Abstract

<div>AbstractPurpose:<p>To design and evaluate a small engineered protein binder targeting human programmed death-1 ligand (hPD-L1) <i>in vivo</i> for PET imaging in four mouse tumor models, and <i>in situ</i> in human cancer specimens.</p><p><b>Experimental Design:</b> The hPD-L1 protein binder, FN3<sub>hPD-L1</sub>, was engineered using a 12-kDa human fibronectin type-3 domain (FN3) scaffold. The binder's affinity was assayed in CT26 mouse colon carcinoma cells stably expressing hPD-L1 (CT26/hPD-L1). <sup>64</sup>Cu-FN3<sub>hPD-L1</sub> was assayed for purity, specific activity, and immunoreactivity. Four groups of NSG mice (<i>n</i> = 3–5/group) were imaged with <sup>64</sup>Cu-FN3<sub>hPD-L1</sub> PET imaging (1–24 hours postinjection of 3.7 MBq/7 μg of Do-FN3 in 200 μL PBS): Nod SCID Gamma (NSG) mice bearing (i) syngeneic CT26/hPD-L1tumors, (ii<sub>hPD-L1</sub> binder, (iii<sub>hPD-L1</sub> binder staining was evaluated against validated hPD-L1 antibodies by immunostaining in human cancer specimens.</p>Results:<p>FN3<sub>hPD-L1</sub> bound hPD-L1 with 1.4 ± 0.3 nmol/L affinity in CT26/hPD-L1 cells. <sup>64</sup>Cu-FN3<sub>hPD-L1</sub> radiotracer showed >70% yield and >95% purity. <sup>64</sup>Cu-FN3<sub>hPD-L1</sub> PET imaging of mice bearing CT26/hPD-L1 tumors showed tumor-to-muscle ratios of 5.6 ± 0.9 and 13.1 ± 2.3 at 1 and 4 hours postinjection, respectively. The FN3<sub>hPD-L1</sub> binder detected hPD-L1 expression in human tissues with known hPD-L1 expression status based on two validated antibodies.</p>Conclusions:<p>The <sup>64</sup>Cu-FN3<sub>hPD-L1</sub> radiotracer represents a novel, small, and high-affinity binder for imaging hPD-L1 in tumors. Our data support further exploration and clinical translation of this binder for noninvasive identification of cancer patients who may respond to immune checkpoint blockade therapies.</p></div>

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