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Department of Nuclear Medicine, Veterans Affairs Palo Alto Health Care System, Palo Alto; Department of Radiology, Stanford University, Stanford; Department of Chemistry, University of Cahfornia, Davis, California
Correspondence: For correspondence or reprints contact: David A. Goodwin, MD, Department of Nuclear Medicine, veterans Affairs Palo Alto Health Care System, 3801 Miranda Ave., Palo Alto, CA 94304.
ABSTRACT
Three-step pretargeting increases target-to-background ratios in radioimmunodetection and can potentially decrease harmful radiation to normal tissues in radioimmunotherapy. We studied four biotinchelateconjugates (BCCs) for use in the avidin/biotin pretargeting system. Methods: Pharmacokinetics and biodistribution were studied in normal BALB/c (IAk-negative),normal C3H (IAk-positive) and LS174T tumor-bearing BALB/c severe combined immunodeficient mice. Streptavidin alone and antibodystreptavidin conjugates[monoclonal anthody(MAb)10-3.6 anti-IAk IgG2a] were used. Indium-111- or 88Y-BCCs were given alone intravenously; they were mixed with streptavidin or MAb-streptavidin conjugate and given intravenously; or streptavidin and MAb-streptavidin conjugate were pretargeted, and 23, 5 and 21 hr later, BCCs were injected intravenously. Samples were taken 2-3 hr after intravenous injection of labeled BCCs. Results: Three of the four BCCs were rapidly excreted by the kidneys, with <2.5%/g in any organ or tumor at 23hr. Gut excretion eliminated biotinyl-(S)-1-p-aminobenzylethylenediaminetetraacetic acid (EDTA) for use in pretargeting. Ninety percent of BCCs were bound to circulating pretargeted streptavidin at 16 hr, and
15% were bound to pretargeted streptavidin at 24 hr. Kidney uptakes were: preformed streptavidin BCC given intravenously,
80%/g(24 hr); streptavidin pretargeted for 23hr,
60%/g; and streptavidin pretargeted for 521 hr,
10%20%/g. Kidney uptake was dose-dependent: 0.2, 0.67 and 1.0 nmol of streptavrdin pretargeted for 21 hr showed increasing concentrations (24 hr. Uptake of monoclonal anti-IAk streptavidin BCC complex into spleen (70% ± 10%/g; p < 0.05) and lymph nodes (10% ± 3.5%/g; p < 0.01) was higher in IAk positive C3H mice than it was in IAk-negative control BALB/c mice, and it was much higher than that in streptavidin controls. No significant target uptake was seen with anti-IAk MAb-streptavidin pretargeted for 3 or 0 hr. Kidney uptake
20%/g, which was lower than that of streptavidin alone. Conclusion: Three biotinyl chelates bind the diagnostic and therapeutic radiometals 111In and 88Y (and, by analogy, 90Y) with the required in vivo stability and physiological properties for pretargeted diagnosis and therapy. Kidney uptake of streptavidin was decreased by conjugation to MAb. Failure of anti-IAk MAb-streptavidin conjugate to bind BCC after pretargeting may be due to rapid internalization of MAbstreptavidin-IAk complex by the lymphocyte or to endogenous biotin. Either or both of these would make streptavidin unavailable to subsequent BCCs.
Key Words: radioimmunoimaging radioimmunotherapy yttrium-90 indium-111 pretargeting
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