Name: positron emission tomography imaging of cell trafficking: a method of cell radiolabeling
Uploaded: 2023-10-27T14:20:00
Description: Watch this Scientific Journal Video about Positron Emission Tomography Imaging of Cell Trafficking: A Method of Cell Radiolabeling at JoVE.com

This work was supported by NIH 5R21HL127389-02, NIH 4T32HL007111-39, NIH R01HL134664, and DOE DE-SC0008947 grants, International Atomic Energy Agency, Vienna, Mayo Clinic Division of Nuclear Medicine, Department of Radiology, and Mayo Clinic Center for Regenerative Medicine, Rochester, MN. All figures were created using BioRender.com.

Dendritic cells and melanoma cells were obtained commercially18. Hepatocytes were isolated from the liver of pigs following laparoscopic partial hepatectomy22,24. Stem cells were isolated from bone marrow aspirates18,19,26. The adipose tissue-derived stem cells were obtained from the Human Cellular Therapy Laboratory, Mayo Clinic Rochester<sup cla...

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Following are critical steps in the protocol that need optimization for effective cell radiolabeling. In protocol steps 1.2 and 1.3, depending on the volume of [89Zr]Zr(HPO4)2 or [89Zr]ZrCl4 employed, an appropriate volume (microliters) of base must be used; 1.0 M K2CO3 solution must be used for the neutralization of [89Zr]Zr(HPO4)2 and 1.0 M Na2CO3 solution for the neutralization of [8...

Stem cell and chimeric antigen receptor (CAR) T-cell therapies are gaining popularity and are under active investigation for the treatment of various diseases, such as myocardial failure1,2, retinal degeneration2, macular degeneration2, diabetes2, myocardial infarction3,4,5, and cancers6,7,8,9,10. Among the two plausible approaches of stem cell therapies, stem cells can either be directly engrafted on the disease site to cause a therapeutic response, or cause changes in the microenvironment of the disease site without adhering to the disease site to initiate an indirect therapeutic response. An indirect therapeutic response could cause changes in the microenvironment of the disease site by releasing factors that would repair or treat the disease5. These approaches of stem cell therapies could be evaluated by noninvasive imaging of radiolabeled stem cells. Noninvasive imaging could correlate the uptake of the radiolabeled cells on the disease site with a therapeutic response to decipher the direct versus indirect therapeutic response.
Additionally, immune cell-based therapies are being developed to treat various cancers using CAR T-cell6,7,8,9,10and dendritic cell immunotherapy11,12. Mechanistically, in CAR T-cell immunotherapy6,7,8,9,10, T-cells are engineered to express an epitope that binds to a specific antigen on tumors that needs to be treated. These engineered CAR T-cells, upon administration, bind to the specific antigen present on the tumor cells through an epitope-antigen interaction. After binding, the bound CAR T-cells undergo activation and then proliferate and release cytokines, which signals the immune system of the host to attack the tumor expressing the specific antigen. In contrast, in the case of dendritic cell therapies11,12, dendritic cells are engineered to present a specific cancer antigen on their surface. These engineered dendritic cells, when administered, home to the lymph nodes and bind to the T-cells in the lymph nodes. The T-cells, upon binding to the specific cancer antigens on the administered dendritic cells, undergo activation/proliferation and initiate an immune response of the host against the tumor expressing that specific antigen. Hence, the assessment of trafficking of administered CAR T-cells to a tumor site9,10 and homing of dendritic cells to the lymph nodes11,12 is possible by imaging radiolabeled CAR T-cells and dendritic cells to determine the efficacy of immunotherapy. Furthermore, noninvasive cell trafficking can help to better understand the therapeutic potential, clarify the direct versus indirect therapeutic response, and predict and monitor the therapeutic response of both stem cell and immune cell-based therapies.
Different imaging modalities for cell trafficking have been explored3,4,9,10,12, including optical imaging, magnetic resonance imaging (MRI), single-photon emission computed tomography (SPECT), and positron emission tomography (PET). Each of these techniques has its own advantages and disadvantages. Among these, PET is the most promising modality due to its quantitative nature and high sensitivity, which are essential for the reliable quantification of cells in imaging-based cell trafficking3,4,9,10.
The positron-emitting radioisotope 89Zr, with a half-life of 78.4 h, is suitable for cell labeling. It allows PET imaging of cell trafficking for over 1 week and is readily produced by widely available, low-energy medical cyclotrons13,14,15,16,17. Additionally, an appropriately functionalized, p-isothiocyanatobenzyl-desferrioxamine (DFO-Bn-NCS) chelator is commercially available for the synthesis of a 89Zr-labeled, ready-to-use, cell labeling synthon, [89Zr]Zr-p-isothiocyanatobenzyl-desferrioxamine, also known as [89Zr]Zr-DBN18,19,20,21,22,23,24,25.&#160;The principle of [89Zr]Zr-DBN-mediated cell labeling is based on a reaction between primary amines of cell membrane proteins and the isothiocyanate (NCS) moiety of [89Zr]Zr-DBN to produce a stable covalent thiourea bond.
[89Zr]Zr-DBN-based cell labeling and imaging have been published to track a variety of different cells, including stem cells18,23,25, dendritic cells18, cardiopoietic stem cells19, decidual stromal cells20,&#160;bone marrow-derived macrophages20, peripheral blood mononuclear cells20, Jurkat/CAR T-cells21, hepatocytes22,24, and white blood cells25. The following protocol provides step-by-step methods of preparation and cell radiolabeling with [89Zr]Zr-DBN and describes changes that may be required in the radiolabeling protocol for a specific cell type. For greater clarity, the method of cell radiolabeling presented here is divided into four sections. The first section deals with the preparation of [89Zr]Zr-DBN by chelating 89Zr&#160;with DFO-Bn-NCS. The second section describes the preparation of a biocompatible formulation of [89Zr]Zr-DBN that can be readily used for cell radiolabeling. The third section covers the steps needed for the preconditioning of cells for radiolabeling. The preconditioning of cells involves washing the cells with protein-free phosphate buffered saline (PBS) and HEPES buffered Hanks balanced salt solution (H-HBSS) to remove external proteins, which might interfere or compete with the reaction of [89Zr]Zr-DBN with primary amines present on the cell surface proteins during radiolabeling. The final section provides steps involved in the actual radiolabeling of the cells and quality control analysis.

