Developing Targeted Hybrid Imaging Probes by Chelator Scaffolding

Positron emission tomography (PET) as well as optical imaging (OI) with peptide receptor targeting probes have proven their value for oncological applications but also show restrictions depending on the clinical field of interest. Therefore, the combination of both methods, particularly in a single molecule, could improve versatility in clinical routine. This proof of principle study aims to show that a chelator, Fusarinine C (FSC), can be utilized as scaffold for novel dimeric dual-modality imaging agents. Two targeting vectors (a minigastrin analogue (MG11) targeting cholecystokinin-2 receptor overexpression (CCK2R) or integrin αVβ3 targeting cyclic pentapeptides (RGD)) and a near-infrared fluorophore (Sulfo-Cyanine7) were conjugated to FSC. The probes were efficiently labeled with gallium-68 and in vitro experiments including determination of logD, stability, protein binding, cell binding, internalization, and biodistribution studies as well as in vivo micro-PET/CT and optical imaging in U-87MG αVβ3- and A431-CCK2R expressing tumor xenografted mice were carried out. Novel bioconjugates showed high receptor affinity and highly specific targeting properties at both receptors. Ex vivo biodistribution and micro-PET/CT imaging studies revealed specific tumor uptake accompanied by slow blood clearance and retention in nontargeted tissues (spleen, liver, and kidneys) leading to visualization of tumors at early (30 to 120 min p.i.). Excellent contrast in corresponding optical imaging studies was achieved especially at delayed time points (24 to 72 h p.i.). Our findings show the proof of principle of chelator scaffolding for hybrid imaging agents and demonstrate FSC being a suitable bifunctional chelator for this approach. Improvements to fine-tune pharmacokinetics are needed to translate this into a clinical setting.


■ INTRODUCTION
The overexpression of specific receptors in various tumors is utilized in modern nuclear medicine for imaging with radiolabeled peptides. A broad variety of receptors have been identified as promising targets for radiopharmaceutical development and some have been successfully implemented in clinical research and routine practice. 1−3 The radionuclide gallium-68 with its availability through modern, cost-effective 68 Ge/ 68 Gagenerator systems has become a radiometal of choice for targeted-PET imaging 4 and allows detection, staging, or restaging of tumor with high sensitivity. In addition to PET imaging in oncology, intraoperative tracer guidance is a very attractive approach allowing the resection of even the smallest tumor lesions while keeping the risk of surgery related nerve malfunction or unnecessary removal of nondiseased tissue as low as possible. In principle gallium-68 labeled tracers could be used for surgical guidance via direct detection of radioactivity with hand-held gamma probes or by detection of Cerenkov luminescence generated by the emitted positrons (β + ). The short half-life of gallium-68 limits this application and the use of alternative radionuclides with longer half-life such as indium-111 increases the radiation burden. Gamma probes also lack the sensitivity to define the tumor margins accurately and Cerenkov luminescence is likely to vanish related to energy levels below the detectable threshold due to absorption and scattering processes. Optical imaging for intraoperative guidance via nearinfrared fluorescence is a suitable alternative. 5 Under optimal conditions optical imaging can result in a spatial resolution of less than 1 mm generating a unique real-time visualization method to surgeons facilitating complete resection of cancerous cells. 6,7 Considering the limited tissue penetration, this method is a more powerful add-on when combined with preoperative PET as a multimodality imaging technique rather than a standalone perioperative imaging method. Several preclinical studies have demonstrated the effectiveness and value of the dual-modality imaging approach. 8,9 Due to the availability of novel fluorophores and targeted probes the design of single molecule based dual-modality agents has attracted great interest but also faces challenges regarding choice of fluorophore and conjugation strategy 10−12 especially when strategies such as multivalency to enhance the targeting efficiency 13 are applied. We have recently shown that Fusarinine C (FSC) has excellent complexing abilities concerning gallium-68 and zirconium-89. 14,15 Three primary amines for site-specific conjugation nominate FSC as an adaptable candidate for a dual-modality imaging approach by attaching both a targeting sequence as well as an optical imaging moiety to the chelator used for radiolabeling. Such cyclic chelator based scaffolding for hybrid imaging agents following this new conjugation strategy (Scheme 1) has to our knowledge not been described yet. In this proof of principle study we report on the synthesis and the main characteristics of two different novel divalent FSC-based hybrid imaging agents. A minigastrin analogue (MG11) targeting cholecystokinin-2 (CCK-2) receptor overexpression being involved in rare diseases like gastrointestinal stromal tumors (GIST) and medullary thyroid carcinoma (MTC) 16  and the cyclic pentapeptide (RGD)targeting integrin α V β 3 , a cell adhesion molecule being involved in various cancer malignancies (breast, prostate, pancreatic, ovarian, melanoma, glioblastoma, cervical) 17,18 were chosen as model peptides for this preclinical approach.
