This invention discloses a radiotracer targeting pan-
KRAS mutant proteins, its preparation method, and its applications. The tracer uses
small molecule ligands that specifically recognize multiple
KRAS mutant proteins as targeting modules, and is coupled to diagnostic radionuclides through an optimized linkage
system. This tracer is independent of
specific mutation sites and can broadly and specifically bind to multiple high-frequency
KRAS mutant subtypes, including G12C, G12D, and G12V. Based on PET /
SPECT imaging, this tracer enables rapid, non-invasive, systemic, visualized, and
quantitative assessment of KRAS
mutant protein expression load in living tumors, overcoming the invasiveness, spatiotemporal limitations, and
tumor heterogeneity challenges of traditional biopsies. It provides a novel
molecular imaging tool for accurate companion diagnosis of KRAS-mutant tumors, screening of patients benefiting from pan-KRAS inhibitors, and monitoring
efficacy, possessing significant clinical translational value.