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First published online February 17, 2009, 10.2967/jnumed.108.057919
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Journal of Nuclear Medicine Vol. 50 No. 3 417-425
© 2009 by Society of Nuclear Medicine

doi: 10.2967/jnumed.108.057919

Basic Science Investigation

On the Selection of a Tracer for PET Imaging of HER2-Expressing Tumors: Direct Comparison of a 124I-Labeled Affibody Molecule and Trastuzumab in a Murine Xenograft Model

Anna Orlova1,2, Helena Wållberg1, Sharon Stone-Elander3 and Vladimir Tolmachev1,2,4

1 Affibody AB, Bromma, Sweden; 2 Division of Biomedical Radiation Sciences, Department of Oncology, Radiology and Clinical Immunology, Rudbeck Laboratory, Uppsala University, Uppsala, Sweden; 3 Karolinska Pharmacy at Karolinska University Hospital, Solna, and Department of Clinical Neurosciences, Karolinska Institutet, Stockholm, Sweden; and 4 Division of Nuclear Medicine, Department of Medical Sciences, Uppsala University, Uppsala, Sweden

Correspondence: For correspondence or reprints contact: Anna Orlova, Affibody AB, Box 20137, SE-16102, Bromma, Sweden. E-mail: anna.orlova{at}bms.uu.se

Human epidermal growth factor receptor type 2 (HER2) is a tyrosine kinase, which is often overexpressed in many carcinomas. Imaging HER2 expression in malignant tumors can provide important prognostic and predictive diagnostic information. The use of anti-HER2 tracers labeled with positron-emitting radionuclides may increase the sensitivity of HER2 imaging. The goal of this study was to compare directly 2 approaches for developing anti-HER2 PET tracers: a 124I-labeled monoclonal antibody and a small (7-kDa) scaffold protein, the Affibody molecule. Methods: The anti-HER2 Affibody ZHER2:342 and humanized monoclonal antibody trastuzumab were labeled with 124/125I using p-iodobenzoate (PIB) as a linker. Cellular processing of both tracers by HER2-expressing cells was investigated. The biodistributions of 124I-PIB-ZHER2:342 and 125I-PIB-trastuzumab were compared in BALB/C nu/nu mice bearing HER2-expressing NCI-N87 xenografts using paired labels. Small-animal PET of 124I-PIB-ZHER2:342 and 124I-PIB-trastuzumab in tumor-bearing mice was performed at 6, 24, and 72 h after injection. Results: Both radioiodinated ZHER2:342 and trastuzumab bound specifically to HER2-expressing cells in vitro and specifically targeted HER2-expressing xenografts in vivo. Radioiodinated trastuzumab was more rapidly internalized and degraded, which resulted in better retention of radioactivity delivered by ZHER2:342. Total uptake of trastuzumab in tumors was higher than that of 124I-PIB-ZHER2:342. However, tumor-to-organ ratios were appreciably higher for 124I-PIB-ZHER2:342 due to the more rapid clearance of radioactivity from blood and normal organs. The ex vivo results were confirmed by small-animal PET. Conclusion: The use of the small scaffold targeting Affibody provides better contrast in HER2 imaging than does the monoclonal antibody.

Key Words: Affibody molecules • imaging • targeting • xenografts • HER2

COPYRIGHT © 2009 by the Society of Nuclear Medicine, Inc.


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