Novak-Hofer I, Zimmermann K, Maecke H R, Amstutz H P, Carrel F, Schubiger P A
Paul Scherrer Institute, Radiopharmacy Division, Villigen, Switzerland.
J Nucl Med. 1997 Apr;38(4):536-44.
ChCE7, an internalizing, neuroblastoma-specific monoclonal antibody (MAb), and its F(ab')2 fragments were derived with the bifunctional ligand 4-(1,4,8,11-tetraazacyclotetradec-1-yl)-methyl benzoic acid tetrahydrochloride (CPTA) and labeled with the potential therapeutic nuclide 67Cu. After internalization and degradation of these immunoconjugates in SKN-AS human neuroblastoma cells, the terminal degradation product was found to be the lysine adduct of the copper complex. In vivo distributions in nude mice bearing neuroblastoma xenografts were studied and extracts from tumor and tissue samples were analyzed.
The intact MAb showed high tumor uptake, stable over 4 days postinjection (33.7% +/- 2.8% ID/g), with tumor/blood ratios increasing from 4.4 on Day 1 to 23.0 on Day 7 postinjection and low levels of radioactivity in other tissues. Analysis of tumor extracts by gel filtration chromatography and high-pressure liquid chromatography (HPLC) showed that over the period of 4 days radioactivity was present both in a high M(r) form, consisting of the MAb/antigen complex, as well as in a low M(r) form, consisting of the copper complex attached to short peptides, including the lys-CPTA complex. There was no evidence of aggregates or MAb/antigen complexes in the blood, radioactivity being exclusively in the form of intact MAb, and radioactivity in the liver was found to consist of intact MAb, MAb fragments and the lys-CPTA metabolite. In the case of the F(ab')2 fragments, high accumulation of radioactivity in the kidneys was observed and analysis of kidney extracts showed it to be due to rapid accumulation of the lys-CPTA complex. When kidney uptake and retention of the CPTA complex as well as of its lysine and glycine adducts was investigated, the lysine complex was taken up more strongly and retained longer in the kidneys than the other compounds.
Copper-67-labeled MAb chCE7 F(ab')2 fragments were prepared using a novel bifunctional copper ligand 1-(p-aminobenzyl)-1,4,7,10-tetraazacyclodecane-4,7,10-triacetate (DO3A). Compared with MAb-chCE7 F(ab')2 fragments labeled by the CPTA ligand, labels using the DO3A ligand showed improved biodistributions resulting, 48 hr postinjection, in a 4-fold increase in tumor uptake and a 4-fold reduction of radioactivity in the kidneys.
内化性神经母细胞瘤特异性单克隆抗体(MAb)ChCE7及其F(ab')2片段通过双功能配体4-(1,4,8,11-四氮杂环十四烷-1-基)-甲基苯甲酸四盐酸盐(CPTA)衍生,并使用潜在治疗性核素67Cu进行标记。这些免疫缀合物在SKN-AS人神经母细胞瘤细胞内化和降解后,发现终末降解产物是铜络合物的赖氨酸加合物。研究了其在荷神经母细胞瘤异种移植裸鼠中的体内分布,并对肿瘤和组织样本提取物进行了分析。
完整的单克隆抗体显示出高肿瘤摄取,注射后4天内稳定(33.7%±2.8% ID/g),肿瘤/血液比值从注射后第1天的4.4增加到第7天的23.0,其他组织中的放射性水平较低。通过凝胶过滤色谱和高压液相色谱(HPLC)对肿瘤提取物进行分析表明,在4天的时间里,放射性既存在于由单克隆抗体/抗原复合物组成的高分子量形式中,也存在于由与短肽(包括赖氨酸-CPTA复合物)结合的铜络合物组成的低分子量形式中。血液中没有聚集物或单克隆抗体/抗原复合物的证据,放射性仅以完整单克隆抗体的形式存在,并且发现肝脏中的放射性由完整单克隆抗体、单克隆抗体片段和赖氨酸-CPTA代谢物组成。对于F(ab')2片段,观察到肾脏中放射性的高积累,对肾脏提取物的分析表明这是由于赖氨酸-CPTA复合物的快速积累。当研究CPTA复合物及其赖氨酸和甘氨酸加合物在肾脏中的摄取和保留时,赖氨酸复合物比其他化合物在肾脏中的摄取更强且保留时间更长。
使用新型双功能铜配体1-(对氨基苄基)-1,4,7,10-四氮杂环癸烷-4,7,10-三乙酸(DO3A)制备了67Cu标记的单克隆抗体ChCE7 F(ab')2片段。与用CPTA配体标记的单克隆抗体-ChCE7 F(ab')2片段相比,使用DO3A配体进行标记显示出改善的生物分布,注射后48小时,肿瘤摄取增加4倍,肾脏中的放射性降低4倍。