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EGFR 免疫 PET 显像:应用 Cu-NOTA 帕尼单抗在皮下和转移性非小细胞肺癌异种移植瘤中的研究

Immuno-PET Imaging of EGFR with Cu-NOTA Panitumumab in Subcutaneous and Metastatic Nonsmall Cell Lung Cancer Xenografts.

机构信息

Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta T6G 2H1, Canada.

Department of Oncology, University of Alberta, Edmonton, Alberta T6G 1Z2, Canada.

出版信息

Mol Pharm. 2024 Nov 4;21(11):5797-5806. doi: 10.1021/acs.molpharmaceut.4c00823. Epub 2024 Oct 15.

Abstract

: About 65-90% of nonsmall cell lung cancer (NSCLC) express the epithelial growth factor receptor (EGFR) as a transmembrane protein that is activated by binding of specific ligands, including epidermal growth factor and transforming growth factor α (TGFα). Identifying EGFR as an oncogene has led to the development of anticancer therapeutics directed against EGFR, including the full-length human IgG monoclonal antibody panitumumab. The main goal of the present study was to investigate Cu-labeled panitumumab with immuno-PET in subcutaneous and metastatic EGFR-positive NSCLC xenografts. Bifunctional chelating agent 2--(4-isothiocyanatobenzyl)-1,4,7-triazacyclo-nonane-1,4,7-triacetic acid (NOTA-NCS) was attached to panitumumab. The number of chelators per panitumumab was determined using matrix-assisted laser desorption/ionization (MALDI) mass spectroscopy. The incorporation efficiency of Cu into NOTA-panitumumab was measured by using radio-TLC. EGFR-expressing epithelial-like H1299-luc+ NSCLC cells were used for and experiments. Cell uptake of [Cu]Cu-NOTA-panitumumab was measured in the presence and absence of panitumumab. Subcutaneous and metastatic H1299-luc tumor models were grown in male NSG mice. The presence of tumors at lung and metastatic sites was analyzed by [F]FLT PET. Immuno-PET with [Cu]Cu-NOTA-panitumumab was performed as static PET imaging at 2, 24, and 48 h postinjection in both tumor models. Proof-of-target was confirmed by blocking experiments with panitumumab. Detailed biodistribution experiments were performed in both animal tumor models to confirm biodistribution profiles obtained by immuno-PET imaging. MALDI analysis confirmed the attachment of ∼1.5 NOTA per antibody. Radiolabeling efficiency with [Cu]CuCl was 93.8 ± 5.7% and a molar activity of 0.65 MBq/μg. Cellular uptake studies with [Cu]Cu-NOTA-panitumumab in H1299 cells demonstrated increasing uptake over time, reaching 29.1 ± 2.9% radioactivity(Bq)/mg protein ( = 3) and plateauing at 45 min. Addition of 25 μg of panitumumab reduced radioligand uptake to 1.22 ± 0.06% radioactivity/mg protein ( = 3). PET imaging revealed high uptake of [Cu]Cu-NOTA-panitumumab in subcutaneous tumors: Standardized uptake values (SUV) reached 4.70 ± 0.42 and 5.37 ± 0.40 ( = 5) after 24 and 48 h postinjection, respectively. Administration of 1 mg panitumumab reduced tumor uptake significantly to 1.94 ± 0.22 and 1.66 ± 0.08 ( = 4; < 0.001). In the metastatic model, the following SUV were analyzed from liver and lung lesions: 5.55 ± 0.34 and 6.28 ± 0.46 (both n = 23 lesions from 6 mice) after 24 and 48 h postinjection, which was also significantly reduced to 2.53 ± 0.39 and 2.31 ± 0.15 (both = 16 lesions from 4 mice; < 0.001) after injection of 1 mg panitumumab. Detailed biodistribution confirmed immuno-PET analysis in both models. Panitumumab reduced radioactivity uptake into subcutaneous tumors from 11.01 ± 0.72 ( = 4) to 3.67 ± 0.33% ID/g ( = 5; < 0.001), and in metastatic liver lesions from 29.44 ± 8.14 ( = 4) to 8.35 ± 1.30% ID/g ( = 5; < 0.001), respectively. [Cu]Cu-NOTA-panitumumab was successfully used for immuno-PET imaging of EGFR-expressing subcutaneous and metastatic NSCLC tumors. This result represents the basis for developing radiotheranostics for targeting EGFR in cancers and for selecting the right patients for the right treatment at the right time.

