Evaluation of integrin αvβ6 cystine knot PET tracers to detect cancer and idiopathic pulmonary fibrosis
Abstract
Abstract Advances in precision molecular imaging promise to transform our ability to detect, diagnose and treat disease. Here, we describe the engineering and validation of a new cystine knot peptide (knottin) that selectively recognizes human integrin αvβ 6 with single-digit nanomolar affinity. We solve its 3D structure by NMR and x-ray crystallography and validate leads with 3 different radiolabels in pre-clinical models of cancer. We evaluate the lead tracer’s safety, biodistribution and pharmacokinetics in healthy human volunteers, and show its ability to detect multiple cancers (pancreatic, cervical and lung) in patients at two study locations. Additionally, we demonstrate that the knottin PET tracers can also detect fibrotic lung disease in idiopathic pulmonary fibrosis patients. Our results indicate that these cystine knot PET tracers may have potential utility in multiple disease states that are associated with upregulation of integrin α v β 6 .
- Authors:
- more »
- Publication Date:
- Research Org.:
- Lawrence Berkeley National Laboratory (LBNL), Berkeley, CA (United States)
- Sponsoring Org.:
- USDOE Office of Science (SC), Basic Energy Sciences (BES); Canary Foundation; National Institutes of Health (NIH); National Cancer Institute (NCI); GRFP NSF National Science Foundation; Science Alliance on Precision Medicine and Cancer Prevention; National Natural Science Foundation of China (NSFC); Beijing Municipal Science & Technology Commission; CAMS Innovation Fund for Medical Science
- OSTI Identifier:
- 1619577
- Alternate Identifier(s):
- OSTI ID: 1580946
- Grant/Contract Number:
- AC02-05CH11231; SC0008397; NCI U01 CA210020; CA154887; CRN-17-427258; 81571713; Z151100003915133; 2016-I2M-4-003
- Resource Type:
- Published Article
- Journal Name:
- Nature Communications
- Additional Journal Information:
- Journal Name: Nature Communications Journal Volume: 10 Journal Issue: 1; Journal ID: ISSN 2041-1723
- Publisher:
- Nature Publishing Group
- Country of Publication:
- United Kingdom
- Language:
- English
- Subject:
- 60 APPLIED LIFE SCIENCES
Citation Formats
Kimura, Richard H., Wang, Ling, Shen, Bin, Huo, Li, Tummers, Willemieke, Filipp, Fabian V., Guo, Haiwei Henry, Haywood, Thomas, Abou-Elkacem, Lotfi, Baratto, Lucia, Habte, Frezghi, Devulapally, Rammohan, Witney, Timothy H., Cheng, Yan, Tikole, Suhas, Chakraborti, Subhendu, Nix, Jay, Bonagura, Christopher A., Hatami, Negin, Mooney, Joshua J., Desai, Tushar, Turner, Scott, Gaster, Richard S., Otte, Andrea, Visser, Brendan C., Poultsides, George A., Norton, Jeffrey, Park, Walter, Stolowitz, Mark, Lau, Kenneth, Yang, Eric, Natarajan, Arutselvan, Ilovich, Ohad, Srinivas, Shyam, Srinivasan, Ananth, Paulmurugan, Ramasamy, Willmann, Juergen, Chin, Frederick T., Cheng, Zhen, Iagaru, Andrei, Li, Fang, and Gambhir, Sanjiv S. Evaluation of integrin αvβ6 cystine knot PET tracers to detect cancer and idiopathic pulmonary fibrosis. United Kingdom: N. p., 2019.
Web. doi:10.1038/s41467-019-11863-w.
