Tocilizumab Labeling with (99m)Technetium via HYNIC as a Molecular Diagnostic Agent for Multiple Myeloma
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Citações na Scopus
4
Tipo de produção
article
Data de publicação
2017
Editora
BENTHAM SCIENCE PUBL LTD
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Título da Revista
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Título do Volume
Autores
CAMACHO, Ximena
GARCIA, Maria Fernanda
FERNANDEZ, Marcelo
ODDONE, Natalia
BENECH, Juan
GAMBINI, Juan Pablo
CERECETTO, Hugo
CABRALA, Pablo
Autor de Grupo de pesquisa
Editores
Coordenadores
Organizadores
Citação
ANTI-CANCER AGENTS IN MEDICINAL CHEMISTRY, v.17, n.9, p.1267-1277, 2017
Resumo
Background: Multiple myeloma is the second most common hematological malignancy. Interleukin-6 (IL-6) is one of the key molecules related to growth, survival and proliferation of myeloma cells. Tocilizumab is a humanized monoclonal antibody directed against receptor of IL-6. Objective: To radiolabel Tocilizumab with (99m)Technetium as a potential imaging agents for MM. Methods: IL-6R expression was studied by laser confocal microscopy in MM cell lines (U266, NCI-H929 and MM1S). Tocilizumab was derivatized with NHS-HYNIC-Tfa and radiolabeling with Tc-99m. Radiochemical stability was determined. In-vitro binding and immunoreactive fraction assays were performed. Biodistribution and SPECT/CT imaging were evaluated in healthy BALB/c and MM-bearing BALB/c nude mice. Results: LCM studies allowed us to demonstrate that U266, NCI-H929 and MM1S cells present high expression of IL-6R in cell membrane. Radiolabeling was carried out in a fast, reproducible, easy and stable way having high radiochemical purity and did not interfere with epitope recognition. The immunoreactive fraction of (TcHYNIC)-Tc-99m-Tocilizumab was 86.35%. Biodistribution showed a high uptake in liver, spleen, gastrointestinal tract and kidneys. SPECT/CT imaging of MM-bearing BALB/c nude mice showed liver uptake and a high tumor selective uptake at 24 hours. Conclusions: Our results support the potential role of 99mTc-HYNIC-Tocilizumb as a novel MM radiotracer for targeting IL-6 expression in-vivo. We describe the development of a formulation kit to radiolabeling monoclonal antibodies in a clinical setting. We hope that these novel molecular imaging agents will open the path to new diagnostic and therapeutic strategies for MM disease.
Palavras-chave
Tocilizumab, IL-6R, Tc-99m-HYNIC-tocilizumab, molecular imaging, multiple myeloma
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