Radioiodinated versus radiometal-labeled anti-carcinoembryonic antigen single-chain Fv-Fc antibody fragments: optimal pharmacokinetics for therapy

Cancer Res. 2007 Jan 15;67(2):718-26. doi: 10.1158/0008-5472.CAN-06-0454.

Abstract

Antibody fragments with optimized pharmacokinetic profiles hold potential for detection and therapy of tumor malignancies. We studied the behavior of three anti-carcinoembryonic antigen (CEA) single-chain Fv-Fc (scFv-Fc) variants (I253A, H310A, and H310A/H435Q; Kabat numbering system) that exhibited differential serum persistence. Biodistribution studies done on CEA-positive tumor xenografted mice revealed that the 111In-labeled I253A fragment with the slowest clearance kinetics (T1/2beta, 27.7 h) achieved the highest tumor uptake (44.6% ID/g at 24 h), whereas the radiometal-labeled H310A/H435Q fragment with the most rapid elimination (T1/2beta, 7.05 h) reached a maximum of 28.0% ID/g at 12 h postinjection. The H310A protein was characterized by both intermediate serum half-life and tumor uptake. The 111In-based biodistribution studies showed that all three fragments were eliminated primarily through the liver, and hepatic radiometal activity correlated with the rate of fragment clearance. The 111In-labeled H310A/H435Q protein exhibited the highest liver uptake (23.5% ID/g at 24 h). Metabolism of the 125I-labeled scFv-Fc proteins resulted in low normal organ activity. Finally, the 125I/111In biodistribution data allowed for dose estimations, which suggest the 131I-labeled scFv-Fc H310A/H435Q as a promising candidate for radioimmunotherapy.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Carcinoembryonic Antigen / immunology*
  • Cell Line, Tumor
  • Colonic Neoplasms / metabolism
  • Female
  • Heterocyclic Compounds, 1-Ring / chemistry
  • Heterocyclic Compounds, 1-Ring / pharmacokinetics
  • Humans
  • Immunoconjugates / pharmacokinetics*
  • Immunoglobulin Fragments / immunology
  • Immunoglobulin Fragments / metabolism*
  • Indium Radioisotopes / pharmacokinetics*
  • Iodine Radioisotopes / pharmacokinetics*
  • Isotope Labeling
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • Radiopharmaceuticals / pharmacokinetics*
  • Tissue Distribution
  • Transplantation, Heterologous

Substances

  • Carcinoembryonic Antigen
  • Heterocyclic Compounds, 1-Ring
  • Immunoconjugates
  • Immunoglobulin Fragments
  • Indium Radioisotopes
  • Iodine Radioisotopes
  • Radiopharmaceuticals
  • 1,4,7,10-tetraazacyclododecane- 1,4,7,10-tetraacetic acid