a-Particles such as those emitted by 21'At may be advantageous for radioimmnunotherapy since they are radiation of high linear energy transfer, depositing high energy over a short distance. Here we describe a strategy for labeling monoclonal antibodies and F(ab')2 fragments with 211At by means of the bifunctional reagent N-succinimidyl 3-(trimethylstannyl)benzoate. An intact antibody, 81C6, and the F(ab')2 fragment of Mel-14 (both reactive with human gliomas) were labeled with 211At in high yield and with a specific activity of up to 4 mCi/mg in a time frame compatible with the 7.2-hr half-life of 211At. Quantitative in vivo binding assays demonstrated that radioastatination was accomplhed with maintenance of high specific binding and affinity. Comparison of the biodistribution of 211At-labeled Mel-14 F(ab')2 to that of a nonspecific antibody fragment labeled with 21'At and 131I in athymic mice bearing D-54 MG human glioma xenografts demonstrated selective and specific targeting of 211At-labeled antibody in this human tumor model. and in vivo (7,8). In order to ensure the formation of an aryl astatide bond, a method was developed for astatinating proteins via acylation withp-astatobenzoic acid (9). Although this approach has markedly increased the in vivo stability of 2"1At-labeled proteins, even after subsequent optimization (10) the radiochemical yield and specific activity (maximum of 1 astatine atom per 20,000 protein molecules) are inadequate to permit meaningful biological evaluation of the radiotherapeutic potential of 211At-labeled mAbs.This paper describes a method that utilizes N-succinimidyl 3-(trimethylstannyl)benzoate (m-MeATE; ATE, "alkyltin ester") for labeling mAbs with 2lAt. An IgG2b immunoglobulin and an IgG2a F(ab')2 fragment were labeled with 211At in high yield and maintained immunoreactivity and affinity after astatination. Moreover, biodistribution studies in athymic mice bearing subcutaneous tumors indicated that selective tumor uptake of 211At can be achieved following administration of 211At-labeled mAbs.From a radiobiological perspective, nuclides that emit aparticles could offer advantages for certain radiotherapeutic applications. For example, 6-to 8-MeV a-particles (1 eV = 1.602 x 10-19 J) have a range in tissue of55-80 ,m, providing the potential for matching the cellular specificity of a monoclonal antibody (mAb) and radiation with cytotoxic effects limited to only a few cell diameters. These a-particles have a linear energy transfer (LET) of maximum relative biological effectiveness about 8 times that of 13-or y-radiation (1). The cytotoxic effects of high-LET radiations are thought to be irreparable (2), presumably due to the relatively high proportion of non-rejoining DNA strand breaks that they have been observed to induce in vitro (3). Since the cytotoxic effects of a-particles are nearly oxygen-independent (1), eradication of hypoxic tumor-cell populations also might be possible. IgG2a that does not bind to any known antigen. Methods for the production of F(ab')2 f...