特异性前哨淋巴结显像剂99Tcm-rituximab药盒的制备及生物评价

Preparation and Evaluation of a Freeze-dried Kit of 99Tcm-rituximab for Sentinel Lymph Node Imaging

  • 摘要: 采用2-巯基乙醇修饰Rituximab(利妥昔单克隆抗体),制得其冻干药盒。所制得的冻干药盒性质稳定,可在-20 ℃冷冻保存3个月以上。利用99Tcm-葡庚糖酸钠(GH)交换法,标记冻干药盒得到99Tcm-rituximab,标记率和放化纯度均大于90%。生物分布结果显示:SD大鼠经前脚掌皮下注射99Tcm-rituximab后,前哨淋巴结的摄取值在1~4 h内逐渐增加,在4 h时达到(2.14±0.46)%ID,前哨淋巴结与注射点的放射性摄取比在4 h时达到最大(14.80%±2.11%),且在18 h时,这一比值基本保持不变。SPECT显像结果表明,在30 min~18 h内,大鼠的前哨淋巴结清晰可见,无次级淋巴结显影。本研究提供了一种特异性前哨淋巴结显像剂的药盒化制备方法,该方法操作简便,性能稳定,便于在临床推广应用。

     

    Abstract: 99Tcm-rituximab has been demonstrated to be having favourable properties for sentinel lymph node imaging. The aim of this research was to develop the formulation of the99Tcm-rituximab freeze-dried kit. Firstly the rituximab was modified by 2-Mercapitoethanol, with the glucose as the excipient, and 1 mL phosphate buffers to compose the kit, which was dispensed into nitrogen-filled vials and aliquots frozen at -20 ℃. 99Tcm-rituximab was prepared from the 99Tcm-glucose via ligand exchange method. Both of the labeling yield and the radiochemical purity were more than 90%. The results of biodisdistribution of 99Tcm-rituximab in normal rat with front pad injection showed that the accumulation of the sentinel lymph node increased from 1 h (0.93±0.39%ID) to 4 h (2.14±0.46%ID). The ratio of the uptake of sentinel lymph node to that of the injection site was 14.80±2.11% at 4 h, with no significant change at 18 h (13.03%±3.98%). The SPECT imaging in rat showed that the sentinel lymph node can be seen clearly without the secondary lymph node imaging 30 min~18 h p.i.. In general, the frozen kit of rituximab was feasible to prepare the sentinel imaging agent 99Tcm-rituximab, which possesses satisfied properties for sentinel lymph node SPECT imaging.

     

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