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Critical Systems Thinking and Practice - ResearchGate
The Bioconjugation and Radiosynthesis of critical systems, 89 Zr-DFO-labeled Antibodies.
The exceptional affinity, specificity, and selectivity of antibodies make them extraordinarily attractive vectors for tumor-targeted PET radiopharmaceuticals. Due to their multi-day biological half-life, antibodies must be labeled with positron-emitting radionuclides with relatively long physical decay half-lives. Traditionally, the positron-emitting isotopes 124 I (t 1/2 = 4.18 d), 86 Y (t 1/2 = 14.7 hr), and 64 Cu (t 1/2 = 12.7 hr) have been used to explain how to an entire essay, label antibodies for PET imaging. More recently, however, the field has witnessed a dramatic increase in thinking the use of the positron-emitting radiometal 89 Zr in antibody-based PET imaging agents. 89 Zr is a nearly ideal radioisotope for PET imaging with immunoconjugates, as it possesses a physical half-life (t 1/2 = 78.4 hr) that is paragraph essay outline compatible with the in vivo pharmacokinetics of antibodies and emits a relatively low energy positron that produces high resolution images. Systems Thinking! Furthermore, antibodies can be straightforwardly labeled with 89 Zr using the siderophore-derived chelator desferrioxamine (DFO). In this protocol, the prostate-specific membrane antigen targeting antibody J591 will be used as a model system to illustrate (1) the bioconjugation of the on totalitarianism, bifunctional chelator DFO-isothiocyanate to an antibody, (2) the radiosynthesis and purification of a 89 Zr-DFO-mAb radioimmunoconjugate, and (3) in critical systems vivo PET imaging with an third point research, 89 Zr-DFO-mAb radioimmunoconjugate in a murine model of cancer.
Due to their remarkable sensitivity, affinity, and selectivity, antibodies have long been considered promising vectors for the delivery of radioisotopes to cancer cells. Critical Systems Thinking! However, their application in positron emission tomography (PET) imaging has been hampered by explain movie essay, the lack of a suitable positron-emitting radioisotope for thinking their labeling. 1-3 One of the explain movie essay, most critical considerations in the design of radioimmunoconjugates is matching the physical decay half-life of the radioisotope to the in vivo pharmacokinetics of the critical thinking, antibody. Ng Paggawa! More specifically, antibodies often have relatively long, multi-day biological half-lives and therefore must be labeled with radioisotopes with comparable physical half-lives. For PET imaging applications, antibodies have traditionally been radiolabeled with 64 Cu (t 1/2 = 12.7 hr), 86 Y (t 1/2 = 14.7 hr), or 124 I (t 1/2 = 4.18 d). 4,5 However, each of these radioisotopes possesses significant limitations that hamper their suitability for thinking clinical imaging. While radioimmunoconjugates labeled with 86 Y and 64 Cu have proven promising in preclinical investigations, both isotopes possess physical half-lives that are too short to be effective for imaging in humans. Case Study Of Advertising! 124 I, in contrast, has a nearly ideal physical half-life for imaging with antibodies, but it is critical systems thinking expensive and third has suboptimal decay characteristics that lead to relatively low resolution clinical images. Furthermore, 124 I-labeled radioimmunoconjugates can be subject to dehalogenation in critical vivo , a process which can lower tumor-to-background activity ratios. 6,7.
The drive to find a positron-emitting radioisotope to supplant 64 Cu, 86 Y, and person paper 124 I in radioimmunoconjugates has fueled the recent surge in research on 89 Zr-labeled antibodies. 8-12 The reason for the advent of 89 Zr is thinking straightforward: the radiometal possesses near-ideal chemical and case of advertising physical properties for critical systems use in diagnostic PET radioimmunoconjugates. 13 89 Zr is produced via the 89 Y( p,n ) 89 Zr reaction on a cyclotron using a commercially available and 100% naturally abundant 89 Y target. 14,15 The radiometal has a positron yield of 23%, decays with a half-life of 78.4 hr, and third person point of view research paper emits positrons with the relatively low energy of 395.5 keV ( Figure 1 ). 13,16,17 It is systems important to note that 89 Zr also emits a high energy, 909 keV γ-ray with 99% efficiency. While this emission does not interfere energetically with the emitted 511 keV photons, it does require extra consideration with regard to transport, handling, and dosimetry. Help! Despite this caveat, these decay characteristics ultimately mean that 89 Zr not only has a more favorable half-life for imaging with antibodies than 86 Y and critical thinking 64 Cu but can also produce higher resolution images than 124 I, which emits positrons with higher energies of 687 and 975 keV as well as a number of photons with energies within 100-150 keV of the 511 keV positron-created photons. 13 Moreover, 89 Zr is also safer to handle, less expensive to of view research paper, produce, and residualizes in tumors more effectively than its radioiodine counterpart. Critical! 18,19 One potential limitation of an entire movie, 89 Zr is critical systems thinking that it does not have a therapeutic isotopologue, e.g. , 86 Y (PET) vs. 90 Y (therapy). This precludes the construction of chemically identical, surrogate imaging agents that can be employed as dosimetric scouts for their therapeutic counterparts. 1984 Essays! That said, investigations suggest that 89 Zr-labeled antibodies do have potential as imaging surrogates for 90 Y- and 177 Lu-labeled immunoconjugates. 20,21.
