Timperanza Chiara, Jensen Holger, Bäck Tom, Lindegren Sture, Aneheim Emma
Department of Medical Radiation Sciences, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, 413 45 Gothenburg, Sweden.
PET and Cyclotron Unit, KF-3982, Copenhagen University Hospital, DK2100 Copenhagen, Denmark.
Pharmaceuticals (Basel). 2023 Apr 15;16(4):595. doi: 10.3390/ph16040595.
To enhance targeting efficacy in the radioimmunotherapy of disseminated cancer, several pretargeting strategies have been developed. In pretargeted radioimmunotherapy, the tumor is pretargeted with a modified monoclonal antibody that has an affinity for both tumor antigens and radiolabeled carriers. In this work, we aimed to synthesize and evaluate poly-L-lysine-based effector molecules for pretargeting applications based on the tetrazine and trans-cyclooctene reaction using At for targeted alpha therapy and I as a surrogate for the imaging radionuclides I. Poly-L-lysine in two sizes was functionalized with a prosthetic group, for the attachment of both radiohalogens, and tetrazine, to allow binding to the trans-cyclooctene-modified pretargeting agent, maintaining the structural integrity of the polymer. Radiolabeling resulted in a radiochemical yield of over 80% for astatinated poly-L-lysines and a range of 66-91% for iodinated poly-L-lysines. High specific astatine activity was achieved without affecting the stability of the radiopharmaceutical or the binding between tetrazine and transcyclooctene. Two sizes of poly-L-lysine were evaluated, which displayed similar blood clearance profiles in a pilot in vivo study. This work is a first step toward creating a pretargeting system optimized for targeted alpha therapy with At.
为了提高弥散性癌症放射免疫治疗中的靶向疗效,已开发出几种预靶向策略。在预靶向放射免疫治疗中,肿瘤先用一种修饰的单克隆抗体进行预靶向,该抗体对肿瘤抗原和放射性标记载体均具有亲和力。在这项工作中,我们旨在基于四嗪和反式环辛烯反应合成并评估基于聚-L-赖氨酸的效应分子,用于预靶向应用,使用砹进行靶向α治疗,并使用碘作为成像放射性核素碘的替代物。两种尺寸的聚-L-赖氨酸用一个辅基进行功能化,用于连接两种放射性卤素和四嗪,以使其能够与反式环辛烯修饰的预靶向剂结合,同时保持聚合物的结构完整性。放射性标记使砹化聚-L-赖氨酸的放射化学产率超过80%,碘化聚-L-赖氨酸的放射化学产率在66%-91%之间。在不影响放射性药物稳定性或四嗪与反式环辛烯之间结合的情况下,实现了高比活度的砹。评估了两种尺寸的聚-L-赖氨酸,在初步体内研究中它们显示出相似的血液清除曲线。这项工作是朝着创建一个针对用砹进行靶向α治疗而优化的预靶向系统迈出的第一步。