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>Acetonitrile</td>
			<td>Thermo Fisher Scientific, Inc., Waltham, MA, USA</td>
			<td>A996-4</td>
			<td></td>
		</tr>
		<tr>
			<td>Alpha Minimum Essential Medium</td>
			<td>Thermo Fisher Scientific, Inc., Waltham, MA, USA</td>
			<td>12571063</td>
			<td></td>
		</tr>
		<tr>
			<td>Anion exchange column</td>
			<td>Macherey-Nagel, Inc., D&#252;ren, Germany</td>
			<td>731876</td>
			<td>Chromafix 30-PS-HCO3&#160;SPE 45 mg cartridge</td>
		</tr>
		<tr>
			<td>Conical centrifuge tubes (15 mL)</td>
			<td>Corning Inc., Glendale, AZ, USA</td>
			<td>352096</td>
			<td>Falcon 15 mL high-clarity polypropylene (PP) conical centrifuge tubes</td>
		</tr>
		<tr>
			<td>Dendritic cells</td>
			<td>The American Type Culture Collection, Manassas, VA, USA</td>
			<td>CRL-11904</td>
			<td></td>
		</tr>
		<tr>
			<td>DFO-Bn-NCS</td>
			<td>Macrocyclics, Inc., Plano, TX, USA</td>
			<td>B-705</td>
			<td>p-SCN-Bn-Deferoxamine</td>
		</tr>
		<tr>
			<td>DMSO</td>
			<td>Sigma-Aldrich, Inc., St. Louis, MO</td>
			<td>276855</td>
			<td></td>
		</tr>
		<tr>
			<td>Dose calibrator</td>
			<td>Mirion Technologies (Capintec), Inc., Florham Park, NJ, USA</td>
			<td>5130-3234</td>
			<td>CRC -55tR Dose Calibrator&#160;</td>
		</tr>
		<tr>
			<td>Dulbecco&#8217;s modified Eagle&#8217;s medium&#160;</td>
			<td>The American Type Culture Collection, Manassas, VA, USA</td>
			<td>30-2002</td>
			<td></td>
		</tr>
		<tr>
			<td>Fetal Bovine Serum (FBS)</td>
			<td>The American Type Culture Collection, Manassas, VA, USA</td>
			<td>30-2020</td>
			<td></td>
		</tr>
		<tr>
			<td>Hanks Balanced Salt solution (HBSS)</td>
			<td>Thermo Fisher Scientific, Inc., Waltham, MA, USA</td>
			<td>14025092</td>
			<td>For preparation of H-HBSS</td>
		</tr>
		<tr>
			<td>Hydrochloric Acid (trace metal basis grade)</td>
			<td>Thermo Fisher Scientific, Inc., Waltham, MA, USA</td>
			<td>A508P212</td>
			<td></td>
		</tr>
		<tr>
			<td>Melanoma cells</td>
			<td>The American Type Culture Collection, Manassas, VA, USA</td>
			<td>CRL-6475</td>
			<td></td>
		</tr>
		<tr>
			<td>Methanol</td>
			<td>Sigma-Aldrich, Inc., St. Louis, MO</td>
			<td>34860</td>
			<td></td>
		</tr>
		<tr>
			<td>Microcentrifuge tube</td>
			<td>Eppendorf, Hamburg, Germany</td>
			<td>30108442</td>
			<td>Protein LoBind microcentrifuge tube</td>
		</tr>
		<tr>
			<td>Murine GM-CSF</td>
			<td>R&#38;D Systems, Inc., Minneapolis, MN USA</td>
			<td>415-ML-010</td>
			<td></td>
		</tr>
		<tr>
			<td>Penicillin/Streptomycin</td>
			<td>Thermo Fisher Scientific, Inc., Waltham, MA, USA</td>
			<td>15140-122</td>
			<td></td>
		</tr>
		<tr>
			<td>Phosphate Buffered Saline without Ca2+ and Mg2+</td>
			<td>Thermo Fisher Scientific, Inc., Waltham, MA, USA</td>
			<td>10010023</td>
			<td>For washing cells</td>
		</tr>
		<tr>
			<td>Saline</td>
			<td>Covidien LLC, Mansfield, MA, USA</td>
			<td>1020</td>
			<td>0.9% Sterile Saline Solution</td>
		</tr>
		<tr>
			<td>Shaker&#160;</td>
			<td>Eppendorf, Hamburg, Germany</td>
			<td>T1317</td>
			<td>Thermomixer</td>
		</tr>
		<tr>
			<td>Silica gel-rad-TLC paper sheet&#160;</td>
			<td>Agilent Technologies Inc., Santa Clara, CA, USA</td>
			<td>SGI0001</td>
			<td>iTLC-SG</td>
		</tr>
	</tbody>
</table>

