Radionuclide molecular imaging has the potential to improve
cancer treatment by selection of patients for targeted
therapy. Affibody molecules are a class of small (7 kDa) high-affinity targeting
proteins with appreciable potential as molecular imaging probes. The
NOTA chelator forms stable complexes with a number of
radionuclides suitable for SPECT or PET imaging. A maleimidoethylmonoamide
NOTA (MMA-
NOTA) has been prepared for site-specific labeling of Affibody molecules having a unique C-terminal
cysteine. Coupling of the MMA-
NOTA to the anti-HER2 Affibody molecule Z(HER2:2395) resulted in a conjugate with an affinity (dissociation constant) to HER2 of 72 pM. Labeling of [MMA-
NOTA-Cys(61)]-Z(HER2:2395) with (111)In gave a yield of >95% after 20 min at 60 °C. In vitro cell tests demonstrated specific binding of [(111)In-MMA-
NOTA-Cys(61)]-Z(HER2:2395) to HER2-expressing cell lines. In mice bearing
prostate cancer DU-145 xenografts, the
tumor uptake of [(111)In-MMA-
NOTA-Cys(61)]-Z(HER2:2395) was 8.2 ± 0.9% IA/g and the
tumor-to-blood ratio was 31 ± 1 (4 h postinjection). DU-145 xenografts were clearly visualized by a
gamma camera. Direct in vivo comparison of [(111)In-MMA-
NOTA-Cys(61)]-Z(HER2:2395) and [(111)In-MMA-
DOTA-Cys(61)]-Z(HER2:2395) demonstrated that both conjugates provided equal radioactivity uptake in
tumors, but the
tumor-to-organ ratios were better for [(111)In-MMA-
NOTA-Cys(61)]-Z(HER2:2395) due to more efficient clearance from normal tissues. In conclusion, coupling of MMA-
NOTA to a
cysteine-containing Affibody molecule resulted in a site-specifically labeled conjugate, which retains high affinity, can be efficiently labeled, and allows for high-contrast imaging.