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124I-Labeled Specific Antibody Targeting LAG-3 for ImmunoPET.
Lixin Ding1,2, Feng Wang2, Yongxiang Pan2
1National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing, 100088, China.
Molecular Imaging and Biology
|December 22, 2025
Summary
This study developed a novel PET imaging agent, 124I-HuL13, for noninvasively detecting Lymphocyte-activation gene 3 (LAG-3) expression. The agent demonstrated high stability and specificity, showing promise for optimizing LAG-3-targeted immunotherapy.
Area of Science:
- Nuclear medicine
- Molecular imaging
- Immunotherapy
Background:
- Lymphocyte-activation gene 3 (LAG-3) is a key immune checkpoint and a promising therapeutic target.
- Noninvasive methods for assessing LAG-3 expression are currently limited, hindering treatment optimization.
Purpose of the Study:
- To develop and evaluate an antibody-dependent molecular imaging strategy for noninvasive LAG-3 detection using a LAG-3-specific antibody, HuL13.
- To assess the feasibility of using radiolabeled HuL13 for Positron Emission Tomography (PET) imaging of LAG-3 expression.
Main Methods:
- The anti-LAG-3 antibody HuL13 was radiolabeled with Iodine-124 (124I).
- Specificity and affinity of 124I-HuL13 were confirmed using cell-based assays.
- Micro-PET/CT imaging was performed in mice bearing LAG-3-expressing tumors, followed by immunohistochemistry (IHC) for validation.
Main Results:
- 124I-HuL13 showed high radiochemical yield (>95%), purity (>99%), and stability.
- The radiotracer exhibited specific binding to LAG-3-expressing cells with a dissociation constant (Kd) of 23.02 nM.
- In vivo imaging revealed significant accumulation of 124I-HuL13 in tumors, with uptake correlating to LAG-3 expression.
Conclusions:
- 124I-HuL13 is a stable and effective PET imaging radiotracer for noninvasive LAG-3 detection.
- This molecular imaging approach holds potential for guiding and optimizing LAG-3-targeted immunotherapies in clinical settings.

