Second-Generation Gadolinium-Bismuth Ultrasmall Nanoparticles Amplify the Effects of Clinical Radiation Therapy and Provide Clinical Magnetic Resonance Imaging Contrast

  • 0Department of Physics and Applied Physics, University of Massachusetts Lowell, Lowell, Massachusetts; Department of Radiation Oncology, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Summary

This summary is machine-generated.

The new AGuIX-Bi nanoparticles, containing bismuth, significantly improved non-small cell lung cancer treatment by delaying tumor growth more effectively than AGuIX nanoparticles. This enhanced efficacy was achieved without compromising magnetic resonance imaging contrast.

Area Of Science

  • Nanomedicine
  • Radiopharmaceuticals
  • Oncology

Background

  • AGuIX nanoparticles (gadolinium-chelated polysiloxane) are evaluated for radiation therapy (RT).
  • A novel AGuIX-Bi generation replaces 70% of gadolinium with bismuth for enhanced dose amplification.
  • This modification aims to improve therapeutic efficacy while maintaining MRI contrast.

Purpose Of The Study

  • To investigate the therapeutic efficacy of AGuIX-Bi nanoparticles in non-small cell lung cancer (NSCLC) models.
  • To evaluate AGuIX-Bi performance under clinical megavoltage RT and 3T MRI conditions.
  • To compare the efficacy of AGuIX-Bi with AGuIX and saline controls.

Main Methods

  • Two NSCLC models (murine LLC and human A549) were used in mice.
  • Animals received saline, AGuIX, or AGuIX-Bi injections 24 hours before 10 Gy RT.
  • Tumor growth was monitored via time-to-tumor doubling; MRI phantom and in vivo imaging were performed.

Main Results

  • AGuIX-Bi + RT significantly reduced tumor growth compared to saline + RT and AGuIX + RT (P < .05).
  • Median time-to-tumor doubling increased by 160% for A549 and 60% for LLC models with AGuIX-Bi + RT.
  • AGuIX-Bi demonstrated longitudinal relaxivity (r1) of 8.4/mM/s, comparable to AGuIX (6.9/mM/s), with adequate MRI contrast.

Conclusions

  • AGuIX-Bi nanoparticles are more effective than AGuIX in delaying tumor growth in NSCLC models.
  • Bismuth incorporation enhances AGuIX efficacy under clinical RT energies without compromising MRI performance.
  • AGuIX-Bi shows promise as an improved radiopharmaceutical agent for NSCLC treatment.