Switch from Antagonist to Agonist after Addition of a DOTA Chelator to a Somatostatin Analog

Abstract

Purpose

Peptide receptor targeting has become an increasingly attractive method to target tumors diagnostically and radiotherapeutically. Peptides linked to a variety of chelators have been developed for this purpose. They have, however rarely been tested for their agonistic or antagonistic properties. We report here on a somatostatin antagonist that switched to an agonist upon coupling to a DOTA chelator.

Methods

Two novel somatostatin analogs, 406-040-15 and its DOTA-coupled counterpart 406-051-20, with and without cold Indium-labeling, were tested for their sst₁-sst₅ binding affinity using receptor autoradiography. Moreover, they were tested functionally for their ability to affect sst₂ and sst₃ internalization in vitro in HEK293 cells stably expressing the human sst₂ or sst₃ receptor, using an immunofluorescence microscopy based internalization assay.

Results

All three compounds were characterized as pan-somatostatin analogs having a high affinity for all five somatostatin receptor subtypes. In the sst₂ internalization assay, all three compounds showed an identical behavior, namely a weak agonistic effect complemented by a weak antagonistic effect, compatible with the behavior of a partial agonist. Conversely, in the sst₃ internalization assay, 406-040-15 was a full antagonist whereas its DOTA counterpart, 406-051-20, with and without Indium-labeling, switched to a full agonist.

Conclusions

Adding the DOTA chelator to the somatostatin analog 406-040-15 triggers a switch at sst₃ receptor from an antagonist to an agonist. This indicates that potential radioligands for tumor targeting should be always tested functionally before further development, in particular if a chelator is added.

Introduction

Somatostatin receptor targeting of tumors has been shown to be a highly successful new method for the diagnosis and radiotherapy of neuroendocrine tumors [1-3]. A prerequisite for that is not only a high density of receptors in the tumors but also the availability of somatostatin radioligands optimized for such investigation.

To obtain suitable radiolabeled tracers, one of the successful strategy of research followed in recent years in nuclear medicine and radiochemistry was to link peptide ligands that were selected for tumor targeting, to specific chelator molecules [2-5]. Such chelators have included N₄ and HYNIC molecules that will be preferably used for ^99mTc imaging, or DTPA and DOTA molecules that can chelate radionuclides such as ^IIIIn, ⁹⁰Y, ¹⁷⁷Lu or ⁶⁸Ga. Since these chelators are relatively large molecules, the peptide-chelator conjugate did often loose some of its receptor binding affinity; therefore, it has been always a prerequisite to confirm that the compounds retain high affinity receptor binding before further development. The great variety of radionuclides to choose from gives a wide flexibility to optimize diagnosis and therapy of tumor targets [4]. This synthetic approach has been highly successful for chelator-coupled peptide radioligands derived from various peptides, including somatostatin, bombesin, cholecystokinin, or glucagon-like-peptide 1 [4-9].

While candidate compounds have always been tested for their high affinity binding properties in order to make a proper selection of the most suitable ones, it is only recently that scientists became aware that not only the binding but also the functional profile of these analogs might be of importance, in particular to know if the radioligands are agonists or antagonists [10]. According to recent studies [11-13], both agonist- and antagonist-radioligands may be suitable for in vivo tumor targeting, but for completely different cell biological and molecular reasons.

After binding to the receptor, radioactive agonists are actively taken up into the cells by the receptor as a receptor-ligand complex. In this way the agonist can accumulate within the cell giving a strong radiation signal [12]. Receptor-mediated radioligand internalization is a powerful, specific and reversible mechanism that represents the molecular basis for successful peptide receptor targeting in vivo [12]. Importantly, somatostatin receptor internalization appears to be only inducible by somatostatin agonists, but not by somatostatin antagonists [10, 12].

However, it was observed recently that peptide receptor targeting in vivo could also be successful without internalization of the receptor-ligand complex [11, 13]. In this case it is necessary to use antagonists rather than agonists; they will also bind with high affinity to the receptor as agonists do, but will not elicit receptor internalization or second messenger activation by themselves [11, 13]. Such antagonists appear to be good in vivo tracers because they bind to more receptor sites than agonists and dissociate more slowly than agonists, giving also a strong and possibly long-lasting radiation signal [11]. Radioligand antagonists are therefore increasingly being developed in recent time [13-15].

