Crump Institute for Molecular Imaging, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, California.
Division of Hematology and Oncology, Department of Medicine, University of California Los Angeles, Los Angeles, California.
Clin Cancer Res. 2017 Dec 1;23(23):7242-7252. doi: 10.1158/1078-0432.CCR-17-0855. Epub 2017 Sep 19.
The B-cell antigen CD20 provides a target for antibody-based positron emission tomography (immunoPET). We engineered antibody fragments targeting human CD20 and studied their potential as immunoPET tracers in transgenic mice (huCD20TM) and in a murine lymphoma model expressing human CD20. Anti-CD20 cys-diabody (cDb) and cys-minibody (cMb) based on rituximab and obinutuzumab (GA101) were radioiodinated and used for immunoPET imaging of a murine lymphoma model. Pairwise comparison of obinutuzumab-based antibody fragments labeled with residualizing (Zr) versus non-residualizing (I) radionuclides by region of interest analysis of serial PET images was conducted both in the murine lymphoma model and in huCD20TM to assess antigen modulation I-GAcDb and I-GAcMb produced high-contrast immunoPET images of B-cell lymphoma and outperformed the respective rituximab-based tracers. ImmunoPET imaging of huCD20TM showed specific uptake in lymphoid tissues. The use of the radiometal Zr as alternative label for GAcDb and GAcMb yielded greater target-specific uptake and retention compared with I-labeled tracers. Pairwise comparison of Zr- and I-labeled GAcDb and GAcMb allowed assessment of internalization of CD20/antibody complexes and revealed that CD20 internalization differs between malignant and endogenous B cells. These obinutuzumab-based PET tracers have the ability to noninvasively and quantitatively monitor CD20-expression and have revealed insights into CD20 internalization upon antibody binding Because they are based on a humanized mAb they have the potential for direct clinical translation and could improve patient selection for targeted therapy, dosimetry prior to radioimmunotherapy, and prediction of response to therapy. .
B 细胞抗原 CD20 是抗体正电子发射断层扫描(immunoPET)的靶点。我们设计了针对人 CD20 的抗体片段,并在转染人 CD20 的转基因小鼠(huCD20TM)和表达人 CD20 的鼠淋巴瘤模型中研究了它们作为 immunoPET 示踪剂的潜力。基于利妥昔单抗和奥滨尤妥珠单抗(GA101)的抗 CD20 半胱氨酸二价体(cDb)和半胱氨酸单价体(cMb)被放射性碘标记,并用于鼠淋巴瘤模型的 immunoPET 成像。通过对一系列 PET 图像的感兴趣区分析,对基于奥滨尤妥珠单抗的抗体片段用残留(Zr)放射性核素和非残留(I)放射性核素进行标记进行了比较,结果在鼠淋巴瘤模型和 huCD20TM 中都显示,用 I-GAcDb 和 I-GAcMb 进行免疫 PET 成像可以产生高对比度的 B 细胞淋巴瘤图像,并且优于各自基于利妥昔单抗的示踪剂。huCD20TM 的 immunoPET 成像显示在淋巴组织中有特异性摄取。与 I 标记的示踪剂相比,用放射性金属 Zr 替代 GAcDb 和 GAcMb 的放射性核素标记可产生更大的靶特异性摄取和保留。用 Zr 和 I 标记的 GAcDb 和 GAcMb 进行的成对比较允许评估 CD20/抗体复合物的内化,并且揭示了恶性和内源性 B 细胞之间的 CD20 内化差异。这些基于奥滨尤妥珠单抗的 PET 示踪剂具有非侵入性和定量监测 CD20 表达的能力,并揭示了抗体结合后 CD20 内化的见解。由于它们基于人源化 mAb,因此具有直接临床转化的潜力,并可改善靶向治疗的患者选择、放射免疫治疗前的剂量测定以及对治疗反应的预测。