Transport of 67Ga and 111In across a membrane. Role of plasma binding and concentration gradients.

If i.v. injected radiogallium does not firmly bind to circulating transferrin in plasma, the transvascular transport of the radionuclide may be affected by diffusion of unbound radionuclide and interstitial transferrin, and may therefore not be specific for transferrin transport. Using equilibrium dialysis, the avidity of 67Ga and 111In to bind to plasma transferrin was compared by evaluating transport of unbound radionuclide across a semipermeable membrane, as a function of the plasma (transferrin) concentration gradient. One chamber of a dialysis cell was filled with human plasma and 67Ga or 111In, and the other, separated by the membrane, with increasing concentrations of plasma in normal saline. The half-time (mean +/- S.D.) for reaching equilibrium between the chambers decreased (P less than 0.05) for 67Ga from 13.1 +/- 3.3 to 4.9 +/- 1.6, 3.7 +/- 1.2 and 3.0 +/- 0.5 h, at plasma concentrations of 0, 25, 50 and 100%, respectively. The equilibrium half-time for 111In did not fall at increasing plasma concentrations and was higher (P less than 0.005) than for 67Ga at 25 to 100% plasma. Hence, 67Ga is not as avidly bound to plasma transferrin as 111In, since, in contrast to 111In, dissociation of the 67Ga-transferrin complex and transmembrane diffusion of unbound 67Ga increases when the plasma transferrin concentration gradient decreases. In vivo, the transvascular transport of 67Ga may be influenced by diffusion of unbound radionuclide, depending on the interstitial transferrin concentration, and may not be a specific indicator of transvascular protein transport.