Kimura, Richard H., Wang, Ling, Shen, Bin, Huo, Li, Tummers, Willemieke, Filipp, Fabian V., Guo, Haiwei Henry, Haywood, Thomas, Abou-Elkacem, Lotfi, Baratto, Lucia, Habte, Frezghi, Devulapally, Rammohan, Witney, Timothy H., Cheng, Yan, Tikole, Suhas, Chakraborti, Subhendu, Nix, Jay, Bonagura, Christopher A., Hatami, Negin, Mooney, Joshua J., Desai, Tushar, Turner, Scott, Gaster, Richard S., Otte, Andrea, Visser, Brendan C., Poultsides, George A., Norton, Jeffrey, Park, Walter, Stolowitz, Mark, Lau, Kenneth, Yang, Eric, Natarajan, Arutselvan, Ilovich, Ohad, Srinivas, Shyam, Srinivasan, Ananth, Paulmurugan, Ramasamy, Willmann, Juergen, Chin, Frederick T., Cheng, Zhen, Iagaru, Andrei, Li, Fang, & Gambhir, Sanjiv S. Evaluation of integrin αvβ6 cystine knot PET tracers to detect cancer and idiopathic pulmonary fibrosis. United Kingdom. https://doi.org/10.1038/s41467-019-11863-w
Kimura, Richard H., Wang, Ling, Shen, Bin, Huo, Li, Tummers, Willemieke, Filipp, Fabian V., Guo, Haiwei Henry, Haywood, Thomas, Abou-Elkacem, Lotfi, Baratto, Lucia, Habte, Frezghi, Devulapally, Rammohan, Witney, Timothy H., Cheng, Yan, Tikole, Suhas, Chakraborti, Subhendu, Nix, Jay, Bonagura, Christopher A., Hatami, Negin, Mooney, Joshua J., Desai, Tushar, Turner, Scott, Gaster, Richard S., Otte, Andrea, Visser, Brendan C., Poultsides, George A., Norton, Jeffrey, Park, Walter, Stolowitz, Mark, Lau, Kenneth, Yang, Eric, Natarajan, Arutselvan, Ilovich, Ohad, Srinivas, Shyam, Srinivasan, Ananth, Paulmurugan, Ramasamy, Willmann, Juergen, Chin, Frederick T., Cheng, Zhen, Iagaru, Andrei, Li, Fang, and Gambhir, Sanjiv S. Mon .
"Evaluation of integrin αvβ6 cystine knot PET tracers to detect cancer and idiopathic pulmonary fibrosis". United Kingdom. https://doi.org/10.1038/s41467-019-11863-w.
@article{osti_1619577,
title = {Evaluation of integrin αvβ6 cystine knot PET tracers to detect cancer and idiopathic pulmonary fibrosis},
author = {Kimura, Richard H. and Wang, Ling and Shen, Bin and Huo, Li and Tummers, Willemieke and Filipp, Fabian V. and Guo, Haiwei Henry and Haywood, Thomas and Abou-Elkacem, Lotfi and Baratto, Lucia and Habte, Frezghi and Devulapally, Rammohan and Witney, Timothy H. and Cheng, Yan and Tikole, Suhas and Chakraborti, Subhendu and Nix, Jay and Bonagura, Christopher A. and Hatami, Negin and Mooney, Joshua J. and Desai, Tushar and Turner, Scott and Gaster, Richard S. and Otte, Andrea and Visser, Brendan C. and Poultsides, George A. and Norton, Jeffrey and Park, Walter and Stolowitz, Mark and Lau, Kenneth and Yang, Eric and Natarajan, Arutselvan and Ilovich, Ohad and Srinivas, Shyam and Srinivasan, Ananth and Paulmurugan, Ramasamy and Willmann, Juergen and Chin, Frederick T. and Cheng, Zhen and Iagaru, Andrei and Li, Fang and Gambhir, Sanjiv S.},
abstractNote = {Abstract Advances in precision molecular imaging promise to transform our ability to detect, diagnose and treat disease. Here, we describe the engineering and validation of a new cystine knot peptide (knottin) that selectively recognizes human integrin αvβ 6 with single-digit nanomolar affinity. We solve its 3D structure by NMR and x-ray crystallography and validate leads with 3 different radiolabels in pre-clinical models of cancer. We evaluate the lead tracer’s safety, biodistribution and pharmacokinetics in healthy human volunteers, and show its ability to detect multiple cancers (pancreatic, cervical and lung) in patients at two study locations. Additionally, we demonstrate that the knottin PET tracers can also detect fibrotic lung disease in idiopathic pulmonary fibrosis patients. Our results indicate that these cystine knot PET tracers may have potential utility in multiple disease states that are associated with upregulation of integrin α v β 6 .},
doi = {10.1038/s41467-019-11863-w},
journal = {Nature Communications},
number = 1,
volume = 10,
place = {United Kingdom},
year = {Mon Oct 14 00:00:00 EDT 2019},
month = {Mon Oct 14 00:00:00 EDT 2019}
}
https://doi.org/10.1038/s41467-019-11863-w
Web of Science
Works referenced in this record:
Targeting of αv integrin identifies a core molecular pathway that regulates fibrosis in several organs
journal, November 2013
- Henderson, Neil C.; Arnold, Thomas D.; Katamura, Yoshio
- Nature Medicine, Vol. 19, Issue 12
Roles of αv integrins in vascular biology and pulmonary pathology
journal, October 2004
- Sheppard, Dean
- Current Opinion in Cell Biology, Vol. 16, Issue 5
Comparative Metabolic Flux Profiling of Melanoma Cell Lines: BEYOND THE WARBURG EFFECT
journal, October 2011
- Scott, David A.; Richardson, Adam D.; Filipp, Fabian V.
