The bioorthogonal cycloaddition reaction
between tetrazine and <i>trans</i>-cyclooctene (TCO) is
rapidly growing in use for molecular
imaging and cell-based diagnostics. We have surprisingly uncovered
that the majority of TCOs conjugated to monoclonal antibodies using
standard amine-coupling procedures are nonreactive. We show that antibody-bound
TCOs are not inactivated by <i>trans–cis</i> isomerization
and that the bulky cycloaddition reaction is not sterically hindered.
Instead, TCOs are likely masked by hydrophobic interactions with the
antibody. We show that introducing TCO via hydrophilic poly(ethylene
glycol) (PEG) linkers can fully preserve reactivity, resulting in
>5-fold enhancement in functional density without affecting antibody
binding. This is accomplished using a novel dual bioorthogonal approach
in which heterobifunctional dibenzylcyclooctyne (DBCO)–PEG–TCO
molecules are reacted with azido-antibodies. Improved imaging capabilities
are demonstrated for different cancer biomarkers using tetrazine-modified
fluorophore and quantum dot probes. We believe that the PEG linkers
prevent TCOs from burying within the antibody during conjugation,
which could be relevant to other bioorthogonal tags and biomolecules.
We expect the improved TCO reactivity obtained using the reported
methods will significantly advance bioorthogonal pretargeting applications