About Open MedScience
About Open MedScience, we explore nuclear medicine, imaging innovations, AI diagnostics, radiotheranostics, cybersecurity, and radiation therapy advancements.
Targeted Radionuclide Therapy (TRT) is an innovative approach to cancer treatment that combines the precision of targeted therapies with the cytotoxic power of radiation. TRT employs radiopharmaceuticals, molecules that selectively bind to tumour cells and deliver radiation directly to the tumour, minimising damage to healthy tissue. As a result, TRT offers improved patient outcomes and fewer side effects compared to conventional cancer treatments. In this article, we will discuss the principles of TRT, its advantages, and potential future developments.
Principles of Targeted Radionuclide Therapy
TRT involves using a vector molecule, such as an antibody, peptide, or small molecule, which binds to specific cancer cell receptors or antigens. This vector molecule is conjugated to a radioactive isotope, such as Lutetium-177 (¹⁷⁷Lu), Yttrium-90 (⁹⁰Y), or Radium-223 (²²³Ra), creating a targeted radiopharmaceutical. Once administered, the radiopharmaceutical circulates throughout the body, binding specifically to cancer cells and delivering targeted radiation to the tumour.
The radiation emitted by the radioactive isotope causes localised ionisation events, resulting in DNA damage, generation of reactive oxygen species, and subsequent cell death. Therefore, the choice of the radioactive isotope depends on the specific properties required for effective treatment, such as the type and energy of radiation emitted, half-life, and chemical compatibility with the vector molecule.
Advantages of Targeted Radionuclide Therapy
There are several advantages of TRT over traditional cancer therapies, such as chemotherapy and external beam radiation therapy:
Future Developments and Conclusion
Research into TRT is rapidly expanding, with numerous clinical trials investigating its safety and efficacy in various cancer types. As our understanding of TRT improves, advancements in vector molecule design, isotope production, and dosimetry may further enhance this treatment modality’s therapeutic efficacy and safety profile.
Combining TRT with other cancer treatments, such as immunotherapy, targeted therapies, or chemotherapy, could lead to synergistic effects and improved patient outcomes. Additionally, the development of theranostic approaches, which combine diagnostic imaging and therapy in a single radiopharmaceutical, holds great potential for personalised medicine and treatment monitoring.
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About Open MedScience, we explore nuclear medicine, imaging innovations, AI diagnostics, radiotheranostics, cybersecurity, and radiation therapy advancements.
Yttrium-90 IsoPet provides localised cancer treatment by polymerising into a lattice, trapping radioactive microspheres within tumour tissues.
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Zevalin therapy combines monoclonal antibody targeting with Yttrium-90 radiation to treat non-Hodgkin’s lymphoma effectively.
Yttrium-90 DOTA-FF-21101 targets P-Cadherin in solid tumours, delivering beta radiation for precise cancer treatment.
Yttrium-90 labelled humanised anti-Tac is a monoclonal antibody designed for targeted radioimmunotherapy.
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Revolutionising cancer therapy, Lutetium-177 FAP-2286 offers precise diagnostics and targeted treatment, addressing solid tumours and fibrotic conditions effectively.
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Iodine-131 TM601, a synthetic radiolabelled peptide, targets tumour cells expressing Annexin A2, delivering therapeutic radiation and exhibiting anti-angiogenic properties effectively.
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Peptide Receptor Radionuclide Therapy offers a targeted approach to treating neuroendocrine tumours, improving survival rates and quality of life.
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Iodine-131 IMAZA innovatively binds to adrenal cortex enzymes, revolutionizing the treatment and imaging of adrenocortical carcinoma effectively.
Iodine-131 ICF01012, targeting melanin receptors, shows promise in the fight against metastasised melanomas, heralding a new era in treatment.
Iodine-131 chTNT, aiming to revolutionise oncology, shows promise in targeting and eradicating tumour cells with precision.
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Iodine-131 CAM-H2 heralds a new era in oncology, offering hope through precise targeting of HER2-expressing cancers with minimal side effects.
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Iodine-131 BA52, a melanin-binding therapeutic, offers new hope for patients with melanin-positive malignant melanomas.
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Targeting Blood Cancers: The Role of Iodine-131 Apamistamab in Revolutionising Treatment for AML and Beyond.
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Topics on PET imaging, automated radiosynthesis, breast cancer, prostate cancer therapy and ultrasound.
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