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Our aim was to synthesize 89Zr-labeled trastuzumab-emtansine (89Zr-DFO-T-DM1) to probe the delivery of trastuzumab-emtansine (T-DM1) to HER2-positive ...
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Positron-Emission Tomography (PET) of HER2-Positive Breast Cancer Xenografts in Mice with 89Zr-Labeled TrastuzumabDM1 (T-DM1) – Comparison with 89Zr-Labeled Trastuzumab Noor Al-saden, Karen Lam, Conrad Chan, and Raymond M Reilly Mol. Pharmaceutics, Just Accepted Manuscript • DOI: 10.1021/acs.molpharmaceut.8b00392 • Publication Date (Web): 29 Jun 2018 Downloaded from http://pubs.acs.org on July 4, 2018

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Molecular Pharmaceutics

Positron-Emission Tomography (PET) of HER2-Positive Breast Cancer Xenografts in Mice with

89

Zr-Labeled Trastuzumab-DM1

(T-DM1) – Comparison with 89Zr-Labeled Trastuzumab

Noor Al-saden, † Karen Lam, † Conrad Chan, † and Raymond M. Reilly *,†,§, ¥



Department of Pharmaceutical Sciences, University of Toronto, 144 College Street, Toronto, ON M5S 3M2, Canada §

Department of Medical Imaging, University of Toronto, 263 McCaul Street, Toronto, ON M5T 1W7, Canada



Toronto General Research Institute and Joint Department of Medical Imaging, University Health Network, 200 Elizabeth Street, Toronto, ON M5G 2C4, Canada.

Footline: PET Imaging of Breast Cancer with 89Zr-DFO-T-DM1 * Corresponding Author: Raymond M Reilly, Ph.D. Leslie Dan Faculty of Pharmacy, University of Toronto 144 College Street, Toronto, ON M5S 3M2, Canada Tel: (416) 946-5522; Fax: (416) 978-8511; Email: [email protected]

Word Count: 8389

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GRAPHICAL ABSTRACT

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Molecular Pharmaceutics

ABSTRACT: Our aim was to synthesize

89

Zr-labeled trastuzumab-emtansine (89Zr-

DFO-T-DM1) to probe the delivery of trastuzumab-emtansine (T-DM1) to HER2-positive breast cancer (BC) by positron emission tomography (PET). We further aimed to compare the tumor and normal tissue uptake of 89Zr-DFO-T-DM1 with 89Zr-DFO-trastuzumab. TDM1 was modified with 3.0 ± 0.2 desferrioxamine (DFO) chelators for complexing 89Zr by reaction with a 14-fold molar excess of p-NCS-Bz-DFO. The number of DFO chelators per T-DM1 molecule was quantified spectrophotometrically at 430 nm after reaction with FeCl3.

SDS-PAGE

and

SE-HPLC

demonstrated

a

pure

and

homogeneous

immunoconjugate. DFO-T-DM1 and DFO-trastuzumab were labeled to high efficiency (>97%) with

89

Zr at a specific activity of 0.55 MBq/µg in 2 M Na2CO3/0.5 M HEPES

buffer, pH 7.0 at RT for 60-90 mins. Labeling efficiency was measured by instant thin layer-silica gel chromatography (ITLC-SG) and SE-HPLC. HER2 immunoreactivity was measured in a saturation binding assay using SK-BR-3 human BC cells. 89Zr-DFO-T-DM1 exhibited high affinity HER2 binding (Kd = 3.7 ± 0.4 nM) that was not significantly different than 89Zr-DFO-trastuzumab (4.4 ± 0.5 nM; P=0.06). The optimal time for tumor imaging with 89Zr-DFO-T-DM1 was 96 h post-injection (p.i.) in NOD-scid mice with s.c. HER2 overexpressing (HER2 3+) BT-474 human BC xenografts. Tumor uptake was dependent on the level of HER2 expression in mice with s.c. BT-474 (HER2 3+), MDAMB-231/H2N (HER2 2+), MDA-MB-231 (HER2 0-1+) or MDA-MB-468 (HER2 0) human BC xenografts injected with 89Zr-DFO-T-DM1 (10 µg, 5.2 MBq). All tumors were visualized by microPET/CT but the tumor intensity was greatest for BT-474 and MDAMB-231/H2N xenografts. Tumor uptake of

89

Zr-DFO-T-DM1 was 4.1-fold significantly

higher than 89Zr-DFO-trastuzumab in mice with s.c. BT-474 (HER2 3+) xenografts (43.5 ±

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4.3%ID/g vs. 10.6 ± 5.4 %ID/g, respectively; P