Zirconium-89-labeled
monoclonal antibodies and other
large macromolecules
such as nanoparticles hold great promise as positron emission tomography
imaging agents. In general, zirconium-89 is an ideal radionuclide
for long-circulating vectors such as antibodies or nanoparticles.
It is also a promising radionuclide for theranostic radiopharmaceuticals
due to its suitable match in half-life with actinium-225, thorium-227,
lutetium-177, and others. As such, demand for new and optimized bifunctional
chelators for zirconium-89 continues to grow. Herein, we present the
modular chelator DFO-Km, which is octadentate and features lysine
as a modular amino acid linker. The modular amino acid linker can
be changed to other natural or unnatural amino acids to access different
bioconjugation chemistries, while the chelating portion is unchanged
thus retaining identical metal ion coordination properties to DFO-Km.
The epsilon-amine in the DFO-Km linker (lysine) was used to complete
synthesis of a bifunctional derivative bearing a p-SCN-Ph moiety. The chelator DFO-Km includes a redesigned hydroxamic
acid, which provides more flexibility for metal ion coordination relative
to the monomer used in the previously published DFO-Em. Moreover,
a set of comprehensive DFT calculations were performed to model and
evaluate 16 geometric isomers of Zr-(DFO-Km), which suggested the
complex would form the optimum cic–cis–trans–trans
octadentate Zr(IV) coordination geometry with no aqua or hydroxide
ligands present. The bifunctional derivative p-SCN-Ph-DFO-Km
was compared directly with the commercially available p-SCN-Ph-DFO, and both underwent efficient conjugation to a nonspecific
human serum antibody (IgG) to yield two model immunoconjugates. The
behavior of [89Zr]Zr-DFO-Km-IgG was studied in healthy
mice for 2 weeks and compared to an equivalent cohort injected with
[89Zr]Zr-DFO-IgG as a clinical “gold standard”
control. PET-CT and biodistribution results revealed higher stability
of [89Zr]Zr-(DFO-Km)-IgG in vivo over
[89Zr]Zr-DFO-IgG, as demonstrated by the significant reduction
of zirconium-89 in the whole skeleton as visualized and quantified
by PET-CT at 1, 3, 7, and 14 days post-injection. Using CT-gated regions
of interest over these PET-CT images, the whole skeleton was selected
and uptake values were measured at 14 days post-injection of 3.6 ±
0.9 (DFO) vs 1.9 ± 0.1 (DFO-Km) %ID/g (n = 4,
* p = 0.02), which represents a ∼48% reduction
in bone uptake with DFO-Km relative to DFO. Biodistribution experiments
performed on these same mice following the 14 day imaging time point
revealed bone (both tibia) uptake values of 3.7 ± 1.3 (DFO) vs
2.0 ± 0.6 (DFO-Km) %ID/g (n = 6, * p < 0.05), with the tibia uptake values in close agreement with
whole-skeleton ROI PET-CT data. These results indicate that DFO-Km
is an improved chelator for [89Zr]Zr4+ applications
relative to DFO. The bifunctional chelator p-SCN-Ph-DFO-Km
shows potential as a new chemical tool for creating bioconjugates
using targeting vectors such as antibodies, peptides, an...