sup 111^In-Bn-DTPA-nimotuzumab with/without modification with nuclear translocation sequence (NLS) peptides: an Auger electron-emitting radioimmunotherapeutic agent for EGFR-positive and trastuzumab (Herceptin)-resistant breast cancer

• Published in: Breast cancer research and treatment 2012-08, Vol.135 (1), p.189
• Main Authors: Fasih, Aisha, Fonge, Humphrey, Cai, Zhongli, Leyton, Jeffrey V, Tikhomirov, Ilia, Done, Susan J, Reilly, Raymond M
• Format: Article
• Language: English
• Subjects: Breast cancer; Cancer research; Cancer therapies; Drug resistance; Epidermal growth factor; Monoclonal antibodies
• ISSN: 0167-6806; 1573-7217
• DOI: 10.1007/s10549-012-2137-y

Increased expression of epidermal growth factor receptors (EGFR) in breast cancer (BC) is often associated with trastuzumab (Herceptin)-resistant forms of the disease and represents an attractive target for novel therapies. Nimotuzumab is a humanized IgG^sub 1^ monoclonal antibody that is in clinical trials for treatment of EGFR-overexpressing malignancies. We show here that nimotuzumab derivatized with benzylisothiocyanate diethylenetriaminepentaacetic acid for labeling with the subcellular range Auger electron-emitter, ^sup 111^In and modified with nuclear translocation sequence (NLS) peptides (^sup 111^In-NLS-Bn-DTPA-nimotuzumab) was bound, internalized and transported to the nucleus of EGFR-positive BC cells. Emission of Auger electrons in close proximity to the nucleus caused multiple DNA double-strand breaks which diminished the clonogenic survival (CS) of MDA-MB-468 cells that have high EGFR density (2.4 × 10^sup 6^ receptors/cell) to less than 3 %. ^sup 111^In-Bn-DTPA-nimotuzumab without NLS peptide modification was sevenfold less effective for killing MDA-MB-468 cells. ^sup 111^In-Bn-DTPA-nimotuzumab with/without NLS peptide modification were equivalently cytotoxic to MDA-MB-231 and TrR1 BC cells that have moderate EGFR density (5.4 × 10^sup 5^ or 4.2 × 10^sup 5^ receptors/cell, respectively) reducing their CS by twofold. MDA-MB-231 cells have intrinsic trastuzumab resistance due to low HER2 density, whereas TrR1 cells have acquired resistance despite HER2 overexpression. Biodistribution and microSPECT/CT imaging revealed that ^sup 111^In-NLS-Bn-DTPA-nimotuzumab exhibited more rapid elimination from the blood and lower tumor uptake than ^sup 111^In-Bn-DTPA-nimotuzumab. tumor uptake of the radioimmunoconjugates in mice with MDA-MB-468 xenografts was high (8-16 % injected dose/g) and was blocked by administration of an excess of unlabeled nimotuzumab, demonstrating EGFR specificity. We conclude that ^sup 111^In-Bn-DTPA-nimotuzumab with/without NLS peptide modification are promising Auger electron-emitting radioimmunotherapeutic agents for EGFR-positive BC, but ^sup 111^In-Bn-DTPA-nimotuzumab may be preferred due to its higher tumor uptake in vivo.[PUBLICATION ABSTRACT]