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Somatostatin-derived analogues play an important role in the diagnosis and treatment of neuroendocrine tumors. The aim of this study was to evaluate a new somatostatin analogue designed for labeling with (99m)Tc: [6-hydrazinopyridine-3-carboxylic acid (HYNIC(0)), β-(3-benzothienyl)-Ala (BzThi(3))]-octreotide ([HYNIC]-BOC), using ethylenediamine-N,N'-diacetic acid (EDDA) and tricine as coligands. Synthesis was performed on a solid phase using a standard Fmoc strategy. The HYNIC-peptide conjugate was radiolabeled with (99m)Tc and characterized by ITLC and high-performance liquid chromatography (HPLC). In vitro studies were carried out in sstr2 expressing AR4-2J cell lines. In vivo distribution studies were performed in rats bearing the AR4-2J tumor. The radiolabeled complex could be prepared at high-specific activities and >95% radiochemical yield as determined by HPLC. The peptide conjugate showed high-affinity binding for sstr2. The radioligand showed high and specific internalization into AR4-2J cells (18.19%±0.21% at 4 hours). In vivo distribution studies in rats bearing tumor have shown a receptor-specific uptake of radioactivity in somatostatin receptor-positive organs. After 4 hours, uptake in the AR4-2J tumor was 1.71%±0.36% injected dose per gram tissue (%ID/g). These data show that [(99m)Tc/EDDA/Tricine/HYNIC(0), BzThi(3)]-octreotide is a specific radioligand for the somatostatin receptor-positive tumors and is a suitable candidate for clinical studies.
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http://dx.doi.org/10.1089/cbr.2012.1270 | DOI Listing |
Gan To Kagaku Ryoho
July 2025
Dept. of Radiation Oncology and Image-Applied Therapy, Graduate School of Medicine, Kyoto University.
Peptide receptor radionuclide therapy(PRRT)using 177Lu-DOTATATE has become a well-established treatment option for patients with somatostatin receptor-positive neuroendocrine tumors(NET). The results of randomized controlled phase Ⅲ trials have demonstrated the high efficacy and low incidence of adverse events associated with PRRT, leading to a growing importance of PRRT in treatment strategies. In particular, NETTER-2 trial showed the efficacy and safety of first-line PRRT in G2-3 NET(10%≤Ki-67≤55%).
View Article and Find Full Text PDFSemin Nucl Med
August 2025
Neuroendocrine Tumour Unit, Royal Free Hospital NHS Foundation Trust, ENETS Centre of Excellence, London, UK; Department of Nuclear Medicine, Royal Free Hospital NHS Foundation Trust, London, UK. Electronic address:
Peptide receptor radionuclide therapy (PRRT) targeting the somatostatin receptor with receptor agonists has emerged as a key treatment in the management of well-differentiated neuroendocrine tumors (NETs). The therapeutic efficacy of these agents has traditionally been attributed to receptor-mediated internalization of the radiolabeled peptide into tumor cells. In contrast, somatostatin receptor (SSTR) antagonists bind to the receptor without undergoing significant internalization.
View Article and Find Full Text PDFJ Neuroendocrinol
August 2025
Department of Clinical Physiology and Nuclear Medicine, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Grade 3 neuroendocrine tumours (NET G3) represent approximately 20% of high-grade neuroendocrine neoplasms, and the recent identification of this entity has given rise to many unanswered questions relating to clinical management. The prognosis for these patients is worse than for those with Grade 1-2 well-differentiated NET, but better than for those with Grade 3 poorly differentiated neuroendocrine carcinoma. This consensus statement aims to address some uncertainties and explore unmet needs in the management of patients with NET G3.
View Article and Find Full Text PDFFront Endocrinol (Lausanne)
August 2025
Department of Hepatobiliary Surgery, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
The liver is the most common metastatic organ of neuroendocrine tumors (NETs). NET liver metastases (NETLMs) are categorized into simple liver metastasis (type I), complex liver metastasis (type II) and diffuse liver metastasis (type III), of which diffuse liver metastasis accounts for the highest percentage, up to 60-70%. Radical resection is recommended for all patients with type I and partial type II liver metastases without extrahepatic metastases in G1 and G2 grades, with a 5-year survival rate of 65%-70%.
View Article and Find Full Text PDFCureus
July 2025
Department of Colorectal Surgery, Lehigh Valley Health Network, Allentown, USA.
The presacral space, which includes the rectum anteriorly, the sacrum posteriorly, and the endopelvic fascia laterally, is an area of the body that rarely presents with masses. In addition, it is even more unusual to have neuroendocrine neoplasms (NENs) in that location. Presacral NENs typically behave as well-differentiated tumors with local involvement.
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