177镥标记的抗体-药物偶联物:实体瘤的双机制治疗方式

177Lu-Labeled Antibody-Drug Conjugate: A Dual-Mechanistic Treatment Modality in Solid Tumors.

作者信息

Yamaguchi Aiko, Yamazaki Chisato M, Anami Yasuaki, Ha Summer Y Y, Xiong Wei, Ta Robert T, Zhang Ningyan, Manning H Charles, An Zhiqiang, Tsuchikama Kyoji

机构信息

Texas Therapeutics Institute, The Brown Foundation Institute of Molecular Medicine, The University of Texas Health Science Center at Houston, Houston, Texas.

Department of Cancer Systems Imaging, The University of Texas MD Anderson Cancer Center, Houston, Texas.

出版信息

Mol Cancer Ther. 2025 Jun 4;24(6):907-919. doi: 10.1158/1535-7163.MCT-24-0254.

Abstract

To explore the potential of site-selectively radiolabeled antibody-drug conjugates (ADC) against solid tumors, we constructed and evaluated radiolabeled ADCs equipped with lutetium-177 (177Lu) and a membrane-permeable antimitotic agent. Site-selective 177Lu-labeled ADCs [anti-trophoblast cell-surface antigen 2 (TROP2) 177Lu-DTPA ADCs or anti-HER2 177Lu-DO3A ADCs], a 177Lu-labeled homogeneous radioimmunoconjugate (homogeneous RIC), and 177Lu-labeled conventional RIC (heterogeneous RIC) were constructed. We confirmed that 177Lu-labeled ADCs and the homogeneous RIC were obtained with high homogeneity and defined chelator/payload-to-antibody ratios. Next, we performed biodistribution studies and treatment efficacy studies in xenograft mouse models bearing orthotopic breast tumors. Compared with the heterogeneous RIC, the 177Lu-DTPA TROP2 ADC and anti-TROP2 homogeneous RIC showed significantly improved radioactivity accumulation in the TROP2-expressing JIMT-1 tumor (P < 0.01 at 72 hours). In the therapeutic study, 177Lu-DTPA TROP2 ADC (5 MBq; 1.5 mg/kg) suppressed tumor growth significantly more than did the anti-TROP2 homogeneous RIC (5 MBq, P = 0.0068). Anti-HER2 177Lu-DO3A ADC (5 MBq; 3.0 mg/kg) demonstrated greater in vivo treatment efficacy over monomethyl auristatin E DAR 2 HER2 ADC (3.0 mg/kg) monotherapy, anti-HER2 homogeneous RIC (5 MBq) monotherapy, and the combination of monomethyl auristatin E DAR 2 HER2 ADC and anti-HER2 homogeneous RIC at matched payload and radioactivity doses in a refractory breast tumor model displaying heterogeneous HER2 expression. These results suggest that site-selectively 177Lu-labeled ADCs are effective in treating refractory tumors, including those with heterogeneous antigen expression, and warrant further exploration as a promising single-agent, dual-mechanistic treatment modality for solid tumors.

摘要

为了探索位点选择性放射性标记抗体药物偶联物(ADC)治疗实体瘤的潜力,我们构建并评估了配备镥 - 177(¹⁷⁷Lu)和一种膜通透性抗有丝分裂剂的放射性标记ADC。构建了位点选择性¹⁷⁷Lu标记的ADC[抗滋养层细胞表面抗原2(TROP2)¹⁷⁷Lu - DTPA ADC或抗HER2¹⁷⁷Lu - DO3A ADC]、¹⁷⁷Lu标记的均一性放射免疫偶联物(均一性RIC)和¹⁷⁷Lu标记的传统RIC(异质性RIC)。我们证实¹⁷⁷Lu标记的ADC和均一性RIC具有高均一性以及确定的螯合剂/有效载荷与抗体的比例。接下来,我们在携带原位乳腺肿瘤的异种移植小鼠模型中进行了生物分布研究和治疗效果研究。与异质性RIC相比,¹⁷⁷Lu - DTPA TROP2 ADC和抗TROP2均一性RIC在表达TROP2的JIMT - 1肿瘤中显示出显著改善的放射性积累(72小时时P < 0.01)。在治疗研究中,¹⁷⁷Lu - DTPA TROP2 ADC(5 MBq;1.5 mg/kg)比抗TROP2均一性RIC(5 MBq,P = 0.0068)更显著地抑制了肿瘤生长。在一个显示HER2表达异质性的难治性乳腺肿瘤模型中,抗HER2¹⁷⁷Lu - DO3A ADC(5 MBq;3.0 mg/kg)在体内的治疗效果优于单甲基澳瑞他汀E DAR 2 HER2 ADC(3.0 mg/kg)单药治疗、抗HER2均一性RIC(5 MBq)单药治疗以及在匹配有效载荷和放射性剂量下的单甲基澳瑞他汀E DAR 2 HER2 ADC与抗HER2均一性RIC的联合治疗。这些结果表明,位点选择性¹⁷⁷Lu标记的ADC在治疗难治性肿瘤(包括那些具有异质性抗原表达的肿瘤)方面是有效的,并且作为一种有前景的单药、双机制治疗实体瘤的方式值得进一步探索。

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