In the present study, we give an example of a somatostatin antagonist that switches its pharmacological profile to an agonist, when linked to a DOTA-chelator. This example demonstrates that one cannot predict a priori whether a structurally modified radioligand, including the addition of a chelator, activates or antagonizes the receptor internalization process.

Methods

Synthesis

Peptides were synthesized by the solid-phase approach on a CS-Bio Peptide Synthesizer (Model CS536). Three equivalent-excess of Boc-amino acid (1.2 mmol) based on the original substitution of the resin was used for each coupling. Peptide couplings were mediated for 1 h by DIC/HOBt (1.2 mmol/1.8 mmol) in DMF. Boc removal was achieved with trifluoroacetic acid (TFA) (60% in CH₂Cl₂, 1-2% ethanedithiol or m-cresol) for 20 min. An isopropyl alcohol (1% m-cresol) wash followed TFA treatment and then successive washes with triethylamine (TEA) solution (10% in CH₂Cl₂), methanol, triethylamine solution, methanol and CH₂Cl₂ completed the neutralization sequence. The completed peptides were unprotected and cleaved from the resin by anhydrous HF containing the scavengers anisole (10% v/v) and methyl sulfide (5% v/v) for 60 min at 0 °C. The diethyl ether precipitated crude peptides were cyclized in 75% acetic acid (200 mL) by addition of iodine (10% solution in methanol) until the appearance of a stable orange color. Forty minutes later, ascorbic acid was added to quench the excess of iodine. For the synthesis of the DOTA-peptide-conjugate (406-051-20) the side chain of Lys⁹ (SRIF numbering) was protected with the Fmoc protecting group that stays on after HF cleavage. To the solution of the RP-HPLC purified [Lys(Fmoc)]⁹-analog (∼20 μM) in dry N,N-dimethylformamide (DMF, 800 μl) was added the solution of DOTA-NHS-ester (38 mg, 48 μM) in DMF (160 μl) and N,N′ - Diisopropylethylamine (DIPEA) (40 μL, 24 μM). The mixture was stirred at room temperature for 5 hours. The progress of the reaction was followed by analytical HPLC. After completion of the reaction, a preparative RP-HPLC purification was performed yielding the pure DOTA-[Lys(Fmoc)]⁹-analog. Removal of the Fmoc protecting group from the Lys side chain was achieved with 20% piperidine/DMF solution resulting in the DOTA-coupled analog, which was further purified by preparative RP-HPLC. The purity of the final peptides determined by analytical RP-HPLC and capillary zone electrophoresis (CZE) was greater than 95%. Mass spectra (MALDI-MS) were measured on an ABI-Perseptive DE-STR instrument. The observed monoisotopic (M + H)⁺ values of both peptides corresponded with the calculated (M + H)⁺ values.

In-DOTA analog

The In-complex formation was carried out according to published procedures [16]. A mixture of 3.04 mg (∼14.8 μM) 406-051-20 in 6 mL of 0.2 M ammonium acetate buffer (pH 5) was heated with 500 uL of a solution containing 2.01 mg InCl₃ in 930 μL of 0.2 M ammonium acetate buffer (pH 5) at 95°C for 40 min. The complex formation was followed by analytical HPLC (C18 Vydac TP 254 column, eluents: A = 0.1% TFA in water and B = 60 % acetonitrile in A; gradient: 40 % B to 80% B in 40 min. The new product eluted at 68.5 % B while the starting material eluted at 66.0% B. After 40 min heating the reaction was complete, the solution was cooled to room temperature and the pH of the solution was adjusted to acidic with trifluoroacetic acid. Purification of the peptide complex was performed by preparative HPLC affording 1.8 mg (56%) of product In-406-051-20 with a purirty of 97% determined by capillary zone (CZE) and HPLC. The observed monoisotopic [M+H]⁺ 2169.70 corresponded with the calculated [M+H]⁺ 2069.75.

