Comparative Evaluation of Novel 177Lu-Labeled PNA Probes for Affibody-Mediated PNA-Based Pretargeting

Hanna Tano1, Maryam Oroujeni2, Anzhelika Vorobyeva2,3

  • 1Department of Protein Science, School of Engineering Sciences in Chemistry, Biotechnology and Health, KTH Royal Institute of Technology, 106 91 Stockholm, Sweden.

Cancers
|February 2, 2021
PubMed

Insights

Shortening peptide nucleic acid (PNA) probes enhances radionuclide therapy for HER2-expressing tumors. The shortest PNA probe, [177Lu]Lu-HP16, demonstrated the highest tumor-to-kidney ratio, indicating its promise for affibody-mediated pretargeting.

Area of Science:

  • Oncology
  • Radiochemistry
  • Molecular Biology

Background:

  • Affibody-mediated peptide nucleic acid (PNA)-based pretargeting is a developing strategy for radionuclide therapy targeting human epidermal growth factor receptor 2 (HER2)-expressing tumors.
  • Optimizing pretargeting probe design is crucial for improving therapeutic efficacy and minimizing off-target toxicity.

Purpose of the Study:

  • To investigate the impact of PNA probe length on the tumor-to-kidney dose ratio in HER2-targeted radionuclide therapy.
  • To evaluate novel PNA-based secondary probes for affibody-mediated pretargeting in vitro and in vivo.

Main Methods:

  • Designed, synthesized, and characterized three PNA-based secondary probes (HP16, HP17, HP18) of varying lengths (9, 12, 15 nucleobases) conjugated to a DOTA chelator.
  • Labeled probes with Lutetium-177 ([177Lu]) and assessed in vitro binding to HER2-expressing cell lines (SKOV3, BT474).
  • Evaluated biodistribution and tumor-to-kidney ratios in mice bearing HER2-expressing xenografts.

Main Results:

  • High-affinity duplex formation was confirmed between the primary probe (ZHER2:342-SR-HP15) and secondary probes, with affinity correlating to PNA length.
  • [177Lu]-labeled PNA probes showed specific binding to HER2-expressing cells in vitro and HER2-specific uptake in xenografts in vivo.
  • The tumor-to-kidney ratio was dependent on secondary probe size, decreasing with increased nucleobase count; the shortest probe, [177Lu]Lu-HP16, yielded the highest ratio.

Conclusions:

  • Shorter PNA sequences in secondary probes improve the tumor-to-kidney ratio for affibody-mediated pretargeting.
  • [177Lu]Lu-HP16 is identified as the most promising secondary probe for enhancing HER2-targeted radionuclide therapy efficacy.
  • This study supports the optimization of PNA probe design for improved therapeutic outcomes in HER2-positive cancers.