%0 Journal Article %T Non-invasive in vivo imaging of tumour-associated cathepsin B by a highly selective inhibitory DARPin %A Boris Turk %A Du£¿an Turk %A Janja Zavr£¿nik %A Lovro Kramer %A Markus A. Seeger %A Markus G. Gr¨¹tter %A Miha Renko %A Olga Vasiljeva %A Vito Turk %J Theranostics %D 2017 %I Ivyspring International Publisher %R 10.7150/thno.19081 %X Cysteine cathepsins often contribute to cancer progression due to their overexpression in the tumour microenvironment and therefore present attractive targets for non-invasive diagnostic imaging. However, the development of highly selective and versatile small molecule probes for cathepsins has been challenging. Here, we targeted tumour-associated cathepsin B using designed ankyrin repeat proteins (DARPins). The selective DARPin 8h6 inhibited cathepsin B with picomolar affinity (Ki = 35 pM) by binding to a site with low structural conservation in cathepsins, as revealed by the X-ray structure of the complex. DARPin 8h6 blocked cathepsin B activity in tumours ex vivo and was successfully applied in in vivo optical imaging in two mouse breast cancer models, in which cathepsin B was bound to the cell membrane or secreted to the extracellular milieu by tumour and stromal cells. Our approach validates cathepsin B as a promising diagnostic and theranostic target in cancer and other inflammation-associated diseases. %K protease %K cathepsin B %K designed ankyrin repeat protein (DARPin) %K non-invasive diagnostic imaging %K tumour microenvironment. %U http://www.thno.org/v07p2806.htm