From a chemical standpoint, as a Group IV metal, 89 Zr exists as a +4 cation in aqueous solution. The Zr 4+ ion is thinking highly charged, relatively large (effective ionic radius = 0.84 Å), and can be classified as a “hard” cation. As such, it exhibits a preference for ligands bearing up to of advertising campaign, eight hard, anionic oxygen donors. Easily the most common chelator used in 89 Zr-labeled radioimmunoconjugates is desferrioxamine (DFO), a siderophore-derived, acyclic chelator bearing three hydroxamate groups. The ligand stably coordinates the Zr 4+ cation quickly and cleanly at critical, RT at biologically relevant pH levels, and the resulting Zr-DFO complex remains stable over the course of multiple days in saline, blood serum, and whole blood. 22 Computational studies strongly suggest that DFO forms a hexacoordinate complex with Zr 4+ in which the metal center is point of view research paper coordinated to the three neutral and three anionic oxygen donors of the ligand as well as two exogenous water ligands( Figure 2 ). 23,24 The in vivo behavior of radioimmunoconjugates employing the systems, 89 Zr-DFO conjugation scaffold has generally been excellent. However, in some cases, imaging and acute biodistribution studies have revealed elevated activity levels in paraan the bones of mice injected with 89 Zr-labeled antibodies, data that suggests that the critical systems, osteophilic 89 Zr 4+ cation is released from the chelator in vivo and subsequently mineralizes in the bone. 25 Recently, a number of investigations into compare and contrast essay the development of novel 89 Zr 4+ chelators particularly ligands with eight oxygen donors have appeared in the literature. 24,26,27 Nevertheless, at present, DFO is the most widely employed chelator in 89 Zr-labeled radioimmunoconjugates by a wide margin. A variety of different bioconjugation strategies have been employed to attach DFO to antibodies, including bioorthogonal click chemistry, the reaction of thiol-reactive DFO constructs with cysteines in the antibody, and the reaction of activated ester-bearing DFO constructs with lysines in thinking the antibody. 4,28-30 Easily the most common strategy, however, has been the use of an isothiocyanate-bearing derivative of 1984 essays on totalitarianism, DFO, DFO-NCS ( Figure 2 ). 22 This commercially available bifunctional chelator robustly and reliably forms stable, covalent thiourea linkages with the systems thinking, lysines of the antibody ( Figure 3 ).
Over the past few years, a wide variety of 89 Zr-DFO-labeled radioimmunoconjugates have been reported in the literature. Preclinical investigations have been especially abundant, featuring antibodies ranging from the more well-known cetuximab, bevacizumab, and person of view research paper trastuzumab to more esoteric antibodies such as the CD105-targeting TRC105 and fPSA-targeting 5A10. 30-36 More recently, a small number of early-phase clinical trials using 89 Zr-DFO-labeled antibodies have emerged in the literature. Specifically, groups in the Netherlands have published trials employing 89 Zr-DFO-cmAb U36, 89 Zr-DFO-ibritumomab tiuxetan, and 89 Zr-DFO-trastuzumab. 21,32,37 In addition, a range of other clinical trials with 89 Zr-labeled radioimmunoconjugates are currently underway, including investigations here at Memorial Sloan Kettering Cancer Center using the PSMA-targeting 89 Zr-DFO-J591 for prostate cancer imaging and the HER2-targeting 89 Zr-DFO-trastuzumab for breast cancer imaging. 23,30 In addition, while radiolabeled antibodies remain the most common 89 Zr-labeled radiopharmaceuticals, the systems, radiometal has also increasingly been employed with other vectors, including peptides, proteins, and nanomaterials. Case Study Of Advertising! 38-43.
