High Relaxivity PSMA-Targeted Contrast Agents for MRI of Prostate Cancer - Summary and Abstract: High Relaxivity PSMA-Targeted Contrast Agents for MRI of Prostate Cancer
The goal of this proposal is to test the hypothesis that compact, high-relaxivity targeted contrast agents (HR-TCAs)
that selectively bind to prostate-specific membrane antigen (PSMA) will dramatically improve magnetic resonance
imaging (MRI) of prostate cancer (PCa). With high expression in cancerous cells and low expression in non-cancer
tissue, PSMA is an excellent biomarker for imaging PCa including sites of metastasis. A peptidomimetic urea
inhibitor, DCL, has shown high affinity for PSMA leading to a variety of near-infrared (NIR) dye agents for
fluorescence and photoacoustic imaging, 18F agents for PET, and low-relaxivity gadolinium (Gd) agents for MRI of
PCa. To date, low molecular weight, HR-TCAs for MRI of PCa have not been described. In order to test this
hypothesis a new, modular method for the synthesis of compact peptide-based TCAs will be employed to
synthesize mono and di Gd multimers of PSMA-directed contrast agents, using the high-relaxivity Gd-chelate, Gd-
DO3A. The design embraces the advantages of peptides in bioavailability and clearance, and the enhanced safety of
closed-cage macrocyclic Gd agents. Targeted HR-TCAs will require far lower concentrations of Gd agent versus
low-relaxivity and non-targeted agents, further increasing their safety. To evaluate contrast efficiency in MRI, the
T1 relaxation time will be measured by nuclear magnetic resonance (NMR) using a method developed at RIT. Cell
binding of TCAs to PSMA+ and PSMA- cells in-vitro will be measured by AA spectroscopy. A dual modal NIR-
MRI analog, also available by the modular method, will be evaluated using confocal fluorescence microscopy
(CFM) to quantitate binding to PCa cells and study enhancement by endocytosis as a highly effective means of
amplifying signal intensity as observed in our preliminary results. To ensure clinical safety, the stability of Gd
chelation will be assessed by accelerated de-metalation studies using an HPLC-MS assay developed at RIT. The
best TCAs will be translated for in-vivo testing by collaborators at Roswell Park Cancer Institute (RPCI), who will
also mentor RIT undergraduates working at RPCI in summers. Mouse xenograft models will be used to test the
hypothesis that MRI can clearly identify human PCa following systemic administration of PSMA-directed TCAs.
The testing will include targeting PCa cells that have metastasized. We will examine toxicity in mice followed by
PK/PD studies by assaying for the TCA in excretions and tissues by ICP-MS. We expect the small, peptide-based
TCAs will maintain excellent bioavailability, stability and clearance in-vivo. A key aspect of this proposal is the
involvement of four undergraduates from RIT, two of whom will also conduct summer research at RPCI. The
collaboration highlights expertise in synthesis, cell and tissue biology and MRI agent chemistry at RIT, and in
cancer biology and pre-clinical MRI at RPCI. These combine to provide a vibrant learning environment in cancer
imaging research for undergraduates, with the achievable goal of transforming MRI of PCa. The development of
safe, small-peptide based, PSMA targeted high-relaxivity contrast agents will transform imaging of PCa and
provide a breakthrough for accurate diagnosis and treatment, leading to positive outcomes in PCa patients.