■ RESULTS AND DISCUSSION Precursor Preparation. The amino-functionalized chelator (FSC) could be extracted directly from fungal culture via an inhouse C18-cartridge method and iron was added to protect the hydroxamates and prevent any side reactions during further derivatization. Synthesis of thiolated targeting peptides for site specific maleimide conjugation was carried out using straightforward solid-phase peptide synthesis. Double-maleimide linker modified [Fe]FSC was obtained in moderate yield (>20%, nonoptimized) out of a mixture of mono-and multiple substituted conjugates as three chemically identical primary amines cannot be derivatized individually by NHS-ester reaction strategy. Conjugation of the fluorescent dye to the remaining free amine biding site of the chelator was easily achieved by in situ activation of Sulfo-Cyanine7 carboxylic acid. Targeting vectors were conjugated after demetalation with 50 mM Na 2 EDTA to obtain the divalent hybrid imaging agents Sulfo-Cy7-FSC-MG and Sulfo-Cy7-FSC-RGD in good yields (>50%). Identity of all compounds was confirmed by MALDI-TOF mass spectrometry. Chemical purity determined by analytical RP-HPLC (UV absorption at λ = 220 nm) was >95% for all intermediates and >93% for the hybrid imaging   19 the commercially available heptamethine indocyanine based and disulfonated fluorophoreSulfo-Cyanine7has been considered an appropriate choice as optical signaling moiety. It has an excitation/emission (750/ 773 nm) in the near-infrared range leading to enhanced tissue penetration and high contrast in imaging, a high quantum yield, high stability, and its high water solubility matches the requirements for in vivo imaging. Additionally, the fact that structurally related indocyanine green (ICG; Cardio-Green) is the only dye being approved as injectable fluorophore for diagnostic applications in patients by the Food and Drug Administration (FDA) so far and has been used successfully in patients for more than 40 years with an excellent toxicity profile strengthened our choice. 20 Similar approaches of mono-and divalent hybrid imaging agents targeting integrin α V β 3 have been published 21−24 while no comparable approach toward CCK2R targeting has been described so far. Still the architecture of those bioconjugates differs fundamentally from our approach as in the case of LS308 and DTPA-Lys-(IRDye800)-c(KRGDf) the targeting vector as well as fluorescent dye were conjugated via a linker to the same binding site of the bifunctional chelator. In the case of DFO-Cypate-cyclo[RGDfK] the RGD-peptide and the chelator were attached to different binding domains of the fluorophore pointing out that FSC with multiple conjugation sites enables manifold derivatization possibilities compared to commonly used BFCs such as diethylene triamine pentoacetic acid (DTPA), 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid (DOTA), or deferoxamine (DFO) offering only one functional group for site-specific conjugation.
