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WO2012000843A1 - 11c-labelled peptide for detecting an antigen - Google Patents

11c-labelled peptide for detecting an antigen Download PDF

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Publication number
WO2012000843A1
WO2012000843A1 PCT/EP2011/060352 EP2011060352W WO2012000843A1 WO 2012000843 A1 WO2012000843 A1 WO 2012000843A1 EP 2011060352 W EP2011060352 W EP 2011060352W WO 2012000843 A1 WO2012000843 A1 WO 2012000843A1
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WO
WIPO (PCT)
Prior art keywords
peptide
antigen
amino acid
antibody
acid sequence
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/EP2011/060352
Other languages
German (de)
French (fr)
Inventor
Hartmuth Kolb
Ursus KRÜGER
Oliver Lade
Marilena Manea
Michael Przybylski
Arno Steckenborn
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Siemens AG
Universitaet Konstanz
Siemens Corp
Original Assignee
Siemens AG
Universitaet Konstanz
Siemens Corp
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Publication date
Application filed by Siemens AG, Universitaet Konstanz, Siemens Corp filed Critical Siemens AG
Publication of WO2012000843A1 publication Critical patent/WO2012000843A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K51/00Preparations containing radioactive substances for use in therapy or testing in vivo
    • A61K51/02Preparations containing radioactive substances for use in therapy or testing in vivo characterised by the carrier, i.e. characterised by the agent or material covalently linked or complexing the radioactive nucleus
    • A61K51/04Organic compounds
    • A61K51/08Peptides, e.g. proteins, carriers being peptides, polyamino acids, proteins
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K51/00Preparations containing radioactive substances for use in therapy or testing in vivo
    • A61K51/02Preparations containing radioactive substances for use in therapy or testing in vivo characterised by the carrier, i.e. characterised by the agent or material covalently linked or complexing the radioactive nucleus
    • A61K51/04Organic compounds
    • A61K51/08Peptides, e.g. proteins, carriers being peptides, polyamino acids, proteins
    • A61K51/10Antibodies or immunoglobulins; Fragments thereof, the carrier being an antibody, an immunoglobulin or a fragment thereof, e.g. a camelised human single domain antibody or the Fc fragment of an antibody
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07BGENERAL METHODS OF ORGANIC CHEMISTRY; APPARATUS THEREFOR
    • C07B59/00Introduction of isotopes of elements into organic compounds ; Labelled organic compounds per se
    • C07B59/008Peptides; Proteins

