Inhomogeneous activity distribution of 177Lu-DOTA0-Tyr3-octreotate and effects on somatostatin receptor expression in human carcinoid GOT1 tumors in nude mice
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  • 作者:Jenny Oddstig (1)
    Peter Bernhardt (1)
    Helena Lizana (1)
    Ola Nilsson (2)
    H?kan Ahlman (3)
    Lars K?lby (3)
    Eva Forssell-Aronsson (1)
  • 关键词:Radionuclide therapy ; Somatostatin receptors ; [177Lu ; DOTA0 ; Tyr3] ; octreotate ; Midgut carcinoid ; Dosimetry
  • 刊名:Tumor Biology
  • 出版年:2012
  • 出版时间:February 2012
  • 年:2012
  • 卷:33
  • 期:1
  • 页码:229-239
  • 全文大小:433KB
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  • 作者单位:Jenny Oddstig (1)
    Peter Bernhardt (1)
    Helena Lizana (1)
    Ola Nilsson (2)
    H?kan Ahlman (3)
    Lars K?lby (3)
    Eva Forssell-Aronsson (1)

    1. Department of Radiation Physics, Lundberg Laboratory for Cancer Research, University of Gothenburg, Sahlgrenska University Hospital, 413 45, Gothenburg, Sweden
    2. Department of Pathology, Lundberg Laboratory for Cancer Research, University of Gothenburg, Sahlgrenska University Hospital, 413 45, Gothenburg, Sweden
    3. Department of Surgery, Lundberg Laboratory for Cancer Research, University of Gothenburg, Sahlgrenska University Hospital, 413 45, Gothenburg, Sweden
  • ISSN:1423-0380
文摘
The aim of this study was to investigate the activity distribution in neouroendocrine tumors after diagnostic, or therapeutic, amounts of [177Lu-DOTA0-Tyr3]-octreotate and to investigate how the activity distribution influences the absorbed dose. Furthermore, the activity distribution of a second administration of radiolabeled octreotate was studied. Nude mice with subcutaneously grown human midgut carcinoid (GOT1) were injected intravenously with different amounts of 177Lu-octreotate. At different time points thereafter (4?h to 13?days), a second injection of [111In-DOTA0-Tyr3]-octreotate was given to estimate the somatostatin receptor (sstr) expression. The activity distribution in the tumors was then determined. Monte Carlo simulations with PENELOPE were performed for dosimetry. Fifty-one out of 58 investigated tumors showed a lower activity concentration in the peripheral part than in the central part of the tumor. The amount of activity injected, or time after administration, did neither influence the relative activity nor the sstr distribution in the tumor. After an initial down-regulation (at 4-4?h), there was an up-regulation of sstr (1.5- times, at 7-4?days). Monte Carlo simulations demonstrated an inhomogeneous absorbed dose distribution in the tumor using 177Lu, with twice as high absorbed dose centrally than peripherally. The high activity concentration centrally and the up-regulation of sstr demonstrated will facilitate fractionated therapy using radiolabeled somatostatin analogues if similar results will be obtained also in patients. The inhomogeneous activity distribution in the tumor has to be taken into account when the absorbed dose distribution in tumor is calculated.

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