title: [(99m)Tc]MAG(3)-mannosyl-dextran: a receptor-binding radiopharmaceutical for sentinel node detection.
abstract: Technetium-99m-labeled benzoyl-mercaptoacetylglycylglycyl-glycine-mannosyl-dextran ([(99m)Tc]MAG(3)-mannosyl-dextran) is a receptor-binding radiotracer that binds to mannose-binding protein, a receptor expressed by recticuloendothelial tissue. This agent is composed of a 10.5-kilodalton molecule of dextran and multiple units of mannose, and benzoyl-mercaptoacetylglycylglycyl-glycine (BzMAG(3)). The tetraflorophenol-activated ester of BzMAG(3) and the imidate of thiomannose were used to covalently attach BzMAG(3) and mannose to an amino-terminated conjugate of dextran. This yielded a 19-kilodalton macromolecule consisting of 3 BzMAG(3) and 21 mannose units per dextran. Dynamic light scattering was used to measure a mean diameter of 5.5 nanometers for BzMAG(3)-mannosyl-dextran and 0.28 microns for filtered Tc-99m sulfur colloid. A preliminary sentinel node detection study employing right fore and hind footpad injections of [(99m)Tc]MAG(3)-mannosyl-dextran and left fore and hind footpad injections of filtered Tc-99m sulfur colloid demonstrated greater sentinel lymph node uptake by the receptor-binding agent.
authors.affiliation: Department of Radiology, UCSD Cancer Center, University of California, San Diego, School of Medicine, La Jolla, California, USA. dvera@ucsd.edu
authors.forename: D R
authors.initials: DR
authors.lastname: Vera
authors.forename: A M
authors.initials: AM
authors.lastname: Wallace
authors.forename: C K
authors.initials: CK
authors.lastname: Hoh
mesh_terms: D000818:Animals; D003911:Dextrans; D007553:Isotope Labeling; D008198:Lymph Nodes / Q000000981:diagnostic imaging*; D008358:Mannose; D011817:Rabbits; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017263:Technetium Tc 99m Mertiatide
chemical_list: D003911:Dextrans; D019275:Radiopharmaceuticals; D017263:Technetium Tc 99m Mertiatide; D008358:Mannose