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cDTPA-PAI2 is a chelator-protein conjugate consisting of the cyclic anhydride of diethylenetriaminepentacetic acid (cDTPA) covalently bound to plasminogen activator inhibitor type 2 (PAI2). This compound serves as the unlabeled precursor for the targeted alpha therapy agent 213Bi-PAI2. The PAI2 component specifically targets the urokinase plasminogen activator (uPA) and its receptor (uPAR) complex, which is overexpressed on the surface of various malignant cells. Once labeled with the alpha-emitter Bismuth-213, the resulting radiopharmaceutical delivers high-energy radiation directly to the tumor site, inducing apoptosis and inhibiting tumor growth. Preclinical studies have investigated its efficacy in prostate, breast, ovarian, and pancreatic cancers, particularly for treating micrometastases and minimal residual disease. The protein component was originally provided by Biotech Australia.
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