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[99mTc]Tc-AC12-GGGC is a technetium-99m (99mTc) labeled affibody-based imaging tracer designed for the detection and molecular imaging of B7-H3 (CD276) expressing tumors. The agent consists of the high-affinity anti-B7-H3 affibody molecule AC12, fused at its C-terminus to a peptide-based cysteine-containing triglycine-cysteine (-GGGC) chelator, which coordinates the gamma-emitting radionuclide 99mTc. B7-H3 is an immune checkpoint transmembrane protein overexpressed in various human malignancies, including ovarian and breast cancers, while showing low expression in normal tissues. Preclinical studies of [99mTc]Tc-AC12-GGGC demonstrate rapid blood clearance and high tumor-to-blood contrast, indicating its potential as a SPECT/CT imaging agent for patient stratification in B7-H3-targeted therapies.
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