Introduction
Cell surface proteins are excellent targets for both diagnostic imaging and targeted therapy of cancers1. Several monoclonal antibodies against cancer cell surface proteins have been approved by the United States Food and Drug Administration for cancer therapy2, 3. Peptides represent another class of targeting agents and have several advantages over antibodies: favorable pharmacokinetics and better tumor penetration because of smaller size, less nonspecific binding to the reticuloendothelial system, easy derivatizing and manufacturing, and proteolytic stability if D and unnatural amino acids are used1, 4.
4
1 integrin has important roles in cancer metastasis and development5, 6, 7, 8, 9, 10, 11, 12. It is a noncovalent heterodimeric transmembrane receptor that recognizes the QIDS and ILDV motifs of two widely known ligands, the vascular cell adhesion molecule-1 (VCAM-1) and fibronectin, respectively13, 14. In adults, it is restricted to expression on hematopoietic cells regulating lymphocyte trafficking and homing; thus it has an important role in autoimmune diseases and inflammation15, 16. Recent studies have suggested that
4
1 is also involved in regulating tumor growth, metastasis and angiogenesis.
4
1 is expressed in leukemias and lymphomas, melanomas and sarcomas5.
4
1 integrin promotes dissemination of tumor cells to distal organs by strengthening their adhesion to vasculature endothelium and by facilitating tumor cell extravasation5, 6. It prevents the apoptosis of malignant chronic lymphocytic leukemia (B-CLL) cells8, and it has important roles in the drug resistance of both multiple myeloma9 and acute myelogenous leukemia10. Antibodies against
4 integrin can inhibit multiple myeloma growth in murine models11. Furthermore,
4
1 is expressed on proliferating endothelial cells (but not on quiescent ones) in angiogenesis during tumor development12. Therefore,
4
1 integrin is an attractive imaging and therapeutic target for cancers, especially lymphoid malignancies. High-affinity and specific targeting peptides are required to noninvasively image
4
1 integrin in vivo and to develop anti-
4
1–directed tumor therapy.
Phage-display peptide libraries have been widely used to identify cell surface receptor-bound peptides by panning with immobilized, purified targets and intact cells or through in vivo selection17. However, these peptides are limited to L-amino acids, which require cyclization or modification with D-amino acids to be more resistant to proteolysis, as shown by somatostatin analogs for tumor imaging18. In contrast, synthetic peptidomimetic-library approaches can incorporate D-amino acids, unnatural amino acids and small-molecule moieties, making final ligands with high affinity and proteolytic stability.
We developed the one-bead-one-compound (OBOC) combinatorial library method over a decade ago19. OBOC libraries are generated such that each bead displays only one chemical entity. Millions of compound beads can be synthesized within a week and concurrently screened in a few days using on-bead binding or functional assays20, 21, 22. Peptide ligands against a variety of targets have been discovered with the OBOC method1, 23. Beads that interact with target proteins are isolated for structure determination using an automatic microsequencer with Edman chemistry19. Microsequencing requires that peptides consist of only
-amino acids and are N-terminally free, thereby limiting the flexibility of peptide-library design. To overcome this limitation, a series of methods have been developed using either MS or automatic sequencing to decode peptide, peptidomimetic or small-molecule OBOC libraries24, 25, 26. These include N-terminally blocked peptides, cyclic peptides, branched peptides, peptides with unsequenceable building blocks and peptides derivatized by a large number of small molecules. In our encoding methods, we have developed topologically segregated bilayer beads in which the library compounds are displayed on the bead surface and the encoding tags reside in the bead interior24. Therefore, the potential interference of the coding tag with target proteins during library screening is eliminated. With such advances, the diversity of OBOC combinatorial libraries can now be substantially increased, and there are many more options for library design. These developments enable us to fully use the power of OBOC libraries for the identification of cancer-targeting agents having both peptidic and nonpeptidic features. By screening random OBOC peptide libraries against live Jurkat T-lymphoid leukemia cells, we have identified peptide ligands that contain LDI, LDF and LDV motifs against
4
1 integrin27. However, these ligands are from random peptide libraries and have relatively low affinity, and their binding on
4
1-expressing cells is barely detectable using radiolabeled or fluorescence-labeled ligands. In this report, we describe both the strategy of combining diverse 'initial' and highly 'focused' OBOC combinatorial libraries and the ways this strategy generated a high-affinity and highly specific peptidomimetic ligand to
4
1 integrin.
