TECHNETIUM-99m LABELED PEPTIDES FOR IMAGING INFLAMMATION

Abstract: This invention relates to radiolabeled peptides and methods for producing such peptides. Specifically, the invention relates to technetium-99m (Tc-99m) labeled leukocyte-binding peptides, methods and kits for making such peptides, and methods for using such peptides to image sites of infection and inflammation in a mammalian body.

Description: TECE_NET__UM-99m LABELED PEPTIDES FOR IMAGING INFLAMMATION BACKGROUND OF THE INVENTION 1. Field of the Invention This invention relates to radiodiagnostic agents and reagents fo preparing such agents, and also methods for producing radiolabele radiodiagnostic agents. Specifically, the invention relates to technetium-99 (Tc-99m) labeled agents, methods and kits for making such agents, an methods for using such agents to image sites of infection and inflammation i a mammalian body. 2. Description of the Prior Art A variety of radionuclides are known to be useful for radioimaging including 67 Ga, ""Tc (Tc-99m), m In, 123 I, 125 I, ,69 Yb or 186 Re. The sensitivit of imaging methods using radioactively-labeled peptides is much higher tha other techniques known in the art, since the specific binding of the radioactiv peptide concentrates the radioactive signal over the area of interest, fo example, an inflammatory site. There is a clinical need to be able to determine the location and/o extent of sites of focal or localized infection. In a substantial number of case conventional methods of diagnosis (such as physical examination, x-ray, C and ultrasonography) fail to identify such sites (e.g. , an abscess). In som cases, biopsy may be resorted to, but is preferably avoided at least until it i necessary in order to identify the pathogen responsible for an abscess at known location. Identifying the site of such "occult" infection is importan because rapid localization of the problem is critical to effective therapeuti intervention. In the field of nuclear medicine, certain pathological conditions can b localized or the extent of such conditions determined by imaging the intern distribution of administered radioactively-labeled tracer compounds (i. radiotracers or radiopharmaceuticals) that accumulate specifically at th pathological site. However, an abscess may be caused by any one of many possible pathogens, so that a radiotracer specific for a particular pathogen would have limited scope. On the other hand, infection is almost invariably accompanied by inflammation, which is a general response of the body to tissue injury. Therefore, a radiotracer specific for sites of inflammation would be expected to be useful in localizing sites of infection caused by any pathogen. One of the main phenomena associated with inflammation is the localization of leukocytes (white blood cells), usually monocytes and neutrophils, at the site of inflammation. A radiotracer specific for leukocytes would be useful in detecting leukocytes at the site of a localized infection. Currently approved nuclear medicine procedures for imaging sites of infection use either indium-Ill labeled leukocytes ( lu In-WBC) (see, e.g. Peters, 1992, J. Nucl. Med. 22: 65-67) or gallium-67 ^Ga) citrate (see, e.g. Ebright et al., 1982, Arch. Int. Med. 142: 246-254). A major disadvantage of using U1 lh-labeled WBCs is that the preparation of the radiotracer requires sterile removal of autologous blood, sterile isolation of the leukocytes from the blood, sterile labeling of the leukocytes using conditions that do not damage the cells (since damaged WBC are taken up by the reticuloendothelial system when re-injected) and return (re-injection) of the (now labeled) leukocytes to the patient. Furthermore, a delay of 12 to 48 hours between injection and imaging may be required for optimal images. While Tc-99m labeled leukocytes have been used to shorten this delay period (see, e.g. Nome et al, 1989, J. Νucl. Med. 2Q: 1332-1336), ex-corporeal labeling is still required. A preferred radiotracer would be one that does not require removal and manipulation of autologous blood components. 67 Ga-citrate can be administered by intravenous injection. However, this compound is not specific for sites of infection or inflammation. Moreover, a delay of up to 72 hours is often required between injection of the radiotracer and imaging. In addition, the γ-(gamma) emission energies of "Ga are not well suited to conventional gamma cameras. Radiolabeled monoclonal and polyclonal antibodies raised against huma leukocytes (including monocytes, neutrophils, granulocytes and other) have bee developed. Tc-99m labeled antigranulocyte monoclonal antibodies (see, e.g Lind et al, 1990, J. Nucl. Med. 21: 417-473) and m In-labeled non-specifi human immunoglobulin (see, e.g. LaMuraglia et al., 1989, J. Vase. Surg. 1Q 20-28) have been tested for the detection of inflammation secondary t infection. ιn In-labeled IgG shares the disadvantages of m In-labeled WBC, i that 24-48 hours are required between injection and optimal imaging. I addition, all radiolabeled antibodies are difficult to produce and face protracte regulatory agency approval procedures as biologies. Small readily synthesized molecules are preferred for routinely use radiopharmaceuticals. There is clearly a need for small synthetic molecule that can be directly injected into a patient and will image sites of infection an inflammation by localizing at sites where leukocytes have accumulated. One class of compounds known to bind to leukocytes are chemotacti peptides that cause leukocytes to move up a peptide concentration gradient (se Wilkinson, 1988, Meth. Enzymol. 