Abstract
The advent of hybrid cameras that combine MRI with either SPECT or PET has stimulated growing interest in developing multimodality imaging probes. Countless options are available for fusing magnetically active species with positron- or γ-ray–emitting radionuclides. The initial problem is one of choice: which chemical systems are a suitable basis for developing hybrid imaging agents? Any attempt to answer this question must also address how the physical, chemical, and biologic properties of a unified imaging agent can be tailored to ensure that optimum specificity and contrast are achieved simultaneously for both imaging modalities. Nanoparticles have emerged as attractive platforms for building multimodality radiotracers for SPECT/MRI and PET/MRI. A wide variety of nanoparticle constructs have been utilized as radiotracers, but irrespective of the particle class, radiolabeling remains a key step. Classic methods for radiolabeling nanoparticles involve functionalization of the particle surface, core, or coating. These modifications typically rely on using traditional metal ion chelate or prosthetic group chemistries. Though seemingly innocuous, appending nanoparticles with these radiolabeling handles can have dramatic effects on important properties such as particle size, charge, and solubility. In turn, alterations in the chemical and physical properties of the nanoparticle often have a negative impact on their pharmacologic profile. A central challenge in radiolabeling nanoparticles is to identify alternative chemical methods that facilitate the introduction of a radioactive nuclide without detrimental effects on the pharmacokinetic and toxicologic properties of the construct. Efforts to solve this challenge have generated a range of innovative chelate-free radiolabeling methods that exploit intrinsic chemical features of nanoparticles. Here, the chemistry of 9 mechanistically distinct methods for radiolabeling nanoparticles is presented. This discourse illustrates the evolution of nanoparticle radiochemistry from classic approaches to modern chelate-free or intrinsic methods.
- nanoparticles
- intrinsic radiolabeling
- chelate-free
- chemisorption
- doping
- isotopic exchange
- cation exchange
- PET/MRI
Nanomedicine is the application of nanotechnology to diagnose or treat disease (1). In the fields of radiochemistry and nuclear medicine, nanoparticles are gaining prominence as platforms for designing hybrid imaging and therapeutic agents (2–5). In particular, nanoparticle-based radiotracers show promise as multimodality probes for SPECT/MRI and PET/MRI. The attention attracted by nanoparticles can be ascribed to their unique physical and chemical characteristics. Enhanced rigidity, controlled shape and size, discrete charge and electromagnetic properties, high surface area–to–volume ratios, variable porosity, resistance to metabolism in vivo, and tunable chemical reactivity at the surface, on coatings, and inside the particle core are just some of the features that demarcate nanoparticles as highly versatile scaffolds.
Despite their potential, there are many questions and challenges that must be addressed before nanoparticle-based imaging agents can cross the divide from preclinical to clinical applications. From a chemical standpoint, nanoparticle-based agents are highly complex. Average formulations contain particles with varying chemical compositions that include a range of sizes, variable drug-loading densities, and differential presentations of targeting vectors in terms of their number per particle as well as their spatial location and 3-dimensional orientation. For this reason, most measurements made using nanoparticles rely on determination of the average properties of a bulk sample. Such inherent variability is a potential problem for ensuring batch-to-batch reproducibility and can induce differences in the biological properties of nanoparticles. Parameters such as the pharmacokinetic profile, cytotoxicity, target affinity, and specificity must remain consistent between formulations (6). It is easy to appreciate that although having access to such a wide range of physical and chemical parameters is beneficial from a design perspective, controlling each part of a nanoparticle system to meet stringent current good-manufacturing-practice regulations is a formidable task.
