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JAEA-Review-2010-065.pdf:15.99MB - 日本原子力研究開発機構

JAEA-Review-2010-065.pdf:15.99MB - 日本原子力研究開発機構

JAEA-Review-2010-065.pdf:15.99MB - 日本原子力研究開発機構

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3-52<br />

Imaging and Biodistribution of Her2/Neu Expression in<br />

Non-Small Cell Lung Cancer Xenografts with<br />

64 Cu-labeled Trastuzumab PET<br />

P. Paudyal a) , B. Paudyal a) , H. Hanaoka a) , N. Oriuchi a) , Y. Iida a) , H. Yoshioka a) ,<br />

H. Tominaga a) , Sa. Watanabe b) , Sh. Watanabe b) , N. S. Ishioka b) and K. Endo a)<br />

a) Graduate School of Medicine, Gunma University,<br />

b) Radiation-Applied Biology Division, QuBS, <strong>JAEA</strong><br />

Lung cancer is one of the leading causes of death with a<br />

5-year survival rate of less than 10%. Activation of human<br />

epidermal growth factor receptor 2 (Her2/neu) genes is<br />

encountered in subpopulations of non-small cell lung<br />

carcinomas (NSCLC). NSCLC overexpress the Her2/neu<br />

gene in approximately 59% of cases. Trastuzumab, a<br />

humanized monoclonal antibody, interferes with Her2<br />

signaling and is approved for the treatment of Her2/neu<br />

overexpressing breast cancer. However, its therapeutic use<br />

in Her2/neu overexpressing NSCLC remains obscure 1) .<br />

64<br />

Cu with half-life 12.7 h labeled monoclonal antibody<br />

has been garnering interest in the field of targeted imaging<br />

due to its emission of both β + (17.4%) and β - (41%) 2) . The<br />

present study aimed to determine the role of 64 Cu-labeled<br />

trastuzumab positron emission tomography (PET) for<br />

non-invasive imaging of Her2/neu expression in NSCLC.<br />

Methods: Trastuzumab was conjugated with the<br />

bifunctional chelator 1, 4, 7, 10-tetraazacyclododecane-1, 4,<br />

7, 10-tetraacetic acid (DOTA) and radiolabeled with 64 Cu.<br />

The molecular specificity of DOTA-trastuzumab was<br />

determined in NSCLC cell lines with Her2/neu<br />

overexpression (NCI-H2170) and negative expression<br />

(NCI-H520). 64 CuCl2 was provided in a dry state and was<br />

dissolved in sodium acetate buffer (0.25 M, pH 6.0).<br />

Thirty μg of DOTA-trastuzumab was added and the mixture<br />

was incubated at 40 ºC for 1.5 h. Then, 10 mM EDTA was<br />

added and the above solution was incubated for 15 min at<br />

45 ºC. The labeling yield was checked with thin layer<br />

chromatography (TLC). The final purification was done<br />

using a Bio-Spin 6 Tris column. Imaging of Her2/neu<br />

expression was performed in NCI-H2170 tumor-bearing<br />

mice with<br />

64 Cu-DOTA-trastuzumab PET and<br />

64<br />

Cu-DOTA-IgG. Size exclusion HPLC (SE-HPLC) was<br />

used to evaluate the in vitro and in vivo stability of<br />

64<br />

Cu-DOTA-trastuzumab. For in vitro stability,<br />

64<br />

Cu-DOTA-trastuzumab was mixed with murine serum and<br />

the solution was incubated at 37 C and the aliquots were<br />

analyzed at 1 h, 24 h and 48 h. For in vivo analysis, blood<br />

was drawn from the mice injected with<br />

64<br />

Cu-DOTA-trastuzumab at 1 h and 48 h and the sample was<br />

analyzed by SE-HPLC.<br />

Results: The labeling efficiency of<br />

64 Cu-DOTA-<br />

trastuzumab was 92% without purification and 99% after<br />

purification, which should allow the specific uptake of the<br />

conjugate. The number of DOTA chelator molecule<br />

attached to the trastuzumab was 5-6 per mole of trastuzumab.<br />

Incubation of 64 Cu-DOTA-trastuzumab in murine and in<br />

vivo revealed that the conjugate existed only in the intact<br />

form (retention time : 19-20 min) and no transchelation to<br />

protein was seen until 48 h which confirmed the stability of<br />

the conjugate as shown in the Fig. 1. The retention time of<br />

the sample, serum and blood was 19-20 min. In vitro<br />

studies revealed specific binding of DOTA-trastuzumab in<br />

<strong>JAEA</strong>-<strong>Review</strong> <strong>2010</strong>-065<br />

the Her2/neu positive NCI-H2170 cells, while no binding<br />

was seen in the Her2/neu negative NCI-H520 cell line.<br />

Biodistribution and PET studies revealed a significantly<br />

high accumulation of 64 Cu-DOTA-trastuzumab in the<br />

Her2/neu overexpressing NCI-H2170 tumor at 24 h and 48 h<br />

post-injection (21.4 ± 1.4% and 23.2 ± 5.1% injection<br />

dose/gram (% ID/g), respectively) as shown in the Fig. 2.<br />

PET imaging of Her2/neu negative NCI-H520 tumors<br />

showed much less uptake of 64 Cu-DOTA-trastuzumab (4.0%<br />

ID/g). The NCI-H2170 tumor uptake of 64 Cu-DOTA-<br />

trastuzumab was significantly higher than that of<br />

64 Cu-DOTA-IgG (p

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