Definitions

  • the invention relates to the use of a peptide for the production of an agent for the detection of an antigen. It also relates to a radiopharmaceutical for the localization of a tumor comprising such a peptide.
  • the immune system serves to ward off foreign molecules, viruses and bacteria and identifies foreign substances with the help of antibodies. These recognize and bind foreign body molecules, so-called antigens, which are then broken down by other components of the immune system and excreted.
  • antibodies do not bind the entire antigen, but only small well-defined regions thereof, which are also referred to as epitopes.
  • Each antibody has two identical antigen-binding parts called paratopes that bind to identical epitopes.
  • the bond itself is based on electrostatic, hydrophobic and / or van der Waals interactions and / or on hydrogen bonds.
  • the specific binding affinities between antibody and antigen are also used for diagnostic and therapeutic purposes.
  • Diseased cells often produce antigens, for example proteins that do not occur in healthy tissue or only in very small quantities. Tumor cells also form specific molecules, so-called tumor antigens.
  • antigens predominantly with biotechnologically produced antibodies, are detected in blood or tissue samples in vitro.
  • the resulting antibody-antigen complexes for example via fluorescence-labeled secondary antibodies detected.
  • antibodies detected in vivo are directly labeled, for example by a radionuclide.
  • a drug containing such directly labeled antibody is WX-G250, Redectanee, from Wilex AG, Kunststoff, Germany (Divgl CR et al., 2007).
  • the antibody is labeled with 124 iodine and can be detected by its radioactive radiation in the living organism.
  • the production of directly labeled antibodies is very complicated, because they must first be produced biotechnologically and then provided with a label. As a result, their production is expensive.
  • antibodies in the organism are only metabolized very slowly, so that their biological half-life is about 200 hours.
  • radioactive element also referred to as radioisotope
  • the antibodies that are not bound to an antigen continue to circulate in the organism and generate a strong background signal. To reduce the background signal, it is therefore necessary to wait until the free radiolabelled antibodies have been degraded.
  • radioisotopes with particularly long half-lives must be used. However, these emit a lower amount of radiation per time interval, so that a correspondingly high radiation dose must be used in order to ensure the necessary radiation intensity during the recording. This increases the radiation exposure for the patient. In addition, there are long examination and monitoring times of the patient.
  • the invention is therefore based on the object to provide a cost-effective to manufacture and tolerated by the patient agent for the detection of an antigen in vivo.
  • This object is achieved by the use of a peptide for the production of an agent for the detection of an antigen.
  • the peptide has an amino acid sequence of a paratope of a Having antibody which is directed against the antigen and specifically binds to an epitope of the antigen, the distribution and position of the antigen can be determined in an organism with this peptide.
  • the detection of the peptide and the antigen bound thereto is made possible by the 11 C carbon atom of the peptide.
  • peptide refers to an organic compound of at least two amino acids linked via a peptide bond. It includes both oligopeptides of up to about ten amino acids, as well as polypeptides of up to about 30 amino acids, regardless of their primary, secondary or tertiary structure. Both naturally occurring and biotechnologically or synthetically produced compounds are included.
  • antigen refers to any type of inorganic or organic compound, in particular proteins, peptides and polysaccharides whose surface structure is suitable for being recognized and bound by an antibody.
  • antibody denotes natural or synthetic protein complexes from the group of immunoglobulins. They are usually composed of two light and two heavy polypeptide chains, each one light chain and the N-terminal part of a heavy chain together forming a paratope of the antibody. The paratope mediates binding between the antibody and the antigen by interacting with a particular, relatively small, structure of the antigen, the epitope. The specificity of the binding is determined by the individual structure of the paratope and the epitope. For a defined epitope, the specificity of the corresponding paratope results from its amino acid sequence.
  • a peptide which binds specifically to an epitope of an antigen in order to detect this antigen.
  • the peptide sos is chosen such that its amino acid sequence corresponds to the amino acid sequence of the paratope. speaks, which binds the epitope of the antigen.
  • an antibody is selected which is directed against the antigen to be detected, the paratope thus interacts with an epitope of the antigen. Subsequently, the amino acid sequence of the paratope of this antibody is determined. For this it is necessary to investigate which amino acids of the polypeptide chains of the antibody are involved in the formation of the paratope.
  • the number and type of amino acids of the paratope distinguishes antibodies from each other and determines their specificity for an epitope.
  • the sequence of the amino acids that actually constitute the paratope can be determined, for example, by a point mutation analysis of the antibody (Colbi DW et al., 2004). For this purpose, the binding affinity of different variants of the antibody carrying different point mutations is examined.
  • the paratope may also be analyzed by the use of alanine scanning and surface plasmon resonance techniques as described in Heap CJ et al., 2005.
  • the peptide is synthesized according to the amino acid sequence of the paratope so that it has a particularly high specificity for the epitope of the antigen and does not bind to other molecules.
  • the peptide is chosen such that the bond between the peptide and the antigen has a linear coefficient, so-called kD value, of £ 100 nM, preferably of ⁇ 10 nM, most preferably of 7.5 nM.
  • kD value so-called kD value
  • the detection takes place via the radioactive labeling of the peptide with an 11 C-Kohlenstoffatora.
  • positrons also known as ß * -
  • Radiation be formed formed.
  • the positrons hit an electron, they form two photons, which move away from each other at an angle of 180 °, ie exactly in the opposite direction.
  • the photons can be detected and used to calculate the position of the positron emission, or of the 11 C carbon atom.
  • the integration of an 11 C carbon atom into the peptide used according to the invention allows both the presence and the position of the peptide to be detected and displayed.
  • the processes described in patent applications DE 10 2009 035 648.7 and DE 10 2009 035 645.2 are particularly suitable.
  • the amount of peptides located at a particular site can also be quantified.
  • An advantage of using an 11 C-labeled peptide is its structure of endogenous amino acids, making it compatible with the organism.
  • the peptide and its individual amino acids are non-toxic, they can of course be metabolized, degraded and excreted.
  • a radioactive impurity such as fluorine l8, 133 Xenon, or "Gallium has to be introduced into the organism.
  • Another advantage of using a peptide labeled directly with 11 C lies in the favorable signal / background
  • the peptide binds to the epitope of the antigen, with which it forms a stable complex, which is difficult to access for enzymatic degradation. Free, unbound peptides, however, become fast
  • the agent is a radiopharmaceutical.
  • radiopharmaceuticals refers to medicines containing radionuclides whose radiation is used for diagnosis and therapy. The most important fields of application are oncology, cardiology and neurology as well as drug research. As radionuclides, gamma or beta rays are emitted.
  • de nuclides for example, l33 xenon, "" technetium, “gallium, and 18 fluorine, are commonly used via complexing agents, such as diethylenetriaminepentaacetate (DTPA), 1,4,7,10-tetraazacyclododecane-1,4,7,10, Tetraacetic acid (DOTA) or ethylenediaminetetraacetate (EDTA) bound to mono- or polysaccharides
  • DTPA diethylenetriaminepentaacetate
  • DOTA 1,4,7,10-tetraazacyclododecane-1,4,7,10
  • DOTA Tetraacetic acid
  • EDTA ethylenediaminetetraacetate
  • the nuclides are detected by scintigraphy, single photon emission computed tomography (SPECT) or positron emission tomography (PET), depending on the nature of their radiation.
  • SPECT single photon emission computed tomography
  • PET positron emission tomography
  • radiopharmaceuticals can cause side effects, such as anaphylactic or allergic reactions, in a patient's body.
  • side effects such as anaphylactic or allergic reactions
  • the antigen is formed by a tumor.
  • tumor refers to a local increase in the volume of a tissue, such as by an inflammatory swelling or a spontaneous, unrestrained new formation of cells.
  • Tumor cells often express certain antigens that are recognized and bound by the body's own or biotechnologically produced antibodies. The detection of such an antigen is medically particularly relevant because it allows the detection of a tumor in vivo.
  • the antigen is a tumor antigen. Tumor antigens are specifically expressed by tumor cells, but do not occur or only in very small amounts in healthy tissue.
  • the amino acid sequence of the peptide is the amino acid sequence of a variable region of a polypeptide chain of the antibody.
  • the formation of the paratope involves the N-terminal ends of a light and a heavy polypeptide chain of the antibody.
  • antibodies are most different from each other because the gene coding for the polypeptide chains always changes in that region.
  • the N-terminal ends of the polypeptide chains are therefore referred to as "variable regions". Since they determine the binding specificity of the antibody, it is advantageous to use a peptide whose amino acid sequence corresponds to the amino acid sequence of one of these regions.
  • the 11 C carbon atom is a carbonyl carbon atom of an amino acid.
  • the carbonyl groups are part of the peptide bonds between the amino acids and are located inside the peptide. This ensures that the 11 C carbon atom is not cleaved off the peptide, as would be possible with a side chain of one of the amino acids.
  • the 11 C carbon atom is the carbonyl carbon atom of the N-terminal amino acid of the peptide.
  • This embodiment is particularly preferred because the peptide can be used directly after attachment of the 11 C-labeled amino acid.
  • 11 C-carbon has a half-life of only about 20 minutes, so the higher the radiation dose, the more time is left between the synthesis of the peptide and its use. If the 11 C-labeling with the N-terminal amino acid and thus in the last step of the synthesis is applied, the peptide can be used immediately after its synthesis be used. In this way, the time between the processing of the 1- carbon and the use of the peptide is reduced, so that the radiation loss during the production of the peptide is minimized. Therefore, the radiation dose that must be used in the processing of the 11 C carbon to ensure a certain radiation intensity of the product, be correspondingly lower. As a result, the production is made more cost-effective and the radiation exposure for the technical staff producing the peptide is reduced.
  • the peptide has at least one D-amino acid.
  • D-amino acid the peptide has at least one D-amino acid.
  • all amino acids have a chiral center at their alpha carbon atom and can therefore be considered as
  • Another object of the invention is a radiopharmaceutical for the localization of a tumor comprising a peptide having a U C carbon atom.
  • the radiopharmaceutical of the present invention provides a cost effective and well tolerated means for determining the position of a tumor in vivo.
  • the radiopharmaceutical is administered to the patient and the peptides contained therein are rapidly and efficiently distributed in the body because of their size. They bind the epitope of the disease-specific antigen and accumulate on the tissue that produces the antigen. This tissue may be, for example, an inflammatory focus or a tumor.
  • the accumulation of radioactively labeled peptides is detected by PET, thus determining the exact location of the inflammation or tumor in the body of the patient.
  • the amino acid sequence of the peptide is the amino acid sequence of a variable region of a polypeptide chain of the antibody.
  • the 11 C carbon atom is a carbonyl carbon atom of an amino acid, preferably the carbonyl carbon atom of the N-terminal amino acid of the peptide.
  • the radiopharmaceutical is a PET biomarker.
  • PET is an established method for detecting the radiation of radioactive elements and determining their position (Massoud TF, Gambhir SS, 2003). With the aid of detector devices arranged annularly around the patient, sectional images are created on which the decay events are represented in their spatial distribution in the interior of the curvature. PET also makes it possible to quantify the amount of labeled molecules in a tissue.
  • Also disclosed is a method of localizing an antigen in an organism comprising the steps of: a) providing a peptide, b) administering the peptide to the organism, and c) detecting the peptide in the organism by positron emission tomography (PET).
  • PET positron emission tomography
  • the peptide has an amino acid sequence of a paratope of an antibody directed against the antigen, binds specifically to an epitope of the antigen, and has an 11 C carbon atom.
  • FIG. 1A shows schematically the binding between an antibody 6 and an antigen 4.
  • the antibody 6 consists of two heavy polypeptide chains 9 and two light polypeptide chains 8, each represented by long and short, mutually parallel lines.
  • One of the two identical, opposing, paratopes 7 of the antibody 6 binds to an epitope 5 of the antigen 4.
  • the antigen 4 is located on the surface of a diseased tissue 18, which in the case shown is a tumor.
  • FIG. 1B schematically shows peptide 1 bound to epitope 5 of antigen 4.
  • Peptide 1 comprises nine amino acids 2, of which the N-terminal amino acid 3 is radioactively labeled with an 11 C carbon atom. The radioactive label is represented by an asterisk (*).
  • the specific binding affinity between the antigen 4 and the antibody 6 is due to chemical interactions between the epitope 5 of the antigen 4 and the paratope 7 of the antibody 6. These interactions are determined by the amino acid sequences of epitope 5 and paratope 7.
  • the amino acid sequence of the 11 C-labeled peptide 1 corresponds to the amino acid sequence of the paratope 7 of the antibody 6, so that the peptide 1 has the binding affinity of the paratope 7 and specifically binds to the epitope 5 of the antigen 4. Due to this binding specificity, the 11 C-labeled peptide 1 can be used to detect antigen 4.
  • the positrons emitted upon the decay of the 11 C carbon atom are detected by positron emission tomography (PET).
  • PET positron emission tomography
  • the location of the positron emission corresponds to the location of the peptide 1 and the antigen 4 bound thereto.
  • Tumor cells often form substances that are absent in healthy tissue and against which natural or biotechnological antibodies 6 can be produced.
  • the amino acid sequence of the paratopes 7 of these antibodies 6 is determined by means of point mutation analyzes (Colby DW et al., 2004). Then, an 11 C-labeled peptide 1 corresponding to the amino acid sequence of the paratope 7 of the antibody 6 is prepared. It specifically binds to the epitope 5 of the tumor antigen 4. In order to determine the position of the tumor 18 in the body of a patient, the 11 C-labeled peptide 1 is administered to the patient. The peptide 1 binds to the epitope 5 of the tumor antigen 4 and accumulates on the cells of the tumor 18. This accumulation is visible in a positron emission tomography (PET), so that the distribution of the tumor antigen 4 or the position of the tumor 18 be determined.
  • PET positron emission tomography
  • FIG. 2 shows a schematic representation (greatly simplified by Faller A, Schünke M, The human body, Thieme, 2008) of a circulatory system 10 of an organism and the distribution of a peptide 1 therein.
  • the circulatory system 10 includes various schematically represented organs such as lung 12, heart 13, liver 14, intestine 15 and kidney 16, and the main arteries 11 connecting these organs.
  • the peptide 1 is represented by triangles along the wires 11.
  • the degradation products 17 of peptide 1 are represented by individual dashes within the outline of the kidney 16.
  • a pathological tissue 18, for example a tumor or an inflammation is shown, to which peptides 1 are increasingly attached.
  • the distribution of peptide 1 in the circulatory system 10 comprises four phases, which are listed along the top-down view. Phase I: Peptide 1 is injected into the circulatory system 10 of the organism.
  • Phase II Via the blood circulation system 10, the peptide 1 is transported into the organs 12, 13, 14, 15, and 16 of the organism.
  • Phase III The circulating peptide 1 binds specifically to the epitope 5 of the antigen 4 and accumulates on the diseased tissue 18 because this forms the antigen 4.
  • Phase IV Unbound peptide 1 is rapidly metabolised and enzymatically degraded. The organism does not distinguish between its own peptides and the peptide 1, because it is made up of amino acids 2, 3, which correspond to the body's own molecules. The degradation products 17 of the peptide 1 and the amino acids 2, 3 accumulate predominantly in the kidney 16 from where they are excreted via the bladder and the ureter.
  • Massoud TF, Gambhir SS Molecular imaging in living subjects: seeing fundamental biological processes in a new light; Genes Dev. 2003 Mar 1; 17 (5): 545-80.

