Abstract
Gallium-68 (68Ga) is a generator-produced radionuclide with a short half-life (t½ = 68 min) that is particularly well suited for molecular imaging by positron emission tomography (PET). Methods have been developed to synthesize 68Ga-labeled imaging agents possessing certain drawbacks, such as longer synthesis time because of a required final purification step, the use of organic solvents or concentrated hydrochloric acid (HCl). In our manuscript, we provide a detailed protocol for the use of an advantageous sodium chloride (NaCl)-based method for radiolabeling of chelator-modified peptides for molecular imaging. By working in a lead-shielded hot-cell system,68Ga3+ of the generator eluate is trapped on a cation exchanger cartridge (100 mg, ∼8 mm long and 5 mm diameter) and then eluted with acidified 5 M NaCl solution directly into a sodium acetate-buffered solution containing a DOTA (1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid) or DOTA-like chelator-modified peptide. The main advantages of this procedure are the high efficiency and the absence of organic solvents. It can be applied to a variety of peptides, which are stable in 1 M NaCl solution at a pH value of 3–4 during reaction. After labeling, neutralization, sterile filtration and quality control (instant thin-layer chromatography (iTLC), HPLC and pH), the radiopharmaceutical can be directly administered to patients, without determination of organic solvents, which reduces the overall synthesis-to-release time. This procedure has been adapted easily to automated synthesis modules, which leads to a rapid preparation of 68Ga radiopharmaceuticals (12–16 min).
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Contributions
D.M. conceived and developed the original NaCl-based method; W.A.P.B. and I.K. revalidated the procedures and optimized the conditions; M.G. suggested suitable cation-exchange resigns and the NaCl elution from SCX cartriges; M.B. and A.O. evaluated the method from medical point of view; and I.T. and M.K.S. tested the procedure on different generators. All authors wrote and edited the manuscript.
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Integrated supplementary information
Supplementary Figure 1 Scheme 1
Software interface module diagram of the automated radiosynthesis system (ModularLab PharmTracer, Eckert & Ziegler) used to prepare 68Ga DOTATOC by the NaCl based method.
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Supplementary Figure 1 (PDF 233 kb)
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Mueller, D., Breeman, W., Klette, I. et al. Radiolabeling of DOTA-like conjugated peptides with generator-produced 68Ga and using NaCl-based cationic elution method. Nat Protoc 11, 1057–1066 (2016). https://doi.org/10.1038/nprot.2016.060
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DOI: https://doi.org/10.1038/nprot.2016.060
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