Frontiers in Medicine (Nov 2022)

Development of anti-membrane type 1-matrix metalloproteinase nanobodies as immunoPET probes for triple negative breast cancer imaging

  • Francisca Mulero,
  • Marta Oteo,
  • Guillermo Garaulet,
  • Natalia Magro,
  • Lluvia Rebollo,
  • Guillermo Medrano,
  • Clara Santiveri,
  • Eduardo Romero,
  • Ricela E. Sellek,
  • Yago Margolles,
  • Ramón Campos-Olivas,
  • Alicia G. Arroyo,
  • Luis Angel Fernández,
  • Miguel Angel Morcillo,
  • Jorge L. Martínez-Torrecuadrada

DOI
https://doi.org/10.3389/fmed.2022.1058455
Journal volume & issue
Vol. 9

Abstract

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Triple-negative breast cancer (TNBC) is characterized by aggressiveness and high rates of metastasis. The identification of relevant biomarkers is crucial to improve outcomes for TNBC patients. Membrane type 1-matrix metalloproteinase (MT1-MMP) could be a good candidate because its expression has been reported to correlate with tumor malignancy, progression and metastasis. Moreover, single-domain variable regions (VHHs or Nanobodies) derived from camelid heavy-chain-only antibodies have demonstrated improvements in tissue penetration and blood clearance, important characteristics for cancer imaging. Here, we have developed a nanobody-based PET imaging strategy for TNBC detection that targets MT1-MMP. A llama-derived library was screened against the catalytic domain of MT1-MMP and a panel of specific nanobodies were identified. After a deep characterization, two nanobodies were selected to be labeled with gallium-68 (68Ga). ImmunoPET imaging with both ([68Ga]Ga-NOTA-3TPA14 and [68Ga]Ga-NOTA-3CMP75) in a TNBC mouse model showed precise tumor-targeting capacity in vivo with high signal-to-background ratios. (68Ga)Ga-NOTA-3CMP75 exhibited higher tumor uptake compared to (68Ga)Ga-NOTA-3TPA14. Furthermore, imaging data correlated perfectly with the immunohistochemistry staining results. In conclusion, we found a promising candidate for nanobody-based PET imaging to be further investigated as a diagnostic tool in TNBC.

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