PMID- 22917884 OWN - NLM STAT- MEDLINE DCOM- 20121210 LR - 20211021 IS - 1535-5667 (Electronic) IS - 0161-5505 (Print) IS - 0161-5505 (Linking) VI - 53 IP - 10 DP - 2012 Oct TI - Immuno-PET of the hepatocyte growth factor receptor Met using the 1-armed antibody onartuzumab. PG - 1592-600 LID - 10.2967/jnumed.111.102293 [doi] AB - The overexpression and overactivation of hepatocyte growth factor receptor (Met) in various cancers has been linked to increased proliferation, progression to metastatic disease, and drug resistance. Developing a PET agent to assess Met expression would aid in the diagnosis and monitoring of responses to Met-targeted therapies. In these studies, onartuzumab, the experimental therapeutic 1-armed monoclonal antibody, was radiolabeled with (76)Br or (89)Zr and evaluated as an imaging agent in Met-expressing cell lines and mouse xenografts. METHODS: (89)Zr-desferrioxamine (df)-onartuzumab was synthesized using a df-conjugate; (76)Br-onartuzumab was labeled directly. Met-binding studies were performed using the human tumor-derived cell lines MKN-45, SNU-16, and U87-MG, which have relatively high, moderate, and low levels of Met, respectively. Biodistribution and small-animal PET studies were performed in MKN-45 and U87-MG xenografts. RESULTS: (76)Br-onartuzumab and (89)Zr-df-onartuzumab exhibited specific, high-affinity Met binding (in the nanomolar range) that was concordant with established Met expression levels. In MKN-45 (gastric carcinoma) xenografts, both tracers cleared slowly from nontarget tissues, with the highest uptake in tumor, blood, kidneys, and lungs. (76)Br-onartuzumab MKN-45 tumor uptake remained relatively constant from 18 h (5 percentage injected dose per gram of tissue [%ID/g]) to 48 h (3 %ID/g) and exhibited tumor-to-muscle ratios ranging from 4:1 to 6:1. In contrast, (89)Zr-df-onartuzumab MKN-45 tumor uptake continued to accumulate from 18 h (10 %ID/g) to 120 h (23 %ID/g), attaining tumor-to-muscle ratios ranging from 20:1 to 27:1. MKN-45 tumors were easily visualized in imaging studies with both tracers at 18 h, but after 48 h (89)Zr-df-onartuzumab image quality improved, with at least 2-fold-greater tumor uptake than nontarget tissues. MKN-45 tumor uptake for both tracers correlated significantly with tumor mass and Met expression and was not affected by the presence of plasma shed Met. CONCLUSION: (89)Zr-df-onartuzumab and (76)Br-onartuzumab specifically targeted Met in vitro and in vivo; (89)Zr-df-onartuzumab achieved higher tumor uptake and tumor-to-muscle ratios than (76)Br-onartuzumab at later times, suggesting that (89)Zr-df-onartuzumab would be better suited to image Met for diagnostic and prognostic purposes. FAU - Jagoda, Elaine M AU - Jagoda EM AD - Molecular Imaging Program, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892-1088, USA. ejagoda@mail.nih.gov FAU - Lang, Lixin AU - Lang L FAU - Bhadrasetty, Veerendra AU - Bhadrasetty V FAU - Histed, Stephanie AU - Histed S FAU - Williams, Mark AU - Williams M FAU - Kramer-Marek, Gabriela AU - Kramer-Marek G FAU - Mena, Esther AU - Mena E FAU - Rosenblum, Lauren AU - Rosenblum L FAU - Marik, Jan AU - Marik J FAU - Tinianow, Jeff N AU - Tinianow JN FAU - Merchant, Mark AU - Merchant M FAU - Szajek, Lawrence AU - Szajek L FAU - Paik, Chang AU - Paik C FAU - Cecchi, Fabiola AU - Cecchi F FAU - Raffensperger, Kristen AU - Raffensperger K FAU - Jose-Dizon, Joe-Marie AU - Jose-Dizon JM FAU - Bottaro, Donald P AU - Bottaro DP FAU - Choyke, Peter AU - Choyke P LA - eng GR - ZIA BC010656-09/Intramural NIH HHS/United States GR - ZIA BC011124-06/Intramural NIH HHS/United States PT - Journal Article DEP - 20120823 PL - United States TA - J Nucl Med JT - Journal of nuclear medicine : official publication, Society of Nuclear Medicine JID - 0217410 RN - 0 (Antibodies, Monoclonal) RN - 0 (Bromine Radioisotopes) RN - C6V6S92N3C (Zirconium) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-met) SB - IM MH - Animals MH - *Antibodies, Monoclonal/metabolism/pharmacokinetics MH - Biological Transport MH - Bromine Radioisotopes MH - Cell Line, Tumor MH - Female MH - Humans MH - Isotope Labeling MH - Mice MH - Positron-Emission Tomography/*methods MH - Proto-Oncogene Proteins c-met/*metabolism MH - Tumor Burden MH - Zirconium PMC - PMC3982858 MID - NIHMS517340 EDAT- 2012/08/25 06:00 MHDA- 2012/12/12 06:00 PMCR- 2014/04/10 CRDT- 2012/08/25 06:00 PHST- 2012/08/25 06:00 [entrez] PHST- 2012/08/25 06:00 [pubmed] PHST- 2012/12/12 06:00 [medline] PHST- 2014/04/10 00:00 [pmc-release] AID - jnumed.111.102293 [pii] AID - 10.2967/jnumed.111.102293 [doi] PST - ppublish SO - J Nucl Med. 2012 Oct;53(10):1592-600. doi: 10.2967/jnumed.111.102293. Epub 2012 Aug 23.