161: 127-132). These compounds bind t receptors on the surface of leukocytes with very high affinity. These peptide are derived from a number of sources, including complement factors, bacteria tuftsin, elastin, fibrinopeptide B, fibrinogen Bβ, platelet factor 4 and others Small synthetic peptides derived from these chemotactic compounds an radiolabeled would be very useful as radiotracers for imaging sites o inflammation in vivo. Radiolabeled peptides have been reported in the prior art. U.S. Patent No. 4,986,979 relates to the use of radiolabeled chemotacti formyl peptides to radiolabel leukocytes ex-corporeally via a photoaffinity label EPC 90108734.6 relates to chemotactic formyl peptide - m In-labele DTPA conjugates. PCT W090/10463 relates to the use of radiolabeled chemotactic form peptides to radiolabel leukocytes ex-corporeally via a photoaffinity label. Zoghbi et al, 1981, J. Nucl. Med. 22: 32 (Abst) disclose form peptide chemotactic factors derived from bacteria coupled to U1 ln-labeled transferrin. Jiang et al, 1982, Nuklearmedizin 21: 110-113 disclose a chemotactic formylated peptide radiolabeled with I25 I. Fischman et al, 1991, J. Nucl. Med. 32: 482-491 relates to chemotactic formyl peptide - lu In-labeled DTPA conjugates. The use of chelating agents for radiolabeling polypeptides, methods for labeling peptides and polypeptides with Tc-99m are known in the prior art and are disclosed in co-pending U.S. Patent Applications Serial Nos. 07/653,012, 07/807,062, 07/871,282, and 07/893,981, which are hereby incorporated by reference. SUMMARY OF THE INVENTION The present invention provides scintigraphic imaging agents that a peptide reagents radioactively-labeled with Tc-99m. The peptide reagents the invention are comprised of specific binding peptides that bind leukocyte covalently linked to a Tc-99m radiolabel binding moiety. A first aspect of the invention comprises reagents for prepari scintigraphic imaging agents for imaging sites of inflammation within mammalian body, said reagents comprising a leukocyte binding peptide havi an amino acid sequence comprising between 3 and 100 amino acids and a T 99m radiolabel-binding moiety. In a second aspect, the invention comprises a Tc-99m radiolaHl bindi moiety which forms a Tc-99m complex having a net charge of [-1]. In yet another aspect, the radiolabeled peptide reagents of the inventi comprise a specific binding peptide that binds to leukocytes, and a Tc-99 radiolabel-binding moiety of formula I. Cρ(aa)Cp wherein Cp is a protected cysteine residue and (aa) stands for an amino aci and wherein the radiolabel-binding moiety is covalently linked to the speci binding peptide. In a preferred embodiment, the amino acid is glycine. another preferred embodiment, the radiolabel-binding moiety is linked to t specific peptide via one or more amino acids. In another aspect, the invention provides peptide reagents comprising Tc-99m radiolabel-binding moiety having the following structure: II. wherein A is H, HOOC, H 2 NOC, (peρtide)-NHOC, (peptide)-OOC or R 4 ; is H, SH or -NHR 3 , -N(R 3 )-(peptide) or R 4 ; Z is H or R 4 ; X is SH or -NH -N(R 3 )-(peptide) or R 4 ; R 1 , R 2 , R 3 and R 4 are independently H or straight branched chain or cyclic lower alkyl; n is 0, 1 or 2; and: (1) where B is NHR 3 or -N(R 3 )-(peptide), X is SH and n is 1 or 2; (2) where X is -NHR 3 SU3STITUTE SHEET -N(R 3 )-(peptide), B is SH and n is 1 or 2; (3) where B is H or R 4 , A i HOOC, H 2 NOC, (peptide)-NHOC or (peptide)-OOC, X is SH and n is 0 o 1; (4) where A is H or R 4 , then where B is SH, X is -NHR 3 or -N(R 3 ) (peptide) and where X is SH, B is -NHR 3 or -N(R 3 )-(peptide); (5) where X i H or R 4 , A is HOOC, H 2 NOC, (peptide)-NHOC or (peρtide)-OOC and B i SH; (6) where Z is methyl, X is methyl, A is HOOC, H 2 NOC, (peptide) NHOC or (peptide)-OOC and B is SH and n is 0; and (7) where Z is SH an X is SH, n is not 0; and wherein the thiol moiety is in the reduced form. Another aspect of the invention provides reagents for preparin scintigraphic imaging agents for imaging sites of inflammation within mammalian body, the reagents comprising a leukocyte-binding peptide havin an amino acid sequence comprising between 3 and 100 amino acids and a Tc 99m radiolabel-binding moiety that forms a Tc-99m complex that i electrochemically neutral. In yet another aspect, the present invention provides reagents comprisin leukocyte-binding peptides covalently linked to a Tc-99m radiolabel-bindin moiety having the following structure: HI. - CO - peptide [for purposes of this invention, radiolabel-binding moieties having this structur will be referred to as picolinic acid (Pic)-based moieties]; or IV. peptide - HN - cys [for purposes of this invention, radiolabel-binding moieties having this structur will be referred to as picolylamine (Pica)-based moieties]; wherein X is H o a protecting group; (amino acid) is any amino acid; the Tc-99m radiolabel binding moiety is covalently linked to the peptide, and the complex of th radiolabel-binding moiety and Tc-99m is electrically