Results
Design and synthesis of focused OBOC libraries
As
4
1 integrin is an excellent therapeutic target for lymphoid malignancies, we used both diverse and focused OBOC peptidomimetic-library approaches to develop high-affinity imaging agents for this target. To achieve maximal structure and activity relationship (SAR) information, we first synthesized an initial OBOC peptidomimetic library having large permutations (up to 1010) of different lengths: hexamer, heptamer and octamer (Fig. 1a). We designed the library based on the LDV motif14, 27 and on the fact that a 2-(4-(3-o-toylureido)phenyl)acetyl N-terminal cap at LDV greatly enhances the interaction28. In this library, we diversified the 2-(4-(3-o-toylureido)phenyl)acetyl position with 420 combinations of 30 isocyanates (X1 position; Supplementary Table 1 online) and 14 analogs of 4-aminophenylacetic acid (X2 position; Supplementary Table 2 online). We diversified LDV positions with 6 L-leucine analogs and 20 L-lysine derivatives (X3), 3 L-aspartic acid analogs (X4) and 18 L-valine analogs (X5), respectively (Supplementary Tables 3 and 4 online). We randomized the C terminus with 45 D and unnatural amino acids in positions X6, X7 and X8 (Supplementary Table 5 online). We used
4
1-expressing Jurkat T-lymphoid leukemia cells to screen this library with the standard whole cell–binding assay, as previously described27. We selected 23 positive beads covered by a monolayer of Jurkat cells from 2 ml of settled beads (about 1.5
106 compound beads, a fraction of the more than 1010 possible permutations). Sequence determination allowed the definition of consensus residues at several positions. On the amino side of LDV, 96% of ligand sequences at the X1 position contained 2-methylphenyl urea, and at X2 there was an 87% preference for 4-aminophenylacetic acid and a 13% preference for 2-(4-aminophenyl)propionic acid. The X3, X4, and X5 positions (LDV template) showed preference to the L-lysine derivatives, L-2-aminohexanedioic acid (Aad) and hydrophobic amino acids, respectively. There was no notable consensus in the carboxyl side of LDV (residues X6–X8). In fact, the beads isolated from hexamer, heptamer and octamer libraries had similar binding affinities (data not shown), indicating that the extension of the carboxyl end of the ligand beyond X5 did not contribute to additional interaction between ligands and receptors.
Figure 1: Chemical structures and screening of the OBOC libraries for
4
1-targeting ligands.
(a) The initial library (permutations: 30
14
26
3
18
45
45
45 = 5.4
1010). (b) The focused library (permutations: 2
10
3
26 = 1,560). (c,d) Competitive OBOC cell-based screening of the focused library using Jurkat cells. Without competitors (the
4
1 antagonist BIO-1211) in the screening medium (c), most beads were covered entirely with Jurkat cells. In the presence of a soluble binding competitor (BIO-1211) (d), only a few beads displaying high-affinity ligands were coated with Jurkat cells (one positive bead is seen here). Scale bar, 50
m.
Based on the SAR results from the initial library, we designed and synthesized a highly focused pentamer library by fixing or limiting the number of building blocks to eliminate the nonligands and low-binding-affinity ligands (Fig. 1b). Therefore, the number of permutations was reduced from billions to 1,560 with the following selected building blocks in each position: 2-methylphenyl urea at the X1 position, 4-aminophenylacetic acid and 2-(4-aminophenyl)propionic acid at the X2 position, 7 L-leucine analogs and 3 L-lysine derivatives at X3, 3 L-aspartic acid analogs at X4 and 26 hydrophobic amino acids at X5 (Supplementary Table 6 online). Because both the initial and focused libraries were N-terminally blocked, they could not be sequenced directly with Edman chemistry. We used a bilayer bead-partition approach and peptide encoding method to construct the libraries24. The outer layer of the beads contained the library compounds, and the inner core contained the coding tags, which could be decoded by microsequencing, as previously described24.
Identification of high-affinity ligands with stringent screening
To screen this highly focused library, we developed a competitive cell-based screening method with high stringency so that only the beads carrying high-affinity ligands to
4
1 integrin were selected. To achieve this, we incorporated an increasing amount of the known
4
1 antagonist BIO-1211 into the screening solution to compete with the interaction between
4
1 integrin and the immobilized library compounds on beads. BIO-1211 is one of the best
4
1 antagonists reported in the literature28. Before the screening, we determined that 10
M BIO-1211 is sufficient to completely eliminate the binding of Jurkat cells (3
105 ml-1) to the control beads, which contained immobilized BIO-1211. To identify high-affinity targeting agents for
4
1, we increased the amount of BIO-1211 up to 500
M under the same conditions as during screening (Fig. 1c,d). Under these highly stringent conditions, we screened approximately 75,000 beads, which amounted to a 48-fold excess of the library permutation. We isolated 20 positive beads bound Jurkat cells and treated them with guanidine HCl (8 M) to strip the beads of all cells and proteins. Then we retested the beads with freshly prepared normal peripheral-blood lymphocytes. We retrieved and sequenced 12 beads that bound preferentially to Jurkat cells but not to normal lymphocytes.
Characterization of
4
1-targeting peptidomimetics
Upon structurally decoding the 12 beads, we obtained only two sequences, named LLP1A (Compound 1
Compound 1) and LLP2A (Compound 2
Compound 2), as two sets of six beads each shared an identical sequence (Fig. 2a). This repetition of identified sequences was not surprising, because we screened a large excess of beads in the small, highly focused library to cover all permutations. In both ligands, the small-molecule moieties (a 2-methylphenyl urea group at the X1 position and a 4-aminophenylacetic acid at the X2 position) turned out to be the same as those in BIO-1211 (ref. 28), whereas the residues at the X3 position (
-6-(2E)-1-oxo-3-(3-pyridinyl-2-propenyl)-L-lysine), the X4 position (Aad) and the X5 position (1-amino-1-cyclohexane carboxylic acid in LLP2A and D-phenylalanine in LLP1A) were quite different from the LDV residues of BIO-1211.
Figure 2: The stability and specificity of LLP2A.
