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Peer-reviewedCC BYRSC medicinal chemistry

Development of dual SST₂/SST₅ targeting radioligands through rational structural design.

  1. 1Division of Radiopharmaceutical Chemistry, Department Theragnostics, University Hospital Basel, University of Basel Basel 4031 Switzerland [email protected] [email protected] +41(0)61 556 58 91.
  2. 2Institute of Pharmacology and Toxicology, University Hospital Jena, Friedrich Schiller University Jena 07747 Germany.

Abstract

Radioligand therapy targeting somatostatin receptors has emerged as a highly effective treatment strategy for neuroendocrine tumors, with growing evidence indicating that SST₂ antagonists and dual SST₂/SST₅ targeting approaches may further enhance tumor coverage and therapeutic efficacy. In this study, DOTA-NOC, a somatostatin analog with high affinity for SST₂ and SST₅, served as the scaffold for the design of novel ligands incorporating structural features associated with receptor antagonism. The resulting ligands were conjugated to DOTA for ¹⁷⁷Lu radiolabeling and evaluated for receptor affinity, antagonistic potency, and in vivo properties. Among the series, ¹⁷⁷Lu-10 displayed high affinity for both receptor subtypes while acting selectively as an SST₅ antagonist. Compared to [¹⁷⁷Lu]Lu-DOTA-NOC, it showed similar SST₂ tumor uptake but nearly 5-fold higher accumulation in SST₅-expressing tumors. This work provides new insights into the structural determinants underlying SST₂ and SST₅ affinity, selectivity, and antagonistic behavior, demonstrating that receptor recognition and functional activity arise from the combined contribution of multiple structural elements and supporting the development of dual SST₂/SST₅-targeted radioligands.

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BibTeX
@article{spinnler2026development,
  title = {{Development of dual SST₂/SST₅ targeting radioligands through rational structural design.}},
  author = {Fabienne Spinnler and Luigi Del Pozzo and Lennart Bohrmann and Sandra Zanger and Nina Kathleen Blum and Monique Brendel and Stefan Schulz and Rosalba Mansi and Melpomeni Fani},
  journal = {RSC medicinal chemistry},
  year = {2026},
  month = oct,
  doi = {10.1039/d6md00646a},
  url = {https://europepmc.org/article/MED/42836142},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Development of dual SST₂/SST₅ targeting radioligands through rational structural design.
AU  - Fabienne Spinnler
AU  - Luigi Del Pozzo
AU  - Lennart Bohrmann
AU  - Sandra Zanger
AU  - Nina Kathleen Blum
AU  - Monique Brendel
AU  - Stefan Schulz
AU  - Rosalba Mansi
AU  - Melpomeni Fani
PY  - 2026
DA  - 2026/10/05
JO  - RSC medicinal chemistry
DO  - 10.1039/d6md00646a
UR  - https://europepmc.org/article/MED/42836142
AB  - Radioligand therapy targeting somatostatin receptors has emerged as a highly effective treatment strategy for neuroendocrine tumors, with growing evidence indicating that SST₂ antagonists and dual SST₂/SST₅ targeting approaches may further enhance tumor coverage and therapeutic efficacy. In this study, DOTA-NOC, a somatostatin analog with high affinity for SST₂ and SST₅, served as the scaffold for the design of novel ligands incorporating structural features associated with receptor antagonism. The resulting ligands were conjugated to DOTA for ¹⁷⁷Lu radiolabeling and evaluated for receptor affinity, antagonistic potency, and in vivo properties. Among the series, ¹⁷⁷Lu-10 displayed high affinity for both receptor subtypes while acting selectively as an SST₅ antagonist. Compared to [¹⁷⁷Lu]Lu-DOTA-NOC, it showed similar SST₂ tumor uptake but nearly 5-fold higher accumulation in SST₅-expressing tumors. This work provides new insights into the structural determinants underlying SST₂ and SST₅ affinity, selectivity, and antagonistic behavior, demonstrating that receptor recognition and functional activity arise from the combined contribution of multiple structural elements and supporting the development of dual SST₂/SST₅-targeted radioligands.
SN  - 2632-8682
ER  -