Radiolabeling with Gallium-68. Both compounds could be labeled according to the detailed protocol in the Experimental Section with the radionuclide obtained from commercial available generator in >99% radiochemical yield (RCY), with >95% radiochemical purity (RCP) and at specific activities (SA) of 113.1 ± 0.94 GBq/μmol (3.06 ± 0.03 Ci/ μmol) for Sulfo-Cy7-FSC-MG and 100.9 ± 0.42 GBq/μmol (2.73 ± 0.01 Ci/μmol) for Sulfo-Cy7-FSC-RGD (n = 3; nonoptimized). The radiolabeled tracers were used withouth further purification for all experiments. It is highly noticeable that the formation of the radiometal chelator complex within minutes at room temperature offers mild radiolabeling conditions for sensitive biomolecules. In our case it minimized the risk to oxidize the methionine of Sulfo-Cy7-FSC-MG. This is contrary to ligands conjugated to the macrocyclic bifunctional chelator 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid (DOTA) where heating is mandatory for radiolabeling and is highly advantageous as oxidation leads to a loss of CCK2R affinity. 25 In Vitro Characterization. Partition coefficients (logD), protein binding, and stability assessments in fresh human serum and phosphate buffered saline (PBS; pH 7.4) of [ 68 Ga]Sulfo-Cy7-FSC-MG and [ 68 Ga]Sulfo-Cy7-FSC-RGD are summarized in Table 1. LogD values ranging from −1.9 to −2.3 reveal a hydrophilic character for both compounds. Binding to serum proteins was consistent over time and ranged from low for [ 68 Ga]Sulfo-Cy7-FSC-RGD with approximately 20% to high for [ 68 Ga]Sulfo-Cy7-FSC-MG with more than 70%. Compared to a nonfluorescent divalent FSC-MG derivative (logD = −2.5 ± 0.2; protein binding = 16.5 ± 0.1%; unpublished data) lipophilicity and protein binding of [ 68 Ga]Sulfo-Cy7-FSC-MG increased distinctly. As the same trend could be observed comparing [ 68 Ga]Sulfo-Cy7-FSC-RGD to nonfluorescent dimeric probe DOTA-E-[c(RGDfK)] 2 26 or a trivalent FSC-RGD derivative 14 this can be attributed to the structural properties of the fluorescent dye. Determination of stability in different media showed no significant release of gallium-68 indicating high complex stability but a slight degradation of the bioconjugates (2−5%) was observed in the serum as well as in the PBS control. Taking into account that fluorophores are sensitive to radiolysis especially in aqueous media, 27 RCP after labeling could be improved by radioprotective additives, e.g., ascorbic acid 28 and this might also have positive effects regarding stability.
Cell binding studies are shown in Figure 1 and confirmed a high receptor affinity for both compounds while the difference between metal-free and metal-bound ([ nat Ga]) bioconjugates was negligible. Sulfo-Cy7-FSC-MG showed an IC 50 value of 2.81 ± 0.66 and 2.68 ± 0.53 nM in the uncomplexed and complexed form indicating improved binding affinity compared to DOTA-minigastrin11 (9.5 ± 0.5 nM). Despite slight variances in experimental setting resulting IC 50 values were comparable with a fluorescence labeled divalent minigastrin derivative (bivQ) 29 and nonfluorescent divalent FSC-MG derivative (0.9 ± 0.2 nM; unpublished data). An IC 50 value of 1.13 ± 0.22 and 0.81 ± 0.19 nM was determined for metalfree and [ nat Ga] bound Sulfo-Cy7-FSC-RGD showing enhanced affinity compared to c(RGDyV) (15.19 ± 2.86 nM). The affinity for Sulfo-Cy7-FSC-RGD is comparable to a variety of previous published nonfluorescent trivalent FSC-RGD derivatives 14,30 but resulted to be higher compared to integrin α V β 3 targeting dimers as Cy7-E[c(RGDyK)] 2 , 31 nonfluorescent DOTA-E-[c(RGDfK)] 2 , 26 HYNIC/DOTA-3PEG 4 -c(RGDfK) 2 , 32 or the hybrid imaging agent DOTA-(AF)SAv/biotin-PEG-RGD 2 . 24 Therefore, we speculate that our novel synthetic strategy can ensure unaffected peptide/ receptor interaction by preventing steric hindrance at the receptor binding site. This theory is strengthened by a recent report on a DOTA based bombesin derivative for hybrid imaging of prostate cancer where receptor affinity decreased significantly compared to nonfluorescent labeled probe when the fluorophore was conjugated to the same binding site as the targeting vector. 9 Cell uptake studies using radiolabeled conjugates on A431-CCK2R cells for [ 68 Ga]Sulfo-Cy7-FSC-MG and for [ 68 Ga]-Sulfo-Cy7-FSC-RGD on M21 (α v β 3 positive) and M21-L (α v β 3 negative) cells are summarized in Figure 2 indicating highly specific receptor-mediated internalization. The internalized
Fluorescence-determined cell uptake after 2 h incubation ( Figure 3) for Sulfo-Cy7-FSC-MG resulted in 10.78 ± 1.04% on nonblocked and 1.65 ± 0.47% on blocked A431-CCK2R cells while Sulfo-Cy7-FSC-RGD showed 5.79 ± 0.88% on α v β 3 positive and 1.74 ± 0.25% on α v β 3 negative cells. Somewhat higher values compared to the radioactive assay may be related to differences in experimental settings, but generally results are very comparable proving receptor specific targeting properties

Bioconjugate Chemistry
Article for both compounds in vitro independently whether measured via the radioactive or optical signal.