Reagents

All reagents were of the best grade available and were purchased from common suppliers. The sst₂-specific antibody R2-88 was provided by Dr. Agnes Schonbrunn, (Houston, TX, USA) and the sst₃-specific antibody (SS-850) was purchased from Gramsch Laboratories, (Schwabhausen, Germany). The secondary antibody Alexa Fluor 488 goat anti-rabbit IgG (H+L) was from Molecular Probes, Inc. (Eugene, OR, USA). SS-28 and the somatostatin analogues 406-040-15, 406-051-20 and In-406-051-20 were synthesized at the Salk Institute. Tyr³-octreotide (TOC) was from Novartis, (Basel, Switzerland).

Cell lines

The HEK293 cell lines expressing either the T7-epitope tagged human sst₂ receptor (HEK-sst₂) or the human sst₃ receptor (HEK-sst₃) were cultured at 37°C and 5% CO₂ in DMEM containing 10% FBS, 100 U/ml penicillin and 100 μg/ml streptomycin and 500 μg/ml G418 [10]. All culture reagents were from Gibco BRL, Life Technologies (Grand Island, NY, USA).

Receptor autoradiography

Cell membrane pellets were prepared from human sst₁-expressing CHO cells, sst_2-, sst₃-, sst₄-expressing CCL39 cells and sst₅-expressing HEK293 cells and stored at -80°C. Receptor autoradiography was performed on 20-μm thick cryostat (Microm HM 500, Walldorf, Germany) sections of the membrane pellets, mounted on microscope slides, and then stored at -20°C as previously described [14, 17]. For each of the tested compounds, complete displacement experiments with the universal somatostatin radioligand [Leu⁸, D-Trp²², ¹²⁵I-Tyr²⁵]-SS-28 (¹²⁵I-[LTT]-SS-28) (2,000 Ci/mmol; Anawa, Wangen, Switzerland) using 15,000 cpm/100 μL and increasing concentrations of the unlabelled peptide ranging from 0.1 – 1000 nM were performed. As control, unlabelled SS-28 was run in parallel using the same increasing concentrations. The sections were incubated with ¹²⁵I-[LTT]-SS-28 for 2 hours at room temperature in 170 mmol/L Tris-HCl buffer (pH 8.2), containing 1% BSA, 40 mg/L bacitracin, and 10 mmol/L MgCl₂ to inhibit endogenous proteases. The incubated sections were washed twice for 5 min in cold 170 mmol/L Tris-HCl (pH 8.2) containing 0.25% BSA. After a brief dip in 170 mmol/L Tris-HCl (pH 8.2), the sections were dried quickly and exposed for 1 week to Kodak BioMax MR film. IC₅₀ values were calculated after quantification of the data using a computer-assisted image processing system as described previously [18]. Tissue standards (Autoradiographic [¹²⁵I] and/or [¹⁴C] microscales, GE Healthcare; Little Chalfont, UK) that contain known amounts of isotope, cross-calibrated to tissue-equivalent ligand concentrations were used for quantification [14, 19].

Immunofluorescence microscopy

Immunofluorescence microscopy based internalization assay for sst₂ and sst₃ was performed as previously described [10]. HEK-sst₂ or HEK-sst₃ cells were grown on poly-D-lysine (20 μg/ml) (Sigma-Aldrich, St. Louis, MO, USA) coated 35 mm four-well plates (Cellstar, Greiner Bio-One GmbH, Frickenhausen, Germany). To distinguish whether the tested analogs are agonists or antagonists in respect of stimulating receptor internalization, HEK-sst₂ cells or HEK-sst₃ cells were treated for 30 min at 37°C in growth medium, either with vehicle alone (negative control), or, as positive control, with TOC (HEK-sst₂) or SS-28 (HEK-sst₃) at concentrations ranging between 10 nM and 10 μM, or with 10 nM TOC (HEK-sst₂) or 100 nM SS-28 (HEK-sst₃) in the presence of an excess (10 μM) of the somatostatin analogs, or with the somatostatin analogs alone at concentrations ranging between 10 nM and 10 μM when the analogs are tested for agonism. The cells were then rinsed twice with PS (100 mM phosphate buffer containing 0.15 M sucrose), fixed and permeabilized for 7 min with cold methanol (-20°C), rinsed twice with PS, and then blocked for 60 min at room temperature with PS containing 0.1% BSA. Subsequently the cells were incubated for 60 min at room temperature either with the sst₂ or sst₃ specific primary antibodies R2-88 or SS-850, respectively, diluted 1:1000 in PS and then washed 3 times for 5 min with PS containing 0.1% BSA. The cells were then incubated for 60 min at room temperature in the dark with the secondary antibody Alexa Fluor 488 goat anti-rabbit IgG (H+L) diluted in PS (1:600), subsequently washed 3 times for 5 min each with PS containing 0.1% BSA, and embedded with PS/glycerol 1:1 and covered with a glass cover slip. The cells were imaged using a Leica DM RB immunofluorescence microscope and an Olympus DP10 camera.