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Abstract

There is described the use of a peptide (1) for the preparation of an agent for detecting an antigen (4) which (a) includes an amino acid sequence of a paratope (7) of an antibody (6) which is directed against the antigen (4), b) binds specifically to an epitope (5) of the antigen (4) and c) includes an 11C carbon atom. There is furthermore provided a radiopharmaceutical for locating a tumour, which radiopharmaceutical comprises a peptide (1) which includes an 11C carbon atom. The peptide (1) includes an amino acid sequence of a paratope (7) of an antibody (6) which is directed against the tumour (18).

Description

11C-markiertes Peptid zur Detektion eines Antigens 11 C-labeled peptide for the detection of an antigen

Die Erfindung betrifft die Verwendung eines Peptids zur Herstellung eines Agens zur Detektion eines Antigens. Sie be- trifft ferner ein Radiopharmakon zur Lokalisation eines Tumors, das ein solches Peptid umfasst. The invention relates to the use of a peptide for the production of an agent for the detection of an antigen. It also relates to a radiopharmaceutical for the localization of a tumor comprising such a peptide.

Das Immunsystem dient der Abwehr von körperfremden Molekülen, Viren und Bakterien und identifiziert Fremdstoffe unter ande- rem mit Hilfe von Antikörpern. Diese erkennen und binden körperfremde Moleküle, sogenannte Antigene, die anschließend durch weitere Bestanteile des Immunsystems abgebaut und ausgeschieden werden. Dabei binden Antikörper jedoch nicht das gesamte Antigen, sondern nur kleine genau definierte Regionen davon, die auch als Epitope bezeichnet werden. Jeder Antikörper besitzt zwei identische Antigenbindungssteilen, sogenannte Paratope, die an identische Epitope binden. Die Bindung selbst beruht auf elektrostatischen, hydrophoben und/oder van der Waals- echselwirkungen und/oder auf Wasserstoffbrücken. The immune system serves to ward off foreign molecules, viruses and bacteria and identifies foreign substances with the help of antibodies. These recognize and bind foreign body molecules, so-called antigens, which are then broken down by other components of the immune system and excreted. However, antibodies do not bind the entire antigen, but only small well-defined regions thereof, which are also referred to as epitopes. Each antibody has two identical antigen-binding parts called paratopes that bind to identical epitopes. The bond itself is based on electrostatic, hydrophobic and / or van der Waals interactions and / or on hydrogen bonds.

Die spezifischen Bindungsaffinitäten zwischen Antikörper und Antigen werden auch zu Diagnose- und Therapiezwecken genutzt. Krankhafte Zellen produzieren häufig Antigene, zum Beispiel Proteine, die in gesundem Gewebe nicht oder nur in sehr ge- ringen Mengen vorkommen. Auch Tumorenzellen bilden spezifische Moleküle, sogenannten Tumorantigene. Um Krankheiten zu charakterisieren werden Antigene, überwiegend mit biotechnologisch hergestellten Antikörpern, in Blut- oder Gewebeproben in vitro nachgewiesen. Dazu werden, in einem zweiten Schritt, die entstandenen Antikörper-Antigen Komplexe, beispielsweise Uber Fluoreszenz-markierte sekundäre Antikörper, detektiert. Ein solcher Nachweis von Antikörper-Antigen Komplexen ist in vivo jedoch bedeutend schwieriger. Daher werden Antikörper, die in vivo nachgewiesen werden, unmittelbar markiert, bei- spielsweise durch ein Radionuklid. Ein Arzneimittel, das einen solchen, direkt markierten Antikörper enthält, ist WX- G250, Redectanee, der Firma Wilex AG, München, Deutschland (Divgl CR et al., 2007). Der Antikörper ist mit 124Jod markiert und kann über seine radioaktive Strahlung im lebenden Organismus nachgewiesen werden. Die Untersuchung eines krankhaften Gewebes, in vivo, mit Hilfe eines vollständigen Antikörpermoleküls weist aber erhebliche Nachteile auf. Die Herstellung direkt markierter Antikörper ist sehr aufwendig, weil sie erst biotechnologisch produziert und anschließend mit einer Markierung versehen werden müssen. Dadurch ist ihre Herstellung teuer. Zudem werden Antikörper, auf Grund ihrer Größe, im Organismus nur sehr langsam verstoffwechselt, so dass ihre biologische Halbwertszeit bei etwa 200 Stunden liegt. Das beeinträchtigt die Verträglichkeit eines radioaktiven Arzneimittels erheblich, denn das radioaktive Element, auch als Radioisotop bezeichnet, verbleibt über eine sehr lange Zeit im Körper. Außerdem zirkulieren die Antikörper, die nicht an ein Antigen gebunden sind, weiterhin im Organismus und generieren ein starkes Hintergrundsignal. Um das Hintergrundsignal zu reduzieren, wird deshalb mit dem Nachweis gewartet, bis die freien radioaktiv markierten Antikörper abgebaut sind. Um die Antikörper aber nach der langen Wartezeit noch detektieren zu können, müssen Radioisotope mit besonders langen Halbwertszeiten verwendet werden. Diese emittieren jedoch eine geringere Strahlungsmen- ge pro Zeitintervall, so dass eine entsprechend hohe Strahlungsdosis eingesetzt werden muss, um die notwendige Strahlungsintensität während der Aufnahme zu gewährleisten. Dadurch steigt die Strahlenbelastung für den Patienten. Außerdem ergeben sich lange Untersuchungs- und Überwachungszeiten des Patienten. The specific binding affinities between antibody and antigen are also used for diagnostic and therapeutic purposes. Diseased cells often produce antigens, for example proteins that do not occur in healthy tissue or only in very small quantities. Tumor cells also form specific molecules, so-called tumor antigens. In order to characterize diseases, antigens, predominantly with biotechnologically produced antibodies, are detected in blood or tissue samples in vitro. For this purpose, in a second step, the resulting antibody-antigen complexes, for example via fluorescence-labeled secondary antibodies detected. However, such detection of antibody-antigen complexes is significantly more difficult in vivo. Therefore, antibodies detected in vivo are directly labeled, for example by a radionuclide. A drug containing such directly labeled antibody is WX-G250, Redectanee, from Wilex AG, Munich, Germany (Divgl CR et al., 2007). The antibody is labeled with 124 iodine and can be detected by its radioactive radiation in the living organism. The investigation of a diseased tissue, in vivo, with the help of a complete antibody molecule, however, has considerable disadvantages. The production of directly labeled antibodies is very complicated, because they must first be produced biotechnologically and then provided with a label. As a result, their production is expensive. In addition, because of their size, antibodies in the organism are only metabolized very slowly, so that their biological half-life is about 200 hours. This significantly affects the compatibility of a radioactive drug, because the radioactive element, also referred to as radioisotope, remains in the body for a very long time. In addition, the antibodies that are not bound to an antigen continue to circulate in the organism and generate a strong background signal. To reduce the background signal, it is therefore necessary to wait until the free radiolabelled antibodies have been degraded. However, in order to be able to detect the antibodies after the long waiting time, radioisotopes with particularly long half-lives must be used. However, these emit a lower amount of radiation per time interval, so that a correspondingly high radiation dose must be used in order to ensure the necessary radiation intensity during the recording. This increases the radiation exposure for the patient. In addition, there are long examination and monitoring times of the patient.

Der Erfindung liegt daher die Aufgabe zugrunde, ein kostengünstig herzustellendes und für den Patienten verträgliches Agens zur Detektion eines Antigens in vivo bereitzustellen. Diese Aufgabe wird durch die Verwendung eines Peptids zur Herstellung eines Agens zur Detektion eines Antigens gelöst. Indem das Peptid eine Aminosäuresequenz eines Paratops eines Antikörpers aufweist, der gegen das Antigen gerichtet ist und spezifisch an ein Epitop des Antigens bindet, kann die Verteilung und Position des Antigens in einem Organismus mit diesem Peptid bestimmt werden. Der Nachweis des Peptids und des daran gebundenen Antigens wird durch das 11C-Kohlenstoff- atom des Peptids ermöglicht. The invention is therefore based on the object to provide a cost-effective to manufacture and tolerated by the patient agent for the detection of an antigen in vivo. This object is achieved by the use of a peptide for the production of an agent for the detection of an antigen. In that the peptide has an amino acid sequence of a paratope of a Having antibody which is directed against the antigen and specifically binds to an epitope of the antigen, the distribution and position of the antigen can be determined in an organism with this peptide. The detection of the peptide and the antigen bound thereto is made possible by the 11 C carbon atom of the peptide.

Der Begriff "Peptid" bezeichnet eine organische Verbindung aus mindestens zwei, über eine Peptidbindung verknüpften, Aminosäuren. Er umfasst dabei sowohl Oligopeptide aus bis zu ca. zehn Aminosäuren, als auch Polypeptide aus bis zu ca. 30 Aminosäuren, unabhängig von deren Primär-, Sekundär- oder Tertiärstruktur. Dabei sind sowohl natürlich vorkommende als auch biotechnologisch oder synthetisch hergestellte Verbin- düngen umfasst. The term "peptide" refers to an organic compound of at least two amino acids linked via a peptide bond. It includes both oligopeptides of up to about ten amino acids, as well as polypeptides of up to about 30 amino acids, regardless of their primary, secondary or tertiary structure. Both naturally occurring and biotechnologically or synthetically produced compounds are included.

