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[111In-1,4,7-Triazacyclononane,1-glutaric acid-4,7-acetic acid-10-maleimidoethylacetamide-Cys61]-Affibody ZHER2:2395

, PhD
National Center for Biotechnology Information, NLM, NIH
Corresponding author.

Created: ; Last Update: September 13, 2012.

Chemical name:[111In-1,4,7-Triazacyclononane,1-glutaric acid-4,7-acetic acid-10-maleimidoethylacetamide-Cys61]-Affibody ZHER2:2395
Abbreviated name:[111In-MMA-NODAGA-Cys61]-ZHER2:2395
Agent category:Antibody fragment, Affibody
Target:Epidermal growth factor receptor (EGFR, HER2)
Target category:Receptor
Method of detection:Single-photon emission computed tomography (SPECT), gamma planar imaging
Source of signal:111In
  • Checkbox In vitro
  • Checkbox Rodents
Click on protein, nucleotide (RefSeq), and gene for more information about HER2.



Epidermal growth factor (EGF) is a growth factor composed of 53 amino acids (6.2 kDa), and it is secreted by ectodermic cells, monocytes, kidneys, and duodenal glands (1). EGF stimulates growth of epidermal and epithelial cells. EGF and at least seven other growth factors and their transmembrane receptor kinases play important roles in cell proliferation, survival, adhesion, migration, and differentiation. The EGF receptor (EGFR) family consists of four transmembrane receptors: EGFR (HER1/erbB-1), HER2 (erbB-2/neu), HER3 (erbB-3), and HER4 (erbB-4) (2). HER1, HER3, and HER4 comprise three major functional domains: an extracellular ligand-binding domain, a hydrophobic transmembrane domain, and a cytoplasmic tyrosine kinase domain. No ligand has been clearly identified for HER2. However, HER2 can be activated as a result of ligand binding to other HER receptors with the formation of receptor homodimers and/or heterodimers (3). HER1 and HER2 are overexpressed on many solid tumor cells such as breast, non-small cell lung, head and neck, and colon cancers (4-6). The high levels of HER1 and HER2 expression on cancer cells are associated with a poor patient prognosis because high levels are related to increased proliferation (7-10).

Trastuzumab is a humanized IgG1 monoclonal antibody (mAb) against the extracellular domain of recombinant HER2 with an affinity constant (Kd) of 0.1 nM (11). 111In-Trastuzumab, Cy5.5-trastuzumab, and 68Ga-trastuzumab-F(ab')2 have been developed for imaging of human breast cancer (12-16). However, the pharmacokinetics of intact radiolabeled mAbs, with high liver uptake and slow blood elimination, are generally not ideal for imaging. Smaller antibody fragments, such as Fab or F(ab')2, have better imaging pharmacokinetics because they are rapidly excreted by the kidneys. A novel class of recombinant affinity ligands (Affibody molecules) for HER2 was constructed based on the 58-amino-acid Z-domain residues from one of the IgG-binding domains of staphylococcal protein A (10). Affibody molecules exhibit high binding affinity to HER2, with Kd values of <100 pM. Various radiolabeled Affibody molecules have been studied in terms of their ability to image HER2 in tumors [PubMed]. A cysteine molecule was introduced at the C-terminus of Affibody molecules for site-specific coupling with the chelator 1,4,7,10-tetraazacyclododecane-1,4,7-tris-acetic acid-10-maleimidoethylacetamide (MMA-DOTA) for 111In labeling. 111In-[MMA-DOTA-Cys61]-ZHER2:2395 (111In-DOTA-ZHER2:2395) has been evaluated as a single-photon emission computed tomography (SPECT) agent in nude mice bearing human colon adenocarcinoma tumors (17). Altai et al. (18) prepared [111In-1,4,7-triazacyclononane,1-glutaric acid-4,7-acetic acid-10-maleimidoethylacetamide-Cys61]-Affibody ZHER2:2395 ([111In-MMA-NODAGA-Cys61]-ZHER2:2395) for SPECT imaging of HER2 expression.



Affibody ZHER2:2395 was reduced with dithiothreitol (30 mM) in 0.02 M ascorbic acid for 2 h at 40°C (18). The reduced ZHER2:2395 was incubated with MMA-NODAGA in 1:3 molar ratio in 0.2 M ammonium acetate buffer (pH, 6.5) for 1 h at 37°C. [MMA-NODAGA-Cys61]-ZHER2:2395 was isolated with high-performance liquid chromatography, with 85% of ZHER2:2395 conjugated and >96% purity. There was one MMA-NODAGA moiety per [MMA-NODAGA-Cys61]-ZHER2:2395 (7.5 kDa), as confirmed with mass spectroscopy. [MMA-NODAGA-Cys61]-ZHER2:2395 (~4 nmol) was mixed with ~30 MBq (0.81 mCi) 111InCl3 and incubated for ~30 min at 60°C, with 99% labeling yield. [111In-MMA-NODAGA-Cys61]-ZHER2:2395 was isolated with column chromatography. The specific activity was 7 MBq/nmol (0.19 mCi/nmol) at the end of synthesis. [111In-MMA-NODAGA-Cys61]-ZHER2:2395 was >99% intact after incubation with 1,000-fold excess EDTA for 60 min. The DOTA compound have similar analytical data (17).