- Journal of Biological Chemistry, Vol. 286, Issue 49
Defining the Role of Integrin αvβ6 in Cancer
journal, July 2009
- Bandyopadhyay, A.; Raghavan, S.
- Current Drug Targets, Vol. 10, Issue 7
Engineered cystine knot peptides that bind αvβ3, αvβ5, and α5β1 integrins with low-nanomolar affinity
journal, November 2009
- Kimura, Richard H.; Levin, Aron M.; Cochran, Frank V.
- Proteins: Structure, Function, and Bioinformatics, Vol. 77, Issue 2
Targeted Contrast-Enhanced Ultrasound Imaging of Tumor Angiogenesis with Contrast Microbubbles Conjugated to Integrin-Binding Knottin Peptides
journal, February 2010
- Willmann, J. K.; Kimura, R. H.; Deshpande, N.
- Journal of Nuclear Medicine, Vol. 51, Issue 3
New tools to target an elusive integrin
journal, July 2015
- Kingwell, Katie
- Nature Reviews Drug Discovery, Vol. 14, Issue 7
Expression of the beta 6 integrin subunit in development, neoplasia and tissue repair suggests a role in epithelial remodeling
journal, June 1995
- Breuss, J. M.; Gallo, J.; DeLisser, H. M.
- Journal of Cell Science, Vol. 108, Issue 6
ARP / wARP and molecular replacement
journal, September 2001
- Perrakis, Anastassis; Harkiolaki, Maria; Wilson, Keith S.
- Acta Crystallographica Section D Biological Crystallography, Vol. 57, Issue 10
The α v β 1 integrin plays a critical in vivo role in tissue fibrosis
journal, May 2015
- Reed, Nilgun I.; Jo, Hyunil; Chen, Chun
- Science Translational Medicine, Vol. 7, Issue 288
Immunohistochemical screening for beta6-integrin subunit expression in adenocarcinomas using a novel monoclonal antibody reveals strong up-regulation in pancreatic ductal adenocarcinomas in vivo and in vitro
journal, September 2004
- Sipos, B.; Hahn, D.; Carceller, A.
- Histopathology, Vol. 45, Issue 3
Crystal Structure of the Extracellular Segment of Integrin alpha Vbeta 3 in Complex with an Arg-Gly-Asp Ligand
journal, March 2002
- Xiong, J. -P.
- Science, Vol. 296, Issue 5565
PHENIX : building new software for automated crystallographic structure determination
journal, October 2002
- Adams, Paul D.; Grosse-Kunstleve, Ralf W.; Hung, Li-Wei
- Acta Crystallographica Section D Biological Crystallography, Vol. 58, Issue 11
Intraclass correlations: Uses in assessing rater reliability.
journal, January 1979
- Shrout, Patrick E.; Fleiss, Joseph L.
- Psychological Bulletin, Vol. 86, Issue 2
Subclinical Interstitial Lung Disease: Why You Should Care
journal, June 2012
- Doyle, Tracy J.; Hunninghake, Gary M.; Rosas, Ivan O.
- American Journal of Respiratory and Critical Care Medicine, Vol. 185, Issue 11
Adenomatous transformation of the human anterior pituitary is associated with alterations in integrin expression
journal, July 1996
- Farnoud, M. Reza; Veirana, Natalia; Derome, Patrick
- International Journal of Cancer, Vol. 67, Issue 1
Pituitary tumours: findings from whole genome analyses
journal, September 2006
- Farrell, W. E.
- Endocrine-Related Cancer
XDS
journal, January 2010
- Kabsch, Wolfgang
- Acta Crystallographica Section D Biological Crystallography, Vol. 66, Issue 2
Use of 64 Cu-labeled Fibronectin Domain with EGFR-Overexpressing Tumor Xenograft: Molecular Imaging
journal, April 2012
- Hackel, Benjamin J.; Kimura, Richard H.; Gambhir, Sanjiv S.
