“…In some cases, dimerization or multimerization proves to be an effective strategy for enhancing the tumor uptake and retention of radiopharmaceuticals compared with monomers. , Representative examples benefiting from the homodimeric approach include radiolabeled RGD/FAPI/PSMA/folic acid/benzamide dimers, which target integrin α v β 3 , FAP, PSMA, folate receptor, and melanin, respectively. − Furthermore, previous studies have demonstrated that polyethylene glycol linkers (PEGylation) acted as hydrophilic modification to modulate the pharmacokinetics of dimeric small molecule–radio conjugates. ,,,,− In the present study (Figure ), on the basis of the OncoFAP (an ultrahigh-affinity small organic motif for FAP reported by Millul et al), a bivalent FAPI precursor (HYNIC-BiOncoFAP, denoted as HF 2 ) coupled with mini-PEG spacers and the hydrazinonicotinamide (HYNIC) group was designed and synthesized with the goal of improving tumor uptake and image contrast. As illustrated in Figure A, with the introduction of coligands such as tricine, trisodium triphenylphosphine-3,3′,3″-trisulfonate (TPPTS), ethylenediamine- N,N′ -diacetic acid (EDDA), and sodium triphenylphosphine-3-monosulfonate (TPPMS), HF 2 was radiolabeled with 99m Tc through one-pot synthesis to form [ 99m Tc]Tc-TPPTS-HF 2 , [ 99m Tc]Tc-EDDA-HF 2 , and [ 99m Tc]Tc-TPPMS-HF 2 complexes, respectively.…”