PET imaging of epidermal growth factor receptor expression in tumours using 89Zr-labelled ZEGFR:2377 affibody

Javad Garousi1, Ken G Andersson2, Bogdan Mitran3

  • 1Institute of Immunology, Genetic and Pathology, Uppsala University, SE-75185 Uppsala, Sweden.

Insights

A novel imaging probe, (89)Zr-DFO-ZEGFR:2377, shows promise for non-invasively detecting epidermal growth factor receptor (EGFR) expression in tumors. This tracer enables clear visualization of EGFR-expressing tumors using positron emission tomography (PET).

Area of Science:

  • Nuclear Medicine
  • Molecular Imaging
  • Oncology

Background:

  • Epidermal growth factor receptor (EGFR) is a key target in various cancers, with overexpression impacting patient prognosis and treatment.
  • Current diagnostic methods for EGFR expression are often invasive or lack the sensitivity needed for disseminated disease.
  • Radionuclide molecular imaging, particularly positron emission tomography (PET), offers a non-invasive approach for assessing EGFR expression.

Purpose of the Study:

  • To develop and evaluate a novel affibody-based imaging probe, (89)Zr-DFO-ZEGFR:2377, for positron emission tomography (PET) imaging of EGFR expression.
  • To assess the binding affinity, specificity, and in vivo performance of the (89)Zr-DFO-ZEGFR:2377 tracer in preclinical models.

Main Methods:

  • Site-specific conjugation of an EGFR-binding affibody molecule (ZEGFR:2377) with a deferoxamine (DFO) chelator.
  • Radiolabeling of the DFO-conjugated affibody with the positron-emitting radionuclide zirconium-89 ((89)Zr) under mild conditions.
  • In vitro assessment of binding affinity to EGFR-expressing cells and in vivo evaluation in mice bearing A431 xenografts using microPET imaging.

Main Results:

  • The (89)Zr-DFO-ZEGFR:2377 tracer demonstrated high specific affinity (160 ± 60 pM) for EGFR-expressing A431 cells.
  • In vivo studies showed specific tumor uptake (2.6 ± 0.5% ID/g) and favorable tumor-to-blood ratios (3.7 ± 0.6 at 24 h) in xenograft models.
  • The tracer achieved higher tumor-to-organ ratios compared to (89)Zr-DFO-cetuximab and enabled clear visualization of EGFR-expressing tumors via microPET.

Conclusions:

  • The developed (89)Zr-DFO-ZEGFR:2377 tracer is a promising candidate for sensitive and specific in vivo PET imaging of EGFR expression.
  • This affibody-based probe facilitates non-invasive, repeatable assessment of EGFR status in tumors, potentially aiding in treatment selection and monitoring.
  • The findings support the potential clinical utility of (89)Zr-DFO-ZEGFR:2377 for personalized cancer therapy guided by EGFR expression levels.