The synthesis of radioimmunoconjugates via the stochastic
attachment
of bifunctional chelators to lysines can yield heterogeneous products
with suboptimal in vitro and in vivo behavior. In response to this, several site-selective approaches
to bioconjugation have been developed, yet each has intrinsic drawbacks,
such as the need for expensive reagents or the complexity of incorporating
unnatural amino acids into IgGs. Herein, we describe the use of a
simple and facile approach to lysine-directed site-selective bioconjugation
for the generation of radioimmunoconjugates. This strategy relies
upon on the selective modification of single lysine residues within
each light chain of the monoclonal antibody (mAb) with a branched
azide-bearing perfluorophenyl ester (PFP-bisN3) followed
by the ligation of dibenzocyclooctyne (DBCO)-bearing payloads to these
bioorthogonal handles via the strain-promoted azide–alkyne
cycloaddition. This methodology was used to create [89Zr]Zr-SSKDFO-pertuzumab, a radioimmunoconjugate of the HER2-targeting
mAb pertuzumab labeled with desferrioxamine (DFO) and the positron-emitting
radiometal zirconium-89 (89Zr). [89Zr]Zr-SSKDFO-pertuzumab was compared to a pair of analogous probes:
one synthesized via random lysine modification ([89Zr]Zr-DFO-pertuzumab)
and another via thiol-maleimide chemistry ([89Zr]Zr-malDFO-pertuzumab). The bioconjugation strategy was assessed
using ESI mass spectrometry, SDS-PAGE, and autoradiography. All three
immunoconjugates demonstrated comparable binding to HER2 via flow
cytometry and surface plasmon resonance (SPR), and 89Zr-labeled
variants of each were synthesized in >99% radiochemical yield and
molar activities of up to ∼55.5 GBq/μmol (10 mCi/mg).
Subsequently, the in vivo behavior of this trio of 89Zr-immunoPET probes was interrogated in athymic nude mice
bearing subcutaneous HER2-expressing BT-474 human breast cancer xenografts.
[89Zr]Zr-SSKDFO-pertuzumab, [89Zr]Zr-malDFO-pertuzumab, and [89Zr]Zr-DFO-pertuzumab produced
positron emission tomography (PET) images with high tumoral uptake
and high tumor-to-healthy organ activity concentration ratios. A terminal
biodistribution study complemented the PET results, revealing tumoral
activity concentrations of 126.9 ± 50.3%ID/g, 86.9 ± 53.2%ID/g,
and 92.5 ± 27.2%ID/g at 144 h post-injection for [89Zr]Zr-SSKDFO-pertuzumab, [89Zr]Zr-malDFO-pertuzumab, and [89Zr]Zr-DFO-pertuzumab, respectively.
Taken together, the data clearly illustrate that this highly modular
and facile approach to site-selective bioconjugation produces radioimmunoconjugates
that are better-defined and more homogeneous than stochastically modified
constructs and also exhibit excellent in vitro and in vivo performance. Furthermore, we contend that this lysine-directed
strategy holds several key advantages over extant approaches to site-selective
bioconjugation, especially in the context of production for the clinic.