In Vitro Studies: Testing in Cells and Tissues


Altai et al. (18) performed binding experiments with ZHER2:2395 with the use of a Biacore sensor chip immobilized with extracellular domain of HER2 protein. The Kd values of ZHER2:342 and [MMA-NODAGA-Cys61]-ZHER2:2395 were 78 pM and 67 pM, respectively. The Kd value of ZHER2:2395 was reported to be 27 pM (17). In vitro cellular accumulation of [111In-MMA-NODAGA-Cys61]-ZHER2:2395 was determined to be 18% and 7% of incubation dose (ID) in human ovarian carcinoma SKOV-3 and prostate carcinoma DU-145 cells expressing HER2, respectively, for 1 h at 37°C. Co-incubation with excess unlabeled ZHER2:342 reduced the accumulation in both cell types to <1% ID. Internalization of [111In-MMA-NODAGA-Cys61]-ZHER2:2395 into DU-145 cells was 28% of the cell-associated radioactivity after 8 h of incubation. Internalization of 111In-[MMA-DOTA-Cys61]-Z2395-C into SKOV-3 cells was 21% of the initially bound activity at 24 h (17).

Animal Studies



Altai et al. (18) performed ex vivo biodistribution studies with 0.03 MBq (1 μCi) [111In-MMA-NODAGA-Cys61]-ZHER2:2395 and [111In-MMA-DOTA-Cys61]-ZHER2:2395 in normal nude mice (n = 4/group) at 1, 4, and 24 h after injection. Both tracers exhibited a rapid blood clearance, with 0.45% injected dose/gram (ID/g) for the NODAGA tracer and 1.3% ID/g for the DOTA tracer in the blood at 1 h after injection. At 24 h, the blood levels were 0.03% ID/g and 0.13% ID/g for the NODAGA and DOTA tracers, respectively. In general, the NODAGA tracer exhibited lower accumulation than the DOTA tracer in most organs. The clearance of both tracers was via the kidneys, with low radioactivity in the intestines (<2% ID). The kidney accumulation levels at 4 h were 70% ID/g and 203% ID/g for [111In-MMA-NODAGA-Cys61]-ZHER2:2395 and [111In-MMA-DOTA-Cys61]-ZHER2:2395, respectively. The biodistribution was characterized by quick clearance of radioactivity from the blood and normal organs except the kidneys. No blocking studies were performed.

Altai et al. (18) performed ex vivo biodistribution studies with [111In-MMA-NODAGA-Cys61]-ZHER2:2395 and [111In-MMA-DOTA-Cys61]-ZHER2:2395 in nude mice (n = 4/group) bearing DU-145 xenografts at 4 h after injection. The tumor accumulation of radioactivity was 4.7 ± 0.8% injected dose/gram (ID/g) and 7.5 ± 1.6% ID/g, respectively. The radioactivity level in tumors was higher than in other organs and tissues (the lung, liver, spleen, bone, muscle, and intestines) except the kidneys (60% ID/g and 128% ID/g for the NODAGA and DOTA tracers, respectively). The tumor/blood ratios were 51 and 11 for the NODAGA and DOTA tracers, respectively. In general, [111In-MMA-NODAGA-Cys61]-ZHER2:2395 exhibited 1- to 2-fold higher tumor/tissue ratios than the DOTA tracer. Pretreatment with >3,000-fold excess ZHER2:342 60 min before injection of [111In-MMA-NODAGA-Cys61]-ZHER2:2395 decreased tumor accumulation by >95% (P = 0.0005) at 1 h after injection. Little reduction was observed in the other organs.

SPECT gamma planar imaging scans were performed in nude mice (n = 3) bearing DU-145 tumors at 4 h after injection of 1 MBq (0.027 mCi) [111In-MMA-NODAGA-Cys61]-ZHER2:2395 (18). The tumors were clearly visualized along with the kidneys. The tumor/background ratio was 10, as determined with region of interest analysis. No blocking studies were performed.

Other Non-Primate Mammals


No publication is currently available.

Non-Human Primates


No publication is currently available.

Human Studies


No publication is currently available.


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