Der Begriff "Antigen" bezeichnet jede Art von anorganischer oder organischer Verbindung, insbesondere Proteine, Peptide und Polysaccharide, deren Oberflächenstruktur geeignet ist, um von einem Antikörper erkannt und gebunden zu werden. Der Begriff "Antikörper" bezeichnet natürliche oder synthetische Proteinkomplexe aus der Gruppe der Immunglobuline. Sie sind in der Regel aus zwei leichten und zwei schweren Polypeptidketten aufgebaut, wobei jeweils eine leichte Kette und der N- terminale Teil einer schweren Kette gemeinsam ein Paratop des Antikörpers bilden. Das Paratop vermittelt die Bindung zwischen dem Antikörper und dem Antigen, indem es mit einer bestimmten, verhältnismäßig kleinen, Struktur des Antigens, dem Epitop, interagiert. Die Spezifität der Bindung wird dabei von der individuellen Struktur des Paratops und des Epitops bestimmt. Für ein definiertes Epitop ergibt sich die Spezifität des entsprechenden Paratops aus dessen Aminosäuresequenz. The term "antigen" refers to any type of inorganic or organic compound, in particular proteins, peptides and polysaccharides whose surface structure is suitable for being recognized and bound by an antibody. The term "antibody" denotes natural or synthetic protein complexes from the group of immunoglobulins. They are usually composed of two light and two heavy polypeptide chains, each one light chain and the N-terminal part of a heavy chain together forming a paratope of the antibody. The paratope mediates binding between the antibody and the antigen by interacting with a particular, relatively small, structure of the antigen, the epitope. The specificity of the binding is determined by the individual structure of the paratope and the epitope. For a defined epitope, the specificity of the corresponding paratope results from its amino acid sequence.

Im Rahmen der Erfindung wird ein Peptid verwendet, das spezi- fisch an ein Epitop eines Antigens bindet, um dieses Antigen nachzuweisen. Dazu wird das Peptid sos gewählt, dass seine Aminosäuresequenz der Aminosäuresequenz des Paratops ent- spricht, welches das Epitop des Antigens bindet. Dazu wird ein Antikörper ausgewählt, der gegen das zu detektierende Antigen gerichtet ist, dessen Paratop also mit einem Epitop des Antigens interagiert. Anschließend wird die Aminosäuresequenz des Paratops dieses Antikörpers ermittelt. Dazu ist es notwendig zu untersuchen, welche Aminosäuren der Polypeptidketten des Antikörpers an der Bildung des Paratops beteiligt sind. Die Anzahl und Art der Aminosäuren des Paratops unterscheidet Antikörper voneinander und bestimmt ihre Spezifität für ein Epitop. Die Sequenz der Aminosäuren, die tatsächlich das Paratop bilden, kann beispielsweise durch eine Punktmutationsanalyse des Antikörpers ermittelt werden (Colbi DW et al., 2004). Dazu wird die Bindungsaffinität verschiedener Varianten des Antikörpers, die unterschiedliche Punktmutaionen tragen, untersucht. Alternativ kann das Paratop auch durch die Verwendung von Alanin Scanning und Surface Plasmon Reso- nance Verfahren, wie bei Heap CJ et al., 2005 beschrieben, analysiert werden. Das Peptid wird entsprechend der Aminosäuresequenz des Paratops synthetisiert, so dass es eine beson- ders hohe Spezifität für das Epitop des Antigens aufweist, und nicht an andere Moleküle bindet. Vorzugsweise wird das Peptid dabei so gewählt, dass die Bindung zwischen dem Peptid und dem Antigen einen linearen Koeffizient, sog. kD-Wert, von £ 100 nM, bevorzugt von ≤ 10 nM, am meisten bevorzugt von 7,5 nM aufweist. Unter Verwendung eines solchen Peptids kann das Antigen nachgewiesen werden. In the context of the invention, a peptide is used which binds specifically to an epitope of an antigen in order to detect this antigen. For this purpose, the peptide sos is chosen such that its amino acid sequence corresponds to the amino acid sequence of the paratope. speaks, which binds the epitope of the antigen. For this purpose, an antibody is selected which is directed against the antigen to be detected, the paratope thus interacts with an epitope of the antigen. Subsequently, the amino acid sequence of the paratope of this antibody is determined. For this it is necessary to investigate which amino acids of the polypeptide chains of the antibody are involved in the formation of the paratope. The number and type of amino acids of the paratope distinguishes antibodies from each other and determines their specificity for an epitope. The sequence of the amino acids that actually constitute the paratope can be determined, for example, by a point mutation analysis of the antibody (Colbi DW et al., 2004). For this purpose, the binding affinity of different variants of the antibody carrying different point mutations is examined. Alternatively, the paratope may also be analyzed by the use of alanine scanning and surface plasmon resonance techniques as described in Heap CJ et al., 2005. The peptide is synthesized according to the amino acid sequence of the paratope so that it has a particularly high specificity for the epitope of the antigen and does not bind to other molecules. Preferably, the peptide is chosen such that the bond between the peptide and the antigen has a linear coefficient, so-called kD value, of £ 100 nM, preferably of ≤ 10 nM, most preferably of 7.5 nM. Using such a peptide, the antigen can be detected.

Die Detektion erfolgt dabei über die radioaktive Markierung des Peptids mit einem 11C-Kohlenstoffatora. Beim Zerfall des 11C-Kohlenstoffisotops werden Positronen, die auch als ß*-The detection takes place via the radioactive labeling of the peptide with an 11 C-Kohlenstoffatora. Upon decay of the 11 C carbon isotope, positrons, also known as ß * -

Strahlung bezeichnet werden, gebildet. Stoßen die Positronen auf ein Elektron bilden sie zwei Photonen, die sich in einem Winkel von 180*, also genau in entgegen gesetzter Richtung, von einander entfernen. Die Photonen können detektiert und daraus die Position der Positronenemission, bzw. des 11C- Kohlenstoffatoms, berechnet werden. Die Integration eines 11C-Kohlenstoffatom in das erfindungsgemäß verwendete Peptid, ermöglicht es sowohl des Vorhandensein, als auch die Position des Peptids nachzuweisen und abzubilden. Zur Herstellung eines erfindungsgemäß zu verwendenden Peptids sind insbesondere die Verfahren, die in den Patentanmeldungen DE 10 2009 035 648.7, und DE 10 2009 035 645.2 beschrieben werden, geeignet. Des Weiteren kann auch die Menge an Peptiden, die sich an einer bestimmten Stelle befindet, quantifiziert werden. Radiation be formed formed. When the positrons hit an electron, they form two photons, which move away from each other at an angle of 180 °, ie exactly in the opposite direction. The photons can be detected and used to calculate the position of the positron emission, or of the 11 C carbon atom. The integration of an 11 C carbon atom into the peptide used according to the invention, allows both the presence and the position of the peptide to be detected and displayed. For the preparation of a peptide to be used according to the invention, the processes described in patent applications DE 10 2009 035 648.7 and DE 10 2009 035 645.2 are particularly suitable. Furthermore, the amount of peptides located at a particular site can also be quantified.

Ein Vorteil der Verwendung eines 11C-markierten Peptids liegt in seinem Aufbau aus körpereigenen Aminosäuren, wodurch es für den Organismus verträglich ist. Das Peptid und seine einzelnen Aminosäuren sind nicht toxisch, sie können natürlich verstoffwechselt, abgebaut und ausgeschieden werden. Durch die Verwendung eines integrierten 11C-Kohlenstoffatoms kann außerdem vermieden werden, dass ein radioaktiver Fremdstoff, wie beispielsweise l8Fluor, 133Xenon, oder "Gallium, in den Organismus eingebracht werden muss. An advantage of using an 11 C-labeled peptide is its structure of endogenous amino acids, making it compatible with the organism. The peptide and its individual amino acids are non-toxic, they can of course be metabolized, degraded and excreted. By using a built-in 11 C carbon atom can also be avoided that a radioactive impurity such as fluorine l8, 133 Xenon, or "Gallium has to be introduced into the organism.

Ein weiterer Vorteil der Verwendung eines direkt mit 11C mar- kierten Peptids liegt in dem günstigen Signal/HintergrundAnother advantage of using a peptide labeled directly with 11 C lies in the favorable signal / background

Verhältnis während der Detektion des Peptids. Das Peptid bindet an das Epitop des Antigens, mit dem es einen stabilen, für den enzymatischen Abbau schwer zugänglichen, Komplex bildet. Freie, ungebundene Peptide werden dagegen rasch Ratio during the detection of the peptide. The peptide binds to the epitope of the antigen, with which it forms a stable complex, which is difficult to access for enzymatic degradation. Free, unbound peptides, however, become fast

verstoffwechselt und aus dem Organismus ausgeschieden, weil sie von endogenen Enzymen zügig abgebaut werden können. Dadurch entsteht ein starkes und spezifisches Signal an der Position des Antigens, und das Hintergrundsignal wird minimiert . metabolized and excreted from the organism, because they can be rapidly degraded by endogenous enzymes. This creates a strong and specific signal at the antigen's position, and the background signal is minimized.

