Lead-212 Radiopharmaceuticals for Receptor-Targeted Radionuclide Therapy

Receptor-targeted radionuclide therapy (RTRT) combines the power of particle-emitting radionuclides with the receptor-targeting capabilities of biomolecules, including antibodies and peptides. There are numerous radionuclides, but only a handful possess the necessary characteristics for targeted alp...

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Main Authors: Solmaz Mojarad-Jabali, Sajjad Molavipordanjani
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2025-01-01
Series:Journal of Mazandaran University of Medical Sciences
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Online Access:http://jmums.mazums.ac.ir/article-1-21231-en.pdf
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author Solmaz Mojarad-Jabali
Sajjad Molavipordanjani
author_facet Solmaz Mojarad-Jabali
Sajjad Molavipordanjani
author_sort Solmaz Mojarad-Jabali
collection DOAJ
description Receptor-targeted radionuclide therapy (RTRT) combines the power of particle-emitting radionuclides with the receptor-targeting capabilities of biomolecules, including antibodies and peptides. There are numerous radionuclides, but only a handful possess the necessary characteristics for targeted alpha therapy (TAT). Among them are actinium-225 (²²⁵Ac), bismuth-213 (²¹³Bi), radium-224 (²²⁴Ra), lead-212 (²¹²Pb), thorium-227 (²²⁷Th), astatine-211 (²¹¹At), and terbium-149 (¹⁴⁹Tb). Lead-212 (²¹²Pb) is a radionuclide that release both alpha and beta particles during its decay. The distinctive properties of ²¹²Pb, such as its relatively short half-life (10.64 hours), the commercial availability of ²²⁴Ra/²¹²Pb generators, in vivo generation of alpha particles through ²¹²Bi at its target site, simple conjugating process, and strong binding to chelators such as DOTA and TCMC make this radionuclide particularly promising for targeted alpha therapy. TAT with ²¹²Pb has demonstrated significant therapeutic effectiveness in both in vitro and in vivo models. To date, numerous biological molecules, including antibodies and peptides, have been labeled with ²¹²Pb in preclinical studies to evaluate their therapeutic efficacy and receptor-targeting potential. These studies have focused on receptors such as the epidermal growth factor receptor (EGFR) family, somatostatin receptor 2 (SSTR2), melanocortin 1 receptor (MC1R), prostate-specific membrane antigen (PSMA), CD37, CD38, CD46, vascular cell adhesion molecule 1 (VCAM-1), and chondroitin sulfate proteoglycan 4 (CSPG4). This review will first examine the physical properties of ²¹²Pb, followed by an analysis of its chemical characteristics, particularly its interactions with DOTA and TCMC. Finally, it will explore preclinical studies on ²¹²Pb-radiolabeled molecules and assess the clinical applications of radiotracers developed for receptor-targeted radionuclide therapy.
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spelling doaj-art-66ea2b28da414ce7a754b969047198a22025-08-20T03:11:48ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792025-01-0134241133148Lead-212 Radiopharmaceuticals for Receptor-Targeted Radionuclide TherapySolmaz Mojarad-Jabali0Sajjad Molavipordanjani1 Assistant Professor, Pharmaceutical Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran Assistant Professor, Pharmaceutical Sciences Research Center, Mazandaran University of Medical Sciences, Sari, Iran Receptor-targeted radionuclide therapy (RTRT) combines the power of particle-emitting radionuclides with the receptor-targeting capabilities of biomolecules, including antibodies and peptides. There are numerous radionuclides, but only a handful possess the necessary characteristics for targeted alpha therapy (TAT). Among them are actinium-225 (²²⁵Ac), bismuth-213 (²¹³Bi), radium-224 (²²⁴Ra), lead-212 (²¹²Pb), thorium-227 (²²⁷Th), astatine-211 (²¹¹At), and terbium-149 (¹⁴⁹Tb). Lead-212 (²¹²Pb) is a radionuclide that release both alpha and beta particles during its decay. The distinctive properties of ²¹²Pb, such as its relatively short half-life (10.64 hours), the commercial availability of ²²⁴Ra/²¹²Pb generators, in vivo generation of alpha particles through ²¹²Bi at its target site, simple conjugating process, and strong binding to chelators such as DOTA and TCMC make this radionuclide particularly promising for targeted alpha therapy. TAT with ²¹²Pb has demonstrated significant therapeutic effectiveness in both in vitro and in vivo models. To date, numerous biological molecules, including antibodies and peptides, have been labeled with ²¹²Pb in preclinical studies to evaluate their therapeutic efficacy and receptor-targeting potential. These studies have focused on receptors such as the epidermal growth factor receptor (EGFR) family, somatostatin receptor 2 (SSTR2), melanocortin 1 receptor (MC1R), prostate-specific membrane antigen (PSMA), CD37, CD38, CD46, vascular cell adhesion molecule 1 (VCAM-1), and chondroitin sulfate proteoglycan 4 (CSPG4). This review will first examine the physical properties of ²¹²Pb, followed by an analysis of its chemical characteristics, particularly its interactions with DOTA and TCMC. Finally, it will explore preclinical studies on ²¹²Pb-radiolabeled molecules and assess the clinical applications of radiotracers developed for receptor-targeted radionuclide therapy.http://jmums.mazums.ac.ir/article-1-21231-en.pdfrtrttatradionuclide212pbradiotracersradionuclide therapy
spellingShingle Solmaz Mojarad-Jabali
Sajjad Molavipordanjani
Lead-212 Radiopharmaceuticals for Receptor-Targeted Radionuclide Therapy
Journal of Mazandaran University of Medical Sciences
rtrt
tat
radionuclide
212pb
radiotracers
radionuclide therapy
title Lead-212 Radiopharmaceuticals for Receptor-Targeted Radionuclide Therapy
title_full Lead-212 Radiopharmaceuticals for Receptor-Targeted Radionuclide Therapy
title_fullStr Lead-212 Radiopharmaceuticals for Receptor-Targeted Radionuclide Therapy
title_full_unstemmed Lead-212 Radiopharmaceuticals for Receptor-Targeted Radionuclide Therapy
title_short Lead-212 Radiopharmaceuticals for Receptor-Targeted Radionuclide Therapy
title_sort lead 212 radiopharmaceuticals for receptor targeted radionuclide therapy
topic rtrt
tat
radionuclide
212pb
radiotracers
radionuclide therapy
url http://jmums.mazums.ac.ir/article-1-21231-en.pdf
work_keys_str_mv AT solmazmojaradjabali lead212radiopharmaceuticalsforreceptortargetedradionuclidetherapy
AT sajjadmolavipordanjani lead212radiopharmaceuticalsforreceptortargetedradionuclidetherapy