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The Journal of Nuclear Medicine Vol. 40 No. 8 1381-1391
© 1999 by Society of Nuclear Medicine
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Methods to Avoid Adverse Effect of Circulating Antigen on Biodistribution of 125I-labeled AntiTac dsFv: Preinjection of Intact Antibody Versus Clearance of Antigen with Avidin-Biotin System

Hisataka Kobayashi, Bao-Fu Sun, Tae M. Yoo, Nhat Le, Meyoung-Kon Kim, Chang H. Paik, Ira Pastan, Thomas A. Waldmann and Jorge A. Carrasquillo

Department of Nuclear Medicine, Warren G. Magnuson Clinical Center
Laboratory of Molecular Biology, Division of Basic Sciences, and Metabolic Branch, Division of Clinical Sciences, National Cancer Institute, National Institutes of Health, Bethesda, Maryland

Correspondence: For correspondence or reprints contact: Jorge A. Carrasquillo, MD, Nuclear Medicine Department, National Institutes of Health, Building 10, Rm. 1C-496, 10 Center Dr., MSC 1180, Bethesda, MD, 20892-1180.

ABSTRACT

The presence of circulating antigen may adversely affect the biodistribution of a radiolabeled antibody. The {alpha} subunit of the interleukin-2 receptor (IL-2R{alpha}) is a cell-surface receptor that is overexpressed in various hematologic malignancies and in benign disorders. This receptor is cleaved from the cell surface and can be found in high concentrations in serum. Radiolabeled antiTac antibodies are being evaluated to target this receptor. Previous studies have shown that circulating soluble IL-2R{alpha} (sIL-2R{alpha}) adversely affected the biodistribution of radiolabeled antiTac disulfide-stabilized (ds)Fv. In this study, we compared blocking and clearing sIL-2R{alpha} to see which better minimized its interference with the biodistribution of radiolabeled antiTac dsFv. Methods: Two models of sIL-2R{alpha} were used: one consisted of mice given intravenous sIL-2R{alpha} and the other consisted of mice bearing SP2/Tac tumor xenografts (IL-2R{alpha} positive), which shed sIL-2R{alpha}. We biotinylated humanized antiTac monoclonal antibody (bt-HuTac) and radiolabeled it with 125I. We then compared its biodistribution with that of humanized antiTac monoclonal antibody lgG (HuTac). We examined the biodistribution of an injected dose of 125I-labeled antiTac dsFv after a preinjection of HuTac to block the sIL-2R{alpha} epitope and after a preinjection of bt-HuTac, followed by an avidin chase. Result: The 125I-labeled bt-HuTac cleared from the serum at a rate similar to that of HuTac. The avidin chase effectively cleared >92% of circulating 125I-labeled bt-HuTac within 20 min and was also effective in clearing sIL-2R{alpha}. In comparison, HuTac prolonged the retention of 125I-labeled sIL-2R{alpha} in the circulation, and the avidin chase decreased 125I-labeled sIL-2R{alpha} to <18% of control. Although the two-step antigen-clearing system effectively cleared the antigen from the circulation and improved the biodistribution of 125I-labeled dsFv, the HuTac preinjection method had a similar but longer lasting beneficial effect on 125I-labeled dsFv biodistribution. Conclusion: Preinjection of either HuTac or bt-HuTac with avidin chase improved the biodistribution of subsequently administered 125I-labeled antiTac dsFv by preventing the dsFv from binding to the sIL-2R{alpha}, but the HuTac blocking method is simpler and longer lasting.

Key Words: Fv fragment • radioimmunodetection • monoclonal antibody • interleukin-2 • avidin







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Copyright © 1999 by the Society of Nuclear Medicine.