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靶向α治疗中的锕-225

Actinium-225 in Targeted Alpha Therapy.

作者信息

Rahman A K M Rezaur, Babu Mahathe Hasan, Ovi Mustofa Khalid, Zilani Md Mahiuddin, Eithu Israt Sultana, Chakraborty Amit

机构信息

Department of Physics, University of Chittagong, Chittagong, Bangladesh.

出版信息

J Med Phys. 2024 Apr-Jun;49(2):137-147. doi: 10.4103/jmp.jmp_22_24. Epub 2024 Jun 25.

DOI:10.4103/jmp.jmp_22_24
PMID:39131433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11309130/
Abstract

The utilization of actinium-225 (Ac) radionuclides in targeted alpha therapy for cancer was initially outlined in 1993. Over the past two decades, substantial research has been conducted, encompassing the establishment of Ac production methods, various preclinical investigations, and several clinical studies. Currently, there is a growing number of compounds labeled with Ac that are being developed and tested in clinical trials. In response to the increasing demand for this nuclide, production facilities are either being built or have already been established. This article offers a concise summary of the present state of clinical advancements in compounds labeled with Ac. It outlines various processes involved in the production and purification of Ac to cater to the growing demand for this radionuclide. The article examines the merits and drawbacks of different procedures, delves into preclinical trials, and discusses ongoing clinical trials.

摘要

1993年首次概述了锕-225(Ac)放射性核素在癌症靶向α治疗中的应用。在过去二十年中,已经进行了大量研究,包括Ac生产方法的建立、各种临床前研究以及多项临床研究。目前,越来越多标记有Ac的化合物正在临床试验中开发和测试。为了满足对这种核素日益增长的需求,正在建造或已经建立了生产设施。本文简要总结了标记有Ac的化合物的临床进展现状。它概述了Ac生产和纯化所涉及的各种过程,以满足对这种放射性核素不断增长的需求。本文研究了不同程序的优缺点,深入探讨了临床前试验,并讨论了正在进行的临床试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f01/11309130/668402f82b13/JMP-49-137-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f01/11309130/64be63bd89dc/JMP-49-137-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f01/11309130/b06f0c58e8dd/JMP-49-137-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f01/11309130/668402f82b13/JMP-49-137-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f01/11309130/64be63bd89dc/JMP-49-137-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f01/11309130/b06f0c58e8dd/JMP-49-137-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f01/11309130/668402f82b13/JMP-49-137-g003.jpg

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本文引用的文献

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Targeted Alpha Therapy: All We Need to Know about Ac's Physical Characteristics and Production as a Potential Theranostic Radionuclide.靶向α治疗:关于作为一种潜在的治疗诊断放射性核素的锕的物理特性及生产我们需要了解的一切。
Pharmaceuticals (Basel). 2023 Dec 2;16(12):1679. doi: 10.3390/ph16121679.
2
Actinium-225 Targeted Agents: Where Are We Now?锕-225 靶向药物:我们现在在哪里?
Brachytherapy. 2023 Nov-Dec;22(6):697-708. doi: 10.1016/j.brachy.2023.06.228. Epub 2023 Sep 9.
3
Evaluation of the pharmacokinetics, dosimetry, and therapeutic efficacy for the α-particle-emitting transarterial radioembolization (αTARE) agent [Ac]Ac-DOTA-TDA-Lipiodol against hepatic tumors.
评估发射α粒子的经动脉放射性栓塞(αTARE)剂[Ac]Ac-DOTA-TDA-碘油对肝肿瘤的药代动力学、剂量学和治疗效果。
EJNMMI Radiopharm Chem. 2023 Aug 14;8(1):19. doi: 10.1186/s41181-023-00205-3.
4
Ac-Labeled Somatostatin Analogs in the Management of Neuroendocrine Tumors: From Radiochemistry to Clinic.用于神经内分泌肿瘤治疗的锕标记生长抑素类似物:从放射化学到临床应用
Pharmaceutics. 2023 Mar 24;15(4):1051. doi: 10.3390/pharmaceutics15041051.
5
[Ac]Ac-SibuDAB for Targeted Alpha Therapy of Prostate Cancer: Preclinical Evaluation and Comparison with [Ac]Ac-PSMA-617.用于前列腺癌靶向α治疗的[Ac]Ac-SibuDAB:临床前评估及与[Ac]Ac-PSMA-617的比较
Cancers (Basel). 2022 Nov 17;14(22):5651. doi: 10.3390/cancers14225651.
6
Challenges and opportunities in developing Actinium-225 radiopharmaceuticals.开发锕-225 放射性药物的挑战与机遇。
Nucl Med Commun. 2022 Sep 1;43(9):970-977. doi: 10.1097/MNM.0000000000001594. Epub 2022 Jun 23.
7
Two diverse carriers are better than one: A case study in α-particle therapy for prostate specific membrane antigen-expressing prostate cancers.两种不同的载体比一种更好:针对表达前列腺特异性膜抗原的前列腺癌进行α粒子治疗的案例研究。
Bioeng Transl Med. 2021 Nov 17;7(2):e10266. doi: 10.1002/btm2.10266. eCollection 2022 May.
8
Feasibility of a novel photoproduction of Ac and Th with natural thorium target.用天然钍靶进行新型光致生产 Ac 和 Th 的可行性。
Sci Rep. 2022 Jan 10;12(1):372. doi: 10.1038/s41598-021-04339-9.
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Cells. 2021 Sep 22;10(10):2503. doi: 10.3390/cells10102503.
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Evaluation of Actinium-225 Labeled Minigastrin Analogue [Ac]Ac-DOTA-PP-F11N for Targeted Alpha Particle Therapy.用于靶向α粒子治疗的锕-225标记的迷你胃泌素类似物[Ac]Ac-DOTA-PP-F11N的评估
Pharmaceutics. 2020 Nov 12;12(11):1088. doi: 10.3390/pharmaceutics12111088.