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Table 1 Summary of studies conducted with radium radioisotopes bound in nanocarriers

From: The Curies’ element: state of the art and perspectives on the use of radium in nuclear medicine

Nanocarrier

Incorporated radionuclide

Surface functionalization

Targeting vector

Radiochemical incorporation[a]

Stability[b]

In vitro and in vivo results

References

Barium sulphate (BaSO4) functionalized nanoparticles

133Ba [c]

Alendronate

20%

(single-step precipitation)

 > 95% at 7 d in water

Not explored

Reissig et al. (2019)

224Ra

131Ba [d]

Alendronate

40%

(two-step precipitation)

93% at 7 d in water

Not explored

Reissig et al. (2020b)

133Ba

41%

(two-step precipitation)

224Ra

31%

(two-step precipitation)

96% (82% if measuring 212Pb) at 7 d in water

Barium hexaferrite (BaFe12O19) functionalized nanoparticles

223Ra

3-phosphonopropionic acid (CEPA)

Trastuzumab

70% (autoclave method)

Almost quantitative in 0.01 M phosphate buffered saline (PBS), 0.9% NaCl, and human blood serum (20% release of 211Pb)

High affinity to human epidermal growth factor receptor 2 (HER2) on ovarian cancer cells

High cytotoxicity

Gaweda (2019)

Titanium dioxide (TiO2) nanoparticles

223Ra

98.7% (surface sorption)

99.1% (single-step precipitation)

 > 99% at 59 h and 55 d in saline;

 > 97.5% at 59 h and > 97% at 55 d in bovine blood serum

Not explored

Suchánková et al. (2020a)

Hydroxyapatite (Ca10(PO4)6(OH)2) nanoparticles

223Ra

94.2% (surface sorption)

97.0% (single-step precipitation)

 ~ 40% at 59 h and ~ 80% at 55 d in saline;

 ~ 78% at 59 h and > 80% at 55 d in bovine blood serum

Not explored

Suchánková et al. (2020a)

Lanthanum phosphate (LaPO4) nanoparticles

223Ra

91% (precipitation)

87.3% at 35 d in a dialysis membrane against water

Not explored

Rojas et al. (2015)

Two shells of LaPO4

80% (precipitation and surface deposition)

 > 99.9% at 27 d in a dialysis membrane against water

α-zirconium phosphate nanoparticles

223Ra

98.5% (surface sorption)

 < 1.5% in saline; 14% in bovine plasma at 48 h

Not explored

Sakmár et al. (2023)

NaA nanozeolites

224Ra

 > 99.9% (ion exchange)

 > 99.5% at 24 h in saline, PBS, EDTA, L-cysteine, and human blood serum

Not explored

Piotrowska et al. (2013)

Functionalized NaA nanozeolites

223Ra

Silane-poly(ethyleneglycol) (PEG)

Substance P (SP) (5–11)

 > 99.9% (ion exchange)

 > 99.5% at 6 d in human serum at 37 °C (~ 5% release of 211Pb and 211Bi)

High affinity (IC50 = 14.3 μg·mL−1) to neurokinin 1 (NK-1) receptor on human glioma T98G cells [e]

High cytotoxicity

Piotrowska et al. (2017)

Functionalized NaA nanozeolites

223Ra

Silane-PEG

D2B

(~ 50 antibodies/ nanoparticle)

99.8%, specific activity 0.65 MBq/mg (ion exchange)

 > 95% at 12 d in human serum at 37 °C

Specific binding to PSMA + human lymph node prostate carcinoma LNCaP C4-2 cells [f]

High cytotoxicity

Significant accumulation in the spleen, liver, bone, lungs, but not in the tumor, at 7 d in LNCaP C4-2 tumor-bearing BALB/c nude male mice

Czerwińska et al. (2020), Lankoff et al. (2021)

Sterically stabilized PEG-liposomes [g]

223Ra

Dual: human F(ab’)2-folate

78% (ionophore-mediated loading)

93% at 100 h in human serum at 37 °C

High affinity (Ka ~ 109–1012) to folate receptor (FR) on human ovarian carcinoma OvCar-3 (ATTC HTB-161) cells

Henriksen et al. (2004)

Pegylated liposomal doxorubicin (PLD)

223Ra

51–67% (ionophore-mediated loading)

No release at 7 d in fetal calf serum at 37 °C

Significant accumulation in the spleen, skull, and femur at 14 d in healthy white BALB/c mice

Jonasdottir et al. (2006)

  1. [a]Expressed as percentage of the initially added activity. The method for radionuclide incorporation and/or nanocarrier preparation is reported in brackets
  2. [b]Expressed as percentage of the activity retained in the nanocarrier, unless otherwise stated. The specified time point is calculated from the nanocarrier preparation
  3. [c]Barium-133 (133Ba, t1/2 = 10.6 y) decays through electron capture to stable caesium-133 (IAEA)
  4. [d]Barium-131 (131Ba, t1/2 = 11.5 d - vide infra) (IAEA)
  5. [e]Affinity studies were conducted with BaA-silane-PEG-SP(5-11) in competition assays with the iodine-131 (131I)-labelled 131I-Tyr8-SP
  6. [f]Binding specificity studies were conducted with 131I-D2B-PEG-silane-NaA in competition assays with D2B
  7. [g]Composition: 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC)/cholesterol 2:1 and 5 mol% of N-{ω-[4-(p-maleimidophenyl)butanoyl]amino} poly(ethylene glycol)2000 1,2-distearoyl-sn-glycero-3-phosphoethanolamine, sodium salt (DSPE-PEG2000-MPB)