(a) The chemical structure of LLP1A (Compound 1
Compound 1), LLP2A (Compound 2
Compound 2), and LLP2A-biotin (Compound 3
Compound 3). (b) The in vitro stability of LLP2A in human plasma. We quantified LLP2A (
s.d., triplicate samples) by reverse-phase HPLC and found it to be stable over 18 d in 80% human plasma at 37 °C. (c) Flow cytometry analysis of CHO cells expressing
4
1,
2
1,
6
1,
9
1,
L
2 or
M
2 integrins, using antibodies raised against the
chain (anti-
mAb, left) or LLP2A (right) as the probe. Only those CHO cells transfected with
4 were shown to bind LLP2A.
Because LLP1A and LLP2A were identified from competition screening under high concentration of soluble BIO-1211, we envisioned that they would have higher binding affinities than BIO-1211. We performed a cell-based
4
1-mediated adhesion assay using Jurkat cells with the immobilized CS-1 peptide (a 25-amino-acid linear peptide of fibronectin that is responsible for its interaction with
4
1) to determine the binding affinities of the ligands. We found the half-maximal inhibitory concentration (IC50) of BIO-1211 to be 0.3
0.1 nM, which is similar to that previously reported28. In contrast, we found the IC50 of LLP2A and LLP1A to be 2.0
1.4 pM and 22
18 pM, respectively—an improvement of up to 150-fold. We selected LLP2A for further characterization because its affinity was higher than that of LLP1A. We showed LLP2A to be protease resistant and highly stable in plasma. Incubation of LLP2A with human plasma (80%) did not result in any degradation over 18 d (Fig. 2). We further determined the structure of LLP2A with NMR spectroscopy. We found that LLP2A adopted a well-ordered structure in solution with a turn in the unnatural amino acid region (Supplementary Fig. 1 online). We also evaluated the effect of LLP2A on cell proliferation and survival, and we saw no effect of LLP2A on either
4
1-positive or
4
1-negative cells (data not shown).
Specificity of LLP2A to
4
1 integrin
We evaluated the specificity of LLP2A to
4
1 integrin with cell-binding assays against different integrins using fluorescent microscopy and flow cytometry. We conjugated LLP2A to biotin (LLP2A-biotin, Compound 3
Compound 3; Fig. 2a) for histochemical staining and in vivo imaging. LLP2A-biotin (detected by Qdots605-streptavidin (SA) conjugate; Fig. 3) showed strong binding to
4
1-expressing cancer cells such as Molt-4 (acute lymphoblastic leukemia) cells (Fig. 3a,e), but we observed no staining on
4
1-negative A549 (non–small cell lung cancer) cells, which express
v
1,
v
3 and
3
1 integrins (Fig. 3d,h)29. The staining of Molt-4 cells by LLP2A was completely abolished using either inhibitory monoclonal antibody (HP2/1) to
4 (Fig. 3b,f) or an excess of unlabeled LLP2A (Fig. 3c,g). Specific binding of LLP2A to
4
1 was further confirmed on
4-transfected Chinese hamster ovary (CHO) and K562 (chronic myelogenous leukemia) cells, whereas no staining was observed on either of the parent cell lines, which express
5
1 but not
4
1 integrins (Supplementary Fig. 1). To investigate LLP2A's binding to integrins from each subfamily, we also evaluated the binding of LLP2A to CHO cells separately expressing the integrins
2
1,
6
1,
9
1 (closely related to
4
1),
L
2 and
M
2 and found no detectable binding (Fig. 2c). These data strongly indicate that LLP2A is highly specific for
4
1 integrin.
Figure 3: In vitro cell binding assays with LLP2A-biotin.
(a–h) Photomicrographs of cultured cells incubated with LLP2A-biotin followed by Qdots605-SA. (e–g) We observed strong fluorescence in Molt-4 cells (e), whereas the signal was abolished by monoclonal antibody (HP2/1) to
4 (f) or excess unlabeled LLP2A (g). (h) We detected no signal on A549 cells. Scale bar, 10
m. (i) Flow cytometry analysis: both Jurkat cells and peripheral blood lymphocytes expressed
4
1; LLP2A bound to normal lymphocytes only after activation of
4
1 with Mn2+; LLP2A showed strong binding to Jurkat cells even without activation with Mn2+; and
1-associated integrins were activated in Jurkat cells as shown by monoclonal antibody to
1 LIBS (anti-
1 LIBS mAb). Anti-
4 mAb, monoclonal antibody to
4.
In addition, we showed that LLP2A binds preferentially to leukemia and lymphoma cells over normal lymphocytes. During screening, we selected only the beads that bound to Jurkat cells but not to normal peripheral blood lymphocytes. As expected, LLP2A showed strong binding to Jurkat cells but weak binding to normal lymphocytes, even though normal lymphocytes also express
4
1 integrin (Fig. 3i). Using monoclonal antibody raised against integrin
1 ligand-induced binding site (LIBS), which recognizes activated integrins, we showed that on normal peripheral blood lymphocytes
4
1 integrin is in the resting form, which has low affinity to ligands (Fig. 3i). Treatment of normal lymphocytes with Mn2+, which activates
4
1 integrin, did increase the binding of these cells to LLP2A (Fig. 3i). A variety of
4
1-expressing leukemia and lymphoma cell lines, including Molt-4, Reh and HL-60 cells, also bound to LLP2A at levels comparable to those of Jurkat cells (Supplementary Fig. 1). We further demonstrated that LLP2A also binds to fresh leukemia cells obtained from patients with acute lymphocytic leukemia or chronic lymphocytic leukemia (Supplementary Fig. 1).
