Ogawa Kazuma, Mukai Takahiro, Asano Daigo, Kawashima Hidekazu, Kinuya Seigo, Shiba Kazuhiro, Hashimoto Kazuyuki, Mori Hirofumi, Saji Hideo
Department of Patho-Functional Bioanalysis, Graduate School of Pharmaceutical Sciences, Kyoto University, Kyoto, Japan.
J Nucl Med. 2007 Jan;48(1):122-7.
Previously, based on the concept of bifunctional radiopharmaceuticals, we developed a highly stable (186)Re-mercaptoacetylglycylglycylglycine (MAG3) complex-conjugated bisphosphonate, [[[[(4-hydroxy-4,4-diphosphonobutyl)carbamoylmethyl]carbamoylmethyl]carbamoylmethyl]carbamoylmethanethiolate] oxorhenium(V) ((186)Re-MAG3-HBP), for the treatment of painful bone metastases. This agent showed a superior biodistribution as a bone-seeking agent in normal mice when compared with (186)Re-1-hydroxyethylidene-1,1-diphosphonate ((186)Re-HEDP). In this study, we evaluated the therapeutic effects of (186)Re-MAG3-HBP using an animal model of bone metastasis.
The model was prepared by injecting syngeneic MRMT-1 mammary tumor cells into the left tibia of female Sprague-Dawley rats. (186)Re-MAG3-HBP (55.5, 111, or 222 MBq/kg) or (186)Re-HEDP (55.5 MBq/kg) was then administered intravenously 21 d later. To evaluate the therapeutic effects and side effects, tumor size and peripheral blood cell counts were determined. Palliation of bone pain was evaluated by a von Frey filament test.
In the rats treated with (186)Re-HEDP, tumor growth was comparable with that in untreated rats. In contrast, when (186)Re-MAG3-HBP was administered, tumor growth was significantly inhibited. Allodynia induced by bone metastasis was attenuated by treatment with (186)Re-MAG3-HBP or (186)Re-HEDP, but (186)Re-MAG3-HBP tended to be more effective.
These results indicate that (186)Re-MAG3-HBP could be useful as a therapeutic agent for the palliation of metastatic bone pain.
此前,基于双功能放射性药物的概念,我们开发了一种高度稳定的(186)铼-巯基乙酰甘氨酰甘氨酰甘氨酸(MAG3)复合物偶联双膦酸盐,[[[[(4-羟基-4,4-二膦酸丁基)氨基甲酰甲基]氨基甲酰甲基]氨基甲酰甲基]氨基甲酰甲硫醇盐]氧铼(V)((186)铼-MAG3-HBP),用于治疗疼痛性骨转移。与(186)铼-1-羟基亚乙基-1,1-二膦酸盐((186)铼-HEDP)相比,该药物在正常小鼠中作为亲骨剂显示出更好的生物分布。在本研究中,我们使用骨转移动物模型评估了(186)铼-MAG3-HBP的治疗效果。
通过将同基因MRMT-1乳腺肿瘤细胞注射到雌性Sprague-Dawley大鼠的左胫骨制备模型。然后在21天后静脉注射(186)铼-MAG3-HBP(55.5、111或222 MBq/kg)或(186)铼-HEDP(55.5 MBq/kg)。为了评估治疗效果和副作用,测定肿瘤大小和外周血细胞计数。通过von Frey细丝试验评估骨痛的缓解情况。
在接受(186)铼-HEDP治疗的大鼠中,肿瘤生长与未治疗的大鼠相当。相比之下,当给予(186)铼-MAG3-HBP时,肿瘤生长受到显著抑制。骨转移引起的异常性疼痛通过(186)铼-MAG3-HBP或(186)铼-HEDP治疗得到减轻,但(186)铼-MAG3-HBP往往更有效。
这些结果表明,(186)铼-MAG3-HBP可作为缓解转移性骨痛的治疗药物。