻11), [ ¹⁷⁷ Lu]DOTA-SP(4⁻11) and [ ¹⁷⁷ Lu]DOTA-[Thi⁸,Met(O₂) ¹¹ ]SP(5⁻11) radiobioconjugates bound specifically to NK-1 receptors expressed on glioblastoma cells with affinity in the nanomolar range. To conclude, the shorter analogues of SP can be used as vectors, nevertheless they still do not fulfil all requirements for preparations in nuclear medicine.
Competing Interests: The authors declare no conflict of interest.