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Sadler AWE, Hogan L, Fraser B, Rendina LM. Cutting edge rare earth radiometals: prospects for cancer theranostics. EJNMMI Radiopharm Chem 2022; 7:21. [PMID: 36018527 PMCID: PMC9418400 DOI: 10.1186/s41181-022-00173-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Accepted: 07/22/2022] [Indexed: 11/10/2022] Open
Abstract
Background With recent advances in novel approaches to cancer therapy and imaging, the application of theranostic techniques in personalised medicine has emerged as a very promising avenue of research inquiry in recent years. Interest has been directed towards the theranostic potential of Rare Earth radiometals due to their closely related chemical properties which allow for their facile and interchangeable incorporation into identical bifunctional chelators or targeting biomolecules for use in a diverse range of cancer imaging and therapeutic applications without additional modification, i.e. a “one-size-fits-all” approach. This review will focus on recent progress and innovations in the area of Rare Earth radionuclides for theranostic applications by providing a detailed snapshot of their current state of production by means of nuclear reactions, subsequent promising theranostic capabilities in the clinic, as well as a discussion of factors that have impacted upon their progress through the theranostic drug development pipeline. Main body In light of this interest, a great deal of research has also been focussed towards certain under-utilised Rare Earth radionuclides with diverse and favourable decay characteristics which span the broad spectrum of most cancer imaging and therapeutic applications, with potential nuclides suitable for α-therapy (149Tb), β−-therapy (47Sc, 161Tb, 166Ho, 153Sm, 169Er, 149Pm, 143Pr, 170Tm), Auger electron (AE) therapy (161Tb, 135La, 165Er), positron emission tomography (43Sc, 44Sc, 149Tb, 152Tb, 132La, 133La), and single photon emission computed tomography (47Sc, 155Tb, 152Tb, 161Tb, 166Ho, 153Sm, 149Pm, 170Tm). For a number of the aforementioned radionuclides, their progression from ‘bench to bedside’ has been hamstrung by lack of availability due to production and purification methods requiring further optimisation. Conclusions In order to exploit the potential of these radionuclides, reliable and economical production and purification methods that provide the desired radionuclides in high yield and purity are required. With more reactors around the world being decommissioned in future, solutions to radionuclide production issues will likely be found in a greater focus on linear accelerator and cyclotron infrastructure and production methods, as well as mass separation methods. Recent progress towards the optimisation of these and other radionuclide production and purification methods has increased the feasibility of utilising Rare Earth radiometals in both preclinical and clinical settings, thereby placing them at the forefront of radiometals research for cancer theranostics.
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Affiliation(s)
| | - Leena Hogan
- ANSTO Life Sciences, Australian Nuclear Science and Technology Organisation (ANSTO), Kirrawee, NSW, 2232, Australia
| | - Benjamin Fraser
- ANSTO Life Sciences, Australian Nuclear Science and Technology Organisation (ANSTO), Kirrawee, NSW, 2232, Australia
| | - Louis M Rendina
- School of Chemistry, The University of Sydney, Sydney, NSW, 2006, Australia.
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Determination of the gamma and X-ray emission intensities of erbium-169. Appl Radiat Isot 2021; 176:109823. [PMID: 34175545 DOI: 10.1016/j.apradiso.2021.109823] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 05/07/2021] [Accepted: 06/06/2021] [Indexed: 11/21/2022]
Abstract
The gamma and X-ray emission intensities of 169Er were determined using radionuclidically pure 169Er. The activity of the 169Er source was standardized by the triple-to-double-coincidence ratio technique. Three independent measurements were performed to measure the emission intensities using calibrated high-purity germanium spectrometers. The efficiencies were computed with the Monte Carlo method and validated using several experimental measurements. Final results present a large uncertainty reduction compared to previous evaluations. The emission intensities per decay of 169Er are reported as 1.401(40).10-5 for the 109.8 keV line and 1.513(19).10-6 for the 118.2 keV line. The values obtained for the X-ray lines show large discrepancies with the reference values.
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Talip Z, Borgna F, Müller C, Ulrich J, Duchemin C, Ramos JP, Stora T, Köster U, Nedjadi Y, Gadelshin V, Fedosseev VN, Juget F, Bailat C, Fankhauser A, Wilkins SG, Lambert L, Marsh B, Fedorov D, Chevallay E, Fernier P, Schibli R, van der Meulen NP. Production of Mass-Separated Erbium-169 Towards the First Preclinical in vitro Investigations. Front Med (Lausanne) 2021; 8:643175. [PMID: 33968955 PMCID: PMC8100037 DOI: 10.3389/fmed.2021.643175] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Accepted: 03/22/2021] [Indexed: 01/08/2023] Open
Abstract
The β--particle-emitting erbium-169 is a potential radionuclide toward therapy of metastasized cancer diseases. It can be produced in nuclear research reactors, irradiating isotopically-enriched 168Er2O3. This path, however, is not suitable for receptor-targeted radionuclide therapy, where high specific molar activities are required. In this study, an electromagnetic isotope separation technique was applied after neutron irradiation to boost the specific activity by separating 169Er from 168Er targets. The separation efficiency increased up to 0.5% using resonant laser ionization. A subsequent chemical purification process was developed as well as activity standardization of the radionuclidically pure 169Er. The quality of the 169Er product permitted radiolabeling and pre-clinical studies. A preliminary in vitro experiment was accomplished, using a 169Er-PSMA-617, to show the potential of 169Er to reduce tumor cell viability.
