Development and Preclinical Evaluation of [Cu]Cu-NOTA-ABDB6: A CD70 and Albumin Dual-Binding Tracer with Improved Pharmacokinetics.

in Journal of nuclear medicine : official publication, Society of Nuclear Medicine by Xiaoyan Li, You Zhang, Jason C Mixdorf, Qianyun Wu, Sophia J Lee, Jonathan W Engle, Todd E Barnhart, Shannon C Kenney, Lixin Rui, Weijun Wei, Weibo Cai

TLDR

  • Scientists developed a new imaging agent that can target and visualize CD70 in lymphoma tumors, showing promising results in imaging lymphoma models.
  • The agent's potential for use in diagnosing and monitoring lymphoma in patients highlights the importance of CD70 as a biomarker for lymphoma diagnosis and treatment.

Abstract

CD70 is an emerging biomarker for both solid tumors and hematologic malignancies, highlighting the urgent need for a molecular imaging tracer capable of visualizing CD70 with favorable pharmacokinetics.ABDB6 was prepared by fusing the albumin-binding domain ABD035 with the CD70-targeting single-domain antibody RCCB6, which we previously reported. The resulting ABDB6 was then conjugated to the bifunctional chelator-SCN-NOTA and labeled withCu to produce [Cu]Cu-NOTA-ABDB6. Flow cytometry was used to screen 6 lymphoma cell lines with varying CD70 expression levels. Cell uptake and in vivo immuno-PET imaging studies were conducted to fully evaluate the pharmacokinetic properties and tumor-targeting efficacy of [Cu]Cu-NOTA-ABDB6. An ABDB6 blocking study was performed to validate the targeting specificity of [Cu]Cu-NOTA-ABDB6, followed by immunohistochemistry and fluorescent immunostaining studies to correlate tracer uptake with CD70 expression.Cu labeling of ABDB6 achieved a high radiochemical yield and specific activity. Significant CD70 expression was observed in 5 lymphoma cell lines (TMD8, HBL1, OCI-LY10, LCL-EBV, and type III latency Burkitt lymphoma [BL] cells) but not in type I latency BL cells, which served as the negative control. [Cu]Cu-NOTA-ABDB6 exhibited good affinity for CD70 protein at the nanomolar level (inhibitory concentration of 50%, 91.57 nM) and specificity in binding to human CD70. Immuno-PET imaging of [Cu]Cu-NOTA-ABDB6 demonstrated excellent tumor uptake and retention in various CD70-positive lymphoma models (TMD8, type III latency BL, and LCL-EBV), with the highest tumor uptake values recorded as 24.67 ± 1.36, 18.02 ± 4.29, and 14.68 ± 1.20 percentage injected dose per gram of tissue (%ID/g) at 48 h after injection, respectively. These tumor uptake values were significantly higher than that of the CD70-negative type I latency BL tumor, which had an uptake of 3.59 ± 0.28 %ID/g at the same scanning time point (< 0.05). In the TMD8 blocking group, tumor uptake was 5.99 ± 1.20 %ID/g at 48 h after injection, significantly lower than in the TMD8 control group (< 0.01). Both biodistribution and histology results corroborated these imaging findings.[Cu]Cu-NOTA-ABDB6 immuno-PET effectively visualized varying levels of CD70 in different lymphoma models. Its clinical potential may provide insights into CD70 expression in lymphoma patients.

Overview

  • The study aimed to develop a molecular imaging tracer, [Cu]Cu-NOTA-ABDB6, capable of visualizing CD70 in various lymphoma models.
  • ABDB6 was prepared by fusing the albumin-binding domain ABD035 with the CD70-targeting single-domain antibody RCCB6, and then conjugated with the bifunctional chelator-SCN-NOTA and labeled with Cu.
  • The study evaluated the pharmacokinetic properties and tumor-targeting efficacy of [Cu]Cu-NOTA-ABDB6 using flow cytometry, cell uptake, and in vivo immuno-PET imaging.

Comparative Analysis & Findings

  • The results showed that [Cu]Cu-NOTA-ABDB6 exhibited good affinity for CD70 protein at the nanomolar level and specificity in binding to human CD70.
  • Immuno-PET imaging demonstrated excellent tumor uptake and retention in various CD70-positive lymphoma models, with tumor uptake values significantly higher than that of the CD70-negative type I latency BL tumor.
  • The results corroborated by biodistribution and histology studies showed that [Cu]Cu-NOTA-ABDB6 effectively visualized varying levels of CD70 in different lymphoma models.

Implications and Future Directions

  • The study's findings suggest that [Cu]Cu-NOTA-ABDB6 may provide valuable insights into CD70 expression in lymphoma patients and may be a potential tool for monitoring CD70-positive lymphoma.
  • Future studies can explore the tracer's potential for imaging other types of cancer and evaluating its safety and efficacy in clinical trials.
  • The study's results also highlight the need for further investigation into the role of CD70 as a biomarker for lymphoma diagnosis and treatment.