What is the Best Radionuclide for Immuno-PET of Multiple Myeloma? A Comparison Study Between <sup>89</sup>Zr- and <sup>64</sup>Cu-Labeled Anti-CD138 in a Preclinical Syngeneic Model

oleh: Clément Bailly, Sébastien Gouard, François Guérard, Benjamin Chalopin, Thomas Carlier, Alain Faivre-Chauvet, Patricia Remaud-Le Saëc, Mickaël Bourgeois, Nicolas Chouin, Latifa Rbah-Vidal, Raphaël Tripier, Ferid Haddad, Françoise Kraeber-Bodéré, Caroline Bodet-Milin, Michel Chérel

Format: Article
Diterbitkan: MDPI AG 2019-05-01

Deskripsi

Although positron emission tomography (PET) imaging with 18-Fluorodeoxyglucose (<sup>18</sup>F-FDG) is a promising technique in multiple myeloma (MM), the development of other radiopharmaceuticals seems relevant. CD138 is currently used as a standard marker for the identification of myeloma cells and could be used in phenotype tumor imaging. In this study, we used an anti-CD138 murine antibody (9E7.4) radiolabeled with copper-64 (<sup>64</sup>Cu) or zirconium-89 (<sup>89</sup>Zr) and compared them in a syngeneic mouse model to select the optimal tracers for MM PET imaging. Then, 9E7.4 was conjugated to TE2A-benzyl isothiocyanate (TE2A) and desferrioxamine (DFO) chelators for <sup>64</sup>Cu and <sup>89</sup>Zr labeling, respectively. <sup>64</sup>Cu-TE2A-9E7.4 and <sup>89</sup>Zr-DFO-9E7.4 antibodies were evaluated by PET imaging and biodistribution studies in C57BL/KaLwRij mice bearing either 5T33-MM subcutaneous tumors or bone lesions and were compared to <sup>18</sup>F-FDG-PET imaging. In biodistribution and PET studies, <sup>64</sup>Cu-TE2A-9E7.4 and <sup>89</sup>Zr-DFO-9E7.4 displayed comparable good tumor uptake of subcutaneous tumors. On the bone lesions, PET imaging with <sup>64</sup>Cu-TE2A-9E7.4 and <sup>89</sup>Zr-DFO-9E7.4 showed higher uptake than with <sup>18</sup>F-FDG-PET. Comparison of both 9E7.4 conjugates revealed higher nonspecific bone uptakes of <sup>89</sup>Zr-DFO-9E7.4 than <sup>64</sup>Cu-TE2A-9E7.4. Because of free <sup>89</sup>Zr&#8217;s tropism for bone when using <sup>89</sup>Zr-anti-CD138, <sup>64</sup>Cu-anti-CD138 antibody had the most optimal tumor-to-nontarget tissue ratios for translation into humans as a specific new imaging radiopharmaceutical agent in MM.