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Purpose: (S)-4-(3-F-Fluoropropyl)-ʟ-Glutamic Acid ([F]FSPG) is a radiolabeled non-natural amino acid that is used for positron emission tomography (PET) imaging of the glutamate/cystine antiporter, system x, whose expression is upregulated in many cancer types. To increase the clinical adoption of this radiotracer, reliable and facile automated procedures for [F]FSPG production are required. Here, we report a cassette-based method to produce [F]FSPG at high radioactivity concentrations from low amounts of starting activity.
Procedures: An automated synthesis and purification of [F]FSPG was developed using the GE FASTlab. Optimization of the reaction conditions and automated manipulations were performed by measuring the isolated radiochemical yield of [F]FSPG and by assessing radiochemical purity using radio-HPLC. Purification of [F]FSPG was conducted by trapping and washing of the radiotracer on Oasis MCX SPE cartridges, followed by a reverse elution of [F]FSPG in phosphate-buffered saline. Subsequently, the [F]FSPG obtained from the optimized process was used to image an animal model of non-small cell lung cancer.
Results: The optimized protocol produced [F]FSPG in 38.4 ± 2.6 % radiochemical yield and >96 % radiochemical purity with a molar activity of 11.1 ± 7.7 GBq/μmol. Small alterations, including the implementation of a reverse elution and an altered Hypercarb cartridge, led to significant improvements in radiotracer concentration from <10 MBq/ml to >100 MBq/ml. The improved radiotracer concentration allowed for the imaging of up to 20 mice, starting with just 1.5 GBq of [F]Fluoride.
Conclusions: We have developed a robust and facile method for [F]FSPG radiosynthesis in high radiotracer concentration, radiochemical yield, and radiochemical purity. This cassette-based method enabled the production of [F]FSPG at radioactive concentrations sufficient to facilitate large-scale preclinical experiments with a single prep of starting activity. The use of a cassette-based radiosynthesis on an automated synthesis module routinely used for clinical production makes the method amenable to rapid and widespread clinical translation.
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http://dx.doi.org/10.1007/s11307-021-01609-w | DOI Listing |
Npj Imaging
October 2024
School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
EJNMMI Radiopharm Chem
January 2025
School of Biomedical Engineering & Imaging Sciences, King's College London, St Thomas' Hospital, London, SE1 7EH, UK.
Background: (S)-4-(3-F-Fluoropropyl)-ʟ-glutamic acid ([F]FSPG) is a positron emission tomography radiotracer used to image system x, an antiporter that is upregulated in several cancers. Not only does imaging system x with [F]FSPG identify tumours, but it can also provide an early readout of response and resistance to therapy. Unfortunately, the clinical production of [F]FSPG has been hampered by a lack of robust, cGMP-compliant methods.
View Article and Find Full Text PDFNat Commun
December 2024
School of Biomedical Engineering & Imaging Sciences, King's College London, St Thomas' Hospital, London, UK.
Mutations in the NRF2-KEAP1 pathway are common in non-small cell lung cancer (NSCLC) and confer broad-spectrum therapeutic resistance, leading to poor outcomes. Currently, there is no means to non-invasively identify NRF2 activation in living subjects. Here, we show that positron emission tomography imaging with the system x radiotracer, [F]FSPG, provides a sensitive and specific marker of NRF2 activation in orthotopic, patient-derived, and genetically engineered mouse models of NSCLC.
View Article and Find Full Text PDFNpj Imaging
August 2024
School of Biomedical Engineering and Imaging Sciences, King's College London, London, UK.
The ability to image early treatment response to radiotherapy in head and neck squamous cell carcinoma (HNSCC) will enable the identification of radioresistant tumor volumes suitable for treatment intensification. Here, we propose the system x radiotracer (4)-4-(3-[F]fluoropropyl)-L-glutamate ([F]FSPG) as a non-invasive method to monitor radiation response in HNSCC. We assessed temporal changes in cell death, antioxidant status, and [F]FSPG retention following a single dose of 10 Gy irradiation in FaDU HNSCC cells.
View Article and Find Full Text PDFCancers (Basel)
April 2024
School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, UK.