neutral. In a preferre SUBSTITUTE SHEET ISA/HP embodiment, the amino acid is glycine and X is an acetamidomethyl protecti group. In additional preferred embodiments, the peptide is covalently link to the Tc-99m radiolabel-binding moiety via an amino acid, most preferab glycine. In yet another embodiment of the invention, reagents are provided preparing scintigraphic imaging agents for imaging sites within a mammali body, comprising a specific binding peptide and a bisamino bisthiol Tc-99 radiolabel-binding moiety covalently --inked to the peptide. The bisami bisthiol Tc-99m radiolabel-binding moiety in this embodiment of the inventi has a formula selected from the group consisting of: V. wherein each R 5 can be independently H, CH 3 or C 2 H 5 ; each (pgp) s can independently a thiol protecting group or H; m, n and p are independently or 3; A is linear or cyclic lower alkyl, aryl, heterocyclyl, combinations substituted derivatives thereof; and X is a peptide; VI. wherein each R 5 is independently H, lower alkyl having 1 to 6 carbon ato phenyl, or phenyl substituted with lower alkyl or lower alkoxy; m, n and p independently 1 or 2; A is linear or cyclic lower alkyl, aryl, heterocycl combinations or substituted derivatives thereof; V is H or CO-peptide; R 6 H or a peptide; provided that when V is H, R 6 is a peptide and when R 6 H, V is a peptide. [For purposes of this invention, radiolabel-binding moie having these structures will be referred to as "BAT" moieties]. In preferred embodiment, the peptide is covalently linked to the Tc-99m radiolabel-binding moiety via an amino acid, most preferably glycine. The specific binding peptides of the invention may also be covalently linked to a polyvalent linking moiety. Polyvalent linking moieties of the invention are comprised of at least 2 identical linker functional groups capable of covalently bonding to specific binding peptides or Tc-99m binding moieties. Preferred linker functional groups are primary or secondary amines, hydroxyl groups, carboxylic acid groups or thiol-reactive groups. In preferred embodiments, the polyvalent linking moieties are comprised of bis- succinimdylmethylether (BSME), 4-(2,2-dimethylacetyl)benzoic acid (DMAB) and πw(succinimidylethyl)amine (TSEA). The invention comprises scintigraphic imaging agents that are complexes between the reagents of the invention and Tc-99m, and methods for radiolabeling the reagents of the invention with Tc-99m. Radiolabeled complexes provided by the invention are formed by reacting the reagents of the invention with Tc-99m in the presence of a reducing agent. Preferred reducing agents include but are not limited to dithionite ion, stannous ion and ferrous ion. Complexes of the invention are also formed by labeling the reagents of the invention with Tc-99m by ligand exchange of a prereduced Tc-99m complex as provided herein. The invention also provides kits for preparing scintigraphic imaging agents that are the reagents of the invention radiolabeled with Tc-99m. Kits for labeling the reagents provided by the invention with Tc-99m are comprised of a sealed vial containing a predetermined quantity of a reagent of the invention and a sufficient amount of reducing agent to label the reagent with Tc-99m. This invention provides methods for preparin peptide reagents of the invention by chemical synthesis in vitro. In a preferred embodiment, peptides are synthesized by solid phase peptide synthesis. This invention provides methods for using scintigraphic imaging agents that are Tc-99m labeled reagents for imaging sites of inflammation within a mammalian body by obtaining in vivo gamma scintigraphic images. These methods comprise administering an effective diagnostic amount of Tc-99m labeled reagents of the invention and detecting the gamma radiation emitted by the Tc-99m label localized at the site of inflammation within the mammalian body. Specific preferred embodiments of the present invention will becom evident from the following more detailed description of certain preferred embodiments and the claims. BRIEF DESCRIPTION OF THE DRAWINGS Figure 1 illustrates a gamma-scintiphoto of a New Zealand white rabbi treated as described in Example 3. DETAILED DESCRIPTION OF THE INVENTION The present invention provides reagents for preparing Tc-99 radiolabeled scintigraphic imaging agents for imaging target sites within mammalian body. The reagents comprise a specific binding peptide that bind to leukocytes, covalently linked to a Tc-99m radiolabel complexing group. The peptides of this invention bind to leukocytes, preferably monocyte and neutrophils and most preferably to neutrophils. For purposes of thi invention, the term "bind to leukocytes" is intended to mean that the peptide of the present invention are capable of accumulating at sites of infection o inflammation in mammalian body sufficient to allow detection of such sites b gamma scintigraphy. In Cp(aa)Cp-containing peptides, the Cp is a protected cysteine wher the S-protecting groups are the same or different and may be but not limite to: -CH 2 -aryl (aryl is phenyl or alkyl or alkyloxy substituted phenyl); -CH-(aryl) 2 , (aryl is phenyl or alkyl or alkyloxy substituted phenyl); -C-(aryl) 3 , (aryl is phenyl or alkyl or alkyloxy substituted phenyl); -CH 2 -(4-methoxyphenyl) ; -CH-(4-pyridyl)(phenyl) 2 ; -C(CH 3 ) 3 -9-phenylfluorenyl; -CH 2 NHCOR (R is unsubstituted or substituted alkyl or aryl); -CH 2 -NHCOOR (R is unsubstituted or substituted alkyl or aryl); -CONHR (R is unsubstituted or substituted alkyl or aryl); -CH 2 -S-CH 2 -phenyl The preferred protecting group has the formula -CH 2 -NHCOR wherein R is a lower alkyl having 1 and 8 carbon atoms, phenyl or phenyl-substituted with lower alkyl, hydroxyl, lower alkoxy, carboxy, or lower alkoxycarbonyl. Labeling with Tc-99m is an advantage of the present invention because the nuclear and radioactive properties of this isotope make it an ideal scintigraphic imaging agent. This isotope has a single photon energy of 140 keV and a radioactive half-life of about 6 hours, and is readily available from a 99 Mo- 99π Tc generator. Other radionuclides known in the prior art have effective half-lives which are much longer (for example, In, which has a half-life of 67.4 h) or are toxic (for example, 125 I). Each specific-binding peptide-containing embodiment of the invention is comprised of a sequence of amino acids. Particular amino acids comprising the peptides of this invention may be L- or D- amino acids, naturally occurring and otherwise; D-amino acids are indicated by a subscript D. Reagents provided by the invention include but are not limited to the following compounds: Leukocyte Binding Peptides /ø/wy/.MLFC Acm GC Acnι αce '/.C Acm GC Acm .Aca.(VPGVG) 4 amide C Acm GC Acm (VGVAPG) 3 ( cety/.CC Acm GC Acm PLYKKHKKLLES) 2 .BSME /o/τwy/.MILFC Acm GC Acm ce '/ CGGGPLYKKIIKKLLES C Acπ _G , C Acm TKPR Pic.GC(VGVAPG) 3 amide 10 /øm.y/.MLFC Acm G.Pica Glu.GVNDNEEGFFSARGGCamide /ø/τny/.Nle.LF.Nle.YKC Acm GC Acm acetyl (LKKL) 5 C Acm GC Acm amide 15 Pic. GC Acm (VG VAPG) 3 amide [BAT].GGPLYKKIIKKLLES Pic. GC Acm (VPG VG) 4 amide /ørnιy/.MLFK.[BAT].amide Pic.GC Acm PLYKKIIKKLLES formylΥ p.LF. [BAM] 20 C Acm GC Acm GGPLYKKIIKKLLES /ømty/.MLFK.[BAT] /-•Glu.GVNDNEEGFFSARC Acm GC Acm amide [BAT].(VPGVG) 4 amide 25 (VPGVG) 4 GGGC Acm GC Aαn amide formylMLFK. [BAT].KKKKKamide (VGVAPG) 3 GGGC Acm GC Acm amide formylMLFK. [BATJ.GSGSamide 30 acetyl. C Acm GC Acm GGG(VPG VG) 4 amide /o/τny/.MLFK.[BAT].E Leukocyte Binding Peptides (cont'd formyl MLFK . [BAT] . EGE /θ ty/.MLF(NHCH 2 CH 2 OCH 2 CH 2 OCH 2 CH 2 NH)Pic.GC Mob /ø iy/.M.DpgF. [BAM] ( cety/.CKKC Acm GC Acm PLYKKIIKKLLES) 2 .BSME [BAT] . (VGVAPG) 3 amide [BATJ.GHRPLDKKREEAPSLRPAPPPISGGGYRamide [Df PA] . C Acm GC Acm PLYKKIIKKLLES ce '/.KKKKKC Acm GC Acm GGPLYKKIIKKLLES 10 [BAT].KKLLKKLYKKIIKKLLES ??wiy/.MLFK.[BAT|.GGC A(:m GC Acm GGC.amide) 2 .BSME αcety/ CKKC Acm GC Acra PLYKKIIKKLLES Pic.GC Acm GHRPLDKKREEAPSLRPAPPPISGGGYRamide 15 ( cety/CGC Acm GC Acm GGPLYKKIIKKLLES) 2 .BSME (/otτnyZMLFKGGC Acm GC Acm GGCamide) 2 .BSME [Single-letter abbreviations for amino acids can be found in G. Zubay, Biochemistry (2d. ed.), 1988 (MacMiUen Publishing: New York) p.33; Dgp = dipropylglycine; pGlu = pyrø-glutamic acid; Nle = norleucine; Acm = acetamidomethyl; Mob = 20 4-Methoxybenzyl; Aca = e-aminocaproic acid; Pic = picolinic acid; Pica = picolylamine (2-(aminomethyl)pyridine); [BAT] = N 6 ,N 9 -bM(2-methyl-2-mercaptopropyl)-6,9-diazanonanoic acid; Thp = 4-aminotetrahydrothiopyran-4-carboxylic acid; [BAM] = iV 6 ,N 9 -bw(2-metiιyl-2-mercaptopropyl)-l,6,9-triazanonanoic acid; BSME = bw-succinimidylmethylether; DTPA = diethylenetriamine pentaacetic acid; peptides are linked to BSME linkers via the free thiol moiety of the unprotected cysteine residue (C) in each such peptide). Peptides of the present invention can be chemically synthesized in vitro Peptides of the present invention can generally advantageously be prepared o an amino acid synthesizer. The peptides of this invention can be synthesize wherein the complexing group is covalently linked to the peptide durin chemical in vitro synthesis, using techniques well known to those with skill i the art. Such peptides covalently-linked to the complexing group upo synthesis are advantageous because specific sites of covalent linkage can b determined therein. Radiolabel binding moieties of the invention may be introduced into th target specific peptide during peptide synthesis. For embodiments comprisin picolinic acid [(Pic-); e.g. , Pic-Gly-Cys(protecting group)-], the radiolabel binding moiety can be synthesized as the last (i.e., ammo-terminal) residue i the synthesis. In addition, the picolinic acid-containing radiolabel-bindin moiety may be covalently linked to the e-amino group of lysine to give, fo example, αN(Fmoc)-Lys-eN[Pic-Gly-Cys(protecting group)], which may b incorporated at any position in the peptide chain. This sequence is particularl advantageous as it affords an easy mode of incorporation into the target bindin peptide. Similarly, the picolylamine (Pica)-containing radiolabel-binding moiet [-Cysφrotecting group)-Gly-Pica] can be prepared during peptide synthesis b including the sequence [-Cys(protecting group)-Gly-] at the carboxyl terminu of the peptide chain. Following cleavage of the peptide from the resin th carboxyl terminus of the peptide is activated and coupled to picolylamine. Thi synthetic route requires that reactive side-chain functionalities remain maske (protected) and do not react during the conjugation of the picolylamine. Examples of small synthetic peptides containing the Pic-Gly-Cys- and Cys-Gly-Pica chelators are provided