[HTML][HTML] High-resolution PET imaging with therapeutic antibody-based PD-1/PD-L1 checkpoint tracers

M Hettich, F Braun, MD Bartholomä, R Schirmbeck… - Theranostics, 2016 - ncbi.nlm.nih.gov
M Hettich, F Braun, MD Bartholomä, R Schirmbeck, G Niedermann
Theranostics, 2016ncbi.nlm.nih.gov
Checkpoint-blocking antibodies like those targeting the PD-1/PD-L1 pathway have
revolutionized oncology. We developed radiotracers based on therapeutic checkpoint-
blocking antibodies permitting sensitive and high-resolution PET imaging of both PD-1 and
PD-L1 in immunocompetent mice. ImmunoPET of naive mice revealed similar overall
expression patterns for PD-1 and PD-L1 in secondary lymphoid organs (spleen and lymph
nodes). Interestingly, PD-L1 was also detected in brown adipose tissue (BAT), confirming …
Abstract
Checkpoint-blocking antibodies like those targeting the PD-1/PD-L1 pathway have revolutionized oncology. We developed radiotracers based on therapeutic checkpoint-blocking antibodies permitting sensitive and high-resolution PET imaging of both PD-1 and PD-L1 in immunocompetent mice. ImmunoPET of naive mice revealed similar overall expression patterns for PD-1 and PD-L1 in secondary lymphoid organs (spleen and lymph nodes). Interestingly, PD-L1 was also detected in brown adipose tissue (BAT), confirming the notion that BAT is immunologically relevant. Under pathophysiological conditions, strong expression of the receptor/ligand pair was also found in non-lymphoid tissues. Both were specifically detected in malignant tumors. PD-1 was readily detected after combined immunoradiotherapy causing massive tumor infiltration by PD-1+ lymphocytes. PD-L1 tracer uptake was reduced in PD-L1 knockout tumors. Moreover, monitoring the expression changes of PD-L1 in response to its main inducer, the effector T cell cytokine IFN-γ, revealed robust upregulation in the lung. This suggests that T cell responses in the lung, a vital organ continuously exposed to a variety of antigens, are strongly restrained by the PD-1 checkpoint. In turn, this could explain the association of PD-1 checkpoint inhibition with potentially fatal immune-mediated pneumonitis and partially also its efficacy in lung cancer.
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