Hepatocellular carcinoma (HCC) is
characterized by a high mortality
and early diagnosis and treatment are critically needed. Ang II type
1 receptor (AT1R) has recently emerged as a potential molecular target
for cancer diagnosis and intervention. Here, we labeled angiotensin
II (Ang II), an AT1R ligand that is overexpressed in various solid
cancers, with the near-infrared fluorescent dye, MPA, and radionuclide
technetium-99m, and evaluated its capacity for HCC detection. These
analyses were done in vitro using HepG2 (AT1R-positive) and BxPC3
(AT1R-negative) cell lines, and in vivo using a subcutaneous and orthotopic
xenograft mouse model by fluorescence and SPECT imaging. Both Ang
II-PEG4-MPA- and [99mTc]Tc-HYNIC-PEG4-Ang II-bound AT1R exhibited a high affinity in vitro and [99mTc]Tc-HYNIC-PEG4-Ang II displayed an acceptable level
of in vitro stability in rat plasma and whole blood. In vivo imaging
revealed excellent specific tumor-targeting in HepG2 mouse xenografts
models. In vitro and in vivo competition experiments revealed specific
Ang II-PEG4-MPA and [99mTc]Tc-HYNIC-PEG4-Ang II uptake by HepG2 cells and tumors. Altogether, AT1R-positive
tumors were successfully detected via fluorescence and SPECT imaging
using Ang II-PEG4-MPA and [99mTc]Tc-HYNIC-PEG4-Ang II, respectively. Given their superior targeting capacity,
Ang II-PEG4-MPA and [99mTc]Tc-HYNIC-PEG4-Ang II are promising tools for HCC detection and warrant
clinical translation.