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Drug Distribution: Tissue Binding01:21

Drug Distribution: Tissue Binding

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Upon entering the systemic circulation, drugs can distribute into the interstitial and intracellular fluid of various tissue cells. This distribution is facilitated by the binding of drugs to different cellular components within tissues, which may lead to drug accumulation in specific areas. Drugs bound to tissue components serve as reservoirs that release free drugs back into the system, prolonging the drug's overall action. However, this accumulation can also result in local toxicity.
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Harnessing the Bioorthogonal Inverse Electron Demand Diels-Alder Cycloaddition for Pretargeted PET Imaging
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[161Tb]Tb-BPAMD as a High-Affinity Agent for Skeletal Targeting: Radiochemical and Biodistribution Insights.

Magdalena Radović1, Pavle Sitarica1, Dragana Stanković1

  • 1"VINČA" Institute of Nuclear Sciences, National Institute of the Republic of Serbia, University of Belgrade, 11001 Belgrade, Serbia.

Pharmaceutics
|March 28, 2026
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Summary

The novel radiopharmaceutical [161Tb]Tb-BPAMD shows excellent bone targeting and stability for treating bone metastases. It offers improved selectivity over [177Lu]Lu-BPAMD, making it a promising theranostic agent.

Keywords:
BPAMDDFT[161Tb]Tb-bisphosphonatesbiodistributionbone-targetinghydroxyapatite binding

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Area of Science:

  • Nuclear medicine
  • Radiopharmaceutical chemistry
  • Oncology

Background:

  • Bisphosphonate-based radiopharmaceuticals target skeletal metastases.
  • Terbium-161 (161Tb) offers Auger and conversion electron emission for enhanced dose delivery.
  • BPAMD is a DOTA-conjugated bisphosphonate suitable for bone targeting.

Purpose of the Study:

  • To evaluate [161Tb]Tb-BPAMD as a bone-targeted radiopharmaceutical.
  • To assess its theranostic and radiophysical advantages.
  • To compare its performance with [177Lu]Lu-BPAMD.

Main Methods:

  • Radiolabeling of BPAMD with 161Tb and 177Lu.
  • Assessment of radiochemical purity, physicochemical properties, and in vitro stability.
  • Hydroxyapatite (HAP) binding and in vivo biodistribution studies in rats.
  • Computational density functional theory (DFT) analyses.

Main Results:

  • [161Tb]Tb-BPAMD achieved >98% radiochemical yield with excellent stability (>97% at 48h) and strong HAP affinity (>98%).
  • Biodistribution showed high bone uptake (8.06% ID/g at 2h) and rapid blood clearance (<0.001% ID/g at 24h).
  • [161Tb]Tb-BPAMD demonstrated superior biodistribution selectivity compared to [177Lu]Lu-BPAMD.

Conclusions:

  • [161Tb]Tb-BPAMD possesses excellent radiochemical and pharmacokinetic properties for bone targeting.
  • Its enhanced selectivity over [177Lu]Lu-BPAMD highlights its potential.
  • This agent is a promising theranostic candidate for bone metastasis therapy.