Molecular interaction between LLP2A and
4
1 integrin
We characterized the molecular interaction between LLP2A and
4
1 integrin using alanine-scanning mutagenesis of
4. We expressed human
4 as a heterodimer with endogenous hamster
1 in CHO cells. We tested LLP2A for binding to CHO cells that had been stably transfected with wild-type or different mutant
4 cDNAs. Mutations of Tyr187, Trp188 and Gly190 in
4 inhibit
4
1-mediated cell adhesion to both VCAM-1 and CS-1 (ref. 30). These three critical residues are located in the ligand-binding site (residues 108–268) and clustered in the predicted
-turn structure (residues 181–190) of the third N-terminal repeat of the
4 subunit. As LLP2A blocked
4
1-mediated Jurkat cell adhesion to VCAM-1 and CS-1 (Supplementary Fig. 1), we hypothesized that the binding site of LLP2A on
4
1 is close to or overlapping with that of the natural ligands VCAM-1 and fibronectin. Therefore, we selected 16 mutations around these three critical amino acids of the
4 chain (residues 184–203) for the binding assay with LLP2A. We allowed LLP2A-biotin to bind to CHO cells expressing wild-type or mutant
4, and then we stained them with SA-PE and detected them with flow cytometry. We determined the binding of LLP2A to each mutant after normalizing with the expression level of
4
1 evaluated with monoclonal antibody B5G10 to
4. Most CHO cells expressing mutants bound to LLP2A at levels comparable to those of cells expressing wild-type
4. W188A and G190A
4 mutants yielded substantially lower binding to LLP2A than wild type and other mutants (Fig. 4). To a lesser degree, the Y187A mutation also reduced the binding to LLP2A (Fig. 4). This binding result is consistent with the fact that Tyr187, Trp188 and Gly190 are crucial for the binding of VCAM-1 and CS-1 (ref. 30), suggesting that the binding site for LLP2A on
4
1 is very close to the binding sites for VCAM-1 and fibronectin.
Figure 4: Effect of single amino acid mutation of
4 on its binding to LLP2A.
We incubated CHO cells expressing wild-type or mutant
4 with LLP2A-biotin in TBS (1 mM Mn2+) followed by SA-PE. We used monoclonal antibody (B5G10) raised against
4 to monitor the expression level of
4. Parent CHO cells neither express
4 nor bind LLP2A (data not shown). All data are expressed as means of (staining by LLP2A) / (
4 B5G10 expression)
s.d. (triplicate samples). Thus, the relative binding of LLP2A to these mutants was normalized with the expression level of
4.
Accumulation of LLP2A in
4
1-expressing tumors
We used in vivo optical-imaging studies of mouse xenografts to investigate the targeting efficiency of LLP2A in live mice. Optical imaging is becoming an increasingly important tool for visualizing molecular processes in vivo31. Near-infrared fluorescent (NIRF) dyes allow the imaging of deeper tissues because of their high penetration and low tissue absorption and scattering. NIRF dye–labeled peptide is a sensitive tracer for imaging somatostatin receptors in tumors32. We coupled LLP2A to the NIRF dye Alexa680 by using the strong interaction between SA and biotin. We prepared the targeting complex (LLP2A-SA-Alexa680) by incubating LLP2A-biotin with the commercially available Alexa680-conjugated SA (SA-Alexa680). We first assessed the binding activity of the NIRF targeting complex in vitro using cell-binding assays. Immunocytochemical data confirmed strong and specific binding to
4
1-positive cells (data not shown). We injected various amounts of LLP2A-SA-Alexa680 into nude mice bearing human subcutaneous xenografts of Molt-4 tumors (which are
4
1-positive) to establish the optimal dose. We imaged the mice (n = 3) 0, 1, 3, 6, 12, 16, 24 and 44 h after administration with the established dose of 60 nmol kg-1. We observed substantial contrasts between Molt-4 tumors and normal tissue from 6 h until 2 d after injection (Supplementary Fig. 1). We derived semiquantitative information from NIRF images by integrating fluorescence intensities from equal areas within tumor and normal tissue regions. The time course of fluorescence intensity shows that LLP2A uptake by tumors was much higher than that of normal tissue starting 3 h (and reaching the greatest difference 24 h) after injection (Supplementary Fig. 1).
To further characterize the in vivo targeting potential of LLP2A, we divided nude mice bearing Molt-4 tumors into four groups for imaging. We injected group 1 (n = 3) intravenously with the LLP2A-SA-Alexa680 conjugate. As controls, group 2 (n = 3) received SA-Alexa680 (without LLP2A), group 3 (n = 2) received the conjugate of SA-Alexa680 and scrambled LLP2A-biotin (Compound 4
Compound 4; Supplementary Fig. 1), and group 4 (n = 2) received monoclonal antibody (HP2/1) to
4 1 h before administration of the targeting agent (LLP2A-SA-Alexa680). We performed imaging 24 h after injection (Fig. 5) and found the autofluorescence of the Molt-4 tumor to be negligible (Fig. 5a). SA-Alexa680 alone without LLP2A showed no notable accumulation in Molt-4 tumors (Fig. 5b). We observed substantial fluorescent uptake in Molt-4 tumors after injection with LLP2A-SA-Alexa680 (Fig. 5e). Controls with the scrambled LLP2A-SA-Alexa680 conjugate also revealed negligible uptake into the tumor (Fig. 5c). Pretreatment of the Molt-4 tumor–bearing mouse with 10 mg kg-1 of monoclonal antibody HP2/1 raised against
4 substantially reduced fluorescent uptake into the tumor (Fig. 5d). We observed no fluorescence localization in the corresponding region of healthy mice (mice having no xenografts) after injection with the LLP2A-SA-Alexa680 conjugate (Fig. 5f).
