Pantelias Anastasia, Pagel John M, Hedin Nathan, Saganic Laura, Wilbur Shani, Hamlin Donald K, Wilbur D Scott, Lin Yukang, Stone Diane, Axworthy Don, Gopal Ajay K, Press Oliver W
Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue N., Seattle, WA 98109, USA.
Blood. 2007 Jun 1;109(11):4980-7. doi: 10.1182/blood-2006-11-056895. Epub 2007 Feb 15.
Pretargeted radioimmunotherapy (PRIT) using streptavidin (SA)-conjugated antibodies (Abs), followed by clearing agent and radiolabeled biotin is a promising method that can increase the effectiveness of RIT, while decreasing the toxicities associated with directly labeled Abs. Although CD20 has been the traditional target antigen for RIT of non-Hodgkin lymphoma (NHL), studies targeting HLA DR and CD22 have yielded promising results. Targeting all 3 antigens at once may further augment the effect of PRIT. This study compares the targeting of Ramos, Raji, and FL-18 lymphoma xenografts with either anti-CD20 Ab/SA (1F5/SA), anti-HLA DR Ab/SA (Lym-1/SA), anti-CD22 Ab/SA (HD39/SA), or all 3 conjugates in combination, followed 24 hours later by a biotin-N-acetyl-galactosamine clearing agent, and 3 hours after that by (111)In-DOTA-biotin. The Ab/SA conjugate yielding the best tumor uptake and tumor-to-normal organ ratios of radioactivity varied depending on the target antigen expression on the cell line used, with 1F5/SA and Lym-1/SA yielding the most promising results overall. Also, the best tumor-to-normal organ ratios of absorbed radioactivity were obtained using single conjugates optimized for target tumor antigen expression rather than the combination therapy. This study highlights the importance of screening the antigenic expression on lymphomas to select the optimal reagent for PRIT.
使用与链霉亲和素(SA)偶联的抗体(Abs)进行预靶向放射免疫疗法(PRIT),随后使用清除剂和放射性标记的生物素,这是一种很有前景的方法,它可以提高放射免疫疗法的有效性,同时降低与直接标记抗体相关的毒性。尽管CD20一直是非霍奇金淋巴瘤(NHL)放射免疫疗法的传统靶抗原,但针对人类白细胞抗原DR(HLA DR)和CD22的研究已取得了有前景的结果。同时靶向所有这三种抗原可能会进一步增强PRIT的效果。本研究比较了使用抗CD20抗体/链霉亲和素(1F5/SA)、抗HLA DR抗体/链霉亲和素(Lym-1/SA)、抗CD22抗体/链霉亲和素(HD39/SA)或这三种偶联物的组合对拉莫斯(Ramos)、拉吉(Raji)和FL-18淋巴瘤异种移植瘤的靶向作用,24小时后给予生物素-N-乙酰半乳糖胺清除剂,再过3小时给予(111)铟-四氮杂环十二烷四乙酸-生物素((111)In-DOTA-生物素)。产生最佳肿瘤摄取和放射性肿瘤与正常器官比值的抗体/链霉亲和素偶联物因所用细胞系上的靶抗原表达而异,总体而言1F5/SA和Lym-1/SA产生的结果最有前景。此外,使用针对靶肿瘤抗原表达优化的单一偶联物而非联合疗法可获得最佳的吸收放射性肿瘤与正常器官比值。本研究强调了筛查淋巴瘤抗原表达以选择PRIT最佳试剂的重要性。