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Barium-131 as starting point for the development of radiotheranostic approaches
Abstract:

We understand 131Ba as a radionuclide, which enables imaging by SPECT in nuclear medicine and provides a diagnostic match for the therapeutic alpha-emitting radionuclides 223Ra and 224Ra. Recently, we reported on a sufficient production route for 131Ba by irradiating a 133Cs target with 27.5 MeV proton beams, and the straight-forward resin-based radiochemical separation, yielding 131Ba with high radionuclide purity. An average amount of 190 MBq of 131Ba was produced per irradiation. Apart from 0.1% isotopic impurity of 133Ba, no more side-products were detectable. For the first time, radiolabeling of the complexing agent macropa (known to be an appropriate 225Ac chelator) with 131Ba was reported and mild labeling conditions as well as reaction control using TLC systems were applicable. The radiopharmacological characterization of 131Ba-labeled macropa was carried out in healthy mice using uncomplexed [131Ba]Ba2+ as a reference, including biodistribution studies and small animal SPECT/CT. The results revealed the rapid bone uptake of free [131Ba]Ba2+ ions, whereas 131Ba-labeled macropa showed a fast renal clearance and significantly lower (P < 0.001) accumulation in the bones. We therefore conclude, that 131Ba is a promising “new” radionuclide for SPECT imaging purposes and delivers appropriate quality for preclinical investigations. Moreover, the successful labeling of macropa and the in vivo stability of the 131Ba-complex are viewed as a promising starting point for the development of new heavy earth alkaline metal chelators, especially for the therapeutically relevant radium isotopes. This enables 131Ba to achieve its goal as diagnostic match and monitoring tool for 223/224Ra.

Keywords: barium-131, dedicated small animal SPECT/CT, macropa, targeted alpha therapy, theranostics
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