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[Cancer Research 62, 3120-3125, June 1, 2002]
© 2002 American Association for Cancer Research


Experimental Therapeutics

Significant Antitumor Effect from Bone-seeking, {alpha}-Particle-emitting 223Ra Demonstrated in an Experimental Skeletal Metastases Model1

Gjermund Henriksen, Knut Breistøl, Øyvind S. Bruland, Øystein Fodstad and Roy H. Larsen2

Department of Chemistry, University of Oslo, Oslo, Norway [G. H., R. H. L.]; Anticancer Therapeutic Inventions AS, N-0884 Oslo [G. H., R. H. L.]; Department of Tumor Biology, [K. B., Ø. F.]; and Department of Oncology, The Norwegian Radium Hospital, N-0310 Oslo, [Ø. S. B.] Norway

The therapeutic efficacy of the {alpha}-particle-emitting radionuclide 223Ra (t1/2 = 11.4 days) in the treatment against experimental skeletal metastases in rats was addressed. Biodistribution studies, involving measurement of 223Ra in bone marrow samples, were performed in rats after i.v. injection. To study the therapeutic effect of 223Ra, an experimental skeletal metastases model in nude rats was used. Animals that had received 106 MT-1 human breast cancer cells were treated with 223Ra doses in the range of 6–30 kBq after 7 days. The biodistribution experiment demonstrated that 223Ra was selectively concentrated in bone as compared with soft tissues. The femur content of 223Ra was 800 ± 56% of injected dose per gram tissue times gram body weight (b.w.; mean ± SD) 1 day after the injection and 413 ± 23% of injected dose per gram tissue times gram b.w. at 14 days. The femur:kidney ratio increased from (5.9 ± 2.0)·102 at 1 day to (7.2 ± 3.0)·102 at 14 days, whereas the femur:liver ratio increased from (6.2 ± 0.2)·102 to (9.1 ± 6.6)·102. Femur:spleen ratio increased from (8.1 ± 0.3)·102 at 1 day to (6.4 2.2)·103 at 14 days. The femoral bone:marrow ratio was 6.5 ± 2.1 after day 1 and larger than 15 at day 14. All of the tumor-bearing control animals had to be sacrificed because of tumor-induced paralysis 20–30 days after injection with tumor cells, whereas the rats treated with >=10 kBq of 223Ra had a significantly increased symptom-free survival (P < 0.05). Also 36% (5 of 14) of rats treated with 11 kBq and 40% (2 of 5) of rats treated with 10 kBq were alive beyond the 67-day follow-up period. No signs of bone marrow toxicity or b.w. loss were observed in the groups of treated animals. The significant antitumor effect of 223Ra at doses that are tolerated by the bone marrow is most likely linked to the intense and highly localized radiation dose from {alpha}-particles at the bone surfaces. The results of this study indicate that 223Ra should be additionally studied as a potential bone marrow-sparing treatment of cancers involving the skeleton.




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