Decreasing undesirable absorbed radiation to the intestine after administration of radium-223 dichloride for treatment of bone metastases

[ 223 Ra]RaCl 2 is the first alpha-particle emitting radiopharmaceutical to be used for castration-resistant prostate cancer patients with bone metastases because of its excellent therapeutic effects. [ 223 Ra]RaCl 2 is excreted via the intestine into feces, and some is absorbed from the intestine i...

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Veröffentlicht in:Scientific reports 2020-07, Vol.10 (1), p.11917, Article 11917
Hauptverfasser: Ogawa, Kazuma, Higashi, Takuma, Mishiro, Kenji, Wakabayashi, Hiroshi, Shiba, Kazuhiro, Odani, Akira, Kinuya, Seigo
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container_title Scientific reports
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creator Ogawa, Kazuma
Higashi, Takuma
Mishiro, Kenji
Wakabayashi, Hiroshi
Shiba, Kazuhiro
Odani, Akira
Kinuya, Seigo
description [ 223 Ra]RaCl 2 is the first alpha-particle emitting radiopharmaceutical to be used for castration-resistant prostate cancer patients with bone metastases because of its excellent therapeutic effects. [ 223 Ra]RaCl 2 is excreted via the intestine into feces, and some is absorbed from the intestine into the blood, which may be undesirable in terms of the exposure to radiation. Recently, we showed that a complex of myo -inositol-hexakisphosphate (InsP6) with zinc is a useful decorporation agent against radiostrontium. In this study, we hypothesized that Zn-InsP6 could bind to not only strontium but also to radium, and could inhibit the absorption of radium from the intestine. In in vitro binding experiments, Zn-InsP6 showed a high binding affinity for radium. In in vivo biodistribution experiments by intravenous injection of [ 223 Ra]RaCl 2 after treatment of Zn-InsP6, mice treated with Zn-InsP6 showed significantly lower bone accumulation of radioactivity (34.82 ± 1.83%Dose/g) than the mice in the non-treatment control group (40.30 ± 2.78%Dose/g) at 48 h postinjection. These results indicate that Zn-InsP6 bound radium in the intestine and inhibited the absorption of radium into the blood. Therefore, the insoluble Zn-InsP6 complex has high potential to decrease the side effects of [ 223 Ra]RaCl 2 .
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[ 223 Ra]RaCl 2 is excreted via the intestine into feces, and some is absorbed from the intestine into the blood, which may be undesirable in terms of the exposure to radiation. Recently, we showed that a complex of myo -inositol-hexakisphosphate (InsP6) with zinc is a useful decorporation agent against radiostrontium. In this study, we hypothesized that Zn-InsP6 could bind to not only strontium but also to radium, and could inhibit the absorption of radium from the intestine. In in vitro binding experiments, Zn-InsP6 showed a high binding affinity for radium. In in vivo biodistribution experiments by intravenous injection of [ 223 Ra]RaCl 2 after treatment of Zn-InsP6, mice treated with Zn-InsP6 showed significantly lower bone accumulation of radioactivity (34.82 ± 1.83%Dose/g) than the mice in the non-treatment control group (40.30 ± 2.78%Dose/g) at 48 h postinjection. These results indicate that Zn-InsP6 bound radium in the intestine and inhibited the absorption of radium into the blood. Therefore, the insoluble Zn-InsP6 complex has high potential to decrease the side effects of [ 223 Ra]RaCl 2 .</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32681007</pmid><doi>10.1038/s41598-020-68846-x</doi><oa>free_for_read</oa></addata></record>
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subjects 692/308
692/308/153
Absorption
Absorption, Radiation
Administration, Oral
Animals
Blood
Bone cancer
Bone Neoplasms - drug therapy
Bone Neoplasms - secondary
Castration
Cations
Chlorella - metabolism
Humanities and Social Sciences
Hydrogen-Ion Concentration
Inositol
Intestine
Intestines - radiation effects
Intravenous administration
Male
Metastases
Metastasis
Mice
multidisciplinary
Pharmaceuticals
Phytic Acid - chemistry
Phytic Acid - metabolism
Prostate cancer
Radioactivity
Radioisotopes
Radioisotopes - administration & dosage
Radioisotopes - therapeutic use
Radium
Radium - administration & dosage
Radium - therapeutic use
Science
Science (multidisciplinary)
Strontium
Tissue Distribution
Zinc
Zinc - pharmacology
title Decreasing undesirable absorbed radiation to the intestine after administration of radium-223 dichloride for treatment of bone metastases
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