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Xue S, Li D, Zhou P, Lu X, Bai Q, Zhang L, Liu X, Lou J, Li X, Wang R. A sodium alginate intervention strategy to enhance therapeutic effects of bone-targeted alpha therapy via remodeling 223RaCl 2 distribution. Int J Biol Macromol 2024; 260:129364. [PMID: 38219927 DOI: 10.1016/j.ijbiomac.2024.129364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Revised: 12/11/2023] [Accepted: 01/08/2024] [Indexed: 01/16/2024]
Abstract
Radium-223 dichloride is the first approved alpha particle-emitting radiopharmaceutical for patients with castration-resistant prostate cancer with symptomatic bone metastases and no known visceral metastases. A large percentage of intestinal enrichment and a slow clearance rate were the main causes of gastrointestinal adverse events after 223RaCl2 administration. The molecular weight of sodium alginate in aqueous solution was determined to be 656 kDa. Sodium alginate exhibits a higher affinity for adsorbing Ra2+ compared to other metal ions belonging to the second main group. Sodium alginate as low as 0.5 g/rat reduced intestinal damage by remodeling 223RaCl2 distribution without affecting bone resorption. Intestinal villi were preserved and enterocyte activity was maintained after sodium alginate intervention. Sodium alginate reduced DNA oxidative damage and lipid peroxidation and maintained endogenous antioxidant status by increasing superoxide dismutase levels and total antioxidant capacity. Furthermore, sodium alginate treatment mitigated DNA damage and apoptosis. The administration of sodium alginate effectively maintained the integrity of the intestinal microbiota, which had undergone perturbations due to radiation exposure. This study demonstrated that sodium alginate could be applied to reduce the adverse effects caused by radiation exposure to the intestine during 223RaCl2-treated and reduced intestinal damage resulted from 223RaCl2 accumulation without affecting bone uptake.
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Affiliation(s)
- Shuai Xue
- Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800, China; Department of Nuclear Medicine, Pudong Hospital, Fudan University, Shanghai 201399, China; School of Chemistry and Bioengineering, Yichun University, Yichun, Jiangxi 336000, China
| | - Danni Li
- Department of Nuclear Medicine, Shanghai Changhai Hospital, Shanghai 200433, China
| | - Pan Zhou
- Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800, China; School of Chemistry and Bioengineering, Yichun University, Yichun, Jiangxi 336000, China
| | - Xinyu Lu
- Department of Nuclear Medicine, Pudong Hospital, Fudan University, Shanghai 201399, China
| | - Qingyun Bai
- School of Chemistry and Bioengineering, Yichun University, Yichun, Jiangxi 336000, China
| | - Lan Zhang
- Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800, China
| | - Xingdang Liu
- Department of Nuclear Medicine, Pudong Hospital, Fudan University, Shanghai 201399, China
| | - Jingjing Lou
- Department of Nuclear Medicine, Pudong Hospital, Fudan University, Shanghai 201399, China.
| | - Xiao Li
- Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai 201800, China; Department of Nuclear Medicine, Pudong Hospital, Fudan University, Shanghai 201399, China; Department of Nuclear Medicine, Shanghai Changhai Hospital, Shanghai 200433, China.
| | - Ruizhi Wang
- Department of Radiology, Huadong Hospital, Fudan University, Shanghai 200040, China.
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