Department of Oncology, Cross Cancer Institute, University of Alberta, Edmonton, Alberta T6G 1Z2, Canada.
Viewpoint Molecular Targeting, Inc., Coralville, IA 52241, USA; Department of Radiology, The University of Iowa, Iowa City, IA 52240, USA.
Nucl Med Biol. 2023 Jan-Feb;116-117:108314. doi: 10.1016/j.nucmedbio.2023.108314. Epub 2023 Jan 13.
Pb (t = 51.9 h, 279 keV (81 %)) is a diagnostic SPECT imaging radionuclide ideally suited for theranostic applications in combination with Pb for targeted alpha particle therapy. Our objectives were to develop a high-yield solid target Pb cyclotron production route using isotopically enriched Tl target material and the Tl(p,3n)Pb reaction as an alternative to lower energy production via the Tl(p,n)Pb reaction.
250 mg Tl metal (99.9 % isotopic enrichment) was pressed using a hardened stainless steel die. Aluminum target discs were machined with a central depression and annulus groove. The flattened Tl pellet was placed into the central depression of the Al disc and a circle of indium wire was laid in the machined annulus surrounding the pellet. An aluminum foil cover was then pressed onto the target disc to create an airtight bond. Targets were irradiated at 23.3 MeV for up to 516 min on a TR-24 cyclotron at currents up to 60 μA to produce Pb via the Tl(p,3n)Pb nuclear reaction. Following a cool-down period of >12 h, the target was removed and Tl dissolved in 4 M HNO. A NEPTIS Mosaic-LC synthesis unit performed automated separation using Eichrom Pb resin, and Pb was eluted using 8 M HCl or 1 M NHOAc. Tl was diverted to a vial for recovery in an electrolytic cell. Pb product radionuclidic purity was assessed by HPGe gamma spectroscopy, while elemental purity was assessed by ICP-OES. Radiolabeling and stability studies were performed with PSC, TCMC, and DOTA chelators, and Pb incorporation was verified by radio-TLC analysis.
Cyclotron irradiations performed at 60 μA proton beam current and 23.3 MeV (Tl incident energy) had a Pb saturated yield of 4658 ± 62 MBq/μA (n = 3). Automated NEPTIS separation took <4 h from the start of target dissolution to product elution, yielding >85 % decay-corrected [Pb]PbCl with a radionuclidic purity of >99.9 %. Purified [Pb]PbCl yields of up to 12 GBq Pb were attained (15.8 GBq at EOB). The [Pb]PbCl and [Pb]Pb(OAc) products contained no detectable radionuclidic impurities besides Pb (<0.1 %), and <0.4 ppm stable Pb. Tl metal was recovered with a 92 % batch yield. Aliquots of 100 μL [Pb]Pb(OAc) were used for radiolabeling PSC-Bn-NCS, TCMC-NCS, and DOTA-NCS chelators at pH 4.5 and 22 °C for 30 min, with maximum respective molar activities of 461 ± 30 GBq/μmol, 195 ± 37 GBq/μmol, and 83 ± 12 GBq/μmol. PSC, TCMC, and DOTA chelators exhibited >99.9 % incorporation after a 120-hour incubation in human serum at 37 °C.
Nuclear medicine centers with access to higher energy cyclotrons can produce large Pb activities sufficient for clinical applications, with a convenient separation technique producing highly pure [Pb]PbCl or [Pb]Pb(OAc) for direct radiolabeling. This represents an attractive route to produce Pb for diagnostic SPECT imaging alongside Pb targeted alpha particle therapy.
Our high-yield Pb production technique significantly enhances Pb production capabilities to meet the growing preclinical and clinical demand for Pb radiopharmaceuticals alongside Pb target alpha particle therapy.
Pb(t=51.9h,279keV(81%))是一种诊断 SPECT 成像放射性核素,非常适合与用于靶向 alpha 粒子治疗的 Pb 结合的治疗应用。我们的目标是使用同位素富集的 Tl 靶材料开发一种高产率的固体靶 Pb 回旋加速器生产途径,并通过 Tl(p,3n)Pb 反应作为替代方案,以低于通过 Tl(p,n)Pb 反应产生的更低能量生产。
将 250mg Tl 金属(99.9%同位素富集)用硬化不锈钢模具压制。用中央凹陷和环形槽加工铝靶盘。将扁平的 Tl 小球放入 Al 圆盘的中央凹陷处,并在围绕小球的加工环中放置一圈铟丝。然后将铝箔盖压在靶盘上以形成密封的结合。在电流高达 60μA 的 TR-24 回旋加速器上,用 23.3MeV 的能量辐照靶,最长 516min,通过 Tl(p,3n)Pb 核反应产生 Pb。冷却时间超过 12h 后,取出靶并将 Tl 溶解在 4M HNO3 中。NEPTIS Mosaic-LC 合成单元使用 Eichrom Pb 树脂进行自动分离,并用 8M HCl 或 1M NHOAc 洗脱 Pb。将 Tl 转移到一个小瓶中,以便在电解槽中回收。通过 HPGe 伽马光谱评估 Pb 产品的放射性核纯度,通过 ICP-OES 评估元素纯度。用 PSC、TCMC 和 DOTA 螯合剂进行放射性标记和稳定性研究,并通过放射性 TLC 分析验证 Pb 的掺入。
在 60μA 质子束电流和 23.3MeV(Tl 入射能)下进行的回旋加速器辐照,Pb 饱和产率为 4658±62MBq/μA(n=3)。从靶溶解开始到产品洗脱,自动化的 NEPTIS 分离用时不到 4h,放射性校正后的[Pb]PbCl 产率>85%,放射性核纯度>99.9%。达到了高达 12GBq Pb 的纯化[Pb]PbCl 产率(EOB 时为 15.8GBq)。[Pb]PbCl 和[Pb]Pb(OAc)产品除 Pb(<0.1%)外,不含可检测的放射性杂质,稳定 Pb<0.4ppm。用 92%的批次产率回收了 Tl 金属。在 pH4.5 和 22°C 下,将 100μL [Pb]Pb(OAc)等分试样用于放射性标记 PSC-Bn-NCS、TCMC-NCS 和 DOTA-NCS 螯合剂 30min,最大摩尔活度分别为 461±30GBq/μmol、195±37GBq/μmol 和 83±12GBq/μmol。在 37°C 下,PSC、TCMC 和 DOTA 螯合剂在 120 小时孵育后,>99.9%掺入。
有条件获得更高能量回旋加速器的核医学中心可以生产出足够用于临床应用的大 Pb 活度,通过方便的分离技术可生产出高纯度的[Pb]PbCl 或[Pb]Pb(OAc),可直接用于放射性标记。这代表了一种有吸引力的方法,可以生产用于诊断 SPECT 成像的 Pb,以及与 Pb 靶向 alpha 粒子治疗相结合。
我们的高产量 Pb 生产技术显著提高了 Pb 生产能力,以满足日益增长的 Pb 放射性药物的临床和临床前需求,同时与 Pb 靶向 alpha 粒子治疗相结合。