- Radiology, Vol. 263, Issue 1
Integrin alphavbeta6 mediates the potential for colon cancer cells to colonize in and metastasize to the liver
journal, May 2008
- Yang, Guang-Yun; Xu, Ke-Sen; Pan, Zhong-Qing
- Cancer Science, Vol. 99, Issue 5
Identification and Characterization of a Peptide with Affinity to Head and Neck Cancer
journal, February 2009
- Nothelfer, E. -M.; Zitzmann-Kolbe, S.; Garcia-Boy, R.
- Journal of Nuclear Medicine, Vol. 50, Issue 3
Integrin–TGF‐β crosstalk in fibrosis, cancer and wound healing
journal, January 2010
- Margadant, Coert; Sonnenberg, Arnoud
- EMBO reports, Vol. 11, Issue 2
The pituitary TGFβ1 system as a novel target for the treatment of resistant prolactinomas
journal, December 2015
- Recouvreux, M. Victoria; Camilletti, M. Andrea; Rifkin, Daniel B.
- Journal of Endocrinology, Vol. 228, Issue 3
Integrin-mediated regulation of TGFβ in fibrosis
journal, July 2013
- Henderson, Neil C.; Sheppard, Dean
- Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease, Vol. 1832, Issue 7
A Cystine Knot Peptide Targeting Integrin v 6 for Photoacoustic and Fluorescence Imaging of Tumors in Living Subjects
journal, May 2016
- Zhang, C.; Kimura, R.; Abou-Elkacem, L.
- Journal of Nuclear Medicine, Vol. 57, Issue 10
Reverse TCA cycle flux through isocitrate dehydrogenases 1 and 2 is required for lipogenesis in hypoxic melanoma cells: Reverse TCA cycle flux in hypoxia by IDH
journal, March 2012
- Filipp, Fabian V.; Scott, David A.; Ronai, Ze’ev A.
- Pigment Cell & Melanoma Research, Vol. 25, Issue 3
The Effect of Bi-Terminal PEGylation of an Integrin v 6-Targeted 18F Peptide on Pharmacokinetics and Tumor Uptake
journal, March 2015
- Hausner, S. H.; Bauer, N.; Hu, L. Y.
- Journal of Nuclear Medicine, Vol. 56, Issue 5
Expression of α V-associated integrin β subunits in epithelial ovarian cancer andits relation to prognosis in patients treated with platinum-based regimens
journal, February 2005
- Maubant, Sylvie; Cruet-Hennequart, Séverine; Dutoit, Soizic
- Journal of Molecular Histology, Vol. 36, Issue 1-2
Preclinical SPECT/CT Imaging of v 6 Integrins for Molecular Stratification of Idiopathic Pulmonary Fibrosis
journal, October 2013
- John, A. E.; Luckett, J. C.; Tatler, A. L.
- Journal of Nuclear Medicine, Vol. 54, Issue 12
Thermal, Chemical, and Enzymatic Stability of the Cyclotide Kalata B1: The Importance of the Cyclic Cystine Knot †
journal, May 2004
- Colgrave, Michelle L.; Craik, David J.
- Biochemistry, Vol. 43, Issue 20
αv integrins: key regulators of tissue fibrosis
journal, May 2016
- Conroy, Kylie P.; Kitto, Laura J.; Henderson, Neil C.
- Cell and Tissue Research, Vol. 365, Issue 3
Selection of optimal molecular targets for tumor-specific imaging in pancreatic ductal adenocarcinoma
journal, May 2017
- Tummers, Willemieke S.; Farina-Sarasqueta, Arantza; Boonstra, Martin C.
- Oncotarget, Vol. 8, Issue 34
Pigeon-Breeders' Lung: A Newly Observed Interstitial Pulmonary Disease
journal, July 1965
- Reed, Charles E.
- JAMA, Vol. 193, Issue 4
Integrins in cancer: biological implications and therapeutic opportunities
journal, January 2010
- Desgrosellier, Jay S.; Cheresh, David A.
- Nature Reviews Cancer, Vol. 10, Issue 1
Cross Talk among TGF- Signaling Pathways, Integrins, and the Extracellular Matrix
journal, September 2011
- Munger, J. S.; Sheppard, D.
- Cold Spring Harbor Perspectives in Biology, Vol. 3, Issue 11
Integrin ανβ6 Acts as a Prognostic Indicator in Gastric Carcinoma
journal, February 2008
- Zhang, Z. -Y.; Xu, K. -S.; Wang, J. -S.