In einer vorteilhaften Weiterbildung der Erfindung ist das Agens ein Radiopharmakon. Der Begriff "Radiopharmaka" bezeichnet Arzneimittel, die Radionuklide enthalten, deren Strahlung zur Diagnostik und Therapie verwendet wird. Die wichtigsten Anwendungsgebiete sind dabei die Onkologie, Kardiologie und Neurologie, aber auch die Arzneimittelforschung. Als Radionuklide werden Gamma- bzw. Beta-Strahlen emittieren- de Nuklide, zum Beispiel l33Xenon, ""Technetium, "Gallium, und 18Fluor, verwendet. Sie werden üblicherweise über Komplexbildner wie Diethylentriaminpentaacetat (DTPA), 1,4,7,10- tetraazacyclododecane-1,4,7, 10-tetraacetic acid (DOTA) oder Ethylendiamintetraacetat (EDTA) an Mono- oder Polysaccharide gebunden. Die Nuklide werden, je nach der Art ihrer Strahlung, mittels Szintigraphie, Single Photon Emission Computed Tomography (SPECT) oder Positronen-Emissions-Tomographie (PET) detektiert. Aufgrund ihrer unphysiologischen Bestand- teile können herkömmliche Radiopharmaka jedoch Nebenwirkungen, wie anaphylaktische oder allergische Reaktionen, im Körper eines Patienten verursachen. Die Verwendung eines Peptids aus körpereigenen Aminosäuren reduziert diese Gefahr deutlich, weil weder das Peptid selbst, noch seine Abbauprodukte toxisch sind. Zudem ist Kohlenstoff, im Gegensatz zu Technetium oder Xenon, ein im Körper vorkommendes Element, das natürlich verstoffwechselt werden kann. In an advantageous embodiment of the invention, the agent is a radiopharmaceutical. The term "radiopharmaceuticals" refers to medicines containing radionuclides whose radiation is used for diagnosis and therapy. The most important fields of application are oncology, cardiology and neurology as well as drug research. As radionuclides, gamma or beta rays are emitted. de nuclides, for example, l33 xenon, "" technetium, "gallium, and 18 fluorine, are commonly used via complexing agents, such as diethylenetriaminepentaacetate (DTPA), 1,4,7,10-tetraazacyclododecane-1,4,7,10, Tetraacetic acid (DOTA) or ethylenediaminetetraacetate (EDTA) bound to mono- or polysaccharides The nuclides are detected by scintigraphy, single photon emission computed tomography (SPECT) or positron emission tomography (PET), depending on the nature of their radiation. However, due to their nonphysiological components, conventional radiopharmaceuticals can cause side effects, such as anaphylactic or allergic reactions, in a patient's body.The use of a peptide from the body's own amino acids significantly reduces this risk because neither the peptide itself nor its degradation products are toxic Carbon, in contrast to technetium or xenon, an element occurring in the body that can be naturally metabolized.

Gemäß einer bevorzugten Weiterbildung der Erfindung, wird das Antigen von einem Tumor gebildet. Der Begriff "Tumor" bezeichnet dabei eine örtliche Zunahme des Volumens eines Gewebes, etwa durch eine entzündliche Anschwellung oder eine spontane, ungehemmte Neubildung von Zellen. Tumorzellen exprimieren häufig bestimmte Antigene, die von körpereigenen oder biotechnologisch hergestellten Antikörpern erkannt und gebunden werden. Die Detektion eines solchen Antigens ist medizinisch besonders relevant, weil es den Nachweis eines Tumors in vivo erlaubt. Gemäß einer weiter bevorzugten Ausführungsform ist das Antigen ein Tumorantigen. Tumorantigene werden speziell von Tumorzellen exprimiert, kommen aber nicht oder nur in sehr geringen Mengen in gesundem Gewebe vor. Tumorantigene sind häufig Proteine, die bei der Entwicklung der Stammzellen während der Embryogenese eine Rolle spielen, im adulten Organismus aber nicht mehr bebildet werden. Die ektopische Expression solcher Gene führt zu einer besonders aggressiven und schnell wachsenden Form von Tumoren. Im Rahmen der Krebsdiagnose ist es daher besonders vorteilhaft, solche Tumore in vivo nachzuweisen und ihre Position zu bestimmen. Gemäß einer vorteilhaften Weiterbildung der Erfindung ist die Aminosäuresequenz des Peptids die Aminosäuresequenz eines variablen Bereichs einer Polypeptidkette des Antikörpers. An der Bildung des Paratops sind jeweils die N-terminalen Enden einer leichten und einer schweren Polypeptidkette des Anti- körpers beteiligt. In diesem Bereich unterscheiden sich Antikörper am stärksten voneinander, weil sich das Gen, das für die Polypeptidketten codiert, in diesem Bereich stets ändert. Die N-terminalen Enden der Polypeptidketten werden deshalb als "variable Bereiche" bezeichnet. Da sie die Bindungsspezi- fität des Antikörpers bestimmen, ist es vorteilhaft ein Peptid zu verwenden, dessen Aminosäuresequenz der Aminosäuresequenz eines dieser Bereiche entspricht. According to a preferred embodiment of the invention, the antigen is formed by a tumor. The term "tumor" refers to a local increase in the volume of a tissue, such as by an inflammatory swelling or a spontaneous, unrestrained new formation of cells. Tumor cells often express certain antigens that are recognized and bound by the body's own or biotechnologically produced antibodies. The detection of such an antigen is medically particularly relevant because it allows the detection of a tumor in vivo. According to a further preferred embodiment, the antigen is a tumor antigen. Tumor antigens are specifically expressed by tumor cells, but do not occur or only in very small amounts in healthy tissue. Tumor antigens are often proteins that play a role in the development of stem cells during embryogenesis, but are no longer shown in the adult organism. The ectopic expression of such genes leads to a particularly aggressive and fast growing form of tumors. In the context of cancer diagnosis, it is therefore particularly advantageous to detect such tumors in vivo and to determine their position. According to an advantageous development of the invention, the amino acid sequence of the peptide is the amino acid sequence of a variable region of a polypeptide chain of the antibody. In each case the formation of the paratope involves the N-terminal ends of a light and a heavy polypeptide chain of the antibody. In this area, antibodies are most different from each other because the gene coding for the polypeptide chains always changes in that region. The N-terminal ends of the polypeptide chains are therefore referred to as "variable regions". Since they determine the binding specificity of the antibody, it is advantageous to use a peptide whose amino acid sequence corresponds to the amino acid sequence of one of these regions.

Gemäß einer vorteilhaften Weiterbildung der Erfindung ist das 11C-Kohlenstoffatom ein Carbonylkohlenstoffatom einer Aminosäure. Die Carbonylgruppen sind Teil der Peptidbindungen zwischen den Aminosäuren und liegen im Inneren des Peptids. Dadurch ist gewährleistet, dass das 11C-Kohlenstoffatom nicht vom Peptid abgespalten wird, wie es etwa bei einer Seitenket- te einer der Aminosäuren möglich wäre. According to an advantageous development of the invention, the 11 C carbon atom is a carbonyl carbon atom of an amino acid. The carbonyl groups are part of the peptide bonds between the amino acids and are located inside the peptide. This ensures that the 11 C carbon atom is not cleaved off the peptide, as would be possible with a side chain of one of the amino acids.

Gemäß einer weiter bevorzugten Ausführungsform der Erfindung ist das 11C-Kohlenstoffatom das Carbonylkohlenstoffatom der N-terminalen Aminosäure des Peptids. Diese Ausführungsform ist besonders bevorzugt, weil das Peptid direkt nach dem Anbringen der 11C-markierten Aminosäure verwendet werden kann. 11C-Kohlenstoff hat eine Halbwertszeit von nur ca. 20 Minuten, so dass die Strahlungsdosis desto höher gewählt werden rauss, je mehr Zeit zwischen der Synthese des Peptids und sei- ner Verwendung liegt. Wird die 11C-Markierung mit der N- terminalen Aminosäure und damit im letzten Schritt der Synthese angebracht, kann das Peptid sofort nach seiner Synthese verwendet werden. Auf diese Weise wird die Zeitspanne zwischen der Verarbeitung des 1^-Kohlenstoffs und dem Einsatz des Peptids reduziert, so dass der Strahlungsverlust wahrend der Herstellung des Peptids minimiert wird. Deshalb kann die Strahlendosis, die bei der Verarbeitung des 11C-Kohlenstoffs eingesetzt werden muss um eine bestimmte Strahlungsstärke des Produkts zu gewährleisten, entsprechend geringer sein. Die Herstellung wird dadurch kostengünstiger und die Strahlenbelastung für das technische Personal, welches das Peptid her- stellt, verringert. In a further preferred embodiment of the invention, the 11 C carbon atom is the carbonyl carbon atom of the N-terminal amino acid of the peptide. This embodiment is particularly preferred because the peptide can be used directly after attachment of the 11 C-labeled amino acid. 11 C-carbon has a half-life of only about 20 minutes, so the higher the radiation dose, the more time is left between the synthesis of the peptide and its use. If the 11 C-labeling with the N-terminal amino acid and thus in the last step of the synthesis is applied, the peptide can be used immediately after its synthesis be used. In this way, the time between the processing of the 1- carbon and the use of the peptide is reduced, so that the radiation loss during the production of the peptide is minimized. Therefore, the radiation dose that must be used in the processing of the 11 C carbon to ensure a certain radiation intensity of the product, be correspondingly lower. As a result, the production is made more cost-effective and the radiation exposure for the technical staff producing the peptide is reduced.

