Tumor pretargeting in mice using MORF conjugated CC49 antibody and radiolabeled complimentary cMORF effector

G Liu1, S Dou, P H Pretorius

  • 1Division of Nuclear Medicine, Department of Radiology, University of Massachusetts Medical School, Worcester, MA 01655-0243, USA. guozheng.liu@umassmed.edu

Abstract

Insights

The anti-TAG-72 antibody CC49, using a phosphorodiamidate morpholino oligomers (MORF) pretargeting strategy, successfully targeted LS174T mouse tumors for imaging. This demonstrates CC49 is a viable alternative to MN14 for pretargeted radioimmunotherapy.

Area of Science:

  • Oncology
  • Radiochemistry
  • Immunology

Background:

  • The phosphorodiamidate morpholino oligomers (MORF)/complementary MORF (cMORF) pretargeting strategy has shown success in targeting LS174T mouse tumors with the anti-CEA antibody MN14 for imaging and radiotherapy.
  • Evaluating alternative antibodies is crucial for optimizing pretargeted radioimmunotherapy efficacy and expanding clinical applications.

Purpose of the Study:

  • To assess the anti-TAG-72 antibody CC49 as a potential alternative to the anti-CEA antibody MN14 in the MORF/cMORF pretargeting strategy for LS174T tumor models.
  • To compare the biodistribution and tumor accessibility of CC49 and MN14 antibodies labeled with Indium-111 (¹¹¹In).
  • To evaluate the internalization of MORF-conjugated CC49 and MN14 antibodies in LS174T cells and determine the accessible concentration of MORF-CC49 in tumors.

Main Methods:

  • Antibodies CC49 and MN14 were labeled with ¹¹¹In using SCN-benzyl-DTPA and DTPA anhydride methods for biodistribution comparison.
  • Internalization of MORF-CC49 and MORF-MN14 in LS174T cells was assessed in vitro.
  • Tumor accessibility of MORF-CC49 was determined in vivo using escalating doses of [(⁹⁹m)Tc]cMORF effector.
  • An imaging study was conducted under optimal pretargeting conditions based on established models.

Main Results:

  • The labeling method significantly impacted the biodistribution of the ¹¹¹In-labeled MN14 antibody.
  • Both MORF-CC49 and MORF-MN14 antibodies exhibited rapid internalization in LS174T cells, with less reduction in tumor accessibility in vivo.
  • Optimal pretargeting conditions led to predominant accumulation of the [(⁹⁹m)Tc]cMORF effector in tumors, with minimal uptake in normal tissues except kidneys, liver, and intestines.

Conclusions:

  • The MORF pretargeting strategy with the anti-TAG-72 antibody CC49 proved equally effective as MN14 in the LS174T tumor model.
  • CC49 is a promising candidate for future investigations and potential early clinical trials in pretargeted radioimmunotherapy.

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