Targeted radionuclide therapy in combined-modality regimens

Targeted radionuclide therapy (TRT) is a branch of cancer medicine concerned with the use of radioisotopes, radiolabelled molecules, nanoparticles or microparticles that either naturally accumulate in or are designed to home to tumours. They combine the specificity of molecular and, sometimes, physi...

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Main Authors: Gill, M, Falzone, N, Du, Y, Vallis, K
Format: Journal article
Published: Elsevier 2017
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author Gill, M
Falzone, N
Du, Y
Vallis, K
author_facet Gill, M
Falzone, N
Du, Y
Vallis, K
author_sort Gill, M
collection OXFORD
description Targeted radionuclide therapy (TRT) is a branch of cancer medicine concerned with the use of radioisotopes, radiolabelled molecules, nanoparticles or microparticles that either naturally accumulate in or are designed to home to tumours. They combine the specificity of molecular and, sometimes, physical targeting with the potent cytotoxicity of ionising radiation. Targeting vectors for TRT include antibodies, antibody fragments, proteins, peptides, and small molecules. The diversity of available carrier molecules together with the large panel of suitable radioisotopes with unique physicochemical properties allows vector-radionuclide pairings to be matched to the molecular, pathological and physical characteristics of a tumour. Some agents are designed for dual therapeutic and diagnostic (“theranostic”) applications. TRT use has increased with the introduction of agents that are indicated for common oncological conditions, including 90Y-microspheres for the treatment of hepatic tumours and 223RaCl2 for bone metastases. This raises the question of how best to integrate TRT into multi-modality protocols. Achievements in this area and future prospects are reviewed here.
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spelling oxford-uuid:93fb67b1-d90c-4a1e-b829-4617c0b6d3872022-03-26T23:36:09ZTargeted radionuclide therapy in combined-modality regimensJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:93fb67b1-d90c-4a1e-b829-4617c0b6d387Symplectic Elements at OxfordElsevier2017Gill, MFalzone, NDu, YVallis, KTargeted radionuclide therapy (TRT) is a branch of cancer medicine concerned with the use of radioisotopes, radiolabelled molecules, nanoparticles or microparticles that either naturally accumulate in or are designed to home to tumours. They combine the specificity of molecular and, sometimes, physical targeting with the potent cytotoxicity of ionising radiation. Targeting vectors for TRT include antibodies, antibody fragments, proteins, peptides, and small molecules. The diversity of available carrier molecules together with the large panel of suitable radioisotopes with unique physicochemical properties allows vector-radionuclide pairings to be matched to the molecular, pathological and physical characteristics of a tumour. Some agents are designed for dual therapeutic and diagnostic (“theranostic”) applications. TRT use has increased with the introduction of agents that are indicated for common oncological conditions, including 90Y-microspheres for the treatment of hepatic tumours and 223RaCl2 for bone metastases. This raises the question of how best to integrate TRT into multi-modality protocols. Achievements in this area and future prospects are reviewed here.
spellingShingle Gill, M
Falzone, N
Du, Y
Vallis, K
Targeted radionuclide therapy in combined-modality regimens
title Targeted radionuclide therapy in combined-modality regimens
title_full Targeted radionuclide therapy in combined-modality regimens
title_fullStr Targeted radionuclide therapy in combined-modality regimens
title_full_unstemmed Targeted radionuclide therapy in combined-modality regimens
title_short Targeted radionuclide therapy in combined-modality regimens
title_sort targeted radionuclide therapy in combined modality regimens
work_keys_str_mv AT gillm targetedradionuclidetherapyincombinedmodalityregimens
AT falzonen targetedradionuclidetherapyincombinedmodalityregimens
AT duy targetedradionuclidetherapyincombinedmodalityregimens
AT vallisk targetedradionuclidetherapyincombinedmodalityregimens