Results

In the course of a search for novel somatostatin antagonists, we designed and synthetized the dodecapeptide 406-040-15 as well as its DOTA-coupled counterpart 406-051-20 (Fig 1). Both compounds, as well as the Indium-labeled 406-051-20, were tested for their sst₁ – sst₅ binding profile in transfected cells stably expressing the human sst₁ – sst₅. All three compounds show a “pan-somatostatin” binding profile, namely a high affinity binding to all 5 somatostatin subtypes (Table 1). While the DOTA-containing analog 406-051-20 has higher IC₅₀ values, in particular at sst₂ and sst₃ (Table 1), the Indium-labeled 406-051-20 has the lowest IC₅₀ values of all 3 compounds.

Fig. 1.

Structure of 406-040-15 and 406-051-20

406-040-15: cyclo(2–11) H-Cpa-DCys-Asn-Phe-Phe-DTrp-Lys-Thr-Phe-Thr-Cys-2Nal-NH₂ 406-051-20: cyclo(2–11) DOTA-Cpa-DCys-Asn-Phe-Phe-DTrp-Lys-Thr-Phe-Thr-Cys-2Nal-NH₂ Cpa, 4-Cl-phenylalanine

DOTA, 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid

Table 1.

Sst₁-sst₅ affinity profile of the three somatostatin analogs compared to SS-28 as reference.

Compounds	sst1	sst2	sst3	sst4	sst5
SS-28	2.0 ± 0.2 (6)	2.1 ± 0.2 (6)	1.8 ± 0.4 (6)	2.0 ± 0.3 (6)	2.8 ± 0.4 (3)
406-040-15	2.1 ± 0.6 (3)	6.7 ± 1.2 (3)	9.6 ± 2.1 (3)	5.3 ± 0.7 (3)	9.0 ± 1.6 (3)
406-051-20	8.9 ± 1.9 (3)	25 ± 6.1 (3)	29 ± 6.7 (3)	5.8 ± 1.0 (3)	15 ± 1.0 (3)
In-406-051-20	1.5 ± 0.1	2.9 ± 0.6	14 ± 0.7	2.1 ± 0.1	3.3 ± 0.3

Data expressed as IC₅₀ in nM (mean ± SEM; n= number of experiments, in parenthesis).

Internalization assays are suitable assays to test for functional responses of somatostatin analogs as receptor targeting drugs, in particular when they are foreseen to become efficient tumor imaging agents. Among the 5 somatostatin receptor subtypes, 2 of them (sst₂ and sst₃) are well-known for their prominent ability to internalize after agonist-stimulation [20, 21].

The three compounds were therefore tested first in vitro in HEK-sst₂ cells for their agonistic and antagonistic properties at the sst₂ receptor with an immunofluorescence-based internalization assay. This type of assay allows first to evaluate the agonistic efficacy of a compound to trigger receptor internalization when the compound is given alone. If the tested compound shows poor or no efficacy in this assay, it will be tested in a further setting that allows to distinguish between an inefficient agonist and an antagonist; indeed, when given in excess together with a reference agonist (i.e. natural SS-28 or TOC), the compound will be identified as antagonist if it is able to block dose-dependently the receptor internalization triggered by the reference agonist [10, 12]. As seen in Figure 2, all three compounds 406-040-15, 406-051-20 and In-406-051-20 were able to induce sst₂ internalization; however, a relatively high dose (10 μM) was needed to induce a weak effect. All three compounds were also tested in presence of TOC, in order to see if they can antagonize TOC-induced receptor internalization. As seen in Figure 2, the three compounds had a comparable behavior in this assay as well, namely a minor inhibitory effect on the TOC-induced sst₂ internalization. All three compounds are therefore likely to act as partial agonists at sst₂ receptor.

