Radiolanthanide-Labeled Monoclonal Antibody CC49 for Radioimmunotherapy of Cancer: Biological Comparison of DOTA Conjugates and 149Pm, 166Ho, and 177Lu
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The radiolanthanides 149Pm, 166Ho, and 177Lu have decay characteristics suitable for radioimmunotherapy (RIT)of cancer. N-Hydroxysulfosuccinimidyl DOTA (DOTA-OSSu) and methoxy-DOTA (MeO-DOTA) were conjugatedto the anti-TAG-72 monoclonal antibody CC49 for radiolabeling with 149Pm, 166Ho, and 177Lu. While both DOTAconjugates could be labeled to high specific activity with 177Lu, MeO-DOTA afforded superior conjugate stability,radiolabeling, and radiochemical purity. Pilot biodistributions in nude mice bearing LS174T human colon carcinomaxenografts demonstrated that MeO-DOTA afforded higher tumor uptake and lower kidney retention of 177Lu thanDOTA-OSSu. The in vitro stability of 149Pm-, 166Ho-, and 177Lu-MeO-DOTA-CC49 was evaluated using serumand hydroxyapatite assays. Serum stability of radiolanthanide-labeled MeO-DOTA-CC49 followed a trend basedon the coordination energies of the radiometals, with 177Lu showing the highest stability after 96 to 168 h at 37s/entities/deg.gif">C. In contrast, MeO-DOTA-CC49 labeled with all three radiolanthanides was >92% stable to hydroxyapatitechallenge for 168 h at 37 s/entities/deg.gif">C. Comprehensive biodistributions of 149Pm-, 166Ho-, and 177Lu-MeO-DOTA-CC49were obtained in LS174T-bearing nude mice. Maximum tumor uptakes were 100.0% ID/g for 149Pm at 96 h,69.5% ID/g for 166Ho at 96 h, and 132.4% ID/g for 177Lu at 168 h. Normal organ uptakes were generally low,except in the liver, spleen, and kidney at early time points. By 96 to 168 h postinjection, nontarget organ uptakedecreased to approximately 7% ID/g (kidney), 12% ID/g (spleen), and 20% ID/g (liver) for each radiolanthanide.When labeled with 149Pm, 166Ho, and 177Lu, MeO-DOTA-CC49 has potential for RIT of colorectal cancer andother carcinomas.

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