When one is considering the development of a single molecular imaging probe that can be used to acquire nuclear and MR images simultaneously, several important design criteria must be incorporated into the final construct. For instance, a successful radiolabeled SPECT/MRI or PET/MRI probe should display high chemical, radiochemical, and metabolic stability; low toxicity; and a favorable pharmacokinetic profile with rapid accumulation in the target regions matched by excretion from background organs (7). A crucial question that has yet to be answered in detail is how one molecule can fulfil the usual chemical and physical requirements of nuclear and magnetic imaging probes without compromising on target specificity or image contrast. This problem is highlighted by the acute difference in the normal administered concentrations between standard PET radiotracers and MRI contrast agents. Clinical-grade 18F-labeled PET radiotracers typically have specific activities of around 185 GBq/μmol (5 Ci/μmol), with administered radioactive doses in humans of around 370–740 MBq (10–20 mCi) (8). For an average man (∼75 kg), the administered dose of radiotracer equates to around 2–4 nmol (∼25–50 pmol/kg of body weight). Typical gadolinium-based MRI contrast agents are administered at relatively high doses of up to 0.2 mmol of gadolinium per kilogram of body weight (9). These administered doses (and sensitivities) represent a staggering difference from PET probes of about 7 orders of magnitude. How can a single, multimodality radiotracer for PET/MRI reconcile this difference in concentration while maintaining high contrast in MRI and avoiding target saturation, which would reduce PET signal uptake and specificity? For a given combination of biologic target and imaging probe, does a concentration range exist that would be an acceptable compromise for simultaneous PET/MRI (or SPECT/MRI)? At present, these questions have not been addressed adequately. Most reports on multimodality imaging agents have tended to decouple the nuclear and imaging components by showing that a single species (usually nanoparticles) administered at different doses can be applied for sequential SPECT/MRI and PET/MRI. Recent work by Zhao et al. is a notable exception (10). SPECT/MRI studies showed that a single dose of 125I-radiolabeled human heavy-chain ferritin nanocages could image HT-29 tumors at a dose of 18.5 MBq (500 μCi) of 125I and 11.2 μg of iron. However, it remains uncertain if a similar approach would be generally applicable to more diverse imaging biomarkers of low abundance.
NOTEWORTHY
Effective design of multimodality nanomedicines for SPECT/MRI and PET/MRI requires new radiochemical methods to overcome limitations imposed by conventional prosthetic group and chelate-based chemistries.
Chelate-free methods exploit intrinsic chemical properties of nanoparticles to effect facile and efficient radiolabeling.
Mechanistic principles underpinning 7 distinct chelate-free radiolabeled methods are presented.
Returning to the chemistry of nanoparticles, a practical consideration is that the radiolabeling step should be easy and reproducible. Ideally, radiolabeling should be performed in the final step of production, and addition of the radionuclide should not alter (or should have known minimal effects on) the physical, chemical, and biologic properties of the nanoparticle. These demanding requirements have led researchers to develop several innovative solutions for producing radiolabeled nanoparticles. In the following sections, the chemistry and application of 9 conceptually distinct methods for radiolabeling different types of nanoparticles are explored. Classic radiolabeling methods based on modification of nanoparticles using metal ion chelation and prosthetic group chemistry are briefly introduced. The focus of this review is to illustrate how intrinsic chemical properties of nanoparticles are being harnessed by state-of-the-art chelate-free radiolabeling methods to produce multimodality imaging agents (11–13).
CLASSIC RADIOLABELING METHODS
Modifications to Particle Surface
Traditional approaches for radiolabeling nanoparticles rely on well-established radiochemical methods using 18F-based prosthetic groups or radiometal ion chelation. Here, nanoparticles are typically coated with surface reactive groups that serve a dual purpose. First, they allow covalent attachment of radionuclides via prosthetic groups or multidentate chelates. Second, they provide thermodynamically, kinetically, and metabolically stable anchors ensuring that the radionuclide remains associated with the nanoparticle in vivo. Three common examples of surface anchoring include thiol-mediated binding to gold nanoparticles (14–16), silylation of surface hydroxyls (17), and bisphosphonate binding (18,19) to iron oxide particles (Fig. 1).
