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A Novel ¹¹¹In-Labeled Anti-Prostate-Specific Membrane Antigen Nanobody for Targeted SPECT/CT Imaging of Prostate Cancer.

AbstractUNLABELLED:
Prostate-specific membrane antigen (PSMA) is overexpressed in prostate cancer (PCa) and a promising target for molecular imaging and therapy. Nanobodies (single-domain antibodies, VHH) are the smallest antibody-based fragments possessing ideal molecular imaging properties, such as high target specificity and rapid background clearance. We developed a novel anti-PSMA Nanobody (JVZ-007) for targeted imaging and therapy of PCa. Here, we report on the application of the (111)In-radiolabeled Nanobody for SPECT/CT imaging of PCa.
METHODS:
A Nanobody library was generated by immunization of a llama with 4 human PCa cell lines. Anti-PSMA Nanobodies were captured by biopanning on PSMA-overexpressing cells. JVZ-007 was selected for evaluation as an imaging probe. JVZ-007 was initially produced with a c-myc-hexahistidine (his) tag allowing purification and detection. The c-myc-his tag was subsequently replaced by a single cysteine at the C terminus, allowing site-specific conjugation of chelates for radiolabeling. JVZ-007-c-myc-his was conjugated to 2-(4-isothiocyanatobenzyl)-diethylenetriaminepentaacetic acid (p-SCN-DTPA) via the lysines, whereas JVZ-007-cys was conjugated to maleimide-DTPA via the C-terminal cysteine. PSMA targeting was analyzed in vitro by cell-binding experiments using flow cytometry, autoradiography, and internalization assays with various PCa cell lines and patient-derived xenografts (PDXs). The targeting properties of radiolabeled Nanobodies were evaluated in vivo in biodistribution and SPECT/CT imaging experiments, using nude mice bearing PSMA-positive PC-310 and PSMA-negative PC-3 tumors.
RESULTS:
JVZ-007 was successfully conjugated to DTPA for radiolabeling with (111)In at room temperature. (111)In-JVZ007-c-myc-his and (111)In-JVZ007-cys internalized in LNCaP cells and bound to PSMA-expressing PDXs and, importantly, not to PSMA-negative PDXs and human kidneys. Good tumor targeting and fast blood clearance were observed for (111)In-JVZ-007-c-myc-his and (111)In-JVZ-007-cys. Renal uptake of (111)In-JVZ-007-c-myc-his was initially high but was efficiently reduced by coinjection of gelofusine and lysine. The replacement of the c-myc-his tag by the cysteine contributed to a further reduction of renal uptake without loss of targeting. PC-310 tumors were clearly visualized by SPECT/CT with both tracers, with low renal uptake (<4 percentage injected dose per gram) for (111)In-JVZ-007-cys already at 3 h after injection.
CONCLUSION:
We developed an (111)In-radiolabeled anti-PSMA Nanobody, showing good tumor targeting, low uptake in nontarget tissues, and low renal retention, allowing excellent SPECT/CT imaging of PCa within a few hours after injection.
AuthorsKristell L S Chatalic, Joke Veldhoven-Zweistra, Michiel Bolkestein, Sander Hoeben, Gerben A Koning, Otto C Boerman, Marion de Jong, Wytske M van Weerden
JournalJournal of nuclear medicine : official publication, Society of Nuclear Medicine (J Nucl Med) Vol. 56 Issue 7 Pg. 1094-9 (Jul 2015) ISSN: 1535-5667 [Electronic] United States
PMID25977460 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© 2015 by the Society of Nuclear Medicine and Molecular Imaging, Inc.
Chemical References
  • Antigens, Surface
  • His-His-His-His-His-His
  • Oligopeptides
  • Peptide Library
  • Proto-Oncogene Proteins c-myc
  • Single-Domain Antibodies
  • Histidine
  • FOLH1 protein, human
  • Glutamate Carboxypeptidase II
  • Cysteine
Topics
  • Animals
  • Antigens, Surface (chemistry)
  • Autoradiography
  • Cell Line, Tumor
  • Cysteine (chemistry)
  • Flow Cytometry
  • Glutamate Carboxypeptidase II (chemistry)
  • Histidine (chemistry)
  • Humans
  • Kidney (diagnostic imaging)
  • Male
  • Mice
  • Multimodal Imaging
  • Nanomedicine
  • Neoplasm Transplantation
  • Oligopeptides (chemistry)
  • Peptide Library
  • Prostatic Neoplasms (diagnosis, diagnostic imaging)
  • Protein Structure, Tertiary
  • Proto-Oncogene Proteins c-myc (chemistry)
  • Single-Domain Antibodies (chemistry)
  • Tomography, Emission-Computed, Single-Photon
  • Tomography, X-Ray Computed

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