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Updated: Feb 16, 2026

Development of a 68Gallium-Labeled D-Peptide PET Tracer for Imaging Programmed Death-Ligand 1 Expression
Published on: February 3, 2023
Impact of expression system on the function of the C6.5 diabody PET radiotracer
Joshua Miller1, Mohan Doss, Ryan McQuillen
1Developmental Therapeutics Program, Fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111, USA.
Abstract:
The ability of engineered antibodies to rapidly and selectively target tumors that express their target antigen makes them well suited for use as radioimaging tracers. The combination of molecular size and bivalent nature makes diabody molecules a particularly promising structure for use as radiotracers for diagnostic imaging. Previous data have demonstrated that the anti-HER2 C6.5 diabody (C6.5db) is an effective radiotracer in preclinical models of HER2-positive cancer. The aim of this study was to evaluate the impact on radiotracer performance, associated with expressing the C6.5db in the Pichia pastoris (P-C6.5db) system as compared to Escherichia coli (E. C6.5db). Glycosylation of P-C6.5db led to faster blood clearance and lower overall tumor uptake than seen with E. coli-produced C6.5db. However, P-C6.5db achieved high tumor/background ratios that are critical for effective imaging. Dosimetry measurements determined in this study for both (124)I-P-C6.5db and (124)I-E-C6.5db suggest that they are equivalent to other radiotracers currently being administered to patients.
Insights
Engineered antibodies, like the anti-HER2 diabody, show promise for cancer radioimaging. Production in Pichia pastoris resulted in faster clearance and high tumor-to-background ratios, crucial for diagnostic imaging.
Area of Science:
- Biotechnology
- Oncology
- Radiochemistry
Background:
- Engineered antibodies are suitable for tumor-targeting radioimaging tracers.
- Diabodies offer advantageous molecular size and bivalent structure for diagnostic imaging.
- The anti-HER2 C6.5 diabody (C6.5db) has shown efficacy in preclinical models of HER2-positive cancer.
Purpose of the Study:
- To compare the performance of C6.5db produced in Pichia pastoris (P-C6.5db) versus Escherichia coli (E. C6.5db) as a radioimaging tracer.
- To evaluate the impact of glycosylation on radiotracer characteristics.
Main Methods:
- Production of C6.5db in Pichia pastoris and Escherichia coli.
- Radiolabeling with Iodine-124.
- Evaluation of blood clearance, tumor uptake, and tumor/background ratios in preclinical models.
- Dosimetry measurements.
Main Results:
- Pichia pastoris-produced C6.5db (P-C6.5db) exhibited faster blood clearance and lower overall tumor uptake compared to E. coli-produced C6.5db (E. C6.5db).
- Despite lower uptake, P-C6.5db achieved high tumor/background ratios, essential for effective imaging.
- Dosimetry data indicated that both (124)I-P-C6.5db and (124)I-E-C6.5db are comparable to existing clinical radiotracers.
Conclusions:
- Production system influences radiotracer performance, with Pichia pastoris yielding faster blood clearance.
- High tumor-to-background ratios achieved by P-C6.5db are critical for diagnostic imaging quality.
- Both P-C6.5db and E. C6.5db demonstrate potential as safe and effective HER2-targeting radioimaging agents.
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