Figure 5: In vivo NIRF imaging of Molt-4 tumor–bearing mice.
We obtained images 24 h after injection. (a) We observed a negligible autofluorescent signal in this tumor-bearing mouse before injection of any fluorescent probe. (b) Mouse received SA-Alexa680 alone. (c) Mouse received scrambled LLP2A-SA-Alexa680 conjugate. (d) Mouse was pretreated with monoclonal antibody HP2/1 raised against
4 before administration of LLP2A-SA-Alexa680 conjugate, resulting in substantial decrease in fluorescence uptake in tumor. (e) Mouse received LLP2A-SA-Alexa680 conjugate, resulting in high fluorescence uptake in the tumor. (f) Healthy mouse (without xenografts) received LLP2A-SA-Alexa680 conjugate. In b–f, we observed fluorescence uptake in the kidneys, but it was underestimated owing to the limited optical penetration. Fluorescence intensity is shown in arbitrary units.
Ex vivo imaging of excised tumors and organs further confirmed the targeting specificity of LLP2A. In whole-animal imaging, fluorescent signals of deep organs are often underestimated because of optical impedance by soft tissues. We therefore also performed ex vivo imaging immediately after obtaining the 24 h postinjection in vivo imaging data. The LLP2A-SA-Alexa680 conjugate accumulated primarily in the Molt-4 tumor and kidney, whereas uptake in other normal organs was low (Fig. 6a). Experiments using SA-Alexa680 alone without LLP2A yielded notable localization only in the kidney (Fig. 6b). It is not surprising to see renal uptake in both experiments because SA is known to bind to kidneys, as shown in pretargeted radioimmunotherapy of cancers using radiolabeled SA33. We also performed microscopic analysis of frozen tumor tissues from the control (Fig. 5b) and experimental (Fig. 5e) mice to confirm the targeting of LLP2A at the cellular level. Cellular fluorescence intensity was very high for the tumor from the mice injected with LLP2A-SA-Alexa680 conjugate (Fig. 6c–e). In contrast, the tumor from the control mouse injected with SA-Alexa680 alone only yielded a small amount of fluorescent staining (Fig. 6f,g). Notably, some blood vessels within the Molt-4 tumors were also stained by the LLP2A-SA-Alexa680 conjugate (Fig. 6c,e), an observation that is consistent with the finding that
4
1 integrin is expressed on proliferating but not quiescent endothelial cells in neovascularization during tumor angiogenesis12. Large blood vessels in tumors tended to have higher uptake than small capillaries (Supplementary Fig. 1).
Figure 6: Ex vivo NIRF images and microscopic analysis of tumors and organs that were excised from mice 24 h after receiving (a,c–e) LLP2A-SA-Alexa680 or (b,f,g) SA-Alexa680 alone.
(a,b) Ex vivo imaging. Fluorescence (in arbitrary units) uptake into Molt-4 tumors was high in the mice that received LLP2A-SA-Alexa680 conjugate. (c–g) Histological analysis of tumor cryosections. Fluorescence signals from LLP2A probes (red) were detected only in tumor cells and some tumor vessels from mice that received LLP2A-SA-Alexa680 (c–e), whereas low signals were observed in the tumors from mice injected with SA-Alexa680 (f–g). We visualized tumor and vascular endothelial cells by anti-CD3 (orange) and anti-CD31 staining (green), respectively. Scale bar, 25
m.
Furthermore, we imaged a group of mice (n = 4) bearing tumors of
4-transfected K562 (
4
1-positive) and K562 (
4
1-negative) parent myeloid leukemia cells with the LLP2A-SA-Alexa680 conjugate to investigate whether
4
1-negative tumors can be visualized by targeting
4
1-expressing blood vessels or tumor-associated inflammatory cells. The uptake of LLP2A-conjugate in
4-transfected K562 tumors was substantially higher than that of K562 tumors as demonstrated by both in vivo and ex vivo imaging and microscopic analysis of the tumor cryosections (Fig. 7). Although some vascular endothelial cells of K562 tumors were also stained by LLP2A (Fig. 7), the fluorescent signal of the entire K562 tumor in whole-animal imaging was low. More sensitive imaging modalities, such as positron emission tomography, may be required to image tumors in vivo if only the tumor vascular endothelium is targeted. Together, these results demonstrate that LLP2A specifically targets
4
1-expressing tumors in vivo in a xenograft model.
Figure 7: Specific accumulation of LLP2A probes in
4
1-expressing tumors.
We injected mice bearing bilateral
4-trasfected K562 and normal K562 tumors with LLP2A-SA-Alexa680. (a) NIRF in vivo image. (b,c) White light (b) and NIRF (c) images of excised tumors. Fluorescence intensity is color coded as in Figures 5 and 6. Fluorescence uptake into K562
4 tumors was substantially higher than that of K562 tumors. Histological examination of cryosections of (d–f) K562
4 and (g–i) K562 tumors showed high fluorescence uptake (red) in (d) K562
4 tumor cells and some uptake in (d,g) some but not all tumor vessels. We visualized tumor and vascular endothelial cells by anti-CD33 (orange) and anti-CD31 staining (green), respectively. Scale bar, 25
m.