The modularity of this 89 Zr-DFO labeling methodology is a tremendous asset. The repertoire of biomarker-targeting antibodies is ever-expanding, and the interest in performing in vivo PET imaging using these constructs is critical systems thinking growing apace. As a result, we believe that the development of more standardized practices and protocols could benefit the field. An excellent written experimental protocol for DFO-NCS conjugation and 89 Zr radiolabeling has already been published by and contrast essay outline, Vosjan, et al. 22 We feel that the visual demonstration provided by this work could further help investigators new to these techniques. In the protocol at hand, the prostate-specific membrane antigen targeting antibody J591 will be used as a model system to illustrate (1) the thinking, bioconjugation of the bifunctional chelator DFO-isothiocyanate to an antibody, (2) the radiosynthesis and purification of the 89 Zr-DFO-mAb radioimmunoconjugate, and (3) in third point research paper vivo PET imaging with a 89 Zr-DFO-mAb radioimmunoconjugate in thinking a murine model of cancer. 23,44,45.
All of the in vivo animal experiments described were performed according to an approved protocol and under the ethical guidelines of the Memorial Sloan Kettering Cancer Center Institutional Animal Care and Use Committee (IACUC).
2. Radiolabeling J591-DFO with 89 Zr.
CAUTION: This step of the protocol involves the handling and manipulation of radioactivity. Of Advertising Campaign! Before performing these steps or performing any other work with radioactivity researchers should consult with their home institution’s Radiation Safety Department. All possible steps should be taken to minimize exposure to critical systems, ionizing radiation.
NOTE: In the interest of proper radiochemical note-keeping, the amount of radioactivity in essay the sample should be measured using a dose calibrator and recorded before and after Steps 2.2-2.13 in the protocol below. This will help with the accurate determination of radiochemical yields and specific activities.
3. In Vivo PET Imaging with 89 Zr-DFO-J591.
CAUTION: As in Protocol Section 2, this step of the systems, protocol involves the handling and manipulation of radioactivity. Before performing these steps researchers should consult with their home institution’s Radiation Safety Department. All possible steps should be taken to minimize exposure to ionizing radiation.
The first step in dissertation this protocol the conjugation of DFO-NCS to the antibody is typically quite robust and reliable. Generally, the purified, chelator-modified immunoconjugate can be obtained in critical systems > 90% yield, and using 3 molar equivalents of DFO-NCS in the initial conjugation reaction will yield a degree-of-labeling of the chelator of approximately 1.0-1.5 DFO/mAb. The 89 Zr radiolabeling and purification steps of the procedure are likewise straightforward. At the concentrations outlined in the protocol above, radiolabeling yields of > 80% and thus specific activities of > 2.0 mCi/mg are typical after 60 min at RT. The radio-TLC chromatogram of the crude radiolabeling mixture will likely reveal some DTPA-bound 89 Zr 4+ that elutes at the solvent front ( Figure 4A ). However, after quenching the reaction with DTPA and purifying the 89 Zr-DFO-mAb construct via size exclusion chromatography, the radiochemical purity of the purified, isolated 89 Zr-DFO-mAb conjugate should be > 95% ( Figure 4B ). In the event that the radiochemical purity of the isolated 89 Zr-DFO-mAb conjugate is less than 95%, the purification procedure should be repeated prior to performing any in vitro or in vivo experiments.
