Investigation of the Impact of the H310A FcRn Region Mutation on 89Zr-Immuno-PET Brain Imaging with a BBB-Shuttle Anti‑Amyloid Beta Antibody.

IF 3 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Molecular Imaging and Biology Pub Date : 2024-10-01 Epub Date: 2024-08-02 DOI:10.1007/s11307-024-01931-z
Thomas E Wuensche, Natascha Stergiou, Iris Mes, Mariska Verlaan, Esther J M Kooijman, Albert D Windhorst, Allan Jensen, Ayodeji A Asuni, Benny Bang-Andersen, Guus A M S van Dongen, Danielle J Vugts, Wissam Beaino
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引用次数: 0

Abstract

Purpose: In the emerging field of antibody treatments for neurodegenerative diseases, reliable tools are needed to evaluate new therapeutics, diagnose and select patients, monitor disease progression, and assess therapy response. Immuno-PET combines the high affinity and exceptional specificity of monoclonal antibodies with the non-invasive imaging technique positron emission tomography (PET). Its application in neurodegenerative disease brain imaging has been limited due to the marginal uptake across the blood-brain barrier (BBB). The emergence of BBB-shuttle antibodies with enhanced uptake across the BBB extended immuno-PET to brain imaging. We recently reported about specific brain uptake of a bispecific aducanumab mTfR antibody in APP/PS1 TG mice using 89Zr-immuno-PET. However, a sufficient target-to-background ratio was reached at a relatively late scanning time point of 7 days post-injection. To investigate if a better target-to-background ratio could be achieved earlier, an aducanumab BBB-shuttle with a mutated Fc region for reduced FcRn affinity was evaluated.

Procedures: AduH310A-8D3 and Adu-8D3 were modified with DFO*-NCS and subsequently radiolabeled with 89Zr. The potential influence of the H310A mutation, modification with DFO*-NCS, and subsequent radiolabeling on the in vitro binding to amyloid-beta and mTfR1 was investigated via amyloid-beta peptide ELISA and FACS analysis using mTfR1 transfected CHO-S cells. Blood kinetics, brain uptake, in vivo PET imaging and target engagement of radiolabeled AduH310A-8D3 were evaluated and compared to non-mutated Adu-8D3 in APP/PS1 TG mice and wild-type animals as controls.

Results: Radiolabeling was performed with sufficient radiochemical yields and radiochemical purity. In vitro binding to amyloid-beta and mTfR1 showed no impairment. [89Zr]Zr-AduH310A-8D3 showed faster blood clearance and earlier differentiation of amyloid-beta-related brain uptake compared to [89Zr]Zr-Adu-8D3. However, only half of the brain uptake was observed for [89Zr]Zr-AduH310A-8D3.

Conclusions: Although a faster blood clearance of AduH310A-8D3 was observed, it was concluded that no beneficial effects for 89Zr-immuno-PET imaging of brain uptake were obtained.

Abstract Image

研究 H310A FcRn 区突变对使用 BBB-Shuttle 抗淀粉样蛋白 Beta 抗体的 89Zr-Immuno-PET 脑成像的影响
目的:在新兴的神经退行性疾病抗体治疗领域,需要可靠的工具来评估新疗法、诊断和选择患者、监测疾病进展和评估治疗反应。免疫正电子发射计算机断层扫描(PET)结合了单克隆抗体的高亲和力和超强特异性以及无创成像技术。由于通过血脑屏障(BBB)的吸收率较低,该技术在神经退行性疾病脑成像中的应用一直受到限制。BBB屏障抗体的出现增强了免疫正电子发射计算机断层成像在脑成像中的应用。我们最近报道了在APP/PS1 TG小鼠中使用89Zr-免疫PET对双特异性阿杜单抗mTfR抗体的特异性脑摄取。然而,在注射后 7 天这一相对较晚的扫描时间点,才达到了足够的靶-背景比。为了研究是否能更早地达到更好的目标-背景比,我们评估了一种阿杜单抗 BBB shuttle,它的 Fc 区发生了突变,从而降低了 FcRn 的亲和力:程序:用 DFO*-NCS 修饰 AduH310A-8D3 和 Adu-8D3,然后用 89Zr 进行放射性标记。通过淀粉样蛋白-β肽酶联免疫吸附试验(amyloid-beta peptide ELISA)和使用转染 mTfR1 的 CHO-S 细胞进行 FACS 分析,研究了 H310A 突变、DFO*-NCS 修饰和随后的放射性标记对体外与淀粉样蛋白-β和 mTfR1 结合的潜在影响。对放射性标记的 AduH310A-8D3 的血液动力学、脑摄取、体内 PET 成像和靶参与进行了评估,并与 APP/PS1 TG 小鼠和野生型动物作为对照的非突变 Adu-8D3 进行了比较:结果:放射性标记具有足够的放射化学收率和放射化学纯度。体外与淀粉样蛋白-β和mTfR1的结合未出现障碍。与[89Zr]Zr-Adu-8D3相比,[89Zr]Zr-AduH310A-8D3显示出更快的血液清除速度和更早的淀粉样β相关脑摄取分化。然而,[89Zr]Zr-AduH310A-8D3的脑摄取量只有[89Zr]Zr-AduH310A-8D3的一半:结论:虽然观察到 AduH310A-8D3 的血液清除速度更快,但结论是 89Zr 免疫-PET 成像对大脑摄取量没有产生有利影响。
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来源期刊
CiteScore
6.90
自引率
3.20%
发文量
95
审稿时长
3 months
期刊介绍: Molecular Imaging and Biology (MIB) invites original contributions (research articles, review articles, commentaries, etc.) on the utilization of molecular imaging (i.e., nuclear imaging, optical imaging, autoradiography and pathology, MRI, MPI, ultrasound imaging, radiomics/genomics etc.) to investigate questions related to biology and health. The objective of MIB is to provide a forum to the discovery of molecular mechanisms of disease through the use of imaging techniques. We aim to investigate the biological nature of disease in patients and establish new molecular imaging diagnostic and therapy procedures. Some areas that are covered are: Preclinical and clinical imaging of macromolecular targets (e.g., genes, receptors, enzymes) involved in significant biological processes. The design, characterization, and study of new molecular imaging probes and contrast agents for the functional interrogation of macromolecular targets. Development and evaluation of imaging systems including instrumentation, image reconstruction algorithms, image analysis, and display. Development of molecular assay approaches leading to quantification of the biological information obtained in molecular imaging. Study of in vivo animal models of disease for the development of new molecular diagnostics and therapeutics. Extension of in vitro and in vivo discoveries using disease models, into well designed clinical research investigations. Clinical molecular imaging involving clinical investigations, clinical trials and medical management or cost-effectiveness studies.
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