Abstract
Purpose.
To evaluate the feasibility of regional radiochemotherapy of mammary tumors using in situ hydrogel loaded with cisplatin (CDDP) and rhenium-188 (188Re).
Methods.
Sodium alginate (SA) and calcium chloride were used to create a hydrogel for delivery of CDDP and 188Re. In vitro studies were performed to evaluate cytotoxic effects of 188Re-hydrogel and sustained-release ability of the CDDP-hydrogel. Tumor-bearing rats were injected with 188Re-hydrogel (0.5–1 mCi/rat), 188Re-perrhenate (0.5–1 mCi/rat, intratumoral, I.T.), CDDP-hydrogel (3 mg/kg), and 188Re-hydrogel loaded with CDDP (3 mg/kg body weight, 0.5–1 mCi/rat), respectively, and groups receiving 188Re were imaged at 24 and 48 h postinjection. Tumor volume, body weight, imaging, and kidney function were assessed as required for each group.
Results.
Successful formation of the hydrogel was demonstrated by cytotoxic effects of 188Re-hydrogel and slow release of CDDP-hydrogel in vitro. Tumor volume measurements showed significant delay in tumor growth in treated vs. control groups with minimal variation in normal kidney function for the CDDP-hydrogel group. Scintigraphic images indicated localization of 188Re-hydrogel in the tumor site up to 48 h postinjection.
Conclusions.
Our data demonstrate the feasibility of using hydrogel for delivery of chemotherapeutics and radiation locally. This technique may have applications involving other contrast modalities as well as treatment in cases where tumors are inoperable.
Similar content being viewed by others
Abbreviations
- CDDP:
-
cisplatin
- IRT:
-
internal radiation therapy
- SA:
-
sodium alginate
- XRT:
-
radiation therapy
References
1. B. Marples, O. Greco, M. C. Joiner, and S. D. Scott. Molecular approaches to chemo-radiotherapy. Eur. J. Cancer 38:231–239 (2002).
2. R. Nath. New directions in radionuclide sources for brachytherapy. Semin. Radiat. Oncol. 3:278–289 (1993).
3. C. Mathew, M. A. Majali, and S. A. Balakrishnan. A novel approach for the adsorption of iodine-125 on silver wire as matrix for brachytherapy source for the treatment of eye and prostate cancer. Appl. Radiat. Isot. 57:359–367 (2002).
4. G. L. Denardo, S. J. Kennel, J. A. Siegel, and S. J. Denardo. Radiometals as payloads for radioimmunotherapy for lymphoma. Clin. Lymphoma 5(Suppl 1):S5–S10 (2004).
5. A. O. Schaffland, F. Buchegger, M. Kosinski, C. Antonescu, C. Paschoud, C. Grannavel, R. Pellikka, and A. B. Delaloye. 131I-Rituximab: relationship between immunoreactivity and specific activity. J. Nucl. Med. 45:1784–1790 (2004).
6. Y. Li, Z. Tian, S. M. Rizvi, N. H. Bander, and B. J. Allen. In vitro and preclinical targeted alpha therapy of human prostate cancer with Bi-213 labeled J591 antibody against the prostate specific membrane antigen. Prostate Cancer Prostatic Dis. 5:36–46 (2002).
7. Z. Yao, M. Zhang, K. Garmestani, D. B. Axworthy, R. W. Mallett, A. R. Fritzberg, L. J. Theodore, P. S. Plascjak, W. C. Eckelman, T. A. Waldmann, I. Pastan, C. H. Paik, M. W. Brechbiel, and J. A. Carrasquillo. Pretargeted alpha emitting radioimmunotherapy using (213)Bi 1,4,7,10-tetraazacyclododecane-N,N′,N″,N″′-tetraacetic acid-biotin. Clin. Cancer Res. 10:3137–3146 (2004).
8. S. Kinuya, K. Yokoyama, M. Izumo, T. Sorita, T. Obata, H. Mori, K. Shiba, N. Watanabe, N. Shuke, T. Michigishi, and N. Tonami. Feasibility of 186Re-radioimmunotherapy for treatment in an adjuvant setting of colon cancer. J. Cancer Res. Clin. Oncol. 129:392–396 (2003).
9. S. J. DeNardo, L. E. Williams, B. R. Leigh, and R. L. Wahl. Choosing an optimal radioimmunotherapy dose for clinical response. Cancer 94:1275–1286 (2002).