in the Examples hereinbelow. Thi invention provides for the incorporation of these chelators into virtually an peptide capable of specifically binding to leukocytes in vivo, resulting in radiolabeled peptide having Tc-99m held as neutral complex. This invention also provides specific-binding small synthetic peptide which incorporate bisamine bisthiol (BAT or BAM) chelators which may be labeled with Tc-99m. This invention provides for the incorporation of these chelators into virtually any peptide capable of specifically binding to leukocytes in vivo, resulting in a radiolabeled peptide having Tc-99m held as neutral complex. An examples of a small synthetic peptide containing a BAT chelator as radiolabel-binding moiety is provided in the Examples hereinbelow. The specific binding peptides of the invention may also be covalently linked to a polyvalent linking moiety. Polyvalent linking moieties provided by the invention are comprised of at least 2 linker functional groups capable of covalently bonding to platelet-specific moieties, including linear and cyclic peptides. Such functional groups include but are not limited to primary and secondary amines, hydroxyl groups, carboxylic acid groups and thiol reactive groups. Polyvalent linking moieties are comprised of preferably at least three functional groups capable of being covalently linked to platelet-specific moeties, including linear and cyclic peptides. Preferred polyvalent linking moieties include amino acids such as lysine, homolysine, ornithine, aspartic acid and glutamic acid; linear and cyclic amines and polyamines; polycarboxylic acids; activated thiols; and thiol-reactive reagents such as di- and tri-maleimides. Also preferred are embodiments wherein the polyvalent linking moieties comprise a multiplicity of polyvalent linking moieties covalently linked to form a branched polyvalent linking moiety. Most preferred polyvalent linking moieties include bw-succinimidylmethylether, rra(succinimidylethyl)amine, 4- (2,2-dimethylacetyl)benzoic acid (DMAB) and derivatives thereof. In forming a complex of radioactive technetium with the reagents of this invention, the technetium complex, preferably a salt of Tc-99m pertechnetate, is reacted with the reagent in the presence of a reducing agent. Preferred reducing agents are dithionite, stannous and ferrous ions; the most preferred reducing agent is stannous chloride. Means for preparing such complexes are conveniently provided in a kit form comprising a sealed vial containing a predetermined quantity of a reagent of the invention to be labeled and a sufficient amount of reducing agent to label the reagent with Tc-99m. Alternatively, the complex may be formed by reacting a reagent of this invention with a pre-formed labile complex of technetium and another compound known as a transfer ligand. This process is known as ligand exchange and is well known to those skilled in the art. The labile complex may be formed using such transfer ligands as tartrate, citrate, gluconate or mannitol, for example. Among the Tc-99m pertechnetate salts useful with the present invention are included the alkali metal salts such as the sodium salt, or ammonium salts or lower alkyl ammonium salts. The reaction of the peptides of this invention with Tc-pertechnetate or preformed Tc-99m labile complex can be carried out in an aqueous medium at room temperature. When an anionic complex having a charge of [-1] is formed in the aqueous medium in the form of a salt with a suitable cation such as sodium cation, ammonium cation, mono, di- or tri-lower alkyl amine cation, etc. Any conventional salt of the anionic complex with a pharmaceutically acceptable cation can be used in accordance with this invention. In a preferred embodiment of the invention, a kit for preparing technetium-labeled peptides is provided. The peptides of the invention can be chemically synthesized using methods and means well-known to those with skill in the art and described hereinbelow. Peptides thus prepared are comprised o between 3 and 100 amino acid residues, and are covalently linked to radioisotope complexing group wherein the complexing group binds a radioisotope. An appropriate amount of the peptide is introduced into a via containing a reducing agent, such as stannous chloride, in an amount sufficien to label the peptide with Tc-99m. An appropriate amount of a transfer ligan as described (such as tartrate, citrate, gluconate or mannitol, for example) ca also be included. Technetium-labeled peptides according to the presen invention can be prepared by the addition of an appropriate amount of Tc-99 or Tc-99m complex into the vials and reaction under conditions described i Example 2 hereinbelow. Radioactively labeled peptides provided by the present invention ar provided having a suitable amount of radioactivity. In forming the Tc-99 radioactive anionic complexes, it is generally preferred to form radioactive complexes in solutions containing radioactivity at concentrations of from about 0.01 millicurie (mCi) to 100 mCi per ml. Technetium-labeled peptides provided by the present invention can be used for visualizing sites of inflammation, including abscesses and sites of "occult" infection. The Tc-99m labeled peptides provided by the present invention can also be used for visualizing sites of inflammation caused by