(177)Lu/ (90)Y intermediate-affinity monoclonal antibodies targeting EGFR and HER2/c-neu: preparation and preclinical

Denis R Beckford Vera1, Sebastian Eigner, Katerina Eigner Henke

  • 1Department of Radiopharmaceuticals, Academy of Sciences of the Czech Republic, Prague, Czech Republic. denis.beckford@gmail.com

Insights

Radioimmunoconjugates (RIC) targeting epidermal growth factor receptor (EGFR) and HER2 show promise for cancer therapy. These RICs demonstrate effective tumor targeting and enhanced cell growth inhibition in preclinical models.

Area of Science:

  • Oncology
  • Radiopharmaceutical Chemistry
  • Immunotherapy

Background:

  • Epidermal growth factor receptor (EGFR) is overexpressed in many epithelial cancers, making it a target for anticancer therapies.
  • Monoclonal antibodies (mAbs) targeting EGFR and HER2 are being developed for radioimmunoconjugates (RICs) to selectively target tumors.
  • EGFR and HER2 are also present in normal tissues, necessitating careful selection of mAbs for targeted therapies.

Purpose of the Study:

  • To prepare and evaluate radioimmunoconjugates (RICs) using lutetium-177 ((177)Lu) or yttrium-90 ((90)Y) labeled monoclonal antibodies (mAbs) targeting EGFR and HER2/c-neu.
  • To assess the in vitro binding properties and toxicity of these RICs in cell lines with varying antigen expression.
  • To evaluate the in vivo tumor targeting efficacy of the RICs in mouse models bearing colorectal and A431 tumor xenografts.

Main Methods:

  • Monoclonal antibodies nimotuzumab (h-R3) and trastuzumab were labeled with non-carrier-added (177)Lu or (90)Y using bifunctional chelating agents.
  • In vitro studies assessed RIC binding and toxicity using cancer cell lines with differential EGFR and HER2 expression.
  • In vivo studies evaluated tumor targeting of RICs in mice bearing human colorectal (SNU-C2B) and A431 tumor xenografts.

Main Results:

  • RICs were successfully prepared with high specific activities (up to 2 GBq/mg) without loss of biological activity.
  • (90)Y-labeled h-R3/trastuzumab demonstrated increased cancer cell growth inhibition compared to unmodified mAbs or (90)YCl(3) alone in antigen-overexpressing cell lines.
  • (177)Lu-h-R3 exhibited significantly higher uptake in EGFR-expressing A431 xenografts (22.8 ± 3.1% ID/g) compared to SNU-C2B xenografts (8.8 ± 4.1% ID/g) at 72 hours post-injection.

Conclusions:

  • Radioimmunoconjugates targeting EGFR and HER2 can be effectively prepared and retain biological activity.
  • RICs show promise for targeted cancer therapy, with tumor uptake correlating with antigen expression levels.
  • These findings support the potential of (177)Lu/(90)Y-labeled mAbs as targeted radiotherapeutics for EGFR- and HER2-expressing malignancies.

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