Vol.:(0123456789) 1 3
Journal of Radioanalytical and Nuclear Chemistry
https://doi.org/10.1007/s10967-019-06816-y
Appraisement of
186/188
Re‑HEDP, a new compositional
radiopharmaceutical
Zahra Pourhabib
1
· Hassan Ranjbar
2
· Ali Bahrami Samani
2
· Ali Asghar Shokri
1
Received: 24 June 2019
© Akadémiai Kiadó, Budapest, Hungary 2019
Abstract
Undoubtedly radionuclide therapy is the next phase of nuclear medicine development.
188
Re-HEDP and
186
Re-HEDP are
therapeutic radiopharmaceuticals which have been used to treat bone metastases. With regard to their complementary features,
in this study, as new idea their combined efects have been investigated with preparing the cocktail of
188/186
Re-HEDP with
radiochemical purity nearly 99%. The
188/186
Re-HEDP biodistribution was checked in rats’ tissues up to 72 h. The produced
188/186
Re-HEDP properties suggest a new bone palliative radiopharmaceutical to overcome bone metastases.
Keywords
186/188
Re-HEDP · Combined radionuclide therapy · Pain palliation · Biodistribution
Introduction
For more than half a century, radiopharmaceuticals have
been used in diagnostics and therapeutics [1]. Radiophar-
maceuticals are pharmaceutical formulations comprising of
two components (radioisotopes and molecules labeled with
radioisotopes), which are used for the diagnostic and thera-
peutic applications of various human diseases [2].
Briefy, short-lived radionuclides emitting β
+
particles
(positrons) or γ-rays are employed in diagnosis, whereas in
the therapeutic applications particle-emitting radionuclides
are utilized. Three general groups of radioisotopes decays
have been evaluated for therapeutic potential: alpha-particle
emitters, β
−
particle emitters, and Auger electron and Coster-
Kronig electron emitters following electron capture [3, 4].
In general, two main categories must be considered in
the therapeutic radionuclide, frst group namely physical
properties include: physical half-life, emission type, radia-
tion energy(s), daughter product(s), production method and
radionuclide purity and the second one biochemical char-
acteristics include: targeting the tissues, retaining tumor
radioactivity, in vivo stability and toxicity [5].
Beta emitting (β
−
) radionuclides with spread tissue pen-
etration range and energy have wide therapeutic applications
and can be used in treating diferent sized tumors. The depo-
sition of their energy in the tissues results in cell damage.
The selection of an optimal radionuclide for treat diferent
sized tumors depends on features like energy and penetra-
tion range.
Alpha-emitters and low beta-energy emitters like
186
Re,
177
Lu with low range of radiation are useful in case of direct
targeting of tumor cells and small metastases. On the other
hand, radionuclides like
90
Y and
166
Ho and
188
Re which
have higher β
−
energies have great tissue penetrations up to
multi-millimeter from the source. In bone pain palliation,
conjugating bisphosphonates which prefer to uptake at the
bone cells, the high energy beta emitters with high crossfre
and higher dose to the tumor cells can be more helpful [6].
In radionuclides with short half-lives, the rate of decay is
higher and radiation dose delivers to target at once. About
radionuclides with long half-lives the tumor is exposed to
prolonged radiation dose and as a result postpone the return
of the disease [7, 8]. Applying mixed radionuclides with
these complementary features can greatly increase efective-
ness of treatment.
Among radionuclides, rhenium with two medical radio-
nuclides
186
Re (T
1/2
: 90 h; E
β
: 1.07, 0.93 MeV, E
γ
: 137 keV)
and
188
Re (T
1/2
: 17 h; E
β
: 2.1 MeV, E
γ
: 155 keV) [9] with
diferent and complementary characteristics such as physical
half-life and beta energy can be good choice. Especially in
bone metastases treatments which there are the widespread
* Hassan Ranjbar
hranjbar@aeoi.org.ir
1
Department of Physics, Payame Noor University (PNU),
P.O. Box 19395-4697, Tehran, Iran
2
Material and Nuclear Fuel Research School, Nuclear Science
and Technology Research Institute, Tehran, Iran