Abstract:Overexpression of CD30 has been reported on the surface of some T-cell lymphomas, especially on Hodgkin's lymphoma (HL) and anaplastic large cell lymphoma (ALCL). CD30 targeted immunotherapy has good clinical therapy response. We have produced a novel antibody drug conjugates (ADCs)-anti-CD30-LDM, which shows attractive tumour-targeting capability and extremely potent antitumor efficacy. To further investigate biological characteristics and promote clinical translation of anti-CD30-LDM, we constructed a radiol… Show more
“…Although the use of radiolabeling is undoubtedly an efficient way to address the plasma and tissue ADC profiles with a high detection threshold, it suffers from two main limitations. In almost all the studies reported so far, the radioisotopes are incorporated either into the drug or the protein, and therefore, the simultaneous in vivo monitoring of both entities is not straightforwardly achieved. − Furthermore, the radiolabeling of monoclonal antibody systematically implies a random conjugation of the radioactive species within the protein core, which could lead to potential alterations of the ADC binding and biodistribution properties. − …”
In preclinical models, the development
and optimization of protein–drug
conjugates require accurate determination of the plasma and tissue
profiles of both the protein and its conjugated drug. To this aim,
we developed a bioanalytical strategy based on dual radiolabeling
and ex vivo digital imaging. By combining enzymatic and chemical reactions,
we obtained homogeneous dual-labeled anti-MMP-14 Fabs (antigen-binding
fragments) conjugated to monomethyl auristatin E where the protein
scaffold was labeled with carbon-14 (14C) and the conjugated drug
with tritium (3H). These antibody–drug conjugates with either
a noncleavable or a cleavable linker were then evaluated in vivo.
By combining liquid scintillation counting and ex vivo dual-isotope
radio-imaging, it was possible not only to monitor both components
simultaneously during their circulation phase but also to quantify
accurately their amount accumulated within the different organs.
“…Although the use of radiolabeling is undoubtedly an efficient way to address the plasma and tissue ADC profiles with a high detection threshold, it suffers from two main limitations. In almost all the studies reported so far, the radioisotopes are incorporated either into the drug or the protein, and therefore, the simultaneous in vivo monitoring of both entities is not straightforwardly achieved. − Furthermore, the radiolabeling of monoclonal antibody systematically implies a random conjugation of the radioactive species within the protein core, which could lead to potential alterations of the ADC binding and biodistribution properties. − …”
In preclinical models, the development
and optimization of protein–drug
conjugates require accurate determination of the plasma and tissue
profiles of both the protein and its conjugated drug. To this aim,
we developed a bioanalytical strategy based on dual radiolabeling
and ex vivo digital imaging. By combining enzymatic and chemical reactions,
we obtained homogeneous dual-labeled anti-MMP-14 Fabs (antigen-binding
fragments) conjugated to monomethyl auristatin E where the protein
scaffold was labeled with carbon-14 (14C) and the conjugated drug
with tritium (3H). These antibody–drug conjugates with either
a noncleavable or a cleavable linker were then evaluated in vivo.
By combining liquid scintillation counting and ex vivo dual-isotope
radio-imaging, it was possible not only to monitor both components
simultaneously during their circulation phase but also to quantify
accurately their amount accumulated within the different organs.
“…To study its biodistribution, this conjugate was radioiodinated. After injection in CD30 + lymphoma-bearing mice, the retention of the tracer in tumor tissues was twice as high in CD30 + compared to CD30-negative tumors ( 142 ).…”
Section: Trnt For Hematological Malignanciesmentioning
Radioimmunotherapy (RIT) is a cancer treatment that combines radiation therapy with tumor-directed monoclonal antibodies (Abs). Although RIT had been introduced for the treatment of CD20 positive non-Hodgkin lymphoma decades ago, it never found a broad clinical application. In recent years, researchers have developed theranostic agents based on Ab fragments or small Ab mimetics such as peptides, affibodies or single-chain Abs with improved tumor-targeting capacities. Theranostics combine diagnostic and therapeutic capabilities into a single pharmaceutical agent; this dual application can be easily achieved after conjugation to radionuclides. The past decade has seen a trend to increased specificity, fastened pharmacokinetics, and personalized medicine. In this review, we discuss the different strategies introduced for the noninvasive detection and treatment of hematological malignancies by radiopharmaceuticals. We also discuss the future applications of these radiotheranostic agents.
“…Anti-CD30-LDM alone or combination with crizotinib has shown significant anti-tumor activity in a CD30+/ALK+ anaplastic large-cell lymphoma model [ 174 ]. Anti-CD30-LDM was radiolabeled with 123 I and demonstrated strong binding capabilities in CD30-positive cells, and a biodistribution study showed a 2-fold higher tumor uptake in CD30+ versus CD30- tumors (4.98 ± 0.99%ID/g vs. 2.75 ± 0.47%ID/g, respectively) [ 175 ]. These findings support the potential use of 123 I-anti-CD30-LDM as a companion diagnostic in the further clinical development of anti-CD30-LDM.…”
Section: Role Of Molecular Imaging In the Clinical Development Of mentioning
Antibody–drug conjugates (ADCs) are novel drugs that exploit the specificity of a monoclonal antibody (mAb) to reach target antigens expressed on cancer cells for the delivery of a potent cytotoxic payload. ADCs provide a unique opportunity to deliver drugs to tumor cells while minimizing toxicity to normal tissue, achieving wider therapeutic windows and enhanced pharmacokinetic/pharmacodynamic properties. To date, nine ADCs have been approved by the FDA and more than 80 ADCs are under clinical development worldwide. In this paper, we provide an overview of the biology and chemistry of each component of ADC design. We briefly discuss the clinical experience with approved ADCs and the various pathways involved in ADC resistance. We conclude with perspectives about the future development of the next generations of ADCs, including the role of molecular imaging in drug development.
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