Moving on to the in vivo experiments, in the protocol described above, athymic nude mice bearing PSMA-expressing, LNCaP prostate cancer xenografts were employed to investigate the in vivo behavior of 89 Zr-DFO-J591. Both acute biodistribution and PET imaging experiments revealed that 89 Zr-DFO-J591 clearly delineates the prostate cancer xenografts with excellent image contrast and high tumor-to-background activity ratios ( Figure 5 ). The uptake of the radioimmunoconjugate in third person the tumor is evident as early as 24 hr (20.9% ± 5.6% ID/g), and the activity concentration in the tumor increases to critical systems, a maximum of 57.5% ± 5.3% ID/g at 96 hr post-injection. Case Campaign! As is typical for radioimmunoconjugates, a relatively high concentration of radiotracer is present in the blood at early time points (9.1% ± 5.3% ID/g at 24 hr), followed by a slow decrease in the amount of radioactivity in the blood over the course of the thinking, experiment. The non-target tissue with the highest activity concentration was the bone, which displayed uptake values around 10% ID/g throughout the experiment, presumably as a result of the in vivo release of the osteophilic cation 89 Zr 4+ . All other organs including heart, lung, liver, spleen, stomach, large and small intestine, kidney, and muscle displayed relatively low activity concentrations, often well below 5% ID/g. As a control, an five and contrast outline, additional cohort of mice were injected co-injected 300 µg unlabeled DFO-J591 in order to saturate the antigen and thus illustrate selective blocking. Critically, the blocking experiment lowered uptake of the critical systems, radioimmunoconjugate in the tumor from 48.9% ± 9.3% ID/g to 23.5% ± 11.1% ID/g at case, 72 hr post-injection, clearly indicating that 89 Zr-DFO-J591 selectively targets its antigen.
Figure 1. ( A ) A simplified decay scheme and ( B ) some salient decay characteristics of 89 Zr. Critical Systems! 13,16,17 IT = isomeric transition; EC = electron capture. Modified and reprinted with permission from third of view research paper Deri, et al. Nuclear Medicine and Biology . 40 , 3-14 (2013). Please click here to critical, view a larger version of this figure.
Figure 2. ( A ) The structure of DFO-NCS with the coordinating oxygen atoms colored red; ( B ) A DFT-derived structure of the Zr-DFO coordination complex. Ng Paggawa! Modified and reprinted with permission from Deri, et al. Journal of Medicinal Chemistry. 57, 4849-4860 (2014). Systems! Copyright 2014 American Chemical Society. Please click here to view a larger version of this figure.
Figure 4. Representative radio-TLC chromatograms of the case of advertising, crude radiolabeling mixture (A) and purified product (B) of 89 Zr-DFO-J591. Radio-TLCs were run on silica strips using an eluent of critical systems thinking, 50 mM DTPA, pH 5.0. Please click here to view a larger version of paraan ng paggawa ng thesis, this figure.
Figure 5. Coronal PET images of 89 Zr-DFO-J591 (11.1-12.9 MBq [300-345 μCi] injected via tail vein in thinking 200 μl 0.9% sterile saline) in athymic nude mice bearing subcutaneous, PSMA-expressing LNCaP prostate cancer xenografts (white arrows) between 24 and 120 hr post-injection. 1984! Modified and reprinted with permission from Zeglis, et al. Bioconjugate Chemistry . 24 , 1057-1067 (2013). Copyright 2013 American Chemical Society. Critical Systems! Please click here to view a larger version of this figure.
While the construction, radiolabeling, and imaging of 89 Zr-DFO-labled radioimmunoconjugates is generally a rather straightforward procedure, it is important to keep a few key considerations in mind during each step of the explain how to an entire movie, process. For example, perhaps the most likely cause for critical concern during the conjugation step of the procedure is the aggregation of the help dissertation, antibody during the conjugation reaction. This problem is most often a product of poor mixing of the conjugation reaction after the addition of the DFO-NCS stock solution. 22 When this happens, the non-homogenous distribution of the DFO-NCS can cause excessively high levels of critical systems thinking, local reaction with the ng thesis, antibody, which can in turn lead to critical systems, aggregation. This issue can be relatively easily circumvented by adding the DFO-NCS stock solution in small aliquots (< 5 µl), thoroughly mixing the paraan ng paggawa, reaction mixture after the addition of the DFO-NCS, and critical systems thinking agitating the reaction mixture on a temperature-controlled shaker. Third Person Point Of View Research! In addition, after the conjugation and purification of the DFO-mAb construct, it is important to precisely determine the critical systems thinking, number of DFO conjugated to each mAb. The full characterization of the five, number of DFO chelates per antibody can be achieved using radiometric isotopic dilution experiments similar to those performed by Holland, et al. and Anderson, et al. , though MALDI-TOF mass spectrometry is a viable alternative. 14,23,30,51,52 During the radiolabeling step, easily the most common problem is lower-than-expected radiolabeling yields. If unexpectedly low yields occur despite assiduously following the critical systems, protocol above, three different troubleshooting strategies are available: (1) incubating the dissertation, radiolabeling reaction for longer amounts of time ( e.g., 2-3 hr); (2) repeating the radiolabeling reaction using a higher concentration of critical systems, antibody; or (3) repeating the initial DFO-NCS conjugation reaction using a higher molar excess of the bifunctional chelator.
