Leung Kam
National for Biotechnology Information, NLM, NIH, Bethesda, MD
Epidermal growth factor (EGF) is a 53-amino-acid cytokine (6.2 kDa) secreted by ectodermic cells, monocytes, kidneys, and duodenal glands (1). EGF stimulates growth of epidermal and epithelial cells. EGF with at least seven other growth factors and their transmembrane receptor kinases play important roles in cell proliferation, survival, adhesion, migration, and differentiation. The EGF receptor (EGFR) family consists of four transmembrane receptors, including EGFR (HER1/erbB-1), HER2 (erbB-2/neu), HER3 (erbB-3), and HER4 (erbB-4) (2). HER1, HER3, and HER4 comprise three major functional domains: an extracellular ligand-binding domain, a hydrophobic transmembrane domain, and a cytoplasmic tyrosine kinase domain. No ligand has been clearly identified for HER2. However, HER2 can be activated as a result of ligand binding to other HER receptors with the formation of receptor homodimers and/or heterodimers (3). HER1 as well as HER2 are overexpressed on many solid tumor cells such as breast, non-small-cell lung, head and neck, and colon cancers (4-6). The high levels of HER1 and HER2 expression on cancer cells are associated with a poor prognosis (7-10). Optical fluorescence imaging is increasingly being used to monitor biological functions of specific targets (11-13). However, the intrinsic fluorescence of biomolecules poses a problem when fluorophores that absorb visible light (350–700 nm) are used. Near-infrared (NIR) fluorescence (700–1,000 nm) detection avoids the natural background fluorescence interference of biomolecules, providing a high contrast between target and background tissues in small animals. NIR fluorophores have a wider dynamic range and minimal background fluorescence as a result of reduced scattering compared with visible fluorescence detection. NIR fluorophores also have high sensitivity, attributable to low background fluorescence, and high extinction coefficients, which provide high quantum yields. The NIR region is also compatible with solid-state optical components, such as diode lasers and silicon detectors. NIR fluorescence imaging is a non-invasive alternative to radionuclide imaging in small animals. Trastuzumab is a humanized IgG monoclonal antibody (mAb) against the extracellular domain of recombinant HER2 with an affinity constant () of 0.1 nM (14). In-Trastuzumab, Cy5.5-trastuzumab, and Ga-trastuzumab-F(ab') have been developed for imaging human breast cancer (15-19). C225 (an anti-EGFR, mouse–human chimeric, monoclonal IgG antibody, also known as erbitux and cetuximab) was labeled as Tc-EC-C225 (20, 21) to image EGFR expression in solid tumors using single-photon emission computed tomography. However, the pharmacokinetics of intact radiolabeled mAb, with high liver uptake and slow blood elimination, are generally not ideal for imaging. Smaller antibody fragments, such as Fab or F(ab´), have better imaging pharmacokinetics because they are rapidly excreted by the kidneys. A novel class of recombinant affinity ligands (Affibody molecules) for EGFR was constructed on the basis of a 58-amino-acid Z-domain residue from one of the IgG-binding domains of staphylococcal protein A (22). Affibody molecules exhibit high binding affinity to EGFR with values of 25–50 nM. Various radiolabeled Affibody molecules have been studied in their ability for imaging of EGFR in tumors [PubMed]. A synthetic Affibody molecule (Eaff) specific to EGFR was labeled with NIR dye IRDye 800CW (Eaff800) (23). Eaff800 has been evaluated in nude mice bearing human A431 skin carcinoma tumor.
表皮生长因子(EGF)是一种由外胚层细胞、单核细胞、肾脏和十二指肠腺分泌的53个氨基酸的细胞因子(6.2 kDa)(1)。EGF刺激表皮和上皮细胞的生长。EGF与至少其他七种生长因子及其跨膜受体激酶在细胞增殖、存活、黏附、迁移和分化中发挥重要作用。EGF受体(EGFR)家族由四种跨膜受体组成,包括EGFR(HER1/erbB-1)、HER2(erbB-2/neu)、HER3(erbB-3)和HER4(erbB-4)(2)。HER1、HER3和HER4包含三个主要功能结构域:细胞外配体结合结构域、疏水跨膜结构域和细胞质酪氨酸激酶结构域。尚未明确鉴定出HER2的配体。然而,HER2可因配体与其他HER受体结合形成受体同二聚体和/或异二聚体而被激活(3)。HER1以及HER2在许多实体瘤细胞如乳腺癌、非小细胞肺癌、头颈癌和结肠癌中过表达(4-6)。癌细胞上HER1和HER2的高表达与预后不良相关(7-10)。光学荧光成像越来越多地用于监测特定靶点的生物学功能(11-13)。然而,当使用吸收可见光(350-700 nm)的荧光团时,生物分子的固有荧光会带来问题。近红外(NIR)荧光(700-1000 nm)检测避免了生物分子的天然背景荧光干扰,在小动物中靶组织与背景组织之间提供了高对比度。与可见荧光检测相比,NIR荧光团具有更宽的动态范围和由于散射减少而产生的最小背景荧光。NIR荧光团还具有高灵敏度,这归因于低背景荧光和高消光系数,从而提供高量子产率。NIR区域也与固态光学组件兼容,如二极管激光器和硅探测器。NIR荧光成像是小动物中放射性核素成像的一种非侵入性替代方法。曲妥珠单抗是一种针对重组HER2细胞外结构域的人源化IgG单克隆抗体(mAb),亲和常数()为0.1 nM(14)。In-曲妥珠单抗、Cy5.5-曲妥珠单抗和Ga-曲妥珠单抗-F(ab')已被开发用于人类乳腺癌成像(15-19)。C225(一种抗EGFR的鼠-人嵌合单克隆IgG抗体,也称为爱必妥和西妥昔单抗)被标记为Tc-EC-C225(20, 21),用于使用单光子发射计算机断层扫描对实体瘤中的EGFR表达进行成像。然而,完整放射性标记mAb的药代动力学,具有高肝脏摄取和缓慢的血液清除,通常对于成像并不理想。较小的抗体片段,如Fab或F(ab´),具有更好的成像药代动力学,因为它们可被肾脏快速排泄。基于葡萄球菌蛋白A的一个IgG结合结构域的58个氨基酸的Z结构域残基构建了一类新型的EGFR重组亲和配体(亲和体分子)(22)。亲和体分子对EGFR表现出高结合亲和力,值为25-50 nM。已经研究了各种放射性标记的亲和体分子在肿瘤中成像EGFR的能力[PubMed]。一种对EGFR特异的合成亲和体分子(Eaff)用近红外染料IRDye 800CW标记(Eaff800)(23)。Eaff800已在携带人A431皮肤癌肿瘤的裸鼠中进行了评估。