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5th EuropEan MolEcular IMagIng MEEtIng - ESMI

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<strong>5th</strong> <strong>EuropEan</strong> <strong>MolEcular</strong> <strong>IMagIng</strong> <strong>MEEtIng</strong> – EMIM2010<br />

Integrisense: a novel near-infrared fluorescent probe for α v β 3 integrin and its applications in<br />

drug discovery<br />

Sur C. (1) , Lin S.A. (1) , Gleason A. (1) , Kossodo S. (1) , Pickarski M. (1) , Coleman P. (1) , Rajopadhye M. (2) , Duong L. T. (1) , Yared W. (2) ,<br />

Peterson J. (2) , Bednar B. (1) .<br />

(1) Merck Research Laboratories, Westpoint US<br />

(2) ViSen Medical.<br />

cyrille_sur@merck.com<br />

Introduction: The α v β 3 integrin belongs to the superfamilly<br />

of dimeric transmembrane cell adhesion<br />

receptors involved in critical biological processes<br />

such as cell-to-cell, and cell-to-extracellular<br />

matrix binding. As these activities are central to<br />

pathological conditions such as inflammation and<br />

tumor progression, the RGD-binding α v β 3 integrin<br />

has been considred as clinically-relevant biomarkers<br />

of these disease states. Although, RDG peptides<br />

have been developed for PET and SPECT imaging,<br />

the operating cost of these modalities limits their<br />

widespread deployment in drug discovery teams. In<br />

contrast optical molecular imaging allows the noninvasive<br />

monitoring and quantification of fluorescent<br />

probes in vivo with less expensive equipment<br />

that can be installed at multiple research sites. In<br />

order to take full advantage of the rich biology of integrins,<br />

a partnership has been established between<br />

Merck Research Laboratories and VisEn Medical to<br />

develop a novel near-infrared (NIR) fluorescent integrin<br />

probe, IntegriSense TM . The pharmacological<br />

and biological characterization of IntegriSense TM ,<br />

a peptidomimetic antagonist-based molecule with<br />

improved specificity and binding affinity will be<br />

presented together with research applications in the<br />

oncology and atherosclerosis research fields.<br />

Methods: The in vitro cell biology and pharmacological<br />

profiling of IntegriSense TM were conducted<br />

with recombinant HEK-293 cells expressing α v β 3<br />

and included confocal microscopy for cellular localization<br />

and flow cytometry for binding and kinetic<br />

constant determination. In vivo pharmacodynamics<br />

and tumor localization studies were performed<br />

in female NU/NU mice bearing different human<br />

tumor xenografts. IntegriSense TM NIR fluorescent<br />

signal was acquired with a Fluorescent Molecular<br />

Tomography imaging system (FMT2500). The potential<br />

application of IntegriSense TM in atherosclerosis<br />

was evaluated in apolipoprotein E-deficient<br />

(ApoE-/-) and human cholesteryl ester transfer<br />

protein (CETP) knockin/LDL receptor-deficient<br />

(C57BL/6-Tg(CETP)-Ldlrtm1) mice. Transgenic<br />

as well as control C57Bl/6 mice were fed a cholesterol<br />

enriched diet (9% fat, 0.15% cholesterol) to<br />

induce atherosclerosis. IntegriSense TM NIR signal<br />

was measured in vivo 24 and 48 hours after probe<br />

injection and its localization in inflamed aortas was<br />

further evaluated by ex-vivo imaging and histology.<br />

Results: Integrisense-680 has absorption/emission<br />

spectra centered at 674nm/692nm and an extinction<br />

coefficient of 2.02x10 5 M -1 cm -1 . Binding of IntegriSense<br />

TM to HEK-293 stably expressing recombinant<br />

human α v β 3 yielded a Kd of 4.2±0.6 nM and<br />

a dissociation constant koff of 1.08x10 -4 s -1 . Plasma<br />

pharmacokinetic analysis revealed a two compartmental<br />

profile with t1/2 of 6 min and 210 min corresponding<br />

to clearance of free and bound IntegriSense<br />

TM , respectively. Biodistribution studies in<br />

mice with xenograft tumors showed a specific uptake<br />

of IntegriSense TM by tumor cells and supported<br />

using IntegriSense TM to monitor tumor growth in<br />

animal models.<br />

In vivo measurements with FMT2500 in mice atherosclerosis<br />

models detected a longitudinal increase in<br />

IntegriSense TM fluorescence in the thorax area that<br />

was three to five fold higher when compared with<br />

control animals. This NIR signal originated from<br />

atherosclerotic lesions in the aortic arch, carotid,<br />

and subclavian arteries as confirmed by ex vivo imaging<br />

of the dissected vessels and histopathology.<br />

Conclusions: This report demonstrated that the α v β 3<br />

integrin optical reporter, IntegriSense TM developed<br />

by Merck and VisEn partnership can be used as a<br />

molecular imaging biomarker for in vivo imaging<br />

studies. For instance, IntegriSense TM can be used to<br />

monitor tumor growth as well as to detect inflammation<br />

in atherosclerosis plaques. The ability of<br />

this biomarker to report on several important cellular<br />

and physiological functions makes it a tool of<br />

choice to evaluate preclinically the therapeutic potential<br />

of novel anticancer and atherosclerosis drugs.<br />

<strong>EuropEan</strong> SocIEty for <strong>MolEcular</strong> <strong>IMagIng</strong> – <strong>ESMI</strong><br />

day2<br />

Plenary Session on current contribution of IMAGING TECHNOLOGIES to DRUG DEVELOPMENT

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