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The Bioconjugation and Radiosynthesis of 89Zr-DFO-labeled Antibodies
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89Zr/177Lu-Labeled Radioimmunoconjugates Targeting SORT1 for Cancer Theranostics.

Jingyue Gao1, Tianyi Cen2, Junyi Chen3

  • 1Key Laboratory for Experimental Teratology of the Ministry of Education and Center for Experimental Nuclear Medicine, School of Basic Medical Sciences, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, China.

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Sortilin (SORT1) targeted antibody latozinemab was used to create novel theranostic radiopharmaceuticals. These agents show high specificity and therapeutic potential for SORT1-positive cancers, including melanoma.

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Area of Science:

  • Oncology
  • Radiopharmaceutical Science
  • Molecular Imaging

Background:

  • Sortilin (SORT1) is overexpressed in several cancers, making it a potential target for cancer therapy and diagnostics.
  • Current therapeutic strategies targeting SORT1 are limited, necessitating the development of novel approaches.

Purpose of the Study:

  • To develop and validate a theranostic pair targeting Sortilin (SORT1) for cancer treatment.
  • To evaluate the efficacy of SORT1-targeted radiopharmaceuticals in preclinical cancer models.

Main Methods:

  • Development of [89Zr]Zr-DFO-latozinemab for PET imaging and [177Lu]Lu-DOTA-latozinemab for therapy.
  • Assessment of SORT1 expression in various malignancies using transcriptional analysis and tissue microarrays.
  • Evaluation of radiopharmaceutical binding affinity, internalization, tumor uptake, and therapeutic efficacy in vitro and in vivo.

Main Results:

  • High SORT1 expression confirmed in melanoma and other malignancies.
  • [89Zr]Zr-DFO-latozinemab demonstrated specific tumor visualization with high contrast.
  • [177Lu]Lu-DOTA-latozinemab exhibited significant tumor accumulation and suppressed tumor growth through DNA damage induction.

Conclusions:

  • The study establishes the first Sortilin (SORT1)-directed theranostic radiopharmaceutical pair.
  • These agents show high specificity and therapeutic potency for SORT1-positive cancers, offering a promising new avenue for cancer management.