In Vivo Characterization. The results of the biodistribution studies of [ 68 Ga]Sulfo-Cy7-FSC-MG in A431-CCK2R (receptor positive) and A431-mock (receptor negative; CCK2-) xenografted BALB/c nude mice as well as of [ 68 Ga]Sulfo-Cy7-FSC-RGD in U-87MG (α v β 3 positive) xenograft bearing mice including corresponding tumor-to-organ ratios are presented in Figure 4. [ 68 Ga]Sulfo-Cy7-FSC-MG showed slow pharmacokinetics as the percentage of the injected dose per gram tissue (%ID/g) remained comparable 1 and 2 h after tracer administration. The bioconjugate was highly accumulated in kidneys (71.1 ± 7.0% ID/g 2 h p.i.) and the resulting tumorto-kidney ratios of <0.5 are in agreement with mono-and divalent CCK2R targeting probes for optical imaging dQ-MG-754, 33 QE, and bivQ. 29 Slow clearance from the blood indicated by a decrease from 4.7 ± 0.7% to 3.0 ± 0.5% ID/g led to a pronounced accumulation in liver tissue after 2 h (25.7 ± 3.3% ID/g). Furthermore, the prolonged circulation of [ 68 Ga]Sulfo-Cy7-FSC-MG in the blood favored accumulation in nontargeted tissue especially spleen, while tumor uptake with values of 3.1 ± 0.9% and 3.8 ± 0.7% ID/g after 1 and 2 h, respectively, showed no significant difference. Increasing CCK2R to CCK2ratios of receptor-positive (CCK2R) and -negative (CCK2-) tumors from 1.5 to 3.1 indicated target-specific tumor uptake.
[ 68 Ga]Sulfo-Cy7-FSC-RGD was highly accumulated in tumor tissue after 30 min p.i. (10.1 ± 0.8% ID/g) and tumor washout was slow as still 7.5 ± 0.8% ID/g were present in tumor tissue after 90 min. This is in good agreement with reports of nonfluorescent radiolabeled dimeric RGD probes being evaluated on the same integrin α v β 3 expressing tumor model. 32,34 [ 68 Ga]Sulfo-Cy7-FSC-RGD was quickly cleared from the blood (decrease of 4.0 ± 0.4% ID/g to 1.3 ± 0.2% ID/g) moderate tracer accumulation in the liver remaining at approximately 6−7% ID/g and high kidney retention ranging from 54.8 ± 1.1% ID/g to 57.3 ± 4.6% ID/g indicates tubular reabsorption. Furthermore, slightly elevated accumulation in nontargeted organs (spleen, stomach, heart, lung) was observed possibly related to physiologic expression of integrins, 35 being consistent with reports on [ 64 Cu]-DOTA-(AF)SAv/biotin-PEG-RGD 2 24 and [ 111 In]-LS308 23 hybrid imaging agents. The high tumor/bone and tumor/muscle ratios of both bioconjugates ( Figure 4C,D) confirmed the high stability found in vitro. However, some 68 Ga release cannot be excluded, and in particular the correlation between radionuclide release (influencing the PET signal) and in vivo stability of the FSCconjugate itself (correlating with the optical signal) warrants further investigation.

