Delta-like ligand
3 (DLL3) is a therapeutic target for the treatment
of small cell lung cancer, neuroendocrine prostate cancer, and isocitrate
dehydrogenase mutant glioma. In the clinic, DLL3-targeted 89Zr-immunoPET has the potential to aid in the assessment of disease
burden and facilitate the selection of patients suitable for therapies
that target the antigen. The overwhelming majority of 89Zr-labeled radioimmunoconjugates are synthesized via the random conjugation
of desferrioxamine (DFO) to lysine residues within the immunoglobulin.
While this approach is admittedly facile, it can produce heterogeneous
constructs with suboptimal in vitro and in
vivo behavior. In an effort to circumvent these issues, we
report the development and preclinical evaluation of site-specifically
labeled radioimmunoconjugates for DLL3-targeted immunoPET. To this
end, we modified a cysteine-engineered variant of the DLL3-targeting
antibody SC16-MB1 with two thiol-reactive variants of DFO: one bearing
a maleimide moiety (Mal-DFO) and the other containing
a phenyloxadiazolyl methyl sulfone group (PODS-DFO). In an effort to obtain immunoconjugates
with a DFO-to-antibody ratio
(DAR) of 2, we explored both the reduction of the antibody with tris(2-carboxyethyl)
phosphine (TCEP) as well as the use of a combination of glutathione
and arginine as reducing and stabilizing agents, respectively. While
exerting control over the DAR of the immunoconjugate proved cumbersome
using TCEP, the use of glutathione and arginine enabled the selective
reduction of the engineered cysteines and thus the formation of homogeneous
immunoconjugates. A head-to-head comparison of the resulting 89Zr-radioimmunoconjugates in mice bearing DLL3-expressing
H82 xenografts revealed no significant differences in tumoral uptake
and showed comparable radioactivity concentrations in most healthy
nontarget organs. However, 89Zr-DFOPODS-DAR2SC16-MB1 produced 30% lower uptake (3.3 ± 0.5 %ID/g)
in the kidneys compared to 89Zr-DFOMal-DAR2SC16-MB1 (4.7 ± 0.5 %ID/g). In addition, H82-bearing
mice injected with a 89Zr-labeled isotype-control radioimmunoconjugate
synthesized using PODS exhibited ∼40% lower radioactivity in
the kidneys compared to mice administered its maleimide-based counterpart.
Taken together, these results demonstrate the improved in
vivo performance of the PODS-based radioimmunoconjugate and
suggest that a stable, well-defined DAR2 radiopharmaceutical may be
suitable for the clinical immunoPET of DLL3-expressing cancers.