tissue ischemia, including such disorders as inflammatory bowel disease and arthritis. In accordance with this invention, the technetium-labeled peptides or anionic complexes either as a complex or as a salt with a pharmaceutically acceptable cation are administered in a single unit mjectable dose. Any of the common carriers known to those with skill in the art, such as sterile saline solution or plasma, can be utilized after radiolabeling for preparing the mjectable solution to diagnostically image various organs, tumors and the like in accordance with this invention. Generally, the unit dose to be administered has a radioactivity of about 0.01 mCi to about 100 mCi, preferably 1 mCi to 20 mCi. The solution to be injected at unit dosage is from about 0.01 ml to about 10 ml. After intravenous administration, imaging of the organ or tumor in vivo can take place in a matter of a few minutes. However, imaging can take place, if desired, in hours or even longer, after injecting into patients. In most instances, a sufficient amount of the administered dose will accumulate in the area to be imaged within about 0.1 of an hour to permit the taking of scintiphotos. Any conventional method of scintigraphic imaging for diagnostic purposes can be utilized in accordance with this invention. The technetium-labeled peptides and complexes provided by the invention may be administered intravenously in any conventional medium for intravenous injection such as an aqueous saline medium, or in blood plasma medium. Such medium may also contain conventional pharmaceutical adjunct materials such as, for example, pharmaceutically acceptable salts to adjust the osmotic pressure, buffers, preservatives and the like. Among the preferred media are normal saline and plasma. The methods for making and labeling these compounds are more fully illustrated in the following Examples. These Examples illustrate certain aspects of the above-described method and advantageous results. These Examples are shown by way of illustration and not by way of limitation. EXAMPLE 1 Solid Phase Peptide Synthesis Solid phase peptide synthesis (SPPS) was carried out on a 0.25 millimole (mmole) scale using an Applied Biosystems Model 431 A Peptide Synthesizer and using 9-fluorenylmethyloxycarbonyl (Fmoc) amino-terminus protection, coupling with dicyclohexylcarbodiimide/hydroxybenzotriazole or 2- ( lH-benzo-triazol- 1 -yl)- 1,1,3, 3-tetramethyluronium hexafluorophosphate/ hydroxybenzotriazole (HBTU/HOBT), and using />-hydroxymethylphenoxy- methylpolystyrene (HMP) resin for carboxyl-terminus acids or Rink amide resin for carboxyl-terminus amides. Resin-bound products were routinely cleaved using a solution comprised of trifluoroacetic acid, water, thioanisole, ethanedithiol, and tiiethylsilane, prepared in ratios of 100 : 5 : 5 : 2.5 : 2 fo 1.5 - 3 h at room temperature. Where appropriate, N-α-formyl groups were introduced either by treating the free N-terminus of a peptide bound to the resin with formic anhydride in dichloromethane at 0°C for 2h or by treating the cleaved, deprotected peptide with acetic anhydride in 98% formic acid. Where appropriate, N-α-acetyl groups were introduced by treating the free N- terminal amino group of the peptide bound to the resin with 20% (v/v) aceti anhydride in NMP for 30 min. Where appropriate the "Pica 1 " group wa introduced by conjugating picolylamine to a precursor peptide using diisopropylcarbodiirnide and N-hydroxysuccinimide. Where appropriate, N terminal [BAT] groups were introduced by treating free N-terminal amino groups of the peptide with Λ 6 ,N 9 -bw(2-methyl-2-triphenylmethylthiopropyl)-Λ^-(t butoxycarbonyl)-6,9-diazanonanoic acid N-hydroxysuccinimide ester. Where appropriate, BSME adducts were prepared by reacting singl thiol-containing peptides (5 to 50 mg/mL in 50 mM sodium phosphate buffer, pH 8) with 0.5 molar equivalents of BMME (bw-maleimidomethylether) pre- dissolved in acetonitrile at room temperature for approximately 1 to 18 hours. The solution was concentrated and the product was purified by HPLC. Crude peptides were purified by preparative high pressure liquid chromatography (HPLC) using a Waters Delta Pak C18 column and gradient elution using 0.1% trifluoroacetic acid (TFA) in water modified with acetonitrile. Acetonitrile was evaporated from the eluted fractions which were then lyophilized. The identity of each product was confirmed by fast atom bombardment mass spectroscopy (FABMS) or by electrospray mass spectroscopy (ESMS). EXAMPLE 2 A General Method for Radiolabeling with Tc-99m 0.1 mg of a peptide prepared as in Example 1 was dissolved in 0.1 mL of 0.05M potassium phosphate buffer (pH 7.4). Tc-99m gluceptate was prepared by reconstituting a Glucoscan vial (E.I. DuPont de Nemours, Inc.) with 1.0 mL of Tc-99m sodium pertechnetate containing up to 200 mCi and allowed to stand for 15 minutes at room temperature. 