Antibody-Hapten Complexes for Imaging
The tumor uptake of covalently-radiolabeled monoclonal antibodies and their fragments is directly related to the integral of blood concentration over time, the highest tumor concentrations being obtained with whole antibody which has the longest biological half-life in the plasma (1,2,3). Higher tumor to background ratios can be obtained with F(ab′)2 or Fab fragments that disappear more rapidly than whole antibody from the blood but only at the cost of a lower absolute tumor concentration (1,2). Tumor concentration of whole antibody reaches a maximum in approximately one or two days but the major fraction continues to circulate for many days after due to the slow excretion of covalently labeled proteins. This prolonged retention of activity adds a large amount of useless radiation exposure to normal tissue, especially liver, spleen, and bone marrow.
KeywordsBispecific Antibody Nonspecific Antibody Liver Concentration Tumor Concentration Bifunctional Chelate
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