NUK - logo
E-viri
Celotno besedilo
Recenzirano
  • Biokinetics, radiopharmacok...
    Pérez-Velasco, Diana L.; Morales-Avila, Enrique; Ocampo-García, Blanca; Torres-García, Eugenio; Izquierdo, Germán; Jiménez-Mancilla, Nallely; Oros-Pantoja, Rigoberto; Díaz-Sánchez, Luis E.; Aranda-Lara, Liliana; Isaac-Olivé, Keila

    Nuclear medicine and biology, 07/2023, Letnik: 122-123
    Journal Article

    The development of rHDL-radionuclide theragnostic systems requires evaluation of the absorbed doses that would be produced in healthy tissues and organs at risk. Technetium-99m is the most widely used radionuclide for diagnostic imaging, therefore, the design of theragnostic reconstituted high density-lipoprotein (rHDL) nanosystems labeled with Technetium-99m offers multiple possibilities. Objective: To determine the biokinetics, radiopharmacokinetics and estimate the absorbed doses induced in healthy organs by Technetium-99m transported in the core and on the surface of rHDL. Methods: Biokinetic and radiopharmacokinetic models of rHDL/99mTcTc-HYNIC-DA (Technetium-99m in the core) and 99mTcTc-HYNIC-rHDL (Technetium-99m on the surface) were calculated from their ex vivo biodistribution in healthy mice. Absorbed doses were estimated by the MIRD formalism using OLINDA/EXM and LMFIT softwares. Results: rHDL/99mTcTc-HYNIC-DA and 99mTcTc-HYNIC-rHDL show instantaneous absorption in kidney, lung, heart and pancreas, with slower absorption in spleen. rHDL/99mTcTc-HYNIC-DA is absorbed more slowly in the intestine, while 99mTcTc-HYNIC-rHDL is absorbed more slowly in the liver. The main target organ for rHDL/99mTcTc-HYNIC-DA, which is hydrophobic in nature, is the liver, whereas the kidney is for the more hydrophilic 99mTcTc-HYNIC-rHDL. Assuming that 925 MBq (25 mCi) of Technetium-99m, carried in the core or on the surface of rHDL, are administered, the maximum tolerated doses for the organs of greatest accumulation are not exceeded. Conclusion: Theragnostic systems based on 99mTc-labeled rHDL are safe from the dosimetric point of view. The dose estimates obtained can be used to adjust the 99mTc-activity to be administered in future clinical trials. Display omitted