Abstract

Bioorthogonal chemistry represents a challenging approach in pretargeted radioimmunotherapy (PRIT). We focus here on mAb modifications by grafting an increase amount of trans-cyclooctene (TCO) derivatives (0 to 30 equivalents with respect to mAb) bearing different polyethylene glycol (PEG) linkers between mAb and TCO (i.e. PEG0 (1), PEG4 (2) and PEG12 (3)) and assessing their functionality. We used colorectal xenograft (HT29/Ts29.2) and peritoneal carcinomatosis (A431-CEA-Luc/35A7) as tumor cells/mAbs models and fluorescent tetrazines (TZ). MALDI-TOF MS shows that grafting with 2,3 increases significantly the number of TCO per mAb compared with no PEG. In vitro immunofluorescence showed that Ts29.2 and 35A7 labeling intensity is correlated with the number of TCO when using 1,3 while signals reach a maximum at 10 equivalents when using 2. Under 10 equivalents conditions, the capacity of resulting mAbs-1–3 for antigen recognition is similar when reported per grafted TCO and comparable to mAbs without TCO. In vivo, on both models, pretargeting with mAbs-2,3 followed by TZ injection induced a fluorescent signal two times lower than with mAbs-1. These findings suggest that while PEG linkers allow a better accessibility for TCO grafting, it might decrease the number of reactive TCO. In conclusion, mAb-1 represents the best candidate for PRIT.

Highlights

  • Bioorthogonal chemistry represents a challenging approach in pretargeted radioimmunotherapy (PRIT)

  • Current PC treatment, cytoreductive surgery combined with intraperitoneal chemotherapy, has notably improved the 5-year overall survival rate that still remains below 50% and strongly depends on the peritoneal carcinomatosis index (PCI) - from 44% if PCI < 6 to 7% if PCI > 177,8

  • Assessment of monoclonal antibodies (mAbs)-1–3 (Fig. 1a) masses (m/z) by MALDI-TOF MS allowed determining the number of TCOn-PEGn moieties grafted on mAbs

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Summary

Introduction

Bioorthogonal chemistry represents a challenging approach in pretargeted radioimmunotherapy (PRIT). Pretargeting-radioimmunotherapy (PRIT) in preclinical murine models of pancreatic cancer, using an anti-CA19.9 mAb, 5B1-TCO, induced a rapid and persistent uptake in tumors from 4 h to 120 h after injection of 177Lu-DOTA-PEG7-TZ probe having a rapid clearance from non-targeted tissues[19]. This approach resulted in significant growth delay and regression of BxPC3 xenografts for a single dose injected higher to 29.6 MBq demonstrating the efficiency of PRIT system[19]. While addition of PEG linkers on TCO-mAbs may improve their solubility and increase their tumor uptake, the rational concerning the appropriate length of PEG remains unclear

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