标记免疫分析与临床2024,Vol.31Issue(11) :2145-2152.DOI:10.11748/bjmy.issn.1006-1703.2024.11.032

211At标记的α核素靶向治疗

A Study of Targeting Alpha Therapy with 211At

陈环宇 邓银倩 张立 吴宇筠 兰晓莉 曹卫
标记免疫分析与临床2024,Vol.31Issue(11) :2145-2152.DOI:10.11748/bjmy.issn.1006-1703.2024.11.032

211At标记的α核素靶向治疗

A Study of Targeting Alpha Therapy with 211At

陈环宇 1邓银倩 1张立 1吴宇筠 1兰晓莉 1曹卫1
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作者信息

  • 1. 华中科技大学同济医学院附属协和医院核医学科/分子影像湖北省重点实验室/生物靶向治疗教育部重点实验室,湖北武汉 430022
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摘要

放射性核素靶向治疗在肿瘤治疗中潜力巨大,可向癌细胞提供高细胞毒性剂量的电离辐射且最大限度地减少对周围组织的损害.α核素相比β核素,射程更短、能量更聚焦,在破坏DNA双链彻底杀死细胞的同时具有较小的辐射问题.砹-211(Astatine-211,At)因其原材料廉价易得、低子核素脱靶毒性、短半衰期等优势,成为α核素靶向治疗中最有前景的α发射体之一.目前已开发出多种类型的载体将211At递送至靶细胞,包括单克隆抗体、小分子、多肽及纳米颗粒.本文综述了基于不同载体的211At标记靶向药物的临床及临床前研究现状及进展.

Abstract

Targeted radionuclide therapy holds significant potentials in cancer treatment by delivering high cytotoxic doses of ionizing radiation to cancer cells,while minimizing damage to surrounding tissues.Compared to β nuclides,α nuclides have a shorter range and more focused energy deposition.While effectively causing DNA double-strand breaks to kill cancer cells thoroughly,it also presents fewer radiation-related issues.Among α nuclides,Astatine-211(211 At)has emerged as one of the most promising candidates for targeted α-therapy due to its advantages such as low cost and availability of raw materials,low off-target toxicity of daughter radionuclides,and a short half-life.Various carriers,including monoclonal antibodies,small molecules,peptides,polypeptides,and nanoparticles,have been developed to deliver 211At into target cells.This paper reviews the current state and recent progress of clinical and pre-clinical studies on 211At-labeled targeted drugs based on different carriers.

关键词

α核素靶向治疗/放射性核素药物/211/At

Key words

Targeted alpha therapy/Radiopharmaceuticals/211 At

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出版年

2024
标记免疫分析与临床
中国同辐股份有限公司

标记免疫分析与临床

CSTPCD
影响因子:0.978
ISSN:1006-1703
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