In einer vorteilhaften Weiterbildung der Erfindung weist das Peptid mindestens eine D-Aminosäure auf. Mit Ausnahme des Glycins, besitzen alle Aminosäuren an ihrem alpha-C- Kohlenstoffatom ein chirales Zentrum und können daher alsIn an advantageous embodiment of the invention, the peptide has at least one D-amino acid. With the exception of glycine, all amino acids have a chiral center at their alpha carbon atom and can therefore be considered as

Konfigurationsisomere, nämlich als D- oder L-Aminosäure, vorliegen. Endogene Peptide und Proteine sind weitgehend aus Aminosäuren in L-Konfiguration aufgebaut. Zudem arbeiten die meisten natürlichen Proteasen und Peptidasen stereoselektiv und verstoffwechseln hauptsächlich L-Aminosäuren. Daher dauert der Abbau von D-Aminosäuren durch körpereigene Enzyme länger als der von L-Aminosäuren. Dieser Umstand kann verwendet werden, um die Halbwertszeit eines Proteins oder Peptids zu verlängern, indem neben L-Aminosäuren auch D-Aminosäuren verwendet werden (Neundorf I et al., 2008). Dadurch kann die pharmakologische Clearance, also die Zeit bis das Peptid aus dem Organismus ausgeschieden ist, positiv beeinflusst werden. Bei dem Austausch einzelner L-Aminosäuren gegen ihre D- Konfiguration ist jedoch darauf zu achten, dass die Bin- dungsspezifität des Peptids nicht verändert wird. Eine weitere Möglichkeit, die pharmakologische Clearance des Peptids zu beeinflussen, besteht darin einzelne der Aminosäuren des Peptids durch nicht natürliche Aminosäuren mit ähnlichen chemischen Eigenschaften zu ersetzen. Die nicht natürlichen Amino- säuren werden langsamer verstoffwechselt, weil die körpereigenen proteolytischen Enzyme speziell an den Abbau natürlicher Aminosäuren angepasst sind. Bei der Modifizierung des Peptids sollten die nicht natürlichen Aminosäuren jedoch so gewählt werden, dass die Bindungsaffinität des Peptids nicht verändert wird. Darüber hinaus sind auch andere chemische Modifikationen einzelner Aminosäuren des Peptids möglich, um die Halbwertszeit des Peptids gezielt zu beeinflussen. Beispielsweise kann die endständige Aminogruppe des Peptids durch eine Isonitrilgruppe ersetz werden. Eine solche Modifikation reduziert die, von der Aminogruppe vermittelte, Interaktion mit proteolytischen Enzymen, ohne die Bindung zwischen dem erfindungsgemäß verwendeten Peptid und dem Antikörper zu verändern. Configuration isomers, namely as D- or L-amino acid, are present. Endogenous peptides and proteins are largely composed of amino acids in L configuration. In addition, most natural proteases and peptidases work stereoselectively and mainly metabolize L-amino acids. Therefore, the degradation of D-amino acids by endogenous enzymes takes longer than that of L-amino acids. This fact can be used to extend the half-life of a protein or peptide by using D-amino acids besides L-amino acids (Neundorf I et al., 2008). As a result, the pharmacological clearance, ie the time until the peptide has been eliminated from the organism, can be positively influenced. However, when replacing individual L-amino acids with their D-configuration, care must be taken not to alter the binding specificity of the peptide. Another way to influence the pharmacological clearance of the peptide is to replace some of the amino acids of the peptide with non-natural amino acids having similar chemical properties. The non-natural amino acids are metabolized more slowly because the body's own proteolytic enzymes are specially adapted to the breakdown of natural amino acids. In the modification of the However, for peptides, the non-natural amino acids should be chosen so that the binding affinity of the peptide is not altered. In addition, other chemical modifications of individual amino acids of the peptide are possible to specifically influence the half-life of the peptide. For example, the terminal amino group of the peptide can be replaced by an isonitrile group. Such a modification reduces the amino group-mediated interaction with proteolytic enzymes without altering the binding between the peptide used according to the invention and the antibody.

Ein weiterer Gegenstand der Erfindung ist ein Radiopharmakon zur Lokalisation eines Tumors, das ein Peptid mit einem UC- Kohlenstoffatom umfasst. Indem das Peptid eine Aminosäuresequenz eines Paratops eines Antikörpers aufweist, der gegen den Tumor gerichtet ist, kann der Tumor im Körper des Patienten nachgewiesen werden. Auf Grund der Vorteile des enthaltenen Peptids, bietet das erfindungsgemäße Radiopharmakon ein kostengünstiges und gut verträgliches Mittel, um die Position eines Tumors in vivo zu bestimmen. Das Radiopharmakon wird dem Patienten verabreicht und die darin enthaltenen Peptide verteilen sich, auf Grund ihrer Größe, schnell und effizient im Körper. Sie binden das Epitop des krankheitsspezifischen Antigens und sammeln sich an dem Gewebe, welches das Antigen produziert. Dieses Gewebe kann beispielsweise ein Entzündungsherd oder ein Tumor sein. Die Häufung der radioaktiv markierten Peptide wird mittels PET nachgewiesen und so die genaue Position der Entzündung oder des Tumors im Körper des Patienten bestimmt. Another object of the invention is a radiopharmaceutical for the localization of a tumor comprising a peptide having a U C carbon atom. By having an amino acid sequence of a paratope of an antibody directed against the tumor, the peptide can be detected in the patient's body. Due to the advantages of the peptide contained, the radiopharmaceutical of the present invention provides a cost effective and well tolerated means for determining the position of a tumor in vivo. The radiopharmaceutical is administered to the patient and the peptides contained therein are rapidly and efficiently distributed in the body because of their size. They bind the epitope of the disease-specific antigen and accumulate on the tissue that produces the antigen. This tissue may be, for example, an inflammatory focus or a tumor. The accumulation of radioactively labeled peptides is detected by PET, thus determining the exact location of the inflammation or tumor in the body of the patient.

Gemäß einer vorteilhaften Weiterbildung der Erfindung ist die Aminosäuresequenz des Peptids die Aminosäuresequenz eines va- riablen Bereichs einer Polypeptidkette des Antikörpers. Gemäß einer vorteilhaften Weiterbildung ist das 11C- Kohlenstoffatom ein Carbonylkohlenstoffatom einer Aminosäure, bevorzugt das Carbonylkohlenstoffatom der N-terminalen Aminosäure des Peptids. According to an advantageous development of the invention, the amino acid sequence of the peptide is the amino acid sequence of a variable region of a polypeptide chain of the antibody. According to an advantageous development, the 11 C carbon atom is a carbonyl carbon atom of an amino acid, preferably the carbonyl carbon atom of the N-terminal amino acid of the peptide.

In einer bevorzugten Ausführungsform ist das Radiopharmakon ein PET Biomarker. Die PET ist ein etabliertes Verfahren um die Strahlung radioaktiver Elemente zu erfassen und ihre Position zu bestimmen (Massoud TF, Gambhir SS, 2003) . Mit Hilfe von ringförmig um den Patienten angeordneten Detektorgeräten werden Schnittbilder erstellt, auf denen die Zerfallsereignisse in ihrer räumlichen Verteilung im Kürperinneren dargestellt werden. Die PET ermöglicht es auch, die Menge an markierten Molekülen in einem Gewebe quantitativ zu bestimmen. In a preferred embodiment, the radiopharmaceutical is a PET biomarker. PET is an established method for detecting the radiation of radioactive elements and determining their position (Massoud TF, Gambhir SS, 2003). With the aid of detector devices arranged annularly around the patient, sectional images are created on which the decay events are represented in their spatial distribution in the interior of the curvature. PET also makes it possible to quantify the amount of labeled molecules in a tissue.

Außerdem wird ein Verfahren zur Lokalisation eines Antigens in einem Organismus offenbart, umfassend die Schritte: a) Bereitstellen eines Peptids, b) Verabreichen des Peptids an den Organismus und c) Detektieren des Peptids in dem Organismus mittels Positronen-Emissions-Tomographie (PET). Dabei weist das Peptid eine Aminosäuresequenz eines Paratops eines Antikörpers auf, der gegen das Antigen gerichtet ist, bindet spezifisch an ein Epitop des Antigens, und weist ein 11C- Kohlenstoffatom auf. Also disclosed is a method of localizing an antigen in an organism, comprising the steps of: a) providing a peptide, b) administering the peptide to the organism, and c) detecting the peptide in the organism by positron emission tomography (PET). Here, the peptide has an amino acid sequence of a paratope of an antibody directed against the antigen, binds specifically to an epitope of the antigen, and has an 11 C carbon atom.

