Zitzmann-Kolbe Sabine, Remde Yvonne, Moen Ingrid, Madas Balázs, Mázik László, Suurs Frans, Happel Steffen, Schäfer Martin, Schatz Christoph, Taş Harun, Hagemann Urs B, Benešová-Schäfer Martina
Bayer AG, Berlin, Germany.
Life Molecular Imaging, Berlin, Germany.
Eur J Nucl Med Mol Imaging. 2025 Jul 1. doi: 10.1007/s00259-025-07427-4.
PURPOSE: Despite the clinical evidence of actinium-225 (Ac)-based targeted alpha therapies (TαT) efficacy, optimized treatment regimens are needed to improve overall clinical response rates and decrease toxicities. The nuclear recoil effect of Ac and its resulting daughter nuclides have been hypothesized to contribute to non-targeted damage. However, a lack of generator concepts for radionuclidically pure francium-221 (Fr), involvement of strong acids for elution, and its short half-life (4.8 min), has limited in vivo studies. Here, we report on a successful application of an Ac/Fr generator concept and the in vivo distribution of Fr and bismuth-213 (Bi). METHODS: The immobilization of Ac and elution of Fr was performed on a LN2 resin column. The biodistribution of Fr and Bi was investigated in male SCID mice with LNCaP tumors at 5 and 15 min p.i. RESULTS: Our results indicate that LN2 resin is a highly efficient resin for selective separation of Ac and Fr. The use of 0.1 M NaOAc enabled continuous elution at a constant pH. The biodistribution study revealed a fast distribution of Fr and Bi already 5 min p.i. We observed a strong accumulation of Fr to the kidneys, salivary glands and small intestine. In Bi-injected mice, the highest accumulation was in kidney and liver. CONCLUSION: We present an unprecedented concept utilizing LN2 resin in Ac/Fr generator applications. Successfully eluted and injected Fr fractions showed strong accumulation of Fr and Bi in key organs. Our data provide preliminary evidence of the potential contribution of recoiled progeny radionuclides to side-effects in non-targeted organs.
目的:尽管基于锕 - 225(Ac)的靶向α疗法(TαT)疗效已有临床证据,但仍需要优化治疗方案以提高总体临床缓解率并降低毒性。据推测,Ac及其产生的子核素的核反冲效应会导致非靶向损伤。然而,缺乏用于放射性纯钫 - 221(Fr)的发生器概念、洗脱需要强酸以及其半衰期短(4.8分钟),限制了体内研究。在此,我们报告了Ac/Fr发生器概念的成功应用以及Fr和铋 - 213(Bi)的体内分布。 方法:在LN2树脂柱上进行Ac的固定和Fr的洗脱。在接种LNCaP肿瘤的雄性SCID小鼠中,于注射后5分钟和15分钟研究Fr和Bi的生物分布。 结果:我们的结果表明,LN2树脂是用于选择性分离Ac和Fr的高效树脂。使用0.1 M醋酸钠可在恒定pH下实现连续洗脱。生物分布研究显示,注射后5分钟Fr和Bi就已快速分布。我们观察到Fr在肾脏、唾液腺和小肠中有强烈蓄积。在注射Bi的小鼠中,蓄积量最高的是肾脏和肝脏。 结论:我们提出了一种在Ac/Fr发生器应用中利用LN2树脂的前所未有的概念。成功洗脱并注射的Fr组分显示Fr和Bi在关键器官中有强烈蓄积。我们的数据提供了初步证据,表明反冲子代放射性核素可能对非靶向器官的副作用有贡献。
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