RT Journal Article SR Electronic T1 Use of Fc-Engineered Antibodies as Clearing Agents to Increase Contrast During PET JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 1204 OP 1207 DO 10.2967/jnumed.113.136481 VO 55 IS 7 A1 Rafal Swiercz A1 Srinivas Chiguru A1 Amir Tahmasbi A1 Saleh M. Ramezani A1 Guiyang Hao A1 Dilip K. Challa A1 Matthew A. Lewis A1 Padmakar V. Kulkarni A1 Xiankai Sun A1 Raimund J. Ober A1 Ralph P. Mason A1 E. Sally Ward YR 2014 UL http://jnm.snmjournals.org/content/55/7/1204.abstract AB Despite promise for the use of antibodies as molecular imaging agents in PET, their long in vivo half-lives result in poor contrast and radiation damage to normal tissue. This study describes an approach to overcome these limitations. Methods: Mice bearing human epidermal growth factor receptor type 2 (HER2)–overexpressing tumors were injected with radiolabeled (124I, 125I) HER2-specific antibody (pertuzumab). Pertuzumab injection was followed 8 h later by the delivery of an engineered, antibody-based inhibitor of the receptor, FcRn. Biodistribution analyses and PET were performed at 24 and 48 h after pertuzumab injection. Results: The delivery of the engineered, antibody-based FcRn inhibitor (or Abdeg, for antibody that enhances IgG degradation) results in improved tumor-to-blood ratios, reduced systemic exposure to radiolabel, and increased contrast during PET. Conclusion: Abdegs have considerable potential as agents to stringently regulate antibody dynamics in vivo, resulting in increased contrast during molecular imaging with PET.