In an archetypical example, Guerrero et al. (15) produced 18F-labeled gold nanoparticles. They were prefunctionalized with a cysteine-lysine diamino acid via covalent bonding of the thiolate to the gold surface. Radiolabeling was accomplished by attaching the 18F-radiolabeled prosthetic group, N-succinimidyl-4-18F-fluorobenzoate, via amide bond formation on the lysine side-chain. Rojas et al. (17) applied a similar strategy but used 3-(aminopropyl)triethoxysilane to decorate the surface of CeO2 nanoparticles with a primary amine that was subsequently coupled to N-succinimidyl-4-18F-fluorobenzoate. A major drawback of this approach is that multiple radiolabeling steps are required, limiting overall radiochemical yields and specific activities. Others have sought to overcome these issues by developing a cysteamine derivative of 18F-FDG that binds to gold nanoparticles (14). Zhu et al. (16) also reported an interesting approach to make 18F-radiolabeled PEGylated gold nanoparticles that relied on Si-18F bond formation. The thiol (4-(di-tert-butyl-18F-fluorosilanyl)benzenethiol) was produced via 18F/19F isotopic exchange and was subsequently conjugated to maleimido–gold nanoparticles, giving high radiochemical yields (60%−87%). Although this prosthetic-group approach solves some of the issues associated with low radiochemical yields, it is not clear how much of the thiol reacts with the maleimido group and how much reacts directly with the gold nanoparticle surface.
In 2011, Rosales et al. used bisphosphonate chemistry to generate SPECT/MRI and PET/MRI radiotracers based on conjugation of superparamagnetic iron oxide nanoparticles (SPIONs) with either 99mTc or 64Cu (18,19). Bisphosphonates display well-established affinity for several different classes of inorganic surfaces, including various metal oxides, and hydroxyapatite crystals found in bone. Both studies followed a similar approach in which multidentate chelates, chosen for their selectivity toward a particular radiometal ion, were functionalized with a bisphosphonate group. 64Cu2+-bis(di-thiocarbamatebisphosphonate) and 99mTc-dipicolylamine(DPA)-alendronate were conjugated to ferumoxide (Endorem [Guerbet] or Feridex [Advanced Magnetics, Inc.])—dextran-coated magnetite (Fe3O4) nanoparticles (120–180 nm in diameter) approved for T2- or T2*-weighted contrast-enhanced MRI (20). Detailed stability studies in vitro and multimodality imaging in vivo confirmed the viability of bisphosphonate chemistry for radiolabeling metal oxide nanoparticles (21).
Modifications to Particle Coating
The second fundamental approach to radiolabeled nanoparticles involves modification to the particle coating. Radiolabeling reactions on particle coatings involve prosthetic group or chelate-based chemistries similar to those described above. The key difference is that surface-anchoring groups are not required for radiolabeling of coatings. Instead, the radioactive group is introduced to the coating via covalent bond formation. Again, many examples have been reported, and we highlight just 2 representative approaches (Fig. 2).
In 2009, Devaraj et al. reported the synthesis and use of 18F-radiolabeled cross-linked dextran iron oxide nanoparticles for PET/CT imaging (22). The innovative step in radiolabeling involved derivatization of the dextran coating with a reactive azide group. Subsequent copper-catalyzed azide-alkyne cycloaddition click reactions using a presynthesized 18F-PEG3 alkyne reagent (produced in an average 57% decay-corrected radiochemical yield) facilitated rapid 18F radiolabeling of azide-functionalized cross-linked dextran iron oxide nanoparticles in 40 min at 40°C. As with most nanoparticle-based radiotracers, purification from the nonreacted 18F-PEG3-alkyne was achieved using a simple filtration step to give the final 18F-labeled cross-linked dextran iron oxide product in 58% decay-corrected radiochemical yield and more than 99% radiochemical purity. This work showcases the potential of click chemistry for producing complex radiolabeled constructs in a simple, high-yielding, and biochemically orthogonal process.