Discussion
Through screening a diverse initial OBOC peptidomimetic library and then screening a focused peptidomimetic library (containing 1,560 discrete compounds) with high stringency, we have succeeded in identifying LLP2A, a high-affinity (IC50 = 2 pM) ligand for
4
1 integrin. Replacement of the LDV motif with the unnatural amino acids
-6-[(2E)-1-oxo-3-(3-pyridinyl-2-propenyl)-L-lysine), Aad and 1-amino-1-cyclohexane carboxylic acid has greatly contributed to the high binding affinity of LLP2A. LLP2A is much more potent than ligands discovered by substituting the LDV region with small molecules through in silico screening, which uses a model based on the X-ray conformation of the binding region of VCAM-1 (ref. 34). The OBOC combinatorial library approach is still applicable for identifying new ligands with high affinity even in the absence of structural information pertaining to natural protein ligands and target proteins.
In addition to its high affinity, LLP2A is also highly specific to
4
1 integrin and binds preferentially to leukemia and lymphoma cells over normal lymphocytes. The affinity modulation of
4
1 may have a critical role in the preference of LLP2A to malignant lymphoid cells. Conformational change in integrins (known as affinity regulation) is a very important process of regulating ligand binding35, 36. Many integrins are expressed in an inactive state (low affinity to ligands) on cells, especially circulating blood cells. They can be rapidly activated through inside-out and outside-in signaling to achieve high affinity (activated) states. We have proven that LLP2A does bind to normal lymphocytes after
4
1 integrin has been activated with Mn2+. However, it still could be possible that these malignant lymphoid cells have mutated
4
1 integrins that favor binding to LLP2A. Although we showed that LLP2A does not bind to a series of integrins from each subfamily, we cannot eliminate the possibility that LLP2A may still interact with
4
7 integrin, which is expressed in a subpopulation of memory T cells that are capable of homing to intestinal sites and that have an important role in chronic inflammatory bowel disease37.
The binding site of LLP2A on
4
1 integrin is close to or overlaps with the binding sites of VCAM-1 and fibronectin, based on their similar binding profiles to
4 mutants. Both Trp188 and Gly190 (and to a lesser degree Tyr187) were shown to be important for LLP2A binding, findings that are consistent with their known crucial roles for the binding of VCAM-1 and CS-1 (ref. 30). The binding profile of LLP2A to various
4
1 mutants not only facilitates the design of more potent
4
1-targeting ligands but will also enable us to develop LLP2A analogs that bind only to
4
1 mutants and not to wild-type
4
1.
In vivo NIRF imaging demonstrates that LLP2A specifically targeted to
4
1-positive tumors in nude-mouse xenografts. There was a substantial accumulation of fluorescence from the targeting conjugate (LLP2A-SA-Alexa680) in Molt-4 tumors. We confirmed unambiguously the specific labeling of
4
1-expressing tumors by ex vivo and microscopic analysis of tumors and organs that were excised immediately after in vivo imaging. Histological analysis of tumor cryosections showed that some tumor neovasculature was also targeted by LLP2A. However, the application of LLP2A to target tumor vascular endothelial cells will require more characterization. PEG and dendrimers have been used as scaffolds for the development of imaging probes to achieve high-avidity multimers and to reduce tumor washing-off rate38, 39, 40. Here, we have demonstrated that SA can also be exploited as a tetravalent and bifunctional scaffold carrying both targeting peptides and NIRF dyes or radionuclides. In pretargeted imaging and radioimmunotherapy of cancers, SA has been used as a carrier of radionuclides to greatly increase tumor uptake and to accelerate blood clearance, because of its small size compared with radiolabeled antibodies41, 42. The SA-biotin ligand system is not ideal for clinical application because SA is immunogenic in humans. Nevertheless, this system serves as a very useful and simple preclinical imaging platform for evaluation of potential cancer cell surface–targeting agents. Using optical-imaging techniques, we have demonstrated the targeting capability of LLP2A. However, more quantitative data on tumor uptake and pharmacokinetics will require radiolabeled LLP2A and nuclear medicine imaging modalities such as positron emission tomography and single-photon emission computed tomography.
To the best of our knowledge, this is the first report on the successful use of peptide or peptidomimetic ligands for in vivo imaging of
4
1 integrin.
4
1 is transiently expressed during embryonic development and is crucial in placental and cardiac development43. Expression of
4 in human adults is normally restricted to hematopoietic cells, but during the tumorigenic process expression of
4
1 occurs in a number of metastatic melanomas, sarcomas and tumor vasculature.
4
1 has an important role in cancer metastasis5, 6, 7, drug resistance9, 10 and tumor angiogenesis12. The specific targeting potential of LLP2A as well as its resistance to proteolysis makes it an excellent candidate for the development of imaging and therapeutic agents for
4
1-positive cancers, especially lymphoma and lymphocytic leukemia.