While the DFO-NCS conjugation is facile and compare and contrast essay outline robust, one of its undeniable weaknesses is that it is not site-specific: DFO-NCS forms thiourea linkages with available lysines in the antibody regardless of their position. As a result, it is possible that the chelators may become appended to the antigen-binding region of the critical thinking, antibody, thereby adversely affecting the immunoreactivity of the 89 Zr-DFO-labeled conjugate. Therefore, a fine balance must be struck in the construction of 89 Zr-labeled radioimmunoconjugates: higher numbers of chelators per antibody facilitate higher specific activities, but higher degrees of labeling also increase the risk of compromising the immunoreactivity of the construct. In the end, the dissertation, goal is simple: attach as many chelators as necessary without compromising immunoreactivity. After obtaining the purified 89 Zr-DFO-mAb radioimmunoconjugate, it is critical to determine the in vitro immunoreactivity of the construct prior to any in vivo experimentation. To this end, we recommend using the in vitro methods published by critical, Lindmo, et al. 53,54 If the immunoreactivity of the construct is lower than 80-90%, it may be necessary to return to the conjugation reaction and append fewer DFO moieties per antibody. Alternatively, if the immunoreactivity of the purified 89 Zr-DFO-mAb is high (> 90%) and higher specific activities are desired, it may be possible to attach more chelators to person research paper, the antibody without decreasing immunoreactivity.
Finally, the in vivo behavior of a 89 Zr-DFO-labeled antibody is, of course, highly dependent on both the identity of the antibody and the tumor model employed. In the model system presented here, the maximum uptake value in the tumor reaches approximately 60% ID/g; however, reports in the literature for maximum tumor uptake values range from as low as 15-20% ID/g to as high as 80-90% ID/g. 33,44,55-57 Likewise, the amount of uptake in non-target tissues — in particular the liver and spleen — can vary widely depending on the antibody/antigen system being studied. Critical! The specific activity of the 89 Zr-DFO-labeled antibody is an important consideration for in vivo experiments. Literature values for person the specific activities of critical systems thinking, 89 Zr-DFO-mAbs typically range from 1984 essays 1-6 mCi/mg (37-222 mBq/mg). Systems! 8,10 Generally, higher specific activities are preferable, as they decrease the likelihood of the inadvertent saturation of the antigen ( i.e., self-blocking). This becomes especially true in systems with lower levels antigen expression. Ng Thesis! Regardless of the antibody/antigen system, no in systems vivo investigation of a 89 Zr-DFO-labeled imaging agent is complete without a demonstration of selectivity. 1984 On Totalitarianism! This can be achieved via blocking experiments using large amounts of systems, unlabeled biomolecule or the 1984 on totalitarianism, use of a cell line that does not express the antigen in question. In the procedure described herein, the former was employed, but the systems thinking, selectivity of third person point of view research, 89 Zr-DFO-J591 has also been demonstrated using PSMA-negative PC3 prostate cancer xenografts. 23.
It is important to critical systems, note that despite its clear advantages, this DFO-NCS-based synthetic methodology is not perfect. As we have discussed, DFO is compare essay not an ideal chelator for 89 Zr 4+ , and the non-site-specific nature of the systems, conjugation reaction can prove cumbersome. Analyze An Entire! To circumvent these issues, exciting efforts to develop new chelators for 89 Zr 4+ and site-specific radiolabeling methodologies are currently underway, yet these new technologies still need to be optimized and validated in both the laboratory and clinic. Systems Thinking! 24,26,27,29,44 Ultimately, the DFO-NCS methodology for the construction of ng paggawa, 89 Zr-DFO-labeled antibodies has proven to be an critical systems thinking, extremely powerful tool for the synthesis of radioimmunoconjugates and has the potential to be used to help dissertation, create a wide variety of clinically useful radiopharmaceuticals.
The authors have nothing to disclose.
The authors thank Prof. Thomas Reiner, Dr. Critical Systems Thinking! Jacob Houghton, and Dr. Serge Lyaschenko for helpful conversations.