Coating-based metal ion chelation was used by Thorek et al. to produce 89Zr-desferrioxamine (DFO)–labeled ferumoxytol (Feraheme; AMAG Pharmaceuticals, Inc.) for use in PET/MRI of sentinel lymph nodes (Fig. 2) (23). In a 3-step process, the carboxymethyl dextran coating of ferumoxytol was functionalized with 1,2-ethylenediamine followed by conjugation to DFO-pBn-SCN and subsequent radiolabeling with 89Zr-oxalate to produce 89Zr-DFO-ferumoxytol. PET/MRI in a transgenic mouse model of prostate cancer displaying elevated levels of MYC transcription factor activity showed localization of 89Zr-DFO-ferumoxytol in prostate-draining lymph nodes. Although this DFO-based method to radiolabel ferumoxytol with 89Zr was recently superseded by a chelate-free approach (described below) (24), this study provides a convincing demonstration of the need for PET/MRI of deep-seated tissues that are difficult to identify and characterize using single-modality cameras.
NONCLASSIC RADIOLABELING METHODS
A disadvantage of classic radiolabeling methods is that the introduction of a prosthetic group or metal ion chelate can have adverse effects on the pharmacokinetic and toxicity profiles of the nanoparticle (6,7). For this reason, efforts have been made to identify alternative methods for radiolabeling nanoparticles that avoid the use of often bulky, lipophilic prosthetic groups or chelates that alter surface charge (Fig. 3).
Radiochemical Doping
This nonclassic approach has previously been described as the addition of hot-plus-cold precursors (11,25). A scientifically more accurate description is radiochemical doping—defined here as a process in which radiolabeled nanoparticles (or more general composites) are made via the addition of small amounts of a radionuclide during particle fabrication (Fig. 4). The method draws on well-established protocols that have their origins in the Fajans-Paneth-Hahn law of radioactive coprecipitation (as described in Otto Hahn’s 1936 work, Applied Radiochemistry). The law governs how a radioactive trace element coprecipitates in the presence of a larger amount of carrier material. If experimental conditions such as solubility, concentrations of precipitants, ionic strength, and counter ion identity are controlled, then it is possible to generate so-called mixed crystals in which the trace radionuclide is incorporated into the crystal structure of the particulate. Notably, the law also states that if particles acquire a surface charge that is opposite to the charge on the trace element, then coprecipitation of the radioactivity will depend strongly on the conditions used, with the tracer likely to become chemically or physically adsorbed onto the particle surface (described in the sections on chemisorption and physisorption).
Numerous reports using coprecipitation have proven that radiochemical doping is an effective means for generating a wide range of radiolabeled nanoparticles involving different core materials and radionuclides. Radiochemical doping has been achieved using 64Cu (26–30), 65Zn (31), 68Ga (32), 109Cd (33), 111In (31,34), 141Ce (31), 153Sm (35), and 198Au (36,37) radionuclides to produce multimodality particles.
In a state-of-the-art example of homoradionuclide doping, Black et al. produced a range of shape- and size-controlled PEGylated gold nanostructures loaded with 198Au (half-life, 2.69 d; β–, 100%). All nanoparticles were of a similar size, but the authors produced different nanostructures, including nanospheres, nanodisks, nanorods, and cubic nanocages. A combination of ex vivo biodistribution data and in vivo SPECT coupled with Cerenkov luminescent imaging and CT was used to measure tumor localization in a mouse model bearing murine EMT6 breast carcinoma. Remarkably, pharmacokinetic profiles and intratumoral studies showed that radiotracer distribution was heavily dependent on the particle shape. The 198Au-nanospheres showed the longest blood pool residence time and the highest uptake in tumors, reaching 23.2% injected dose per gram at 24 h. Understanding how the physical shape of nanoparticles influences their behavior in vivo is an emerging frontier in nanoscience that will likely have an impact on the future design of multimodality radiotracers (37).
