A pretargeted approach for the multimodal PET/NIRF imaging of colorectal cancer Journal Article


Authors: Adumeau, P.; Carnazza, K. E.; Brand, C.; Carlin, S. D.; Reiner, T.; Agnew, B. J.; Lewis, J. S.; Zeglis, B. M.
Article Title: A pretargeted approach for the multimodal PET/NIRF imaging of colorectal cancer
Abstract: The complementary nature of positron emission tomography (PET) and near-infrared fluorescence (NIRF) imaging makes the development of strategies for the multimodal PET/NIRF imaging of cancer a very enticing prospect. Indeed, in the context of colorectal cancer, a single multimodal PET/NIRF imaging agent could be used to stage the disease, identify candidates for surgical intervention, and facilitate the image-guided resection of the disease. While antibodies have proven to be highly effective vectors for the delivery of radioisotopes and fluorophores to malignant tissues, the use of radioimmunoconjugates labeled with long-lived nuclides such as 89Zr poses two important clinical complications: high radiation doses to the patient and the need for significant lag time between imaging and surgery. In vivo pretargeting strategies that decouple the targeting vector from the radioactivity at the time of injection have the potential to circumvent these issues by facilitating the use of positron-emitting radioisotopes with far shorter half-lives. Here, we report the synthesis, characterization, and in vivo validation of a pretargeted strategy for the multimodal PET and NIRF imaging of colorectal carcinoma. This approach is based on the rapid and bioorthogonal ligation between a trans-cyclooctene- and fluorophore-bearing immunoconjugate of the huA33 antibody (huA33-Dye800-TCO) and a 64Cu-labeled tetrazine radioligand (64Cu-Tz-SarAr). In vivo imaging experiments in mice bearing A33 antigen-expressing SW1222 colorectal cancer xenografts clearly demonstrate that this approach enables the non-invasive visualization of tumors and the image-guided resection of malignant tissue, all at only a fraction of the radiation dose created by a directly labeled radioimmunoconjugate. Additional in vivo experiments in peritoneal and patient-derived xenograft models of colorectal carcinoma reinforce the efficacy of this methodology and underscore its potential as an innovative and useful clinical tool. © Ivyspring International Publisher.
Keywords: colorectal carcinoma; pet; fluorescence imaging; multimodal imaging; pretargeting; bioorthogonal chemistry; site-specific bioconjugation
Journal Title: Theranostics
Volume: 6
Issue: 12
ISSN: 1838-7640
Publisher: Ivyspring International Publisher  
Date Published: 2016-01-01
Start Page: 2267
End Page: 2277
Language: English
DOI: 10.7150/thno.16744
PROVIDER: scopus
PMCID: PMC5135447
PUBMED: 27924162
DOI/URL:
Notes: Article -- Export Date: 6 December 2016 -- Source: Scopus
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  1. Brian Zeglis
    118 Zeglis
  2. Jason S Lewis
    456 Lewis
  3. Sean Denis Carlin
    83 Carlin
  4. Thomas Reiner
    136 Reiner
  5. Christian Brand
    25 Brand