Targeting breast carcinoma with radioiodinated anti-HER2 Nanobody

Marek Pruszynski1, Eftychia Koumarianou, Ganesan Vaidyanathan

  • 1Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA.

Abstract

Insights

Nanobodies (Nbs) offer a promising alternative to antibodies for cancer imaging. A novel residualizing radiolabeling method significantly improved the tumor targeting of an anti-HER2 Nanobody, enhancing its potential for clinical applications.

Area of Science:

  • Biotechnology and Nanomedicine
  • Molecular Imaging and Diagnostics
  • Oncology Therapeutics

Background:

  • Nanobodies (Nbs), smaller than antibodies but with comparable affinities, are valuable for cancer diagnosis and therapy.
  • An anti-HER2 Nanobody can assess HER2 status in breast cancer patients before trastuzumab treatment.
  • This study focused on developing and evaluating a HER2-specific Nanobody (5F7GGC) for targeting HER2-expressing tumors.

Purpose of the Study:

  • To compare two radioiodination methods for the HER2-specific 5F7GGC Nanobody.
  • To evaluate the in vitro and in vivo tumor targeting capabilities of the differently labeled Nanobodies.
  • To assess the potential of the optimized Nanobody conjugate for SPECT and PET imaging.

Main Methods:

  • Radioiodination of 5F7GGC Nanobody using Iodogen (¹²⁵I) and a residualizing agent ([¹³¹I]IB-Mal-D-GEEEK).
  • Paired-label internalization assays using BT474M1 cells.
  • Tissue distribution experiments in athymic mice bearing BT474M1 xenografts.

Main Results:

  • Radiochemical yields were 83.6±5.0% for Iodogen and 59.6±9.4% for [¹³¹I]IB-Mal-D-GEEEK.
  • Both labeling methods preserved Nanobody immunoreactivity.
  • The residualizing [¹³¹I]IB-Mal-D-GEEEK labeled Nanobody showed higher tumor uptake (4.65±0.61% ID/g vs. 2.92±0.24% ID/g at 8h), faster blood clearance, and improved tumor-to-tissue ratios compared to direct labeling.

Conclusions:

  • The 5F7GGC anti-HER2 Nanobody labeled with residualizing [¹³¹I]IB-Mal-D-GEEEK exhibits superior tumor targeting properties.
  • This optimized Nanobody conjugate demonstrates significant potential for SPECT and PET imaging of HER2-expressing tumors.
  • The findings support the clinical utility of this Nanobody conjugate for personalized cancer diagnostics and potentially therapy.