It is important to note that, whereas radiochemical doping is a fairly general synthetic strategy, not all metal ions and metal-based nanoparticles are compatible. For example, Zeng et al. studied the properties of 111In- and 57Co-doped PEGylated Fe3O4 nanoparticles (34). Radiochemical stability measurements found that 111In-doped nanoparticles remained intact at pH 2. However, 21.0% of the radioactivity was leached from the 57Co-doped nanoparticles after dialysis for 24 h in water. The difference in the dopant leaching was attributed to the different solubility products of the corresponding hydroxides (2 × 10−16 for Co(OH)2 and 1.3 × 10−37 for In(OH)3). This work provides important lessons that dopant–nanoparticle chemistry must be matched and that careful stability measurements should always be performed before conducting biologic assays in vitro and in vivo.
Physisorption
Although doping involves incorporation of the radionuclide into the core of the nanoparticle crystal, most other nonclassic nanoparticle radiolabeling methods make use of surface-based chemistry. Physical adsorption (physisorption) is a process by which small molecules or ions interact and associate with a molecular surface via electrostatic attraction or van der Waals interactions. The key feature of physisorption is that no discrete covalent or dative covalent bond is made between the species binding to the particle and the surface itself. Solid nanoparticles dispersed as a colloid in solution typically acquire a surface charge known as the electric double-layer potential (Fig. 5). This charged layer is often characterized by the measured ζ-potential (in units of mV), with higher net charges (either positive or negative) correlating with increased stability of the colloid in solution and lower net charges favoring coagulation or flocculation. The ζ-potential also affects absorption, distribution, metabolism, excretion, and toxicologic properties of nanoparticles (39,40).
From a radiolabeling perspective, species (ions) that acquire a charge opposite that of the nanoparticle surface can become immobilized in the stationary layer between the particle surface and the dispersed medium. To the best of our knowledge, there are no specific reports of radiolabeling of nanoparticles via a physisorption process. However, the absence of data likely reflects our limited mechanistic knowledge on the interactions between radiometal ions and particle surfaces. Many nanoparticle-based systems acquire a negative ζ-potential, and hence, it is intuitive that positively charged metal cation species can potentially form a tight ion pair with the surface and become trapped electrostatically in the immobile region. Further studies are required to elucidate if physisorption is a viable method for radiolabeling nanoparticles.
Direct Chemisorption
Arguably the most versatile and promising new method for radiolabeling a broad scope of nanoparticles involves direct chemical bond formation between the radionuclide and the particle surface (Fig. 3). In surface chemistry, this mechanism is called chemisorption. The approach was pioneered by the group of Weibo Cai et al. (41–48). The concept has recently been generalized, first by our group (24) for metal ions from across the periodic table and subsequently by others for different classes of nanoparticle (49–52).
In 2013, Chen et al. reported an intriguing study in which the well-known affinity of As3+ and As5+ ions for the surface of magnetite (Fe3O4) was exploited to develop a novel chelate-free approach for producing *As-SPIONs (where * = 71, 72, 74, 76) as potential PET/MRI agents (41). The high affinity of arsenic ions for Fe3O4 has been attributed to direct chemisorption in which As3+O3 trigonal pyramids or As5+O4 tetrahedra occupy vacant FeO4 tetrahedral sites on the octahedrally terminated {111} surface of the magnetite nanoparticles. Control studies using citrate-capped copper sulfide nanoparticles or SPIONs coated with dense SiO2 showed no appreciable radiolabeling, confirming that the adsorption process involved specific chemical interactions with the magnetite surface. Further studies in mice demonstrated that the PEGylated *As-SPION compounds were suitable radiotracers for mapping lymph-node drainage with PET/MRI. It is noteworthy that before the development of this chelate-free method, chemical options for radiolabeling molecules with *Asn+ were restricted to *As-thiolate chelation. Follow-up studies have found that direct chemisorption is a viable synthetic route for producing multimodality radiotracers using different radionuclides (69Ge, 64Cu, 89Zr, and recently 45Ti) and nanoparticles, including SPIONs, iron oxide–coated MoS2 nanosheets, mesoporous silica nanoparticles, Gd2O2S:Eu nanophosphors, and nanographene.