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Affiliation(s)
- Zeynep Talip
- Center for Radiopharmaceutical Sciences ETH-PSI-USZ, Paul Scherrer Institute, Villigen, Switzerland
| | - Francesca Borgna
- Center for Radiopharmaceutical Sciences ETH-PSI-USZ, Paul Scherrer Institute, Villigen, Switzerland
| | - Cristina Müller
- Center for Radiopharmaceutical Sciences ETH-PSI-USZ, Paul Scherrer Institute, Villigen, Switzerland
- Department of Chemistry and Applied Biosciences, ETH Zurich, Zurich, Switzerland
| | - Jiri Ulrich
- Laboratory of Radiochemistry, Paul Scherrer Institute, Villigen, Switzerland
| | - Charlotte Duchemin
- European Organization for Nuclear Research (CERN), Geneva, Switzerland
- Institute for Nuclear and Radiation Physics, Catholic University of Leuven, Leuven, Belgium
| | - Joao P. Ramos
- European Organization for Nuclear Research (CERN), Geneva, Switzerland
- Institute for Nuclear and Radiation Physics, Catholic University of Leuven, Leuven, Belgium
| | - Thierry Stora
- European Organization for Nuclear Research (CERN), Geneva, Switzerland
| | | | - Youcef Nedjadi
- Institute of Radiation Physics, University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Vadim Gadelshin
- European Organization for Nuclear Research (CERN), Geneva, Switzerland
- Institute of Physics, Johannes Gutenberg University, Mainz, Germany
- Institute of Physics and Technology, Ural Federal University, Yekaterinburg, Russia
| | | | - Frederic Juget
- Institute of Radiation Physics, University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Claude Bailat
- Institute of Radiation Physics, University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Adelheid Fankhauser
- Analytic Radioactive Materials, Paul Scherrer Institute, Villigen, Switzerland
| | - Shane G. Wilkins
- European Organization for Nuclear Research (CERN), Geneva, Switzerland
| | - Laura Lambert
- European Organization for Nuclear Research (CERN), Geneva, Switzerland
| | - Bruce Marsh
- European Organization for Nuclear Research (CERN), Geneva, Switzerland
| | - Dmitry Fedorov
- Petersburg Nuclear Physics Institute, National Research Center Kurchatov Institute, Gatchina, Russia
| | - Eric Chevallay
- European Organization for Nuclear Research (CERN), Geneva, Switzerland
| | - Pascal Fernier
- European Organization for Nuclear Research (CERN), Geneva, Switzerland
| | - Roger Schibli
- Center for Radiopharmaceutical Sciences ETH-PSI-USZ, Paul Scherrer Institute, Villigen, Switzerland
- Department of Chemistry and Applied Biosciences, ETH Zurich, Zurich, Switzerland
| | - Nicholas P. van der Meulen
- Center for Radiopharmaceutical Sciences ETH-PSI-USZ, Paul Scherrer Institute, Villigen, Switzerland
- Laboratory of Radiochemistry, Paul Scherrer Institute, Villigen, Switzerland
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Farahati J, Kazek S, Maric I, Soestwoehner T, Kalle P, Costa PF, Jentzen W, Stein L, Jalilian A, Kumm D, Bockisch A, Herrmann K. Post-radiosynovectomy imaging utilizing Erbium-169 citrate. Appl Radiat Isot 2019; 154:108853. [PMID: 31493660 DOI: 10.1016/j.apradiso.2019.108853] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Revised: 07/26/2019] [Accepted: 08/11/2019] [Indexed: 11/16/2022]
Abstract
Currently, there is no imaging procedure for radionuclide therapy utilizing Erbium-169 (Er-169). We have recently published the first post-radiosynovectomy imaging of Er-169 citrate in a case report (Farahati et al., 2017). In this study, we performed in-vitro and in-vivo studies to evaluate the feasibility to assess the distribution of Er-169 citrate after radiosynovectomy in fourteen patients with seventeen affected joints treated for refractory chronic synovitis. Post-radiosynovectomy imaging revealed the feasibility of post-radiosynovectomy detection and distribution utilizing Er-169 citrate in all cases. However, additional in-vitro studies including in-vitro imaging, gamma spectrometry and analysis of half-life indicated that emitted gamma-rays of the Ytterbium-169 in the radiopharmaceutical together with bremsstrahlung induced by Er-169 are the imaging source of emitted counts. Post-radiosynovectomy imaging utilizing Er-169 citrate is feasible and should be implemented in the guidelines for theranostics for quality control, patient safety and therapy monitoring.
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Affiliation(s)
- Jamshid Farahati
- Clinic for Nuclear Medicine, Bethesda, Duisburg, Germany; Clinic for Nuclear Medicine, University Hospital Essen, Germany.
| | - Sandra Kazek
- Clinic for Nuclear Medicine, Bethesda, Duisburg, Germany
| | - Ines Maric
- Clinic for Nuclear Medicine, Bethesda, Duisburg, Germany
| | | | - Patrick Kalle
- Clinic for Nuclear Medicine, University Hospital Essen, Germany
| | | | - Walter Jentzen
- Clinic for Nuclear Medicine, University Hospital Essen, Germany
| | - Linda Stein
- Clinic for Nuclear Medicine, Bethesda, Duisburg, Germany
| | - Amirreza Jalilian
- Department of Nuclear Sciences and Applications, International Atomic Energy Agency (IAEA), Vienna, Austria
| | - Dietmar Kumm
- Clinic for Orthopaedic, Bethesda, Duisburg, Germany
| | | | - Ken Herrmann
- Clinic for Nuclear Medicine, University Hospital Essen, Germany
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