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Blood, 1 June 2007, Vol. 109, No. 11, pp. 4980-4987.
Prepublished online as a Blood First Edition Paper on February 15, 2007; DOI 10.1182/blood-2006-11-056895.
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Submitted November 9, 2006
Accepted January 30, 2007
Comparative biodistributions of pretargeted radioimmunoconjugates targeting CD20, CD22 and DR molecules on human B cell lymphomas
Anastasia Pantelias, John M. Pagel*, Nathan Hedin, Laura Saganic, Shani Wilbur, Donald K Hamlin, D. Scott Wilbur, Yukang Lin, Diane Stone, Don Axworthy, Ajay K Gopal, and Oliver W Press
Fred Hutchinson Cancer Research Center, Seattle, WA, United States
Department of Radiation Oncology, University of Washington, Seattle, WA, United States
Aletheon Pharmaceuticals, Inc., Seattle, WA, United States
Division of Oncology of the University of Washington School of Medicine, Seattle, WA, United States
Department of Biological Structure, University of Washington, Seattle, WA, United States
* Corresponding author; email: jpagel{at}fhcrc.org.
Pretargeted radioimmunotherapy (PRIT) using streptavidin (SA) conjugated antibodies (Ab), followed by clearing agent and radiolabeled biotin is a promising method that can increase the effectiveness of RIT, while decreasing the toxicities associated with directly labeled Abs. Although CD20 has been the traditional target antigen for RIT of non-Hodgkin's lymphoma (NHL), studies targeting HLA DR and CD22 have yielded promising results. Targeting all three antigens at once may further augment the effect of PRIT. This study compares the targeting of Ramos, Raji and FL-18 lymphoma xenografts with either anti-CD20 Ab/SA (1F5/SA), anti-HLA DR Ab/SA (Lym-1/SA), anti-CD22 Ab/SA (HD39/SA) or all three conjugates in combination, followed 24 hours later by a biotin-N-acetyl-galactosamine clearing agent, and 3 hours after that by 111In-DOTA-biotin. The Ab/SA conjugate yielding the best tumor uptake and tumor-to-normal organ ratios of radioactivity varied depending on the target antigen expression on the cell line employed, with 1F5/SA and Lym-1/SA yielding the most promising results overall. Also, the best tumor-to-normal organ ratios of absorbed radioactivity were obtained using single conjugates optimized for target tumor antigen expression rather than the combination therapy. This study highlights the importance of screening the antigenic expression on lymphomas to select the optimal reagent for PRIT.

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