25 μl of Tc-99m gluceptate was then added to the peptide and the reaction allowed to proceed at room temperature or at 100°C for 15 to 30 min and then filtered through a 0.2 μm filter. The Tc-99m labeled peptide purity was determined by HPLC using a Vydak 218TP54 (RP-18, 5 micron, 220 x 4.6 mm) or Waters DeltaPak (RP- 18, 5 micron, 150 x 3.9 mm) analytical column and eluted as described in the Footnotes in Table I. Radioactive components were detected by an in-line radiometric detector linked to an integrating recorder. Tc-99m gluceptate and Tc-99m sodium pertechnetate elute between 1 and 4 minutes under these conditions, whereas the Tc-99m labeled peptide eluted after a much greater amount of time. The following Table illustrates successful Tc-99m labeling of peptides prepared according to Example 1 using the method described herein. Particular applications of the method are as follows: HPLC methods (indicated by superscript after R t in the Table below): Method 1 Brownlee column 100% A to 100% Bro in 10 min Method 2 Vydak column 100% A to 100% B*, in 10 min Method 3 Vydak column 100% A to 100% Bro in 10 min Method 4 Waters column 100% A to 100% B*, in 10 min Method 5 Waters column 100% A to 100% Bso in 20 min wherein: solvent A = 0.1% CF 3 COOH/H 2 0 solvent &j 0 = O.l% CF 3 COOH/70% CH 3 CN/H 2 0 solvent B^ = 0.1% CF 3 COOH/90% CH 3 CN/H 2 0 solvent flow rate = 1 mL/min Vydak column = 218TP54 RP-18, 5μ, 220mm x 4.6mm analytical column Brownlee column = Spheri-5, RP-18 5μ, 220 x 4.6mm column Waters column = DeltaPak RP-18, 5μ, 150mm x 3.9mm analytical column 10 o 15 I 10 15 20 10 ESMS data (M); ** FABMS data (MNa + ) 15 EXAMPLE 3 In order to demonstrate the effectiveness of Tc-99m labeled peptid reagents as provided above, New Zealand white rabbits were innoculate intramuscularly in the left calf with a potent stain of E. coli. After 24 h, th animals were sedated by i.m. injection of ketamine and xylazine, and the injected i.v. with Tc-99m labeled peptide (<_ 150 g, 2-10 mCi). The animal were positioned supine in the field of view of a gamma camera (LEA collimator/ photopeaked for Tc-99m) and imaged over the first hour post injection, and then at approximately lh intervals over the next three hours pos injection. Animals were allowed to recover between image acquisitions and re anesthetized as needed. Upon completion of the final imaging, each animal was sacrificed b overdose of phenobarbital i.v. and dissected to obtain samples of blood and o infected and control muscle tissue. The tissue samples were weighed, an along with a standard amount of the injected dose, were counted using gamma counter, and the percent injected dose (per gram of tissue) remainin in the tissues was determined. Ratios of percent of injected dose per gram o infected versus non-infected muscle tissue, and of infected muscle tissue ver blood, were calculated for each peptide. These results are presented in th following Table. Scintiphotos of whole body and leg images of a rabbi injected with a Tc-99m labeled reagent of the invention, having the formula cety/KKKKKC Acm GC Acm GGPLKKIIKKLLES are presented in Figure 1. I ■ r I 10 15 (%ID/g) = percent injected dose per gram tissue; other abbreviations are as in the previous Tables. It should be understood that the foregoing disclosure emphasizes certai specific embodiments of the invention and that all modifications or alternative equivalent thereto are within the spirit and scope of the invention as set fort in the appended claims.

Claims: What is claimed is: 1. A reagent for preparing a scintigraphic imaging agent for imaging sites of inflammation within a mammalian body, comprising a specific binding peptide that specifically binds to leukocytes, covalently linked to a technetium- 99m radiolabel-binding moiety. 2. The reagent of Claim 1 wherein the technetium-99m radiolabel- binding moiety has a formula selected from the group consisting of: I. Cp(aa)Cp wherein Cp is a protected cysteine and (aa) is an amino acid; H. wherein A is H, HOOC, H 2 NOC, (peptide)-NHOC, (peptide)-OOC or R 4 ; B is H, SH, -NHR 3 , -N(R 3 )-(peptide), or R 4 ; X is H, SH, -NHR 3 , -N(R 3 )-(peptide) or R 4 ; Z is H or R 4 ; R 1 , R 2 , R 3 and R 4 are independently H or lower straight or branched chain or cyclic alkyl; n is 0, 1 or 2; and where B is -NHR 3 or -N(R 3 )-(peptide), X is SH, and n is 1 or 2; where X is -NHR 3 or -N(R 3 )-(peptide), B is SH, and n is 1 or 2; where B is H or R 4 , A is HOOC, H 2 NOC, (peptide)-NHOC or (peptide)-OOC, X is SH, and n is 0 or 1; where A is H or R 4 , then where B is SH, X is -NHR 3 or -N(R 3 )-(peptide) and where X is SH, B is -NHR 3 or -N(R 3 )-(peptide); where X is H or R 4 , A is HOOC, H 2 NOC, (peptide)-NHOC or (peptide)-OOC and B is SH; where Z is methyl, X is methyl, A is HOOC, H 2 NOC, (peptide)-NHOC or (peρtide)-OOC, B is SH and n is 0; where B is SH and X is SH, n is not 0; and wherein the thiol moiety is in the reduced form; and m. - CO IV. - HN - wherein X = H or a protecting group; (amino acid) = any amino acid; JLCR'λ ^5 . NH N-A-CO-peptide λ (CR 5 ,), P S-(pgp) s S-(pgp) s wherein each R 5 is independently H, CH 3 or C 2 H 5 ; each (pgp) s is independently a thiol protecting group or H; m, n and p are independently 2 or 3; A = linear or cyclic lower alkyl, aryl, heterocyclyl, combinations or substituted derivatives thereof; VI. wherein each R 5 is independently H, lower alkyl having 1 to 6 carbon atoms, phenyl, or phenyl substituted with lower alkyl or lower alkoxy; m, n and p are independently 1 or 2; A = linear or cyclic lower alkyl, aryl, heterocyclyl, combinations or substituted derivatives thereof; V = H or -CO-peptide; R 6 = H or peptide; and wherein when V = H, R 6 = peptide and when R 6 = H, V = -CO- peptide; and wherein the radiolabel-binding moiety forms a complex with a radioisotope and the complex is electrically neutral. 