Article
Animal imaging studies including micro-PET/CT as well as optical imaging were conducted in the same tumor mouse model as biodistribution studies and are shown in Figure 5. Static PET images of [ 68 Ga]Sulfo-Cy7-FSC-MG confirmed the results from ex vivo biodistribution showing receptor specific uptake in CCK2R overexpressing tissue and visualized the tumor 60 and 120 min post-injection, but only moderate targetto-organ contrast was observed due to high accumulation of the tracer in liver, spleen, and kidneys not differing very much between the two time points. Optical imaging of Sulfo-Cy7-FSC-MG mainly showed tracer accumulation in nontargeted tissue 1 h p.i., whereas tumor tissue starts to be visualized in moderate contrast 2 h after injection. At later time points from 5 h up to 3 days, respectively, imaging resulted in excellent contrast as the tracer was completely cleared from nontargeted tissue and high accumulation in tumor tissue accompanied by visualized kidneys related to renal retention was observed. Static PET images of [ 68 Ga]Sulfo-Cy7-FSC-RGD showed highly specific receptor uptake as the tumor was visualized clearly accompanied by renal elimination and some minor unspecific binding in the gastrointestinal tract. Fluorescence imaging showed comparable results 30 min p.i. but higher signal for kidney and intestine 90 min and 4 h p.i., respectively, while the best contrast was achieved 24 h after administration. Two days after injection the ligand was completely washed out from tumor tissue being consistent with reports from the literature where different fluorescent-labeled RGD derivatives were investigated. 24,31,36 Still there is room for improvement in particular reducing the lipophilic character of the fluorescent dye resulting in slow pharmacokinetics. This was also indicated as in both imaging modalities a non-negligible amount of tracer remained at the injection site showing little reabsorption. For future prospective developments these could be overcome by using fluorophores with a higher degree of sulfonation to increase hydrophilicity and prevent high protein binding ability leading to reduced hepatic clearance and improved imaging contrast. Additionally this concept could also be transferred to other cyclic chelators providing multiple coupling sites, such as TRAP 35 or a variety of DOTA/NOTA derivatives 37 generating certain scientific value for further developments and clinical application regarding the hybrid imaging approach.

■ CONCLUSION
In this study we successfully used Fusarinine C as the scaffold for novel divalent hybrid imaging bioconjugates by coupling targeting vectors as well as an optical signaling moiety to the chelating core. The resulting dual-modality imaging agents [ 68 Ga]-Sulfo-Cy7-FSC-MG and [ 68 Ga]-Sulfo-Cy7-FSC-RGD showed high radiolabeling yields, excellent stability, and receptor affinity and highly specific receptor targeting proper- MALDI-TOF MS. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry was performed on a Bruker microflex benchtop MALDI-TOF MS (Bruker Daltonics, Bremen, Germany) using reflector acquisition mode, positive ion source, and 800 shots per spot. α-Cyano-4-hydroxycinnamic acid (HCCA) was chosen as matrix and dried-droplet method for sample preparation on a micro scout target (MSP96 target ground steel BC, Bruker Daltonics). The recorded data was analyzed by Flex Analysis 2.4 software.
γ-Counter. The radioactivity of all samples was measured in a 2480 Automatic Gamma counter Wizard2 3″ (PerkinElmer, Waltham, MA, USA).
Peptide Synthesis. [3-MP 0 -D-Glu 1 ,desGlu 2−6 ]-minigastrin11 [MG11-SH]. The synthesis of the minigastrin analogue ([D-Glu 1 ,desGlu 2−6 ]−Ala-Tyr-Gly-Trp-Met-Asp-Phe-NH 2 ) was carried out as previously described. 38 Briefly, 125 mg of Rink Amide resin (62.5 μmol) was used following Fmoc protocols. For the amino acids Asp and Glu, an OtBu side chain protection was applied, whereas for Trp BOC and for Tyr, tBu protection groups were used and HOAT/HATU activated amino acid coupling was performed for 1 h at ambient temperature using 3-fold molar excess (187.5 μmol). After removing the Fmoc-group from the N-terminal amino acid 3trithylsulfonylpropionic acid (Bachem, Bubendorf, Switzerland) was coupled to introduce a thiol functionality to the peptide (3- The cyclic pentapeptide cyclo(-Arg(Pbf)-Gly-Asp(OtBu)-DPhe-Lys-) was synthesized by applying Fmoc-based solid-phase peptide synthesis for the linear precursor followed by cyclization according to Haubner and co-workers. 