Radiolabelled 177 Lu-Bispidine-Trastuzumab for Targeting Human Epidermal Growth Factor Receptor 2 Positive Cancers

Chemistry. 2024 Mar 7;30(14):e202303805. doi: 10.1002/chem.202303805. Epub 2024 Jan 17.

Abstract

Radioimmunotherapy (RIT) is a promising alternative to conventional treatment options. Here, we present experimental work on the synthesis, radiochemistry, and in vivo performance of a lanthanoid-selective nonadentate bispidine ligand suitable for 177 Lu3+ ion complexation. The ligand (bisp,1) was derivatised with a photoactivatable aryl azide (ArN3 ) group as a bioconjugation handle for light-induced labelling of proteins. Quantitative radiosynthesis of [177 Lu]Lu-1+ was accomplished in 10 minutes at 40 °C. Subsequent incubation of [177 Lu]Lu-1+ with trastuzumab, followed by irradiation with light at 365 nm for 15 min, at room temperature and pH 8.0-8.3, gave the radiolabelled mAb, [177 Lu]Lu-1-azepin-trastuzumab ([177 Lu]Lu-1-mAb) in a decay-corrected radiochemical yield of 14 %, and radiochemical purity (RCP)>90 %. Stability studies and cellular binding assays in vitro using the SK-OV-3 human ovarian cancer cells confirmed that [177 Lu]Lu-1-mAb remained biological active and displayed specific binding to HER2/neu. Experiments in immunocompromised female athymic nude mice bearing subcutaneous xenograft models of SK-OV-3 tumours revealed significantly higher tumour uptake in the normal group compared with the control block group (29.8±11.4 %ID g-1 vs. 14.8±6.1 %ID g-1 , respectively; P-value=0.037). The data indicate that bispidine-based ligand systems are suitable starting points for constructing novel, high-denticity chelators for specific complexation of larger radiotheranostic metal ion nuclides.

Keywords: Bispidines; cancer imaging; lanthanoids; photoconjugation; radiotheranostics.

MeSH terms

  • Animals
  • Bridged Bicyclo Compounds, Heterocyclic*
  • Cell Line, Tumor
  • Female
  • Humans
  • Ligands
  • Lutetium
  • Mice
  • Mice, Nude
  • Neoplasms* / diagnostic imaging
  • Neoplasms* / drug therapy
  • Radioisotopes*
  • Receptor, ErbB-2*
  • Trastuzumab

Substances

  • Trastuzumab
  • ERBB2 protein, human
  • Radioisotopes
  • bispidine
  • Ligands
  • Lutetium
  • Receptor, ErbB-2
  • Bridged Bicyclo Compounds, Heterocyclic