Fig. 2.

Sst₂ internalization assay to determine whether 406-040-15, 406-051-20 and In-406-051-20 are agonists or antagonists. HEK-sst₂ cells were treated either with vehicle (negative control), with 10 nM TOC, a concentration inducing a sub-maximal internalization effect (positive control), or with 10 μM 406-040-15, 406-051-20 or In-406-051-20 in the absence or presence of 10 nM TOC. Following incubation with the peptides, the cells were processed for immunocytochemistry as described in Materials and Methods. All three analogues, 406-040-15, 406-051-20 and In-406-051-20, act as weak agonists but are also able to antagonize partially TOC induced sst₂ internalization.

The three compounds were also tested functionally for their agonistic or antagonistic properties at the sst₃ receptor (Fig. 3 and 4) using an immunofluorescence-based sst₃ receptor internalization assay [10], an assay comparable to the one used for sst₂ internalization. In absence of peptide (negative control), a strong membrane staining of HEK-sst₃ cells is detectable using a sst₃-specific antibody (Fig. 3) [10]. In presence of the agonist SS-28, used as positive control, the sst₃ receptor is efficiently internalized in a dose-dependent manner (Fig. 3). In contrast, the dodecapeptide 406-040-15 has no effect alone on sst₃ internalization (Fig. 4) even at a high concentration of 10 μM. However, when it is applied at the same concentration in presence of 100 nM SS-28, it abolishes the SS-28-triggered sst₃-internalization completely and therefore acts as a competitive antagonist (Fig. 4). This is in contrast to the DOTA-containing analog 406-051-20 and its Indium-labeled correspondent, which are both able to trigger internalization of the sst₃ receptors dose-dependently (Fig. 3). When given together with SS-28, both compounds, Indium-labeled and unlabeled 406-051-20, do not antagonize the SS-28-induced effect (Fig. 3). 406-051-20, with and without metal, is therefore a full agonist with respect to sst₃ internalization.

Fig. 3.

Sst₃ internalization assay showing the agonistic properties of 406-051-20 and In-406-051-20. HEK-sst₃ cells were treated either with 406-051-20, In-406-051-20 or SS-28 at concentrations ranging between 10 nM and 10 μM, or with vehicle alone (negative control). To test for antagonism, HEK-sst₃ cells were treated with 10 μM 406-051-20 or In-406-051-20 in the presence of 100 nM SS-28. Following incubation with the peptides, the cells were processed for immunocytochemistry as described in Materials and Methods. While 406-051-20 and In-406-051-20 act as agonist stimulating sst₃ internalization they are not able to antagonize SS-28 induced sst₃ internalization.

Fig. 4.

Sst₃ internalization assay showing the antagonistic properties of 406-040-15. HEK-sst₃ cells were treated either with vehicle (negative control), with 100 nM SS-28, a concentration inducing a sub-maximal internalization effect (positive control), or with 10 μM 406-040-15 in the absence or presence of 100 nM SS-28. While 406-040-15 alone is not able to stimulate sst₃ internalization, it does efficiently antagonize SS-28 induced sst₃ internalization.

Discussion

We describe here the complex effects on sst₂ and sst₃ internalization after adding a chelator like DOTA to a somatostatin analog. In the present study, we have focused on receptor internalization, because it has been considered a relevant functional parameter for tumor radio-targeting and for nuclear medicine. Indeed, an efficient internalization of the receptor-ligand-complex is necessary in order to allow a radioligand, after binding to the receptor, to be specifically transported into the cells and to accumulate within the tumor cells. There are basically two ways to investigate internalization in vitro: one approach is to use the radioactive ligand and to follow the kinetics of its uptake into the cells [21]. The other approach is to use the non-radioactive ligand and evaluate its effects on the internalization of the receptor itself, by detecting receptor trafficking by immunofluorescence microscopy [10]. The second approach can allow us to differentiate pharmacologically if the compound acts as an agonist or an antagonist. This was therefore the method of choice for this study.