10. D. Fisher, D. Rajon, H. Breitz, M. Goris, W. Bolch, and S. Knox. Dosimetry model for radioactivity localized to intestinal mucosa. Cancer Biother. Radiopharm. 19:293–307 (2004).
11. G. A. Wiseman, B. R. Leigh, W. D. Erwin, R. B. Sparks, D. A. Podoloff, R. J. Schilder, N. L. Bartlett, S. M. Spies, A. J. Grillo-Lopez, T. E. Witzig, and C. A. White. Radiation dosimetry results from a Phase II trial of ibritumomab tiuxetan (Zevalin) radioimmunotherapy for patients with non-Hodgkin’s lymphoma and mild thrombocytopenia. Cancer Biother. Radiopharm. 18:165–178 (2003).
12. I. Novak-Hoferand P. A. Schubiger. Copper-67 as a therapeutic nuclide for radioimmunotherapy. Eur. J. Nucl. Med. Mol. Imaging 29:821–830 (2002).
13. A. B. Delaloye, B. Delaloye, F. Buchegger, C. A. Vogel, M. Gillet, J. P. Mach, A. Smith, and P. A. Schubiger. Comparison of copper-67- and iodine-125-labeled anti-CEA monoclonal antibody biodistribution in patients with colorectal tumors. J. Nucl. Med. 38:847–853 (1997).
14. S. C. Srivastava, H. L. Atkins, G. T. Krishnamurthy, I. Zanzi, E. B. Silberstein, G. Meinken, L. F. Mausner, F. Swailem, T. D’Alessandro, C. J. Cabahug, Y. Lau, T. Park, and S. Madajewicz. Treatment of metastatic bone pain with tin-117m Stannic diethylenetriaminepentaacetic acid: a phase I/II clinical study. Clin. Cancer Res. 4:61–68 (1998).
15. J. E. Bugaj, J. L. Erion, M. A. Johnson, M. A. Schmidt, and A. Srinivasan. Radiotherapeutic efficacy of (153)Sm-CMDTPA-Tyr(3)-octreotate in tumor-bearing rats. Nucl. Med. Biol. 28:327–334 (2001).
16. D. J. Kwekkeboom, W. H. Bakker, P. P. Kooij, M. W. Konijnenberg, A. Srinivasan, J. L. Erion, M. A. Schmidt, J. L. Bugaj, M. de Jong, and E. P. Krenning. [177Lu-DOTAOTyr3]octreotate: comparison with [111In-DTPAo]octreotide in patients. Eur. J. Nucl. Med. 28:1319–1325 (2001).
17. N. Iznaga-Escobar, I. L. Ramirez, J. C. Izquierdo, L. Suarez, D. Morales, and R. Perez-Rodriguez. 188Re-labeled anti-epidermal growth factor receptor humanized monoclonal antibody h-R3: labeling conditions, in vitro and in vivo stability. Methods Find. Exp. Clin. Pharmacol. 25:703–711 (2003).
18. T. Y. Luo, B. T. Hsieh, S. J. Wang, W. Y. Lin, T. W. Lee, L. H. Shen, and M. J. Su. Preparation and biodistribution of rhenium-188 ECD/Lipiodol in rats following hepatic arterial injection. Nucl. Med. Biol. 31:671–677 (2004).
19. H. Zhang, M. Tian, S. Li, J. Liu, S. Tanada, and K. Endo. Rhenium-188-HEDP therapy for the palliation of pain due to osseous metastases in lung cancer patients. Cancer Biother. Radiopharm. 18:719–726 (2003).
20. S. N. Reske, D. Bunjes, I. Buchmann, U. Seitz, G. Glatting, B. Neumaier, J. Kotzerke, A. Buck, H. Martin, H. Dohner, and L. Bergmann. Targeted bone marrow irradiation in the conditioning of high-risk leukaemia prior to stem cell transplantation. Eur. J. Nucl. Med. 28:807–815 (2001).
21. M. Wohlfrom, J. Kotzerke, J. Kamenz, M. Eble, B. Hess, J. Wohrle, S. N. Reske, V. Hombach, H. Hanke, and M. Hoher. Endovascular irradiation with the liquid beta-emitter Rhenium-188 to reduce restenosis after experimental wall injury. Cardiovasc. Res. 49:169–176 (2001).
22. E. Dadachova, A. Nakouzi, R. A. Bryan, and A. Casadevall. Ionizing radiation delivered by specific antibody is therapeutic against a fungal infection. Proc. Natl. Acad. Sci. USA 100:10942–10947 (2003).
