がんPETのための高コントラスト診断薬を開発~治療効果を高精度に予測可能に~

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2025-12-08 京都大学

複合原子力科学研究所・関西医科大学・ステラファーマの研究グループは、がん細胞で高発現するアミノ酸輸送体 LAT1 を標的とする新規PET診断薬 5-[¹⁸F]F-αMe-3BPA を開発し、動物モデルで高い腫瘍選択性を実証した。この化合物は、ホウ素中性子捕捉療法(BNCT)に用いる治療候補薬 5F-αMe-3[¹⁰B]BPA と全く同じ分子構造を持つため、診断と治療が一体化した“セラノスティックペア”として使用できる点が最大の特徴である。研究では、従来のPET薬剤 [¹⁸F]FBPA と比較して 約5倍高い腫瘍集積 が確認され、PET画像から BNCT 治療薬の体内分布を正確に予測できる可能性が示された。これは患者ごとに最適な照射条件を設定する BNCT 精密医療を大きく前進させる成果である。また、本診断薬はLAT1発現をバイオマーカーとする幅広いがん種への展開も期待される。研究成果は European Journal of Nuclear Medicine and Molecular Imaging に掲載された。

<関連情報>

LAT1選択性PETトレーサーである5-[¹⁸F]F-αMe-3BPAは、ホウ素中性子捕捉療法における構造的に一致する¹⁰B類似体の補助として使用される A LAT1-selective PET tracer, 5-[¹⁸F]F-αMe-3BPA, as a companion to its structurally matched ¹⁰B analog in boron neutron capture therapy

Naoya Kondo,Fuko Hirano,Yasukazu Kanai,Kensuke Suzuki,Anna Miyazaki & Takashi Temma
European Journal of Nuclear Medicine and Molecular Imaging  Published:18 November 2025
DOI:https://doi.org/10.1007/s00259-025-07668-3

がんPETのための高コントラスト診断薬を開発~治療効果を高精度に予測可能に~

Abstract

Purpose

This study aimed to develop and evaluate 5-[¹⁸F]F-αMe-3BPA, a novel PET probe designed as a theranostic partner for 5F-αMe-3[¹⁰B]BPA in Boron Neutron Capture Therapy (BNCT). The goal was to address limitations of the clinically used BPA/[¹⁸F]FBPA pair, including poor water solubility, limited LAT1 specificity, and suboptimal diagnostic performance, thereby improving tumor-selective drug delivery and enabling accurate prediction of therapeutic biodistribution through structure-matched PET/BNCT.

Methods

LAT1 dependency was tested in vitro using cancer cell lines with differential LAT1 expression. In vivo biodistribution of both therapeutic agents and their ¹⁸F-labeled analogs were assessed in xenograft mouse models. Radiosynthesis of 5-[¹⁸F]F-αMe-3BPA was achieved via copper-catalyzed nucleophilic radiofluorination. PET/CT imaging compared tumor visualization with [¹⁸F]FBPA. Co-injection studies (5-[¹⁸F]F-αMe-3BPA/5F-αMe-3BPA and [¹⁸F]FBPA/BPA) quantitatively evaluated concordance between ¹⁸F radioactivity and boron concentrations across tissues.

Results

5F-αMe-3BPA uptake in cancer cells was strictly LAT1-dependent. In LAT1-high T3M-4 xenografts, its tumor-to-muscle boron ratio (22) far exceeded BPA (3.4). 5-[¹⁸F]F-αMe-3BPA was synthesized successfully and achieved a tumor-to-muscle ratio of 29 versus 5.3 for [¹⁸F]FBPA. PET imaging showed clear, high-contrast visualization of T3M-4 tumors, with co-injection confirming strong concordance between PET probe and therapeutic agent biodistribution.

Conclusion

The 5-[¹⁸F]F-αMe-3BPA/5F-αMe-3[¹⁰B]BPA theranostic pair demonstrates high LAT1 specificity, low normal tissue uptake, and strong pharmacokinetic alignment, enabling accurate prediction of therapeutic boron delivery for BNCT. Furthermore, 5-[¹⁸F]F-αMe-3BPA shows promise as a dedicated LAT1 imaging probe for advancing LAT1-targeted therapies.

医療・健康
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