ArticleEJNMMI research2026
Preliminary study of FAP-targeted radiopharmaceuticals based on covalent targeting strategy and pharmacokinetic characteristics.
Article in EJNMMI research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIn tumor imaging and therapy, fibroblast activation protein (FAP)-targeted radiotracers remains a research hotspot. The recently reported [68Ga]Ga/[177Lu]Lu-DOTA-mFS-FAPI-04 has been demonstrated to address limitations in conventional FAP-targeted agents, such as low tumor uptake, short retention time, and suboptimal therapeutic efficacy. However, [68Ga]Ga-DOTA-mFS-FAPI-04 positron emission tomography (PET) clinical imaging revealed high uptake in salivary glands, thyroid, and pancreas, necessitating further structural optimization. To address this limitation, we developed two novel radiopharmaceuticals.
results[68Ga]Ga-DOTA-mFS-FAP-2286 and [68Ga]Ga-DOTA-mFS-KERERG-FAP-2286 demonstrated favorable targeting specificity and diagnostic efficacy. [68Ga]Ga-DOTA-mFS-FAP-2286 exhibited dual excretion pathways (hepatobiliary and urinary systems), whereas [68Ga]Ga-DOTA-mFS-KERERG-FAP-2286 showed exclusive urinary excretion, demonstrating superior pharmacokinetic properties. [68Ga]Ga-DOTA-mFS-KERERG-FAP-2286 exhibited significantly enhanced tracer uptake compared to [68Ga]Ga-DOTA-FAP-2286 in primary tumors (SUVmax: 11.03 ± 1.45 vs. 5.47 ± 1.66), lymph node metastases (SUVmax: 12.13 ± 2.22 vs. 5.70 ± 1.08), and distant metastases (SUVmax: 12.03 ± 6.56 vs. 6.83 ± 0.36) (all p < 0.05).
conclusionBoth [68Ga]Ga-DOTA-mFS-FAP-2286 and [68Ga]Ga-DOTA-mFS-KERERG-FAP-2286 effectively overcame the drawback of high uptake in salivary glands, thyroid, and pancreas observed with [68Ga]Ga-DOTA-mFS-FAPI-04. [68Ga]Ga-DOTA-mFS-KERERG-FAP-2286 demonstrated superior pharmacokinetic characteristics with urinary excretion and showed the potential for superior diagnostic efficacy compared with [68Ga]Ga-DOTA-FAP-2286.
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