39 Modification of the lysine side chain by SAT(PEG) 4 coupling and deacetylation was performed following manufacturers protocol. Briefly, the peptide was dissolved in DMF and after adding N-succidimidyl-S-acetyl-(thiotetraethylene glycol) (SAT(PEG) 4 ) in DMSO the reaction mixture was alkalized (pH 9) using DIPEA and stirred for 2 h at RT. The peptide was precipitated with diethyl ether and dried in vacuo. For deacetylation, the crude peptide was dissolved in PBS and 0.5 M hydroxylamine solution was added. The pH was adjusted to 6 and after 2 h reaction time the mixture was purified via preparative RP-HPLC (gradient A; t R = 20. Radiochemistry. For radiolabeling 68 Ga-chloride was obtained by eluting a commercial 68 Ge/ 68 Ga-generator (IGG100, Eckert & Ziegler Isotope products, Berlin, Germany; nominal activity of 1850 MBq) with 0.1 M hydrochloric acid (HCl, Rotem Industries, Israel). Fractionated elution method was used to increase the activity to volume ratio to its maximum. Peptides (10 μg; 2.5−2.9 nmol) were incubated with 100−200 μL eluate (15−35 MBq) and pH was adjusted to 4.5 by adding 20−40 μL 1.14 M sodium acetate solution. After 5 to 10 min incubation at ambient temperature samples were analyzed by radio-RP-HPLC as well as radio-ITLC. Corresponding chromatograms are shown in the Supporting Information.
Distribution Coefficient (logD), Serum Stability, and Protein Binding. [ 68 Ga]Sulfo-Cy7-FSC-MG and [ 68 Ga]Sulfo-Cy7-FSC-RGD (6 MBq) were diluted with phosphate buffered saline to a concentration of 1 μM. Subsequently 50 μL of this solution was added to six Eppendorf tubes containing 450 μL PBS and 500 μL octanol. The mixture was vortexed (1400 rpm) at RT for 15 min using a MS 3 basic vortexer (IKA, Staufen, Germany) followed by centrifugation for 2 min at 4500 rpm. Aliquots of 100 μL of both phases were transferred to plastic vials, measured in the γ-counter and logD values were calculated. For stability testing, radiolabeled tracers were diluted with 450 μL fresh human serum and 450 μL PBS as control to a concentration of 2 μM followed by incubation at 37°C. After 1, 2, and 4 h (n = 3) 50 μL aliquots were precipitated with acetonitrile (1:1) and centrifuged for 2 min at 14 × 10 3 rpm. The supernatant was analyzed by radio-RP-HPLC to evaluate for decomposition and corresponding chromatograms are shown in Supporting Information. For protein binding measurement aliquots were analyzed by size exclusion chromatography using MicroSpin G-50 Columns (Sephadex G-50, GE Healthcare, Vienna, Austria) in triplicates. First, the columns were centrifuged at 750 rcf for 1 min to remove the storage buffer. After adding 25 μL of incubation solution columns were centrifuged again for 2 min with 2000 rcf. Column and eluate were measured in the γ-counter and percentages of nonprotein bound radiolabeled peptide (column) and protein bound radiotracer (eluate) were calculated.
Tumor Cell Lines and Cell Culture. Culture media and additives were purchased from Gibco, Invitrogen Corporation, Paisley, UK. All cell lines were grown at 37°C in a humidified atmosphere of 95% air/5% carbon dioxide and split approximately every 72 h. The human squamous carcinoma cell line A431 transfected with the human CCK-2 receptor (A431-CCK2R) 41 and transfected with the empty vector alone (A431-mock) was a kind gift from L. Aloj (Nuclear Medicine Unit, Istituto Nazionale per lo Studio e la Cura dei Tumori "Fondazione Giovanni Pascale" -IRCCS, Naples, Italy) and was seeded in tissue culture flasks (Cellstar; Greiner Bio-One, Kremsmuenster, Austria) using Dulbecco's Modified Eagle's Medium (DMEM) supplemented with 10% v/v fetal bovine serum (FBS) and 1% v/v penicillin-streptomycin-glutamin (PSG) solution. Human melanoma M21 and M21-L (with and without integrin α V β 3 expression) cells were a kind gift from D. A. Cheresh (Departments of Immunology and Vascular Biology, The Scripps Research Institute, La Jolla, CA, USA) and were grown in tissue culture flasks using DMEM medium

Bioconjugate Chemistry
Article while M21-L cells were maintained in germ count dishes (Greiner Bio-One) in RPMI 1640 cell culture medium both media containing 10% v/v FBS and 1% v/v PSG as additive. Human glioblastoma U-87MG cell line as alternative model for integrin α V β 3 expression was purchased from American Type Culture Collection (ATCC, Manassas, Virginia, USA) and was cultured in tissue culture flasks using Eagle's Minimum Essential Medium (EMEM) containing 10% v/v FBS as supplement.
