Purpose
Human epidermal growth factor receptor 2 (HER2) is overexpressed in over 30% of ovarian cancer cases, playing essential roles in tumorigenesis and metastasis. Non-invasive imaging of HER2 is of great interest for physicians to better detect and monitor the progression of ovarian cancer. In this study, HER2 was assessed as a biomarker for ovarian cancer imaging using 64Cu-labeled pertuzumab for immunoPET imaging.
Methods
HER2 expression and binding were examined in three ovarian cancer cell lines (SKOV3, OVCAR3, Caov3) using in vitro techniques, including Western blot and saturation binding assays. PET imaging and biodistribution studies in subcutaneous models of ovarian cancer were performed to non-invasively evaluate HER2 expression in vivo. Additionally, orthotopic models were employed to further validate the imaging capability of 64Cu-NOTA-pertuzumab.
Results
HER2 expression was highest in SKOV3 cells, while OVCAR3 and Caov3 displayed lower HER2 expression. 64Cu-NOTA-pertuzumab showed high specificity to HER2 (Ka = 3.1 ± 0.6 nM) in SKOV3. In subcutaneous tumors, PET imaging revealed tumor uptakes of 41.8 ± 3.8, 10.5 ± 3.9, and 12.1 ± 2.3 %ID/g at 48 h post-injection for SKOV3, OVCAR3, and Caov3, respectively (n=3). In orthotopic models, PET imaging with 64Cu-NOTA-pertuzumab allowed for rapid and clear delineation of both primary and small peritoneal metastases in HER2-overexpressing ovarian cancer.
Conclusion
64Cu-NOTA-pertuzumab is an effective PET tracer for the non-invasive imaging of HER2-expression in vivo, making it a potential tracer for treatment monitoring and improved patient stratification in the future.