用于三阴性乳腺癌 PET 成像和 beta 治疗的抗 MT1-MMP 抗体的靶点接合

IF 3.6 4区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Nuclear medicine and biology Pub Date : 2024-05-23 DOI:10.1016/j.nucmedbio.2024.108930
Natalia Magro , Marta Oteo , Eduardo Romero , Marta Ibáñez-Moragues , Victor Manuel Lujan , Laura Martínez , Oscar Vela , Maria Elena López-Melero , Alicia G. Arroyo , Guillermo Garaulet , Jorge Luis Martínez-Torrecuadrada , Francisca Mulero , Miguel Angel Morcillo
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引用次数: 0

摘要

目的三阴性乳腺癌(TNBC)是一种侵袭性很强的乳腺癌亚型,缺乏有效的诊断和治疗方案。膜1型基质金属蛋白酶(MT1-MMP)是一种有吸引力的生物标志物,可用于改善患者选择。本研究旨在开发一种治疗工具,在 TNBC 小鼠模型中使用高度肿瘤选择性的抗 MT1-MMP 抗体(LEM2/15),用 89Zr 进行 PET,用 177Lu 进行治疗。在 TNBC 正位小鼠模型中,分别于给药后 1、2、4 和 7 天进行 PET 成像。对组织生物分布和药代动力学参数进行了分析,并使用 Patlak 线性化方法计算了不可逆摄取的流入率。TNBC 小鼠接受[177Lu]Lu-DOTA-LEM2/15(单剂量或 3 剂量方案)或生理盐水治疗。结果注射后7天,肿瘤异种移植的PET摄取显示,与阻断组和IgG同型对照组相比,非阻断组的[89Zr]Zr-Df-LEM2/15的瘤血比分别高出1.6倍和2.4倍。帕特拉克线性化方法证明了TBNC肿瘤对LEM2/15的特异性吸收是由MT1-MMP结合介导的,这为基于LEM2/15的治疗的潜在疗效提供了启示。注射 7 天后,肿瘤对[89Zr]Zr-Df-LEM2/15 和[177Lu]Lu-DOTA-LEM2/15 的吸收率相似(6.80 ± 1.31 vs. 5.61 ± 0.66 %ID/g)。与对照组相比,[177Lu]Lu-DOTA-LEM2/15 3剂量方案治疗组的肿瘤倍增时间更长(分别为50天和17天)。结论结果表明,89Zr/177Lu标记的抗MT1-MMP mAb(LEM2/15)对促进了免疫PET成像,并减少了临床前TNBC异种移植模型中的肿瘤生长。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Target engagement of an anti-MT1-MMP antibody for triple-negative breast cancer PET imaging and beta therapy

Purpose

Triple-negative breast cancer (TNBC) is a highly aggressive subtype of breast cancer that lacks effective diagnostic and therapeutic options. Membrane type 1 matrix metalloproteinase (MT1-MMP) is an attractive biomarker for improving patient selection. This study aimed to develop a theranostic tool using a highly tumour-selective anti-MT1-MMP antibody (LEM2/15) radiolabelled with 89Zr for PET and 177Lu for therapy in a TNBC murine model.

Methods

The LEM2/15 antibody and IgG isotype control were radiolabelled with 89Zr. PET imaging was performed in a TNBC orthotopic mouse model at 1, 2, 4, and 7 days after administration. Tissue biodistribution and pharmacokinetic parameters were analysed and Patlak linearisation was used to calculate the influx rate of irreversible uptake. The TNBC mice were treated with [177Lu]Lu-DOTA-LEM2/15 (single- or 3-dose regimen) or saline. Efficacy of [177Lu]Lu-DOTA-LEM2/15 was evaluated as tumour growth and DNA damage (γH2AX) in MDA 231-BrM2-831 tumours.

Results

At 7 days post-injection, PET uptake in tumour xenografts revealed a 1.6-fold and 2.4-fold higher tumour-to-blood ratio for [89Zr]Zr-Df-LEM2/15 in the non-blocked group compared to the blocked and IgG isotype control groups, respectively. Specific uptake of LEM2/15 in TBNC tumours mediated by MT1-MMP-binding was demonstrated by the Patlak linearisation method, providing insights into the potential efficacy of LEM2/15-based treatments. A similar uptake was found for [89Zr]Zr-Df-LEM2/15 and [177Lu]Lu-DOTA-LEM2/15 in tumours 7 days post-injection (6.80 ± 1.31 vs. 5.61 ± 0.66 %ID/g). Tumour doubling time was longer in the [177Lu]Lu-DOTA-LEM2/15 3-dose regimen treated group compared to the control (50 vs. 17 days, respectively). The percentage of cells with γH2AX-foci was higher in tumours treated with [177Lu]Lu-DOTA-LEM2/15 3-dose regimen compared to tumours non-treated or treated with [177Lu]Lu-DOTA-LEM2/15 single-dose (12 % vs. 4–5 %).

Conclusions

The results showed that the 89Zr/177Lu-labelled anti-MT1-MMP mAb (LEM2/15) pair facilitated immune-PET imaging and reduced tumour growth in a preclinical TNBC xenograft model.

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来源期刊
Nuclear medicine and biology
Nuclear medicine and biology 医学-核医学
CiteScore
6.00
自引率
9.70%
发文量
479
审稿时长
51 days
期刊介绍: Nuclear Medicine and Biology publishes original research addressing all aspects of radiopharmaceutical science: synthesis, in vitro and ex vivo studies, in vivo biodistribution by dissection or imaging, radiopharmacology, radiopharmacy, and translational clinical studies of new targeted radiotracers. The importance of the target to an unmet clinical need should be the first consideration. If the synthesis of a new radiopharmaceutical is submitted without in vitro or in vivo data, then the uniqueness of the chemistry must be emphasized. These multidisciplinary studies should validate the mechanism of localization whether the probe is based on binding to a receptor, enzyme, tumor antigen, or another well-defined target. The studies should be aimed at evaluating how the chemical and radiopharmaceutical properties affect pharmacokinetics, pharmacodynamics, or therapeutic efficacy. Ideally, the study would address the sensitivity of the probe to changes in disease or treatment, although studies validating mechanism alone are acceptable. Radiopharmacy practice, addressing the issues of preparation, automation, quality control, dispensing, and regulations applicable to qualification and administration of radiopharmaceuticals to humans, is an important aspect of the developmental process, but only if the study has a significant impact on the field. Contributions on the subject of therapeutic radiopharmaceuticals also are appropriate provided that the specificity of labeled compound localization and therapeutic effect have been addressed.
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