PMID- 18077530 OWN - NLM STAT- MEDLINE DCOM- 20080229 LR - 20220318 IS - 0161-5505 (Print) IS - 0161-5505 (Linking) VI - 49 IP - 1 DP - 2008 Jan TI - Multifunctional antibodies by the Dock-and-Lock method for improved cancer imaging and therapy by pretargeting. PG - 158-63 AB - The Dock-and-Lock (DNL) method, which makes bioactive molecules with multivalency and multifunctionality, is a new approach to develop targeting molecules for improved cancer imaging and therapy. It involves the use of a pair of distinct protein domains involved in the natural association between cyclic adenosine monophosphate (cAMP)-dependent protein kinase A (PKA) and A-kinase anchoring proteins (AKAPs). The dimerization and docking domain found in the regulatory subunit of PKA and the anchoring domain (AD) of an interactive AKAP are each attached to a biologic entity, and the resulting derivatives, when combined, readily form a stably tethered complex of a defined composition that fully retains the functions of the individual constituents. The DNL method has generated several trivalent, bispecific, binding proteins, each consisting of 2 identical Fab fragments linked site-specifically to a different Fab fragment. For example, 2 identical Fabs reacting with carcinoembryonic antigen (CEA) are bound to a Fab reacting with a hapten peptide that bears a diagnostic or therapeutic radionuclide. Using a 2-step, pretargeting method that separates the bivalent anti-CEA antibody targeting of tumor from the delivery of the radioactive peptide that is captured by the second Fab of the tri-Fab construct, an improved method of cancer imaging and therapy has been developed and shows very sensitive and specific targeting of CEA-expressing tumors for either diagnostic imaging, such as with immunoSPECT and immunoPET, or radioimmunotherapy. Improved therapeutic efficacy is shown with pretargeting in a pancreatic cancer xenograft model given a tri-Fab to a pancreatic cancer MUC1 and the hapten peptide labeled with (90)Y. FAU - Goldenberg, David M AU - Goldenberg DM AD - Garden State Cancer Center, Center for Molecular Medicine and Immunology, Belleville, New Jersey 07109, USA. dmg.gscancer@att.net FAU - Rossi, Edmund A AU - Rossi EA FAU - Sharkey, Robert M AU - Sharkey RM FAU - McBride, William J AU - McBride WJ FAU - Chang, Chien-Hsing AU - Chang CH LA - eng GR - P01 CA10395/CA/NCI NIH HHS/United States GR - R01 CA107088/CA/NCI NIH HHS/United States GR - R01 CA115755/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20071212 PL - United States TA - J Nucl Med JT - Journal of nuclear medicine : official publication, Society of Nuclear Medicine JID - 0217410 RN - 0 (A Kinase Anchor Proteins) RN - 0 (Antibodies, Bispecific) RN - 0 (Immunoglobulin Fab Fragments) RN - EC 2.7.11.11 (Cyclic AMP-Dependent Protein Kinases) SB - IM MH - A Kinase Anchor Proteins/chemistry MH - Animals MH - Antibodies, Bispecific/chemistry/*therapeutic use MH - Colonic Neoplasms/diagnostic imaging/drug therapy/immunology MH - Cyclic AMP-Dependent Protein Kinases/chemistry MH - Immunoglobulin Fab Fragments/chemistry MH - Lung Neoplasms/diagnostic imaging/drug therapy/immunology MH - Mice MH - Neoplasm Transplantation MH - Pancreatic Neoplasms/diagnostic imaging/drug therapy/immunology MH - Positron-Emission Tomography MH - Protein Structure, Tertiary MH - Radioimmunotherapy MH - Transplantation, Heterologous RF - 43 EDAT- 2007/12/14 09:00 MHDA- 2008/03/01 09:00 CRDT- 2007/12/14 09:00 PHST- 2007/12/14 09:00 [pubmed] PHST- 2008/03/01 09:00 [medline] PHST- 2007/12/14 09:00 [entrez] AID - jnumed.107.046185 [pii] AID - 10.2967/jnumed.107.046185 [doi] PST - ppublish SO - J Nucl Med. 2008 Jan;49(1):158-63. doi: 10.2967/jnumed.107.046185. Epub 2007 Dec 12.