In Vitro Studies. CCK-2 Receptor Internalization Assay. To determine the receptor-mediated radioligand uptake A431-CCK2R cells were seeded into 12-well plates (Nunc, Thermo Scientific) with a density of 2 × 10 6 cells per well and left to grow overnight at 37°C. At the day of the experiment each well was washed twice with fresh internalization medium (DMEM containing 1% fetal bovine serum) followed by the adjustment to a final volume of 1.2 mL with media. After dividing the plate into an unblocked and blocked compartment (6 wells each) 150 μL PBS/0.5% bovine serum albumin (BSA) solution or 150 μL blocking solution (100-fold molar excess of pentagastrin in PBS/0.5% BSA solution) were added and left for 10 min at room temperature. Hereafter, 150 μL of the radiolabeled peptide (1 nM [ 68 Ga]Sulfo-Cy7-FSC-MG in PBS/ 0.5% BSA approximately 3 × 10 4 cpm) was added to each well followed by incubation at 37°C for 1 and 2 h, respectively. After removal of the supernatant each well was washed two times with 1 mL ice-cold internalization medium and supernatants were collected in plastic vials (wash fraction). For determination of the membrane bound radiotracer cells were incubated twice with 1 mL ice-cold 0.05 M glycine-buffer (pH 2.8) for 5 min collecting the supernatants. Finally, internalized fraction was obtained by lysing the cells with 1 mL of 2 M sodium hydroxide solution (NaOH) two times and collecting the samples. To determine the amount of radiotracer of each fraction all samples were taken for γ-counter measurement against standard solution, i.e., 150 μL radiotracer.
M21/M21-L Internalization Assay. Integrin α v β 3 positive (M21) and α v β 3 negative (M21-L) cells were diluted with incubation medium, i.e., corresponding growth medium containing 1% glutamine (m/v), 1% BSA (m/v), CaCl 2 (1 mM), MgCl 2 (1 mM), and MnCl 2 (10 mM) to a concentration of 2.0 × 10 6 cells/ml. Aliquots of one milliliter were transferred to Eppendorf tubes and six technical replicates for each cell line were incubated for 1 h at 37°C. Subsequently 50 μL of the radiolabeled ligand (1.2 nM [ 68 Ga]Sulfo-Cy7-FSC-RGD in PBS/0.5% BSA, approximately 2 × 10 4 cpm) were added and incubated at 37°C for further 60 and 120 min, respectively. After incubation the tubes were centrifuged (2 min, 5000 rpm; Eppendorf Centrifuge 5424, Hamburg, Germany) and the supernatant was removed and collected. Hereafter the cells were washed twice with 1 mL ice-cold washing buffer (10 mM TRIS-buffered saline, pH 7.3) and the fractions were combined with the supernatant (wash fraction). To determine the membrane bound tracer amount cells were washed two times with 1 mL acetate buffer (20 mM, pH 4.5, 10 min at 37°C) and the supernatant was collected. The residual cells were lysed by adding 1 mL of 2 M NaOH twice and collected in plastic vials (internalized fraction). The activity of all collected vials was measured in the γ-counter and compared to standard solution (50 μL radiotracer).
