Preparation and Identification of HER2 Radioactive Ligands and Imaging Study of Breast Cancer-Bearing Nude Mice.OBJECTIVE
 A micro-molecule peptide TP1623 of 99mTc-human epithelial growth factor receptor 2 (HER2) was prepared and the feasibility of using it as a HER2-positive molecular imaging agent for breast cancer was evaluated.


 TP1623 was chemically synthesized and labeled with 99mTc.  The labeling ratio and stability were detected.  HER2 expression levels of breast cancer cells (SKBR3 and MDA-MB-231) and cell binding activity were measured.  Biodistribution of 99mTC-TP1623 in normal mice was detected.  SKBR3/MDA-MB-231-bearing nude mice models with high/low expressions of HER2 were established.  Tumor tissues were stained with hematoxylin-eosin (HE) and measured by immunohistochemistry to confirm the formation of tumors and HER2 expression.  SPECT imaging was conducted for HER2-overexpressing SKBR3-bearing nude mice.  The T/NT ratio was calculated and compared with that of MDA-MB-231-bearing nude mice with low HER2 expression.  The competitive inhibition image was used to discuss the specific binding of 99mTc- TP1623 and the tumor.


 The labeling ratio of 99mTc-TP1623, specific activity, and radiochemical purity (RCP) after 6 h at room temperature were (97.39 ± 0.23)%, (24.61 ± 0.06) TBq/mmol, and (93.25 ± 0.06)%, respectively.  HER2 of SKBR3 and MDA-MB-231 cells showed high and low expression levels by immunohistochemistry, respectively.  The in vitro receptor assays indicated that specific binding of TP1623 and HER2 was retained.  Radioactivity in the brain was always at the lowest level, while the clearance rate of blood and the excretion rate of the kidneys were fast.  HE staining showed that tumor cells were observed in SKBR3- and MDA-MB-231-bearing nude mice, with significant heteromorphism and increased mitotic count.  The imaging of mice showed that targeted images could be made of 99mTc-TP1623 in high HER2-expressing tumors, while no obvious development was shown in tumors in low HER2-expressing nude mice.  No development was visible in tumors in competitive inhibition of imaging, which indicates the combination of 99mTc-TP1623 and tumor was mediated by HER2.


 CONCLUSION
 High labeling ratio and specific activity of 99mTc-TP1623 is successfully prepared; it is a molecular imaging agent for HER2-positive tumors that has potential applicative value.
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