Signore Alberto, Galli Filippo, Varani Michela, Campagna Giuseppe, Bentivoglio Valeria, Accardo Antonella, Morelli Giancarlo, Lauri Chiara
Nuclear Medicine Unit, Department of Medical-Surgical Sciences and of Translational Medicine, Faculty of Medicine and Psychology, "Sapienza" University, Rome, Italy.
Nuclear Medicine Unit, Sant'Andrea University Hospital, Via di Grottarossa 1035, Rome, 00189, Italy.
Eur J Nucl Med Mol Imaging. 2025 Jul 1. doi: 10.1007/s00259-025-07430-9.
PURPOSE: This study aimed to develop a ready-to-use kit for Ga-labelling of interleukin-2 (IL2) facilitating PET imaging of activated T-lymphocytes. METHODS: Human recombinant IL2 (hrIL2) and Aldesleukin (desIL2), conjugated with two different chelators (NODAGA and THP) were compared. Conjugated-IL2 was stored, freeze-dried at -80 °C and radiolabelled at room temperature. In vitro quality controls (iTLC, HPLC, SDS-PAGE, spectrometry and binding assays on activated T-lymphocytes) and in vivo biodistribution studies in BALB/c mice, were performed. The shelf life of the lyophilized kits was assessed up to 6 months of storage, by iTLC, HPLC and SDS-PAGE. First-in-human study was conducted in 5 volunteers by performing [Ga]Ga-THP-desIL2 PET/CT acquisitions at several time-points, to assess biodistribution and dosimetry. RESULTS: Mass spectrometry showed that only one molecule of THP or NODAGA is bound to N-terminus of both IL2 proteins. The most efficient conjugation was observed for THP-desIL2. [Ga]Ga-THP-desIL2 showed higher labelling yield (LY) (59.13 ± 2.58%), radiochemical purity (RCP) (97.91 ± 0.45%) and binding affinity to its receptor on activated T-cells (Kd = 0.584 nM/L) and a more favorable biodistribution in pre-clinical studies, with rapid kidney metabolism and lower liver uptake than [Ga]Ga-NODAGA-desIL2 and [Ga]Ga-THP-hrIL2. Lyophilized kit of THP-desIL2 remained stable at -80 °C up to 6 months maintaining high RCP and LY. Phase I study showed a rapid plasma clearance, renal metabolism, safety and favorable dosimetry. CONCLUSIONS: We developed an efficient lyophilized kit of THP-desIL2 for Ga-labelling at room temperature in GMP conditions, obtaining excellent in vitro and in vivo results. [Ga]Ga-THP-desIL2 PET/CT studies in humans showed favorable dosimetry and safety, thus highlighting its potential for a wide range of clinical applications, particularly in immune-mediated diseases and cancer.
目的:本研究旨在开发一种即用型试剂盒,用于白细胞介素-2(IL2)的镓标记,以促进活化T淋巴细胞的PET成像。 方法:比较了与两种不同螯合剂(NODAGA和THP)缀合的人重组IL2(hrIL2)和阿地白介素(desIL2)。将缀合的IL2储存,在-80°C冻干,并在室温下进行放射性标记。进行了体外质量控制(iTLC、HPLC、SDS-PAGE、光谱分析以及对活化T淋巴细胞的结合测定)和在BALB/c小鼠体内的生物分布研究。通过iTLC、HPLC和SDS-PAGE评估冻干试剂盒在长达6个月储存期内的保质期。在5名志愿者中进行了首次人体研究,通过在多个时间点进行[镓]Ga-THP-desIL2 PET/CT采集,以评估生物分布和剂量学。 结果:质谱分析表明,THP或NODAGA仅一个分子与两种IL2蛋白的N端结合。观察到THP-desIL2的缀合效率最高。[镓]Ga-THP-desIL2显示出更高的标记率(LY)(59.13±2.58%)、放射化学纯度(RCP)(97.91±0.45%)以及对活化T细胞上其受体的结合亲和力(Kd = 0.584 nM/L),并且在临床前研究中具有更有利的生物分布,与[镓]Ga-NODAGA-desIL2和[镓]Ga-THP-hrIL2相比,肾脏代谢迅速且肝脏摄取较低。THP-desIL2的冻干试剂盒在-80°C下长达6个月保持稳定,维持高RCP和LY。I期研究显示出快速的血浆清除、肾脏代谢、安全性和良好的剂量学。 结论:我们开发了一种高效的THP-desIL2冻干试剂盒,用于在GMP条件下室温下进行镓标记,获得了优异的体外和体内结果。[镓]Ga-THP-desIL2在人体中的PET/CT研究显示出良好的剂量学和安全性,从而突出了其在广泛临床应用中的潜力,特别是在免疫介导疾病和癌症方面。
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