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Research ArticleMolecular Imaging

A Dual-Modality Linker Enables Site-Specific Conjugation of Antibody Fragments for 18F-Immuno-PET and Fluorescence Imaging

Kirstin A. Zettlitz, Christopher M. Waldmann, Wen-Ting K. Tsai, Richard Tavaré, Jeffrey Collins, Jennifer M. Murphy and Anna M. Wu
Journal of Nuclear Medicine October 2019, 60 (10) 1467-1473; DOI: https://doi.org/10.2967/jnumed.118.223560
Kirstin A. Zettlitz
Crump Institute for Molecular Imaging, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, Los Angeles, California
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Christopher M. Waldmann
Crump Institute for Molecular Imaging, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, Los Angeles, California
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Wen-Ting K. Tsai
Crump Institute for Molecular Imaging, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, Los Angeles, California
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Richard Tavaré
Crump Institute for Molecular Imaging, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, Los Angeles, California
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Jeffrey Collins
Crump Institute for Molecular Imaging, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, Los Angeles, California
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Jennifer M. Murphy
Crump Institute for Molecular Imaging, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, Los Angeles, California
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Anna M. Wu
Crump Institute for Molecular Imaging, Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, Los Angeles, California
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  • FIGURE 1.
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    FIGURE 1.

    Concept: DML. (A) Structure of DML containing 3 functional groups. (B) Sulfo-cyanine5 NHS ester was conjugated to amine group (DML-sCy5). (C) Schematic of site-specific conjugation and radiolabeling. Reducing A2cDb C-terminal disulfide-bridge presents thiol groups for conjugation with maleimide group. Radiofluorination is achieved by click chemistry using 18F-TCO. TCEP = tris(2-carboxyethyl)phosphine; VH = heavy-chain variable domain; VL = light-chain variable domain.

  • FIGURE 2.
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    FIGURE 2.

    Biochemical characterization of DML-conjugated A2cDb. (A) Sodium dodecyl sulfate–polyacrylamide gel electrophoresis analysis of A2cDb and site-specifically conjugated A2cDb under nonreducing conditions: Coomassie-stained and unstained (white light). (B) Size exclusion chromatography of A2cDb, A2cDb-DML, and A2cDb-DML-sCy5 shows similar elution profiles for protein (280 nm). Fluorescent dye (sCy5, 650 nm) elutes at same time as protein (22.2 min), confirming conjugation to A2cDb. (C) Binding of A2cDb-DML-sCy5 to 22Rv1-PSCA cells analyzed by flow cytometry. Saturation binding curve of 1 of 3 independent experiments is shown. Apparent affinity of A2cDb-DML-sCy5 was calculated using single-site specific binding model. MFI = mean fluorescence intensity.

  • FIGURE 3.
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    FIGURE 3.

    Immuno-PET imaging shows antigen-specific uptake in PSCA-positive prostate cancer xenografts. Nude mice bearing PSCA-negative (22Rv1, left shoulder) and PSCA-positive (22Rv1-PSCA, right shoulder) subcutaneous xenografts were imaged with single-modality 18F-DML-A2cDb 60-min dynamic scan (A) and 10-min static scans at 1, 2, and 4 h after injection (B) or dual-modality 18F-DMLsCy5-A2cDb 60-min dynamic scan (C) and 10-min static scans at 1, 2, and 4 h after injection (D). Depicted are representative scans (of n ≥ 6) as whole-body maximum-intensity-projection small-animal PET/CT overlays.

  • FIGURE 4.
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    FIGURE 4.

    Same mice were assessed by optical imaging. (A) Postmortem optical imaging of mice with skin removed. Mice injected with dual-modality 18F-DMLsCy5-A2cDb show antigen-specific fluorescence signal in PSCA-positive tumor on right shoulder (dashed circle). Two representative mice (of n = 7) are shown. (B) 22Rv1 (−) and 22Rv1-PSCA (+) xenografts were analyzed ex vivo to compare relative fluorescent signal without obstruction from other organs.

  • FIGURE 5.
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    FIGURE 5.

    Quantitative ROI analysis and ex vivo biodistribution. (A) Quantitative ROI analysis of blood (heart), liver, kidney, and 22Rv1-PSCA tumor. (B) Ex vivo biodistribution 4 h after injection of 18F-DML-A2cDb (n = 6) and 18F-DMLsCy5-A2cDb (n = 7). Tumors and organs were harvested and γ-counted.

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    TABLE 1

    Radiolabeling of A2cDb Using 18F-TCO Click Chemistry

    18F-DML-A2cDb18F-DMLsCy5-A2cDb
    ParameterMeanSDMeanSD
    D/P ratioND1.070.26
    Labeling efficiency (%)77.117.752.718.6
    Specific activity (MBq/μg)0.410.120.500.30
    Radiochemical purity (%)97.31.689.110.6
    Immunoreactivity (%)42.98.741.56.9
    n33
    • ND = not determined.

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    TABLE 2

    Ex Vivo Biodistribution 4 Hours After Injection

    18F-DML-A2cDb18F-DMLsCy5-A2cDb
    SiteMeanSEMMeanSEM
    Blood0.440.190.900.17
    22Rv1-PSCA (+)2.841.072.890.38
    22Rv1 (−)0.320.090.820.19
    Heart0.180.070.850.11
    Lung0.440.171.670.19
    Liver0.370.104.810.29
    Kidney1.710.5615.21.1
    Spleen0.210.062.020.17
    Stomach0.310.100.540.08
    Intestine13.72.76.370.46
    Muscle0.050.010.300.04
    Bone0.250.061.530.17
    Carcass0.110.040.660.13
    n67
    • Data are %ID/g mean ± SE of mean.

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Journal of Nuclear Medicine: 60 (10)
Journal of Nuclear Medicine
Vol. 60, Issue 10
October 1, 2019
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A Dual-Modality Linker Enables Site-Specific Conjugation of Antibody Fragments for 18F-Immuno-PET and Fluorescence Imaging
Kirstin A. Zettlitz, Christopher M. Waldmann, Wen-Ting K. Tsai, Richard Tavaré, Jeffrey Collins, Jennifer M. Murphy, Anna M. Wu
Journal of Nuclear Medicine Oct 2019, 60 (10) 1467-1473; DOI: 10.2967/jnumed.118.223560

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A Dual-Modality Linker Enables Site-Specific Conjugation of Antibody Fragments for 18F-Immuno-PET and Fluorescence Imaging
Kirstin A. Zettlitz, Christopher M. Waldmann, Wen-Ting K. Tsai, Richard Tavaré, Jeffrey Collins, Jennifer M. Murphy, Anna M. Wu
Journal of Nuclear Medicine Oct 2019, 60 (10) 1467-1473; DOI: 10.2967/jnumed.118.223560
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Keywords

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