positron emission tomography imaging of cell trafficking: a method of cell radiolabeling

Stem cell and chimeric antigen receptor (CAR) T-cell therapies are emerging as promising therapeutics for organ regeneration and as immunotherapy for various cancers. Despite significant progress having been made in these areas, there is still more to be learned to better understand the pharmacokinetics and pharmacodynamics of the administered therapeutic cells in the living system. For noninvasive, in vivo tracking of cells with positron emission tomography (PET), a novel [89Zr]Zr-p-isothiocyanatobenzyl-desferrioxamine ([89Zr]Zr-DBN)-mediated cell radiolabeling method has been developed utilizing 89Zr (t1/2 78.4 h). The present protocol describes a [89Zr]Zr-DBN-mediated, ready-to-use, radiolabeling synthon for direct radiolabeling of variety of cells, including mesenchymal stem cells, lineage-guided cardiopoietic stem cells, liver regenerating hepatocytes, white blood cells, melanoma cells, and dendritic cells. The developed methodology enables noninvasive PET imaging of cell trafficking for up to 7 days post-administration without affecting the nature or the function of the radiolabeled cells. Additionally, this protocol describes a stepwise method for the radiosynthesis of [89Zr]Zr-DBN, biocompatible formulation of [89Zr]Zr-DBN, preparation of cells for radiolabeling, and finally the radiolabeling of cells with [89Zr]Zr-DBN, including all the intricate details needed for the successful radiolabeling of cells.

The representative results presented in this manuscript were compiled from the previous [89Zr]Zr-DBN synthesis and cell radiolabeling studies18,19,22,23,24,25. In brief, 89Zr can be successfully complexed with DFO-Bn-NCS in ~30-60 min at 25-37 &#176;C using 7.5-15 &#181;g of DFO-Bn-NCS (Table 2</...

Watch this Scientific Journal Video about Positron Emission Tomography Imaging of Cell Trafficking: A Method of Cell Radiolabeling at JoVE.com

Positron Emission Tomography Imaging of Cell Trafficking: A Method of Cell Radiolabeling

Presented here is a protocol to radiolabel cells with a positron emission tomography (PET) radioisotope, 89Zr (t1/2 78.4 h), using a ready-to-use radiolabeling synthon, [89Zr]Zr-p-isothiocyanatobenzyl-desferrioxamine ([89Zr]Zr-DBN). Radiolabeling cells with [89Zr]Zr-DBN allows noninvasive tracking and imaging of administered radiolabeled cells in the body with PET for up to 7 days post-administration.

Stem cell and chimeric antigen receptor (CAR) T-cell therapies are emerging as promising therapeutics for organ regeneration and as immunotherapy for ...

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