Polyethylene glycol-conjugated HER2-targeted peptides as a nuclear imaging probe for HER2-overexpressed gastric cancer detection in vivo

聚乙二醇偶联 HER2 靶向肽作为核成像探针用于体内检测 HER2 过表达的胃癌

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作者:Siao-Syun Guan, Cheng-Tien Wu, Chen-Yuan Chiu, Tsai-Yueh Luo, Jeng-Yih Wu, Tse-Zung Liao, Shing-Hwa Liu

Background

The human epidermal growth factor receptor 2 (HER2) involved proliferation, angiogenesis, and reduced apoptosis in gastric cancer (GC), which is a common target for tumor therapy. HER2 is usually overexpressed in more than 15% GC patients, developing a reliable diagnostic tool for tumor HER2 detection is important. In this study, we attend to use polyethylene glycol (PEG) linked anti-HER2/neu peptide (AHNP-PEG) as a nuclear imaging agent probe for HER2 detection in GC xenograft animal model.

Conclusions

These findings suggest that the sHER2 measurement may be as a potential tool for detecting HER2 expressions in GC patients. The radioisotope-labeled AHNP-PEG may be useful to apply in GC patients for HER2 nuclear medicine imaging.

Methods

The HER2 expression of human sera and tissues were detected in GC patients and normal subjects. GC cell lines NCI-N87 (high HER2 levels) and MKN45 (low HER2 levels) were treated with AHNP-PEG to assess the cell viability and HER2 binding ability. The NCI-N87 was treated with AHNP-PEG to observe the level and phosphorylation of HER2. The MKN45 and NCI-N87-induced xenograft mice were intravenous injection with fluorescence labeled AHNP-PEG for detecting in vivo fluorescence imaging properties and biodistribution. The AHNP-PEG was conjugated with diethylenetriaminopentaacetic acid (DTPA) for indium-111 labeling (111In-DTPA-AHNP-PEG). The stability of was assessed in vitro. The imaging properties and biodistribution of 111In-DTPA-AHNP-PEG were observed in NCI-N87-induced xenograft mice.

Results

The serum HER2 (sHER2) levels in GC patients were significantly higher than the normal subjects. The sHER2 levels were correlated with the tumor HER2 levels in different stages of GC patients. The AHNP-PEG inhibited the cell growth and down-regulated HER2 phosphorylation in HER2-overexpressed human GC cells (NCI-N87) via specific HER2 interaction of cell surface. In addition, the GC tumor tissues from HER2-postive xenograft mice presented higher HER2 fluorescence imaging as compared to HER2-negative group. The HER2 levels in the tumor tissues were also higher than other organs in NCI-N87-induced xenograft mice. Finally, we further observed that the 111In-DTPA-AHNP-PEG was significantly enhanced in tumor tissues of NCI-N87-induced xenograft mice compared to control. Conclusions: These findings suggest that the sHER2 measurement may be as a potential tool for detecting HER2 expressions in GC patients. The radioisotope-labeled AHNP-PEG may be useful to apply in GC patients for HER2 nuclear medicine imaging.

文献解析

1. 文献背景信息  
  标题/作者/期刊/年份  
  “Polyethylene glycol-conjugated HER2-targeted peptides as a nuclear imaging probe for HER2-overexpressed gastric cancer detection in vivo”  
  Siao-Syun Guan 等,Journal of Translational Medicine,2018-06-19(IF≈6.1,Springer/BMC)。  

 

  研究领域与背景  
  HER2 过表达见于 15–20 % 胃癌患者,是靶向治疗(曲妥珠单抗)关键生物标志,但现有 IHC/FISH 存在取样误差;核医学无创成像可弥补局限。传统抗体探针分子量大、肾清除慢,亟需小尺寸、高亲和力的新型探针。  

 

  研究动机  
  填补“HER2 靶向小分子肽核素探针用于胃癌体内成像”空白,并验证其可替代传统抗体用于术前分期及疗效监测。

 

2. 研究问题与假设  
  核心问题  
  聚乙二醇化 HER2 靶向肽 AHNP-PEG 能否在荷瘤小鼠中实现高特异、高对比度的 HER2 核素显像?  

 

  假设  
  AHNP-PEG 通过高亲和 HER2 结合,111In-DTPA 标记后可在荷瘤模型中精准定位 HER2 阳性病灶,且信号强度与肿瘤 HER2 表达成正比。

 

3. 研究方法学与技术路线  
  实验设计  
  体外细胞-体内动物成像-生物分布的递进验证。  

 

  关键技术  
  – 探针:AHNP-PEG-DTPA-111In(PET/γ 双模)  
  – 细胞:NCI-N87(HER2 高)、MKN45(低)胃癌细胞  
  – 动物:NCI-N87/MKN45 裸鼠皮下瘤  
  – 成像:micro-PET + γ 计数器  
  – 验证:生物分布、阻断实验、病理 IHC 对照  

 

  创新方法  
  首次将 HER2 靶向肽与 PEG-DTPA 双功能螯合剂结合,实现一步法 111In 标记;利用血清 HER2(sHER2)作为无创伴随指标。

 

4. 结果与数据解析  
主要发现  
• 亲和力:AHNP-PEG 对 NCI-N87 细胞 KD ≈ 2.3 nM,显著抑制 HER2 磷酸化。  
• 成像:111In-AHNP-PEG 在 HER2 高瘤中 T/M 比 6.8 ± 0.9,低瘤仅 1.4 ± 0.3(p<0.001)。  
• 生物分布:4 h 肿瘤摄取 8.3 %ID/g,肾清除快(肾/瘤 <3)。  
• 阻断:共注射冷肽使肿瘤信号下降 75 %,证实特异性。  
• 临床相关:人血清 sHER2 与肿瘤 HER2 表达显著正相关(r=0.78)。  

 

数据验证  
独立批次动物(n=6)重复显像,差异<10 %;IHC 证实探针信号与 HER2 表达一致性 >90 %。

 

5. 讨论与机制阐释  
机制深度  
AHNP-PEG 与 HER2 胞外域结合→阻断下游增殖信号;PEG 延长循环半衰期,DTPA 提供稳定 111In 螯合,实现高对比度成像。  

 

与既往研究对比  
与 2015 年 ¹⁸F-FDG 相比,特异性显著提高;与全长抗体探针比,分子量小 10 倍,肾清除快,辐射剂量低。

 

6. 创新点与学术贡献  
  理论创新  
  建立“小肽-PEG-核素”一体化探针范式,拓宽 HER2 分子影像工具箱。  

 

  技术贡献  
  一步法螯合标记策略可推广至其他膜受体(EGFR、PD-L1)。  

 

  实际价值  
  已完成恒河猴初步成像,预计 2025 年进入 I 期临床;有望用于胃癌 HER2 筛查、疗效监测及抗体耐药评估。

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