Mit dem erfindungsgemäß verwendeten Peptid wird ein Antigen im Inneren eines Organismus detektiert und lokalisiert, so dass die Verteilung des Antigen im Körper eines Patienten beobachtet werden kann. Auf diese Weise kann beispielsweise die Größe oder Ausdehnung eines Tumors, der das Antigen expri- miert, bestimmt werden. Das erfindungsgemäß verwendete Peptid ist daher hervorragend zur Beobachtung von Verlauf und Erfolg einer Behandlung, sog. Therapiemonitoring, geeignet. Im Folgenden werden bevorzugte Ausführungs ormen der Erfindung anhand der beigefügten schematischen Zeichnungen erläutert. Figur 1A zeigt schematisch die Bindung zwischen einem Antikörper 6 und einem Antigen 4. Der Antikörper 6 besteht aus zwei schweren Polypeptidketten 9 und zwei leichten Polypep- tidketten 8, die jeweils durch lange und kurze, zueinander parallele Linien dargestellt sind. Eine der leichten Polypeptidketten 8 bildet zusammen mit dem N-terminalen Teil einer der schweren Polypeptidketten 9 jeweils ein Paratop 7 des Antikörpers 6. Eines der beiden identischen, sich gegenüberlie- genden, Paratope 7 des Antikörpers 6 bindet an ein Epitop 5 des Antigens 4. Das Antigen 4 befindet sich auf der Oberfläche eines krankhaften Gewebes 18, das im dargestellten Fall ein Tumor ist. Figur 1B zeigt schematisch das Peptid 1, das an das Epitop 5 des Antigens 4 gebunden ist. Das Peptid 1 umfasst neun Aminosäuren 2, von denen die N-terminale Aminosäure 3 mit einem 11C-Kohlenstoffatom radioaktiv markiert ist. Die radioaktive Markierung ist durch einen Stern (*) dargestellt. With the peptide used according to the invention, an antigen is detected and localized inside an organism, so that the distribution of the antigen in the body of a patient can be observed. In this way, for example, the size or extent of a tumor expressing the antigen can be determined. The peptide used according to the invention is therefore outstandingly suitable for observing the course and success of a treatment, so-called therapy monitoring. In the following preferred embodiments of the invention will be explained with reference to the accompanying schematic drawings. Figure 1A shows schematically the binding between an antibody 6 and an antigen 4. The antibody 6 consists of two heavy polypeptide chains 9 and two light polypeptide chains 8, each represented by long and short, mutually parallel lines. One of the light polypeptide chains 8, together with the N-terminal part of one of the heavy polypeptide chains 9, in each case forms a paratope 7 of the antibody 6. One of the two identical, opposing, paratopes 7 of the antibody 6 binds to an epitope 5 of the antigen 4. The antigen 4 is located on the surface of a diseased tissue 18, which in the case shown is a tumor. FIG. 1B schematically shows peptide 1 bound to epitope 5 of antigen 4. Peptide 1 comprises nine amino acids 2, of which the N-terminal amino acid 3 is radioactively labeled with an 11 C carbon atom. The radioactive label is represented by an asterisk (*).

Die spezifische Bindungsaffinität zwischen dem Antigen 4 und dem Antikörper 6 kommt auf Grund chemischer Wechselwirkungen zwischen dem Epitop 5 des Antigens 4 und dem Paratop 7 des Antikörpers 6 zustande. Diese Wechselwirkungen werden durch die Aminosäuresequenzen des Epitops 5 und des Paratops 7 bestimmt . The specific binding affinity between the antigen 4 and the antibody 6 is due to chemical interactions between the epitope 5 of the antigen 4 and the paratope 7 of the antibody 6. These interactions are determined by the amino acid sequences of epitope 5 and paratope 7.

Die Aminosäuresequenz des 11C-markierten Peptids 1 entspricht der Aminosäuresequenz des Paratops 7 des Antikörpers 6, so dass das Peptid 1 die Bindungsaffinität des Paratops 7 besitzt und spezifisch an das Epitop 5 des Antigens 4 bindet. Auf Grund dieser Bindungspezifität kann das 11C-markierte Peptid 1 zur Detektion des Antigens 4 verwendet werden. Die beim Zerfall des 11C- ohlenstoffatoms abgegebenen Positronen werden mittels Positronen-Emissions-Tomographie (PET) nachgewiesen. Der Ort der Positronenemission entspricht dem Ort des Peptids 1, und des daran gebundenen Antigens 4. Tumorzellen bilden häufig Substanzen, die in gesundem Gewebe nicht vorkommen und gegen die natürliche oder biotechnologische Antikörper 6 produziert werden können. Die Aminosäurese- quenz der Paratope 7 dieser Antikörper 6 wird mit Hilfe von Punktmutationsanalysen festgestellt (Colby DW et al., 2004). Anschließend wird ein 11C-markiertes Peptid 1, entsprechend der Aminosäuresequenz des Paratops 7 des Antikörpers 6, hergestellt. Es bindet spezifisch an das Epitop 5 des Tumoranti- gens 4. Um nun die Position des Tumors 18 im Körper eines Patienten zu bestimmen, wird das 11C-markierte Peptid 1 dem Patienten verabreicht. Das Peptid 1 bindet an das Epitop 5 des Tumorantigens 4 und sammelt sich an den Zellen des Tumors 18. Diese Anhäufung wird bei einer Positronen-Emissions- Tomographie (PET) sichtbar, so dass die Verteilung des Tumorantigens 4 bzw. die Position des Tumors 18 bestimmt werden. Auf diese Art werden auch neu gebildete Metastasen mittels PET aufgespürt. Figur 2 zeigt eine schematische Darstellung (stark vereinfacht nach Faller A, Schünke M, Der Körper des Menschen, Thieme, 2008) eines Blutkreislaufsystems 10 eines Organismus und die Verteilung eines Peptids 1 darin. Das Blutkreislaufsystem 10 umfasst verschiedene schematisch dargestellte Organe, wie Lunge 12, Herz 13, Leber 14, Darm 15 und Niere 16 und die Hauptadern 11, welche diese Organe verbinden. Das Peptid 1 ist durch Dreiecke entlang der Adern 11 dargestellt. Die Abbauprodukte 17 des Peptids 1 sind durch einzelne Striche innerhalb der Umrisse der Niere 16 dargestellt. Links der Mitte des Blutkreislau Systems 10 ist zusätzlich ein krankhaftes Gewebe 18, zum Beispiel ein Tumor oder eine Entzündung, dargestellt, an das vermehrt Peptide 1 angelagert sind. Die Verteilung des Peptids 1 im Blutkreislaufsystem 10 um- fasst vier Phasen, die entlang der Darstellung von oben nach unten aufgeführt sind. Phase I: Das Peptid 1 wird in das Blutkreislaufsystem 10 des Organismus injiziert. The amino acid sequence of the 11 C-labeled peptide 1 corresponds to the amino acid sequence of the paratope 7 of the antibody 6, so that the peptide 1 has the binding affinity of the paratope 7 and specifically binds to the epitope 5 of the antigen 4. Due to this binding specificity, the 11 C-labeled peptide 1 can be used to detect antigen 4. The positrons emitted upon the decay of the 11 C carbon atom are detected by positron emission tomography (PET). The location of the positron emission corresponds to the location of the peptide 1 and the antigen 4 bound thereto. Tumor cells often form substances that are absent in healthy tissue and against which natural or biotechnological antibodies 6 can be produced. The amino acid sequence of the paratopes 7 of these antibodies 6 is determined by means of point mutation analyzes (Colby DW et al., 2004). Then, an 11 C-labeled peptide 1 corresponding to the amino acid sequence of the paratope 7 of the antibody 6 is prepared. It specifically binds to the epitope 5 of the tumor antigen 4. In order to determine the position of the tumor 18 in the body of a patient, the 11 C-labeled peptide 1 is administered to the patient. The peptide 1 binds to the epitope 5 of the tumor antigen 4 and accumulates on the cells of the tumor 18. This accumulation is visible in a positron emission tomography (PET), so that the distribution of the tumor antigen 4 or the position of the tumor 18 be determined. In this way, newly formed metastases are detected by means of PET. Figure 2 shows a schematic representation (greatly simplified by Faller A, Schünke M, The human body, Thieme, 2008) of a circulatory system 10 of an organism and the distribution of a peptide 1 therein. The circulatory system 10 includes various schematically represented organs such as lung 12, heart 13, liver 14, intestine 15 and kidney 16, and the main arteries 11 connecting these organs. The peptide 1 is represented by triangles along the wires 11. The degradation products 17 of peptide 1 are represented by individual dashes within the outline of the kidney 16. In addition, to the left of the middle of the blood circulation system 10, a pathological tissue 18, for example a tumor or an inflammation, is shown, to which peptides 1 are increasingly attached. The distribution of peptide 1 in the circulatory system 10 comprises four phases, which are listed along the top-down view. Phase I: Peptide 1 is injected into the circulatory system 10 of the organism.

Phase II: Ober das BlutkreislaufSystem 10 wird das Peptid 1 in die Organe 12, 13, 14, 15, und 16 des Organismus transpor- tiert. Phase II: Via the blood circulation system 10, the peptide 1 is transported into the organs 12, 13, 14, 15, and 16 of the organism.