摘要

大约 65-90%的非小细胞肺癌 (NSCLC) 表达作为跨膜蛋白的表皮生长因子受体 (EGFR),该蛋白通过结合特定配体(包括表皮生长因子和转化生长因子α (TGFα))而被激活。将 EGFR 鉴定为致癌基因,导致了针对 EGFR 的抗癌治疗药物的开发,包括全长人 IgG 单克隆抗体 panitumumab。本研究的主要目的是研究皮下和转移性 EGFR 阳性 NSCLC 异种移植瘤中用免疫 PET 检测 Cu 标记的 panitumumab。双功能螯合剂 2--(4-异硫氰酸苄基)-1,4,7-三氮杂环壬烷-1,4,7-三乙酸 (NOTA-NCS) 与 panitumumab 相连。使用基质辅助激光解吸/电离 (MALDI) 质谱法确定 panitumumab 上的螯合剂数量。通过放射性 TLC 测量 NOTA-panitumumab 中 Cu 的掺入效率。使用表达 EGFR 的上皮样 H1299-luc+ NSCLC 细胞进行 和 实验。在存在和不存在 panitumumab 的情况下测量 [Cu]Cu-NOTA-panitumumab 的细胞摄取。在雄性 NSG 小鼠中生长皮下和转移性 H1299-luc 肿瘤模型。通过 [F]FLT PET 分析肺部和转移部位的肿瘤存在情况。在两种肿瘤模型中,在注射后 2、24 和 48 小时进行 [Cu]Cu-NOTA-panitumumab 的静态 PET 成像免疫 PET。通过 panitumumab 阻断实验确认靶点。在两种动物肿瘤模型中进行详细的 生物分布实验,以确认免疫 PET 成像获得的生物分布谱。MALDI 分析证实了大约 1.5 个 NOTA 附着在每个抗体上。用 [Cu]CuCl 的放射性标记效率为 93.8 ± 5.7%,摩尔活度为 0.65 MBq/μg。用 [Cu]Cu-NOTA-panitumumab 在 H1299 细胞中的摄取研究表明,随着时间的推移,摄取量逐渐增加,达到 29.1 ± 2.9%放射性(Bq)/mg 蛋白( = 3),并在 45 分钟时达到平台期。添加 25 μg 的 panitumumab 可将放射性配体摄取量减少至 1.22 ± 0.06%放射性/mg 蛋白( = 3)。PET 成像显示皮下肿瘤中 [Cu]Cu-NOTA-panitumumab 的摄取量很高:注射后 24 和 48 小时的标准化摄取值 (SUV) 分别达到 4.70 ± 0.42 和 5.37 ± 0.40( = 5)。给予 1 mg panitumumab 可使肿瘤摄取量显著减少至 1.94 ± 0.22 和 1.66 ± 0.08( = 4; < 0.001)。在转移性模型中,从肝和肺病变中分析了以下 SUV:注射后 24 和 48 小时的 SUV 分别为 5.55 ± 0.34 和 6.28 ± 0.46(均为 n = 6 只小鼠的 23 个病变),这也显著降低至注射 1 mg panitumumab 后 2.53 ± 0.39 和 2.31 ± 0.15(均为 n = 4 只小鼠的 16 个病变; < 0.001)。详细的 生物分布证实了两种模型中的免疫 PET 分析。Panitumumab 将皮下肿瘤的放射性摄取量从 11.01 ± 0.72( = 4)降低至 3.67 ± 0.33% ID/g( = 5; < 0.001),并将转移性肝病变中的放射性摄取量从 29.44 ± 8.14( = 4)降低至 8.35 ± 1.30% ID/g( = 5; < 0.001)。[Cu]Cu-NOTA-panitumumab 成功用于 EGFR 表达的皮下和转移性 NSCLC 肿瘤的免疫 PET 成像。这一结果为针对癌症中的 EGFR 开发放射治疗药物以及为合适的患者在合适的时间选择合适的治疗方法奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10ec/11539060/c7e996c16448/mp4c00823_0001.jpg

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