(177) Lu-5-Fluorouracil a potential theranostic radiopharmaceutical: radiosynthesis, quality control, biodistribution, and scintigraphy

J Labelled Comp Radiopharm. 2016 Aug;59(10):398-403. doi: 10.1002/jlcr.3423. Epub 2016 Jul 22.

Abstract

The aim of this study is to develop (177) Lu-5-Flourouracil as a potential cancer therapeutic radiopharmaceutical. 5-Flourouracil (5-FU) is widely accepted as an anticancer drug of broad spectrum fame. The labeling of 5-FU was carried out at different set of experimental conditions using high specific activity of (177) LuCl3 . The optimum conditions for maximum radiochemical yield was set: 5-FU (5 mg), (177) LuCl3 (185 MBq), diethylenetriaminepentaacetic acid (10 µg), reaction volume (2 mL), pH (5.5), temperature (80°C), and reaction time (20 min). The radiochemical labeling was assessed with Whatman No. 2 paper, instant thin layer chromatographic, and radio-HPLC, which revealed >94% labeling results with sufficient stability up to 6 h. Serum stability study also showed (177) Lu-5-FU promising stability. Biodistribution study in normal rats and rabbits showed liver, stomach, kidney, and heart as area of increased tracer accumulation just after injection, which decreased to 1.4%, 0.4%, 0.2%, and 0.39% ID/g, respectively, after 72 h. Glomerular filtration rate and cytotoxicity study results of (177) Lu-5-FU showed it had no adverse effect on renal function and nontoxic to blood cells. The promising characteristics of (177) Lu-5-FU, that is, clever elimination from kidney and nontoxic nature toward blood cells make it the radiopharmaceutical for further testing in patients for therapeutic purposes.

Keywords: 177Lu-5-Flourouracil; GFR analysis; anticancer drugs; nuclear medicine; radiopharmaceuticals; tumor imaging.

MeSH terms

  • Animals
  • Drug Stability
  • Fluorouracil / chemical synthesis*
  • Fluorouracil / chemistry
  • Fluorouracil / pharmacokinetics*
  • Fluorouracil / therapeutic use
  • Half-Life
  • Isotope Labeling
  • Lutetium / therapeutic use*
  • Male
  • Quality Control
  • Rabbits
  • Radiochemistry
  • Radioisotopes*
  • Radionuclide Imaging / methods*
  • Radiopharmaceuticals / chemical synthesis*
  • Radiopharmaceuticals / chemistry
  • Radiopharmaceuticals / pharmacokinetics*
  • Radiopharmaceuticals / therapeutic use
  • Rats
  • Rats, Sprague-Dawley
  • Tissue Distribution

Substances

  • Radioisotopes
  • Radiopharmaceuticals
  • Lutetium
  • Fluorouracil