Although monoclonal antibodies to CD20 (for example, rituximab (Rituxan), ibritumomab tiuxetan (Zevalin) and tositumomab (Bexxar)) have been approved by the Food and Drug Administration for the treatment of low-grade B-cell lymphoma, they do have limitations. First, they do not bind to T cells and therefore they are ineffective in the treatment of T-cell lymphoma. Second, they bind to the reticuloendothelial system, as demonstrated by the recent report on the expected high liver and spleen uptake of 111In-labeled ibritumomab tiuxetan (a monoclonal antibody to CD20) in B-lymphoma patients44. Third, anti-CD20 monoclonal antibodies also bind to normal B lymphocytes. In contrast, LLP2A ligand (i) binds to both B- and T-cell lymphoid cancer cell lines, (ii) has low uptake in liver and spleen, as demonstrated in NIRF imaging, and (iii) has low affinity to normal T or B lymphocytes. We believe LLP2A is an ideal vehicle for the delivery of radionuclides (such as 90Y or 131I), cytotoxic agents, toxins, cytokines and nanoparticles to the lymphoid cancer cells, and therefore it has great potential for becoming a new, effective therapeutic agent for patients with lymphoid cancer.
Owing to the versatility of the synthetic and encoding methods used in the OBOC combinatorial libraries, many different structural designs can be incorporated. Now we are able to substantially increase the diversity of OBOC libraries and synthesize not only peptide but also peptidomimetic and small-molecule libraries. These advances enable us to fully use the power of OBOC libraries for identifying new ligands that are 'drug like' and protease resistant. Here we have validated the strategy of first screening an OBOC library with great diversity to provide comprehensive SAR information, and then designing highly focused peptidomimetic or even small-molecule libraries and screening them under high-stringency conditions to identify compounds of high potency and specificity. This library design strategy and screening approach is general and can be readily applied to the discovery and optimization of drug leads for diverse biological targets.
In summary, we have described the identification of a
4
1-targeting peptidomimetic ligand using an OBOC combinatorial library approach in conjunction with a high-stringency, competitive, cell-based screening method. The identified ligand LLP2A possesses high affinity (IC50 = 2 pM) and specificity to the
4
1 receptor. Using NIRF imaging, we have demonstrated the specific targeting of LLP2A to
4
1-expressing lymphoma xenografts in nude mice in vivo, a result that is consistent with ex vivo analysis of tumors and organs. Thus, LLP2A is an attractive targeting agent for noninvasively imaging
4
1 integrin during tumor progression and for developing anti-
4
1–directed therapy.
Methods
Synthesis of the initial and focused OBOC libraries.
We synthesized the OBOC libraries on TentaGel S NH2 resin (Rapp Polymere Gmbh) using a "split-mix synthesis" method and a newly developed encoding strategy involving the bilayer bead approach24 (Supplementary Methods online). Briefly, we used a biphasic-solvent approach to create bilayer beads so that only the library compounds were displayed on the outer layer of the beads; the coding tags resided in the inner core. We synthesized the peptide moiety of the peptidomimetic by standard solid-phase peptide synthesis techniques using 9-fluorenylmethoxycarbonyl (Fmoc) chemistry and N-hydroxybenzotriazole (HOBt)/N,N'-diisopropylcarbodiimide (DIC) coupling45. We confirmed the completion of coupling with a ninhydrin test46.
Cells.
We obtained all cells from American Type Culture Collection, except as otherwise described.
4-transfected K562 cells and
2,
4/
4 mutant,
6,
9,
L
2 and
M
2-transfected CHO cells have been previously described30, 47, 48, 49, 50. We prepared normal peripheral lymphocytes and patient leukemia cells using the Ficoll-Paque gradient method from peripheral blood of healthy donors and leukemia and lymphoma patients, respectively.
High-stringency, competitive, cell-based screening method.
We washed beads extensively with double-distilled water and phosphate-buffered saline (PBS) before screening. We performed the cell-bead binding by incubating beads with Jurkat cells (3
105 ml-1) in complete RPMI 1640 medium in Petri dishes in a humidified CO2 incubator with shaking (60 rpm). Beads bound by cells appeared as rosettes with a central bead covered by a monolayer of cells under a microscope. To determine the minimum amount of competitors to include in the screening medium, we titrated serial dilutions of the competitor BIO-1211 to inhibit the binding of Jurkat cells on BIO-1211–displayed beads (control beads) as described above. We found that 10
M of BIO-1211 blocks the binding completely. Therefore, we included increasing amounts of BIO-1211 (from 10
M up to 500
M) in the screening buffer to compete with ligands displayed on beads until the top candidate beads (about 20 beads) among approximately 75,000 beads remained covered by lymphoma cells. We selected beads bound by cells and washed them with guanidine HCl (8 M) to strip all cells and proteins. Then we retested the beads with normal peripheral blood lymphocytes. We selected and sequenced beads that bound preferentially to Jurkat cells but not to normal lymphocytes.
Synthesis of LLP2A, LLP2A-biotin and scrambled LLP2A-biotin.
The synthetic chemistry of LLP2A, LLP2A-biotin and scrambled LLP2A-biotin for biological testing is similar to that of the library using HOBt/DIC coupling (Supplementary Methods). We used Rink amide resin as solid support to prepare compounds with carboxyl amide.
Cell adhesion assays.