23. E. Dadachova, B. Bouzahzah, L. S. Zuckier, and R. G. Pestell. Rhenium-188 as an alternative to Iodine-131 for treatment of breast tumors expressing the sodium/iodide symporter (NIS). Nucl. Med. Biol. 29:13–18 (2002).
24. J. Scheffler, M. Derejko, T. Bandurski, and G. Romanowicz. Application of rhenium-188 HEDP in bone metastases therapy. Nucl. Med. Rev. Cent. East. Eur. 6:55–57 (2003).
25. L. Nobs, F. Buchegger, R. Gurny, and E. Allemann. Current methods for attaching targeting ligands to liposomes and nanoparticles. J. Pharm. Sci. 93:1980–1992 (2004).
26. T. Minko, S. S. Dharap, R. I. Pakunlu, and Y. Wang. Molecular targeting of drug delivery systems to cancer. Curr. Drug Targets 5:389–406 (2004).
27. R. Mehvar. Recent trends in the use of polysaccharides for improved delivery of therapeutic agents: pharmacokinetic and pharmacodynamic perspectives. Curr. Pharm. Biotechnol. 4:283–302 (2003).
28. Y. Luoand G. D. Prestwich. Cancer-targeted polymeric drugs. Curr. Cancer Drug Targets 2:209–226 (2002).
29. A. Colombo, J. Drzewiecki, A. Banning, E. Grube, K. Hauptmann, S. Silber, D. Dudek, S. Fort, F. Schiele, K. Zmudka, G. Guagliumi, and M. E. Russell. Randomized study to assess the effectiveness of slow- and moderate-release polymer-based paclitaxel-eluting stents for coronary artery lesions. Circulation 108:788–794 (2003).
30. M. Konishi, Y. Tabata, M. Kariya, A. Suzuki, M. Mandai, K. Nanbu, K. Takakura, and S. Fujii. In vivo anti-tumor effect through the controlled release of cisplatin from biodegradable gelatin hydrogel. J. Control. Rel. 92:301–313 (2003).
31. J. Blanchette, N. Kavimandan, and N. A. Peppas. Principles of transmucosal delivery of therapeutic agents. Biomed. Pharmacother. 58:142–151 (2004).
32. M. Ozeki, T. Ishii, Y. Hirano, and Y. Tabata. Controlled release of hepatocyte growth factor from gelatin hydrogels based on hydrogel degradation. J. Drug Target. 9:461–471 (2001).
33. X. Qu and J. Weinberger. Deposition of (90)YPO(4) and (144)CePO(4) radioisotopes on polymer surfaces for radiation delivery devices. J. Biomed. Mater. Res. 63:98–105 (2002).
34. X. Qu and J. Weinberger. Encapsulation of isotope on novel beta-emitting poly(ethylene terephthalate) surfaces. J. Biomed. Mater. Res. 57:619–623 (2001).
35. H. H. Tonnesen and J. Karlsen. Alginate in drug delivery systems. Drug Dev. Ind. Pharm. 28:621–630 (2002).
36. K. Matsuoka, M. Watanabe, and F. Toriyama. In vitro analysis for cellular toxicity of polychlorinated biphenys (PCBs) on HeLa cellular proliferation (IV)--the effect of Kanpo preparations on cellular toxicity. Fukuoka Igaku Zasshi 88:207–210 (1997).
37. E. J. Kim, S. G. Sampathkumar, M. B. Jones, J. K. Rhee, G. Baskaran, S. Goon, and K. J. Yarema. Characterization of the metabolic flux and apoptotic effects of O-hydroxyl- and N-acyl-modified N-acetylmannosamine analogs in Jurkat cells. J. Biol. Chem. 279:18342–18352 (2004).
38. D. J. Yang, C. G. Kim, N. R. Schechter, A. Azhdarinia, D. F. Yu, C. S. Oh, J. L. Bryant, J. J. Won, E. E. Kim, and D. A. Podoloff. Imaging with 99mTc ECDG targeted at the multifunctional glucose transport system: feasibility study with rodents. Radiology 226:465–473 (2003).
39. K. H. Bouhadir, E. Alsberg, and D. J. Mooney. Hydrogels for combination delivery of antineoplastic agents. Biomaterials 22:2625–2633 (2001).
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Azhdarinia, A., Yang, D., Yu, DF. et al. Regional Radiochemotherapy Using In Situ Hydrogel. Pharm Res 22, 776–783 (2005). https://doi.org/10.1007/s11095-005-2594-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11095-005-2594-7