The Pharmacokinetic Characteristics of Glycolated Humanized Anti-Tac Fabs Are Determined by Their Isoelectric Points
1999
To evaluate a method for preventing the nephrotoxicity caused by the high renal accumulation of radiolabeled or toxin-conjugated small immunoproteins used for cancer therapy, we conjugated humanized anti-Tac Fab fragments with various numbers of glycolate molecules [glycolated Fab fragments (glyco-Fabs)] and separated the conjugates by means of ion-exchange columns into three fractions, depending on their isoelectric points (pIs). We evaluated the biodistribution, pharmacokinetics, and catabolism in normal nude mice of nonglycolated Fab (pI ≥ 9.3) and three different preparations of glyco-Fab, including strongly anionic glyco-Fab (sa-glyco-Fab: pI ≤ 4.5), mildly anionic glyco-Fab (pI = 4.5–7), and mildly cationic glyco-Fab (pI = 7–9.3). In addition, the biodistributions of 125 I-labeled sa-glyco-Fab and 131 I-labeled nonglycolated Fab were evaluated in normal nude mice coinjected with 50 mg of l-lysine and/or 1 μg of furosemide and in a control group without coinjection. We then evaluated the serial biodistribution of 125 I-labeled sa-glyco-Fab (4 μCi/1 μg) and 131 I-labeled nonglycolated Fab (5 μCi/1 μg) in Tac antigen-positive (ATAC4) and -negative (A431) tumor-bearing nude mice with s.c. tumor xenografts derived from Tac antigen-positive ATAC4 cells and receptor-negative A431 cells. These animals were coinjected with 30 mg of lysine i.v. and 30 mg of lysine i.p. 15 min after the radiolabeled Fab injection. To evaluate the biodistribution data and study scintigraphic imaging, we performed serial scintigraphy on normal and tumor-bearing mice with all four 131 I-labeled preparations. 125 I-labeled mildly cationic glyco-Fab and 131 I-labeled nonglycolated Fab had similar distributions, except in the kidney. However, both 125 I-labeled anionic glyco-Fab preparations showed significantly different distributions from both cationic Fabs in the blood, liver, lung, and spleen. Renal accumulation of all four radiolabeled Fab preparations increased significantly as the pI increased ( P 125 I-labeled sa-glyco-Fab and 125 I-labeled mildly anionic glyco-Fab showed a similar distribution in the blood and all organs except the kidney. Lysine led to an additional blocking effect on proximal tubular uptake of both sa-glyco-Fab and nonglycolated Fab. Addition of furosemide yielded only a small effect when used with lysine. With lysine, the sa-glyco-Fab:nonglycolated Fab estimated integral radioactivity ratios were 4.7 and 0.7 in the ATAC4 tumor and in the kidney, respectively. The use of anionic fragments, which may be used in conjunction with lysine, represents a promising approach that may help decrease the renal toxicity of other small fragments, the molecular weights of which range from M r 40,000 to 70,000, and, thereby, allow higher doses of radiation to the tumor.
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