Development of a novel anti-CEACAM5 VHH for SPECT imaging and potential cancer therapy applications

Ying Cong1, Rianne Biemans1, Natasja G Lieuwes1

  • 1The M-Lab, Department of Precision Medicine, GROW- Research Institute for Oncology and Reproduction, Maastricht University, UNS50/23, Maastricht, PO Box 616, 6229 ER, Maastricht, The Netherlands.

Abstract

Insights

A novel anti-CEACAM5 VHH (6B11) shows promise for SPECT-based cancer diagnosis due to its high affinity and tumor uptake. While not therapeutically effective alone, it demonstrates potential as a targeting moiety for VHH-drug conjugates in cancer therapy.

Area of Science:

  • Biotechnology
  • Oncology
  • Molecular Imaging

Background:

  • Carcinoembryonic antigen cell adhesion molecule 5 (CEACAM5) is a promising biomarker for various cancers.
  • Developing targeted diagnostic and therapeutic agents for CEACAM5-expressing tumors remains a critical challenge.

Purpose of the Study:

  • To evaluate a novel anti-CEACAM5 VHH (6B11) for cancer diagnosis using SPECT imaging.
  • To assess the potential of 6B11 as a targeting moiety for VHH-drug conjugates in cancer therapy.

Main Methods:

  • VHH affinity and cellular binding confirmed via ELISA, FACS, and immunofluorescence.
  • Tumor spheroid penetration and VHH internalization assays performed using fluorescently labeled VHH.
  • Biodistribution and SPECT/CT imaging of 99mTc-labeled 6B11 in tumor-bearing mice with varying CEACAM5 expression.
  • In vitro therapeutic efficacy assessed through viability, wound healing, and adhesion assays.

Main Results:

  • 6B11 exhibited high binding affinity (EC50 0.5nM) and effective tumor spheroid penetration.
  • SPECT imaging revealed significantly higher uptake of 99mTc-6B11 in CEACAM5-overexpressing tumors compared to knockout tumors.
  • While 6B11 showed no significant in vitro therapeutic efficacy, it was effectively internalized by cells, accumulating in lysosomes.

Conclusions:

  • The anti-CEACAM5 VHH 6B11 is a suitable candidate for SPECT-based cancer diagnosis.
  • 6B11 holds potential as a targeting moiety for developing VHH-drug conjugates for cancer treatment.

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