Fluorescence Measured Cell Specificity. Fluorescence assays were conducted similarly to the internalization assays except for using lower cell numbers and determining only the cellbound fraction. Briefly, A431-CCK2R, M21, and M21-L cells were diluted in corresponding media to a density of 2 × 10 6 cells/ mL. Aliquots of 0.5 mL were transferred to Eppendorf tubes six technical replicates for A431-CCK2R unblocked and blocked and M21/M21-L, respectivelyand treated in the same manner as described above. The nonradiolabeled particular ligand was added to a final concentration of 3 nM and the tubes were kept in an incubator (Incubator hood TH15 and Compact shaker KS-15 control, Edmund Buḧler GmbH, Hechingen, Germany) at 37°C for 2 h under vigorously shaking (420/min). After centrifugation (2 min, 5000 rpm) washing steps were performed as mentioned before. Finally, each residual cell pellet was suspended in 200 μL of phosphate buffered saline (pH 7.35) and transferred carefully to a 96-well flat bottom white polystyrol plate (ThermoFischer Scientific-Nunclon). Integrin binding affinity assay was adapted from Yun Wu et al. 31 Briefly, M21 cells were washed two times with phosphate buffered saline followed by suspension in binding buffer (=20 mM TRIS pH 7.4 + 150 mM NaCl + 2 mM CaCl 2 + 1 mM Tumor Xenograft Preparation, Ex Vivo Biodistribution, and Small Animal Imaging Studies. Tumor xenografts were established near the front shoulder of mice by subcutaneous injection of 5 × 10 6 cells (U-87 MG) or 2 × 10 6 cells (A431-CCK2R) and the same amount of A431-mock cells as a control in 200 μL appropriate medium and Matrigel (1:1). The tumors were allowed to grow until they had reached a volume of 0.2 to 0.5 cm 3 . To evaluate ex vivo biodistribution mice were injected with 1−2 MBq (0.05−0.14 nmol) of radiotracer per mouse and mice were sacrificed by cervical dislocation after 30 and 90 min for [ 68 Ga]Sulfo-Cy7-FSC-RGD and after 1 and 2 h in the case of [ 68 Ga]Sulfo-Cy7-FSC-MG. Tumors, blood, muscle tissue, and organs were extracted, weighed, and activity uptake of the samples was measured in the gamma counter. Results were expressed as percentage of injected dose per gram tissue (% ID/g). In vivo PET and CT images were acquired with an Albira PET/SPECT/CT small animal imaging system (Bruker Biospin Corporation, Woodbridge, CT, USA). Xenograft bearing mice were injected with radiolabeled peptides in a dose of ∼5 MBq corresponding to 1−2 μg (0.25−0.58 nmol) of peptide per mouse. Anaesthetized animals were positioned prone head first in the Albira system before the start of imaging. Static PET/CT imaging was carried out 30 and 90 min p.i. for [ 68 Ga]Sulfo-Cy7-FSC-RGD. Animals injected with [ 68 Ga]Sulfo-Cy7-FSC-MG were imaged 1 and 2 h p.i. A 10 min PET scan (axial FOV 148 mm) was performed, followed by a CT scan (axial FOV 65 mm, 45 kVp, 400 μA, at 400 projections). Scans were reconstructed with the Albira software (Bruker Biospin Corporation, Woodbridge, CT, USA) using the maximum likelihood expectation maximization (MLEM) and filtered backprojection (FBP) algorithms. After reconstruction, acquired data was viewed and analyzed with PMOD software (PMOD Technologies Ltd., Zurich, Switzerland). 3D images were obtained using VolView software (Kitware, Clifton Park, NY, USA). Near-infrared in vivo fluorescence imaging was performed with an In-Vivo MS FX PRO small animal imaging system (Bruker Biospin Corporation, Woodbridge, CT, USA). Sulfo-Cy7-FSC-MG and Sulfo-Cy7-FSC-RGD were injected in a dose of 0.25−0.58 nmol per mouse and after supine head first positioning, imaging was conducted in various time intervals up to 72 h p.i. An appropriate filter set (excitation = 730 nm and emission = 790 nm) was used for acquiring the Sulfo-Cy7-FSC-peptidefluorescence in vivo. Identical illumination settings (acquisition time = 15 s, filters = 730/790 nm, f-stop = 2.8, field of view = 100 mm, and binning = 4 × 4) were used for acquiring all images, and fluorescence emission was normalized to photons/ s/mm 2 . Images were acquired and analyzed using Bruker MI SE software (Bruker Biospin Corporation, Woodbridge, CT, USA).

* S Supporting Information
The Supporting Information is available free of charge on the ACS Publications website at DOI: 10.1021/acs.bioconjchem.7b00182.