- Clinical Oncology, Vol. 20, Issue 1
A Mechanism for Regulating Pulmonary Inflammation and Fibrosis: The Integrin αvβ6 Binds and Activates Latent TGF β1
journal, February 1999
- Munger, John S.; Huang, Xiaozhu; Kawakatsu, Hisaaki
- Cell, Vol. 96, Issue 3
αvβ6 integrin may be a potential prognostic biomarker in interstitial lung disease
journal, March 2015
- Saini, Gauri; Porte, Joanne; Weinreb, Paul H.
- European Respiratory Journal, Vol. 46, Issue 2
Epidemiology of idiopathic pulmonary fibrosis
journal, November 2013
- Ley, Brett; Collard, Harold
- Clinical Epidemiology
Identification of a Novel ITGα v β 6 -Binding Peptide Using Protein Separation and Phage Display
journal, May 2017
- Altmann, Annette; Sauter, Max; Roesch, Saskia
- Clinical Cancer Research, Vol. 23, Issue 15
Conformational Plasticity of the Lipid Transfer Protein SCP2 †
journal, July 2007
- Filipp, Fabian V.; Sattler, Michael
- Biochemistry, Vol. 46, Issue 27
Probing lipid- and drug-binding domains with fluorescent dyes
journal, February 2008
- Black, Shannon L.; Stanley, Will A.; Filipp, Fabian V.
- Bioorganic & Medicinal Chemistry, Vol. 16, Issue 3
Overexpression of the αvβ6 integrin in cervical squamous cell carcinoma is a prognostic factor for decreased survival
journal, January 2007
- Hazelbag, S.; Kenter, Gg; Gorter, A.
- The Journal of Pathology, Vol. 212, Issue 3
Rgd and Other Recognition Sequences for Integrins
journal, November 1996
- Ruoslahti, Erkki
- Annual Review of Cell and Developmental Biology, Vol. 12, Issue 1
Transcriptional activation of integrin β6 during the epithelial-mesenchymal transition defines a novel prognostic indicator of aggressive colon carcinoma
journal, January 2005
- Bates, Richard C.; Bellovin, David I.; Brown, Courtney
- Journal of Clinical Investigation, Vol. 115, Issue 2
High numbers of human skin cancers express MMP2 and several integrin genes
journal, March 2008
- Orimoto, Adriana Mari; Neto, Cyro Festa; Pimentel, Eugênio R. A.
- Journal of Cutaneous Pathology, Vol. 35, Issue 3
Integrin αvβ6 is a marker of the progression of biliary and portal liver fibrosis and a novel target for antifibrotic therapies
journal, March 2008
- Popov, Yury; Patsenker, Eleonora; Stickel, Felix
- Journal of Hepatology, Vol. 48, Issue 3
Radiolabelled RGD peptides for imaging and therapy
journal, February 2012
- Gaertner, F. C.; Kessler, H.; Wester, H. -J.
- European Journal of Nuclear Medicine and Molecular Imaging, Vol. 39, Issue S1
Definition of an Unexpected Ligand Recognition Motif for αvβ6 Integrin
journal, January 1999
- Kraft, Sabine; Diefenbach, Beate; Mehta, Raj
- Journal of Biological Chemistry, Vol. 274, Issue 4
Recognition of a Functional Peroxisome Type 1 Target by the Dynamic Import Receptor Pex5p
journal, December 2006
- Stanley, Will A.; Filipp, Fabian V.; Kursula, Petri
- Molecular Cell, Vol. 24, Issue 5
Labeling strategies for 13C-detected aligned-sample solid-state NMR of proteins
journal, December 2009
- Filipp, Fabian V.; Sinha, Neeraj; Jairam, Lena
- Journal of Magnetic Resonance, Vol. 201, Issue 2
Clinical Application of Radiolabeled RGD Peptides for PET Imaging of Integrin α v β 3
journal, January 2016
- Chen, Haojun; Niu, Gang; Wu, Hua
- Theranostics, Vol. 6, Issue 1
First Experience with Clinical-Grade [18F]FPP(RGD)2: An Automated Multi-step Radiosynthesis for Clinical PET Studies
journal, March 2011
- Chin, Frederick T.; Shen, Bin; Liu, Shuanglong
- Molecular Imaging and Biology, Vol. 14, Issue 1
Phaser crystallographic software
journal, July 2007
- McCoy, Airlie J.; Grosse-Kunstleve, Ralf W.; Adams, Paul D.
- Journal of Applied Crystallography, Vol. 40, Issue 4
Transforming growth factor-beta stimulates the expression of fibronectin and collagen and their incorporation into the extracellular matrix.
journal, March 1986
- Ignotz, R. A.; Massagué, J.
- Journal of Biological Chemistry, Vol. 261, Issue 9