The three compounds of interest were characterized in binding experiments as pan-somatostatin analogs, with high affinity binding to all somatostatin receptor subtypes. We have focused on sst₂ and sst₃ internalization since these are the only two somatostatin subtypes found to have a most efficient receptor internalization capability [20].

The three compounds do not differ significantly in their capacity to induce sst₂ internalization. They all have agonistic properties and are relatively weak agonists when compared with [Tyr³]-octreotide. Since they show, in addition, a weak antagonistic behavior to inhibit the sst₂ internalization induced by [Tyr³]-octreotide, all three can be considered partial agonists. Therefore, in the sst₂ system, adding DOTA or Indium-DOTA to 406-040-15 does not change the functional characteristics of this compound in respect to sst₂ internalization.

The situation is completely different for sst₃. The DOTA-free analog 406-040-15 is a full and competitive antagonist at sst₃, while the DOTA-containing 406-051-20, with or without Indium, switches completely to an agonist in the sst₃ receptor internalization assay. This impressive switch in biological function after the addition of a chelator is unexpected and is, at the moment, hard to explain and to understand from a structural point of view. In general, the conversion of a peptide agonist to a peptide antagonist has indeed been so far an empirical tour de force involving such modifications as deletions or the introduction of unnatural amino acids with different chirality. For sst₂, inverting chirality at position 2 and 3 of octreotide (H-DPhe²-c[Cys³-Phe⁷-DTrp⁸-Lys⁹-Thr¹⁰-Cys¹⁴]-Thr¹⁵-ol, SS-14 numbering) was reported to be the key structural modification converting a somatostatin agonist into a full competitive antagonist at sst₂ [22]. For sst₃, and as follow-up of the present observation, further investigations may lead to a better understanding of structural requirements for agonism/antagonism. To our knowledge this is the first example of a peptide antagonist of an hypothalamic releasing factor (thyrotropin-releasing hormone, gonadotropin-releasing hormone, growth hormone-releasing hormone and corticotropin-releasing hormone) or release inhibiting factor (somatostatin) being switched back to an agonist upon additional substitutions. It has been assumed that peptide competitive antagonists are generated from agonists by limiting the number of available conformations of the agonist or by impeding a conformational change responsible for receptor activation. Lacking structural information at this point, any interpretation of the data would be speculative. NMR studies have been initiated to shed light on this unusual observation.

Structural modifications of a compound after adding a chelator may affect its biological characteristics in several ways: one possibility, having the most dramatic consequences, is the one seen in the present study at the sst₃ receptor where a complete switch of biological activity is induced. One other possibility, having no biological consequences, is seen in the present study for the sst₂ receptor. Between these two extremes, there are other possible functional changes, ranging from partial agonistic to inverse agonistic activities. These latter functional changes may also affect the radioligand uptake capacity in tumor cells. Indeed, it is known in other systems for instance that partial agonists are much less capable of promoting receptor internalization than full agonists [23, 24].

Indium-labeled 406-051-20 has pan-somatostatin binding profile, but despite its high sst₂ affinity, has, as partial agonist, poor sst₂ internalization characteristics, and is therefore unlikely to become a promising targeting tracer for sst₂-expressing tumors. These characteristics make Indium-labeled 406-051-20 very much comparable to two other pan-somatostatin, KE108 and SOM230, that have been shown previously to have inadequate sst₂ targeting properties [21, 25].

Before the availability of the recent biological data which were showing a role for receptor antagonists in tumor targeting [11, 13], it was considered sufficient to characterize a potential tumor-targeting compound by its receptor binding ability and its in vivo tumor uptake properties as radioligand [6-8]. Agonist / antagonist profiles were not, or were only rarely, investigated. Even recently, there have been examples of studies where a DOTA-containing radioligand was considered an antagonist on the basis of sequence homology with its non chelated peptide, without having been tested itself for antagonism [26], simply assuming that the addition of the chelator would not modify the biological characteristics of the original compound. The main message of this study is therefore to recommend that potential new radioligands for tumor targeting should be extensively tested functionally before further development, even after minor modifications such as the addition of a chelator.