3. The reagent of Claim 1 wherein the specific binding peptide and radiolabel binding moiety are covalently linked through one or more amino acids. 4. The reagent of Claim 2 wherein the protected cysteine of the radiolabel-binding moiety having formula I has a protecting group of the formula -CH 2 -NH-CO-R wherein R is a lower alkyl having 1 to 6 carbon atoms, 2-,3-,4-pyridyl, phenyl, or phenyl substituted with lower alkyl, hydroxy, lower alkoxy, carboxy, or lower alkoxycarbonyl. 5. The reagent of Claim 2 wherein the radiolabel-binding moiety of formula Cp(aa)Cp has the formula: CH 2 SCH 2 NHCOCH 3 -HN-CH-CO-NH-CH 2 -CO-NH-CH-CO- I CH 2 -S-CH 2 -NHCOCH 3 6. A scintigraphic imaging agent comprising the reagent of Clai 1 radiolabeled with technetium-99m. 7. The reagent of Claim 1 wherein the specific binding peptide i platelet factor 4 or a derivative thereof. 8. The reagent of Claim 1 comprising the amino acid sequenc foπnytMU? or ./ϊwroy/.Nle.LF.Nle or derivatives thereof. 9. The reagent of Claim 1 wherein the specific binding peptide i derived from elastin. 10. The reagent of Claim 1 wherein the specific binding peptide i tuftsin or derivatives thereof. 11. The reagent of Claim 1 wherein the specific binding peptide i fibrinopeptide B, fibrinogen B/S-chain or derivatives thereof. 12. The reagent of Claim 7 wherein the reagent is selected from th group consisting of: C Mob GC Acm PLYKKIIKKLLES PicGC A jPLYKKIIKKLLES C Λ ^GC AC GGPLYKKΠKKLLES flcec/.CGGGPLYKKIIKKLLES [BATJ.GGPLYKKIIKKLLES ∞βty/.KK_αXC Aem GC Aea GGPLYKK_αKKLLES PDTPA].C Aβn GC AαB PLYKKIIKKLLES [BAT].KKLLKKLYKKπKKLLES ACC A ^GC^QAPLYKKIIKKLLES 13. The reagent of Claim 8 wherein the reagent is selected from the group consisting of: /o/77iy/.MLFC Aem GC AcB &7T?ry/.MIFLC Acιll GC Aoll /ø/my/.MLFC Aem GPica /07τπy/.Nle.LF.Nle.YKC Aαa GC Aca formylMLFK. [BATJ.amide formylTiφ.LF. [BAM] , /bmιy/.MLFK.[BAT].GSGS.amide /ø777iy/.MLFK.[BAT].E ./ø77n-y/.M.Dpg.F. [BA l] formylMLFK. [BAT] .EGE 14. The reagent of Claim 9 wherein the reagent is selected from t group consisting of: C Ac -GC Ac ^GVAPG^amide Pic.GC Ae JVGVAPG) 3 amide Kc.GC Aβ ,(VPGVG) 4 amide (VPGVG) 4 GGGC Aem GC Aem amide (VGVAPG) 3 GGGC Aβ GC AaB amide ΛC4?ryZ.C Aa .GC Aem GGG(VPGVG) 4 amide Pic.GC(VGVAPG) 3 amide [BAT].(VGVAPG) 3 amide [BAT].(VPGVG) 4 amide 15. The reagent of Claim 11 wherein the reagent is selected from t group consisting of: /?Glu.GV-rø } NEEGFFSARC Acβ GC Acι ^uι_ide /TGlu.GV- DNEEGFFSARGGC.amide Pic.GC Aeβ GHRPLDKKREEAPSLRPAPPPISGGGYR [BAT].GHRPUDKKREEAPSLRPAPPPISGGGYR.amide 16. The reagent of Claim 10 wherein the reagent is: C A „GC Acβ TKPR 17. The reagent of Claim 1 wherein the reagent further comprises polyvalent linking moiety covalently linked to a multiplicity of specific bindi peptides and also covalently linked to a multiplicity of radiolabel-binding moieties to comprise a multimeric polyvalent scintigraphic imaging agent, wherein the molecular weight of the multimeric polyvalent reagent is less than about 20,000 daltons. 18. The multimeric polyvalent scintigraphic imaging agent according to Claim 17 wherein the polyvalent linking moiety is bw-succinimidyl- methylether, 4-(2,2-dimethylacetyl)benzoic acid, r (succinimidylethyl)amine or a derivative thereof. 19. A complex formed by reacting the reagent of Claim 1 with technetium-99m in the presence of a reducing agent. 20. The complex of Claim 19, wherein the reducing agent is selected from the group of a dithionite ion, a stannous ion, or a ferrous ion. 21. A complex formed by labeling the reagent of Claim 1 with technetium-99m by ligand exchange of a prereduced technetium-99m complex. 22. A kit for preparing a radiopharmaceutical preparation, said kit comprising sealed vial containing a predetermined quantity of the reagent of Claim 1 and a sufficient amount of reducing agent to label the reagent with technetium-99m. 23. A method for imaging a site of inflammation within a mammalian body comprising administering an effective diagnostic amount of the reagent of Claim 1 that is labeled with technetium-99m and detecting the Tc-99m localized at the site of inflammation. 24. The process of preparing the reagent according to Claim 1 wherein the reagent is chemically synthesized in vitro. 25. The process of preparing the reagent according to Claim 24 wherein the specific binding peptide is synthesized by solid phase peptide synthesis. 26. The reagent according to Claim 1 wherein the radiolabel binding moiety is covalently linked to the specific binding peptide during in vitro chemical synthesis. 27. The reagent according to Claim 26 wherein the radiolabel binding moiety is covalently linked to the specific binding peptide during solid phase peptide synthesis. 28. A method for labeling a peptide according to Claim 1 comprising reacting the peptide with Tc-99m in the presence of a reducing agent. 29. The method of Claim 28, wherein the reducing agent is selected from the group of a dithionite ion, a stannous ion, or a ferrous ion.

Inventors: BUTTRAM SCOTT, DEAN RICHARD T, LEES ROBERT S, LISTER-JAMES JOHN, BUTTRAM, SCOTT, DEAN, RICHARD, T., LEES, ROBERT, S., LISTER-JAMES, JOHN
Applicants: DIATECH INC, DIATECH, INC.
Application year: 1993
Main classification: A61K49
IPC codes: A61K51, C07K1, C07K14