Small Organic Carbonic Anhydrase IX Ligands from DNA-Encoded Chemical Libraries for Tumor-Targeted Delivery of

Marco Müller1, Tony Georgiev1, Jacqueline Mock1

  • 1Philochem AG, 8112 Otelfingen, Switzerland.

Insights

New DNA-encoded chemical library ligands targeting carbonic anhydrase IX (CAIX) show high tumor uptake and selectivity. These CAIX ligands are promising for developing advanced imaging agents for clear cell renal cell carcinoma (ccRCC) and hypoxic tumors.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Carbonic anhydrase IX (CAIX) is a tumor-associated protein overexpressed in clear cell renal cell carcinoma (ccRCC) and hypoxic tumors.
  • Its limited expression in healthy tissues makes CAIX an attractive target for selective cancer imaging and therapy.
  • DNA-encoded chemical libraries (DELs) offer a powerful platform for discovering novel molecular ligands.

Purpose of the Study:

  • To discover and characterize novel CAIX ligands using DEL technology.
  • To evaluate the potential of these ligands for radionuclide-based imaging of ccRCC and hypoxic tumors.
  • To identify selective CAIX-targeting agents with high tumor uptake and retention.

Main Methods:

  • Screening of DELs against CAIX and carbonic anhydrase II (CAII) to ensure target selectivity.
  • In vitro characterization using fluorescence polarization (FP), surface plasmon resonance (SPR), and flow cytometry.
  • In vivo biodistribution studies using Lutetium-177 and Gallium-68 labeled compounds in a ccRCC mouse model.

Main Results:

  • Identification of DEL-derived CAIX ligands with varying affinities and selectivities.
  • Demonstrated correlation between ligand selectivity/affinity and improved tumor-to-organ ratios and retention.
  • The lead candidate, OncoCAIX, achieved significant tumor uptake (∼55% injected dose/gram) with high tumor-to-kidney ratios (>23) in vivo.

Conclusions:

  • OncoCAIX exhibits rapid and selective tumor accumulation, validating its potential as an imaging agent.
  • These findings support the development of OncoCAIX for early and late-stage ccRCC and hypoxic tumor imaging.
  • DEL technology is effective for discovering targeted diagnostic and therapeutic agents.