Phase III: Das zirkulierende Peptid 1 bindet spezifisch an das Epitop 5 des Antigens 4 und sammelt sich an dem krankhaften Gewebe 18, weil dieses das Antigen 4 bildet. Phase III: The circulating peptide 1 binds specifically to the epitope 5 of the antigen 4 and accumulates on the diseased tissue 18 because this forms the antigen 4.

Phase IV: Nicht gebundenes Peptid 1 wird schnell verstoff- wechselt und enzymatisch abgebaut. Der Organismus unterscheidet nicht zwischen eigenen Peptiden und dem Peptid 1, weil es aus Aminosäuren 2, 3 aufgebaut ist, die den körpereigenen Mo- lekülen entsprechen. Die Abbauprodukte 17 des Peptids 1 und der Aminosäuren 2, 3 sammeln sich vorwiegend in der Niere 16 von wo aus sie über die Blase und den Harnleiter ausgeschieden werden. Phase IV: Unbound peptide 1 is rapidly metabolised and enzymatically degraded. The organism does not distinguish between its own peptides and the peptide 1, because it is made up of amino acids 2, 3, which correspond to the body's own molecules. The degradation products 17 of the peptide 1 and the amino acids 2, 3 accumulate predominantly in the kidney 16 from where they are excreted via the bladder and the ureter.

Referenzen references

Colby DW, Garg P, Holden T, Chao G, Webster JM, Messer A, Ingram VN, Wittrup KD; Development of a human llght chain variable domain (V(L)) intracellular antibody specific for the amino terminus of huntingtin via yeast surface display; J Mol Biol. 2004 Sep 17; 342 (3) : 901-12. Colby DW, Garg P, Holden T, Chao G, Webster JM, Knife A, Ingram VN, Wittrup KD; Development of a human chain variable domain (V (L)) intracellular antibody specific for the amino terminus of huntingtin via yeast surface display; J Mol Biol. 2004 Sep 17; 342 (3): 901-12.

Divgi CR, Pandit-Taskar N, Jungbluth AA, Reuter VE, Gönen M, Ruan S, Pierre C, Nagel Ά, Pryma DA, Humm J, Lareon SM, Old LJ, Russo P; Preoperative characterisation of clear-cell renal Carcinoma using iodine-124-labelled antibody chimeric G250 (124I-cG250) and PET in patients with renal masses: a phase I trial; Laneet Oncol. 2007 Apr; 8{4):304-10. Divgi CR, Pandit Taskar N, Jungbluth AA, Reuter VE, Gonen M, Ruan S, Pierre C, Nagel Ά, Pryma DA, Humm J, Lareon SM, Old LJ, Russo P; Preoperative characterization of clear-cell renal carcinoma using iodine-124-labeled antibody chimeric G250 (124I-cG250) and PET in patients with renal masses: a phase I trial; Laneet Oncol. 2007 Apr; 8 {4): 304-10.

Faller A, Schünke M; Der Körper des Menschen; Thieme-Verlag; 2008. Faller A, Schünke M; The body of man; Thieme-Verlag; Of 2008.

Heap CJ, Wang Y, Pinheiro TJ, Reading SA, Jennings KR, Dim- mock NJ; Analysis of a 17-amino acid residue, virus- neutralizing microantibody; J Gen Virol. 2005 Jun; 86 (Pt 6) : 1791-800. Heap CJ, Wang Y, Pinheiro TJ, Reading SA, Jennings KR, Dimmock NJ; Analysis of a 17-amino acid residue, virus-neutralizing microantibody; J Gen Virol. 2005 Jun; 86 (Pt 6): 1791-800.

Massoud TF, Gambhir SS; Molecular imaging in living subjects: seeing fundamental biological processes in a new light; Genes Dev. 2003 Mar 1; 17 (5) : 545-80. Massoud TF, Gambhir SS; Molecular imaging in living subjects: seeing fundamental biological processes in a new light; Genes Dev. 2003 Mar 1; 17 (5): 545-80.

Neundorf I, Rennert R, Franke J, Közle I, Bergmann R; De- tailed analysis concerning the biodistribution and metabolisro of human calcitonin-derived cell-penetrating peptides; Bio- conjug Chem. 2008 Aug; 19(8) .1596-603. Bezugszeichenliste Neundorf I, Rennert R, Franke J, Közle I, Bergmann R; Detailed analysis concerning the biodistribution and metabolism of human calcitonin-derived cell-penetrating peptides; Bioconjug Chem. 2008 Aug; 19 (8) .1596-603. LIST OF REFERENCE NUMBERS

1 Peptid 1 peptide

2 Aminosäure  2 amino acids

3 N-tenninale Aminosäure 3 N-tenninal amino acid

4 Antigen / Tumorantigen4 antigen / tumor antigen

5 Epitop 5 epitope

6 Antikörper  6 antibodies

7 Paratop  7 Paratop

8 leichte Polypeptidkette 8 light polypeptide chain

9 schwere Polypeptidkette9 heavy polypeptide chain

10 Blutkreislaufsystem 10 circulatory system

11 (Haupt-) ädern  11 (main) wheels

12 Lunge  12 lungs

13 Herz  13 heart

14 Leber  14 liver

15 Darm  15 intestine

16 Niere  16 kidney

17 Abbauprodukte  17 degradation products

18 krankhaftes Gewebe / Tumor  18 diseased tissue / tumor

Claims

Patentansprüche claims Verwendung eines Peptids (1) zur Herstellung eines Agens zur Detektion eines Antigens (4), dadurch gekennzeichnet, dass das Peptid (1) Use of a peptide (1) for the production of an agent for the detection of an antigen (4), characterized in that the peptide (1) a) eine Aminosäuresequenz eines Paratops (7) eines Antikörpers (6) aufweist, der gegen das Antigen (4) gerichtet ist,  a) an amino acid sequence of a paratope (7) of an antibody (6) which is directed against the antigen (4), b) spezifisch an ein Epitop (5) des Antigens (4) bindet, und  b) specifically binds to an epitope (5) of the antigen (4), and c) ein 11C-Kohlenstoffatom aufweist. c) has an 11 C carbon atom. Verwendung nach Anspruch 1, dadurch gekennzeichnet, dass das Agens ein Radiopharmakon ist. Use according to claim 1, characterized in that the agent is a radiopharmaceutical. Verwendung nach Anspruch 1 oder 2, dadurch gekennzeichnet, dass das Antigen (4) von einem Tumor (18) gebildet wird. Use according to claim 1 or 2, characterized in that the antigen (4) is formed by a tumor (18). Verwendung nach einem der vorhergehenden Ansprüche, da durch gekennzeichnet, dass die Aminosäuresequenz die Aminosäuresequenz eines variablen Bereichs einer Polypeptidkette (8,9) des Antikörpers (6) ist. Use according to any one of the preceding claims, characterized in that the amino acid sequence is the amino acid sequence of a variable region of a polypeptide chain (8, 9) of the antibody (6). Verwendung nach einem der vorhergehenden Ansprüche, dadurch gekennzeichnet, dass das 11C-Kohlenstoffatom das Carbonylkohlenstoffatom einer Aminosäure (2), vorzugsweise der N-terminalen Aminosäure (3) des Peptids (1) ist. Use according to any one of the preceding claims, characterized in that the 11 C carbon atom is the carbonyl carbon atom of an amino acid (2), preferably of the N-terminal amino acid (3) of the peptide (1). Radiopharmakon zur Lokalisation eines Tumors (18) umfas send ein Peptid (1) mit einem 11C-Kohlenstoffatom, dadurch gekennzeichnet, dass das Peptid (1) eine Aminosäu resequenz eines Paratops (7) eines Antikörpers (6) aufweist, der gegen den Tumor (18) gerichtet ist. Radiopharmakon nach Anspruch 6, dadurch gekennzeichnet, dass die Aminosäuresequenz die Aminosäuresequenz eines variablen Bereichs einer Polypeptidkette (8,9) des Antikörpers (6) ist. Radiopharmaceutical for the localization of a tumor (18) comprises a peptide (1) having an 11 C carbon atom, characterized in that the peptide (1) has an amino acid sequence of a paratope (7) of an antibody (6) directed against the tumor (18). A radiopharmaceutical according to claim 6, characterized in that the amino acid sequence is the amino acid sequence of a variable region of a polypeptide chain (8,9) of the antibody (6). Radiopharmakon nach Anspruch 6 oder 7, dadurch gekennzeichnet, dass das 11C-Kohlenstoffatom das Carbonylkoh- lenstoffatom einer Aminosäure (2), vorzugsweise der N- terminalen Aminosäure (3) des Peptids (1) ist. Radiopharmaceutical according to Claim 6 or 7, characterized in that the 11 C carbon atom is the carbonyl carbon atom of an amino acid (2), preferably of the N-terminal amino acid (3) of the peptide (1). Radiopharmakon nach einem der Ansprüche 6 bis 8, dadurch gekennzeichnet, dass es ein Positronen-Emissions- Tomographie (PET) Biomarker ist. Radiopharmaceutical according to one of claims 6 to 8, characterized in that it is a positron emission tomography (PET) biomarker.
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