We studied the binding affinities (IC50s) of the ligands in a Jurkat-cell adhesion assay by inhibiting the
4
1-mediated cell adhesion to CS-1 peptides, which contain the binding motif of fibronectin to
4
1. We coated 96-well plates with 1
g ml-1 neutravidin, followed by biotin-conjugated CS-1 peptides (synthesis described in Supplementary Methods) after washing. We blocked the wells with 1% bovine serum albumin in PBS. We added Jurkat cells with serial dilutions of tested ligands in 100
l binding buffer (Tris-buffered saline or TBS, 1 mM Mn2+) and allowed them to bind for 30 min; we removed unbound cells by gentle washing. We fixed bound cells with 3.7% formaldehyde and stained them with 0.1% crystal violet. We dissolved the dye in 1% SDS and recorded on a 96-well plate reader (Safire, Tecan) at 570 nm. We calculated IC50 data from the inhibition curves resulting from the concentration-dependent inhibition.
In vitro stability assay of LLP2A in human plasma.
We prepared heparin-, citrate- and EDTA-treated plasma from the peripheral blood of healthy donors. We added LLP2A to the plasma (80%) and incubated it at 37 °C. At each of the indicated time points, we withdrew and terminated samples by precipitating plasma proteins with trifluoroacetic acid (10%). We then analyzed the supernatant, which contained the peptides, by reverse-phase HPLC and measured the area of the peak corresponding to the intact samples.
Fluorescence microscopy.
We incubated cells with the LLP2A-biotin conjugate (10 nM) for 1 h at 4 °C in TBS buffer (1 mM Mg2+). For blocking experiments, we incubated cells with inhibitory monoclonal antibody to
4 (HP2/1) (Serotec) or an excess of LLP2A (100
M) for 1 h before adding LLP2A-biotin. Then we washed the cells three times with TBS and then incubated them with Qdots605-SA (10 nM) (Quantum Dot Corp.). We washed and examined the cells using an inverted Olympus fluorescence microscope (IX70).
Flow cytometry.
For the binding of LLP2A, we incubated 0.5
106 cells with LLP2A-biotin (100 nM) for 1 h at 4 °C in TBS (1 mM Mg2+/Mn2+) and then with SA-PE (Molecular Probes) after washing. For the expression of
4
1, we incubated cells with mouse monoclonal antibody P1H4 (Chemicon International), raised against human
4 integrin, in PBS and then with goat anti–mouse IgG–FITC (Serotec). We analyzed the activation state of
4
1 with mouse monoclonal antibody to human
1 integrin LIBS (Chemicon International). We measured the fluorescence of 10,000 cells using a Coulter Epics XL-MCL flow cytometer (Beckman Coulter, Inc.).
In vivo and ex vivo mouse imaging.
We prepared the LLP2A-Alexa Fluor680 complexes by incubating LLP2A-biotin conjugates with SA-Alexa Fluor680 (Molecular Probes) at molar ratios of 5:1 for 1 h at 4 °C. We confirmed the fluorescence labeling by in vitro cell-binding assays as described in the fluorescence microscopy section above.
We performed in vivo NIRF imaging experiments on nude (nu/nu) mice bearing either Molt-4 tumors or both
4-transfected K562 and normal K562 tumors. We injected Molt-4 cells (about 5
106 cells) or K562/
4-K562 cells (about 2
106 cells) subcutaneously into one side of the shoulder of mice. Tumors measured about 0.5–1.0 cm in diameter at the time of imaging. We administered various amounts of the imaging complex intravenously (0.6, 6, 60, 300 nmol kg-1) to establish the optimal dosage. We anesthetized mice using intraperitoneal injection of pentobarbital (60 mg kg-1), and we performed imaging using a Kodak multimodal-imaging system IS2000MM (Kodak) equipped with an excitation bandpass filter at 625 nm and an emission at 700 nm. Exposure time was 30 s per image. We analyzed images using the imaging station IS2000MM software (Kodak 1D Image Analysis Software; Kodak).
After in vivo imaging, we killed the mice by CO2 overdose and excised and imaged tumors, organs and muscle tissue with the Kodak imaging system as described above.
We performed all experiments that included animals in compliance with institutional guidelines and according to protocol no. 04-11527, approved by the Animal Use and Care Administrative Advisory Committee of University of California Davis.
Microscopic analysis of mouse xenografts after conjugate application.
We froze the tumors, cryosectioned them into Sections 7
m thick and fixed them with acetone for histological analysis. To detect the expression of CD31 (a marker for the vascular endothelium) and CD3 (a marker for T-cell lymphoblastic leukemia) or CD33 (a marker for myeloid leukemia) in tumors, we rehydrated slides in PBS for 5 min and then blocked them in 5% BSA in PBS for 1 h at room temperature (23 °C). We incubated slides with primary antibodies at 2–10
g ml-1 for 1 h at room temperature, and then we washed the slides three times in PBS and incubated them in secondary antibodies at 5
g ml-1 for 1 h at room temperature. We washed slides three times in PBS and then mounted them with coverslips. We examined the slides with a confocal microscope (Zeiss LSM 510). We used the following primary antibodies: rat monoclonal antibody to mouse CD31 (Chemicon International), rabbit polyclonal antibody to CD3 (Santa Cruz Biotechnology, Inc) and rabbit polyclonal antibody to human CD33 (Santa Cruz Biotechnology, Inc). The secondary antibodies used were donkey anti–rat IgG–FITC (Chemicon International) and goat anti–rabbit IgG–AlexaFluor555 (Invitrogen).
Data processing and statistics.
All the data are given as mean
s.d. of n independent measurements. For determination of tumor contrast, we calculated mean fluorescence intensities of the tumor area and of the normal tissue area by means of the region-of-interest function using Kodak 1D Image Analysis Software (Kodak).

