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Direct In Vivo Comparison of Tc-99m-Labeled Scaffold Proteins, DARPin G3 and ADAPT6, for Visualization of HER2 Expression and Monitoring of Early Response for Trastuzumab Therapy
Uppsala Univ, Dept Immunol Genet & Pathol, S-75237 Uppsala, Sweden..ORCID iD: 0000-0002-6122-1734
Tomsk Polytech Univ, Res Sch Chem & Appl Biomed Sci, Res Ctr Oncotheranost, Tomsk 634050, Russia..
Uppsala Univ, Dept Immunol Genet & Pathol, S-75237 Uppsala, Sweden.;Affibody AB, S-17165 Solna, Sweden..
Tomsk Polytech Univ, Res Sch Chem & Appl Biomed Sci, Res Ctr Oncotheranost, Tomsk 634050, Russia.;Russian Acad Sci, Shemyakin Ovchinnikov Inst Bioorgan Chem, Mol Immunol Lab, Moscow 117997, Russia..
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2022 (English)In: International Journal of Molecular Sciences, ISSN 1661-6596, E-ISSN 1422-0067, Vol. 23, no 23, article id 15181Article in journal (Refereed) Published
Abstract [en]

Non-invasive radionuclide molecular visualization of human epidermal growth factor receptor type 2 (HER2) can provide stratification of patients for HER2-targeting therapy. This method can also enable monitoring of the response to such therapies, thereby making treatment personalized and more efficient. Clinical evaluation in a phase I study demonstrated that injections of two scaffold protein-based imaging probes, [Tc-99m]Tc-(HE)(3)-G3 and [Tc-99m]Tc-ADAPT6, are safe, well-tolerated and cause a low level of radioactivity in healthy tissue. The goal of this preclinical study was to select the best probe for stratification of patients and response monitoring. Biodistribution of both tracers was compared in mice bearing SKOV-3 xenografts with high HER2 expression or MDA-MB-468 xenografts with very low expression. Changes in accumulation of the probes in SKOV-3 tumors 24 h after injection of trastuzumab were evaluated. Both [Tc-99m]Tc-ADAPT6 and [Tc-99m]Tc-(HE)(3)-G3 permitted high contrast imaging of HER2-expressing tumors and a clear discrimination between tumors with high and low HER2 expression. However, [Tc-99m]Tc-ADAPT6 has better preconditions for higher sensitivity and specificity of stratification. On the other hand, [Tc-99m]Tc-(HE)(3)-G3 is capable of detecting the decrease of HER2 expression on response to trastuzumab therapy only 24 h after injection of the loading dose. This indicates that the [Tc-99m]Tc-(HE)(3)-G3 tracer would be better for monitoring early response to such treatment. The results of this study should be considered in planning of further clinical development of HER2 imaging probes.

Place, publisher, year, edition, pages
MDPI AG , 2022. Vol. 23, no 23, article id 15181
Keywords [en]
radionuclide molecular imaging, HER2, scaffold proteins, DARPin, ADAPT6, technetium-99m, preclinical
National Category
Radiology, Nuclear Medicine and Medical Imaging
Identifiers
URN: urn:nbn:se:kth:diva-322897DOI: 10.3390/ijms232315181ISI: 000897365700001PubMedID: 36499504Scopus ID: 2-s2.0-85143724635OAI: oai:DiVA.org:kth-322897DiVA, id: diva2:1724765
Note

QC 20230109

Available from: 2023-01-09 Created: 2023-01-09 Last updated: 2024-03-18Bibliographically approved

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Lindbo, SarahHober, SophiaOrlova, Anna

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