In 2015, our group demonstrated the generality of chelate-free chemisorption radiolabeling of iron oxide–based nanoparticles (24). Nonradioactive induction-coupled plasma mass spectrometry studies found that chemisorption could be used to label ferumoxytol nanoparticles with different metal ions, including p-block In3+; first-row d-block Mn2+, Co2+, Cu2+, and Zn2+; second-row Zr4+; and f-block lanthanide ions such as Eu3+ and Tb3+ (Fig. 6A). Radiolabeling experiments using 64CuCl2, 111InCl3, and 89Zr-oxalate demonstrated that using the same reaction conditions, radiolabeled 64Cu-ferumoxytol, 111In-ferumoxytol, and 89Zr-ferumoxytol could be produced in 66% ± 6%, 91% ± 2%, and more than 95% decay-corrected radiochemical yields, respectively. This is a remarkable result given the differences in charge, ionic radius, and chemical requirements of these metal ions. In vitro characterization experiments found that the ferumoxytol nanoparticles were physically and chemically unchanged after radiolabeling and that the radioactivity remained tightly bound to the particles even in the presence of standard chelate challenge or serum stability assays. In most instances, the precise nature and location of the metal ion binding to the particle is not known. However, electron paramagnetic resonance studies using natural 63/65Cu-ferumoxytol provided a strong indication that the metal ions are surface-bound and do not interact with the core crystal structure of the magnetite SPIONs. Further studies are required to elucidate the precise nature of the chemical interactions between different metal ions and different surfaces. PET/MRI and CT experiments performed using 89Zr-ferumoxytol showed that the radiotracer is potentially useful for monitoring acute-phase-response inflammation (via accumulation in macrophages) or for detecting biochemical changes in the lymphatic system (Figs. 6B and 6C).
Subsequent work by Shaffer et al. also showed that direct chemisorption using 64Cu, 68Ga, 89Zr, 90Y, 111In, and 177Lu was applicable for radiolabeling silica nanoparticles (49). Further examples of direct chemisorption include the interaction of 89Zr4+ ions with phosphate groups of preformed liposomes (53), 18F radiolabeling of Al2O3-coated MnFe2O4 and Fe3O4 nanoparticles (54), 18F radiolabeling of rare-earth nanoparticles (55,56), and 11C-methyl iodide radiolabeling of carboxylate- and amine-coated iron oxide nanoparticles (57). Collectively, reports on radiolabeling via direct chemisorption offer the general lessons that chelate-free methods typically do not disrupt the physical and biochemical properties of the nanoparticle and that the radionuclide–surface chemistry must be well matched for specific and stable bonding to occur.
Isotope Exchange
Substitution of a nonradioactive nuclide for a chemically equivalent radioactive nuclide is termed isotopic exchange. The method is most frequently encountered in the chemistry of 19F/18F exchange for radiolabeling small molecules. A limited number of studies that fall into this category of nonclassic radiolabeling of nanoparticles have been reported, but the approach is feasible. For example, Cui et al. (56) and Sun et al. (55) evaluated the properties of various 18F-radiolabeled nanoparticles that incorporate NaYF4. At present, it remains unclear if the high affinity of 18F-fluoride anions for NaYF4 surfaces involves a mechanistic addition (chemisorption) or a substitution (isotopic exchange). Nevertheless, as the diversity of nanoparticle-based radiotracers expands, simple isotopic exchange reactions may become more prevalent routes for radiolabeling.
Cation Exchange
Cation exchange is an established process in nanocrystal synthesis and materials science (58). Mechanistically, cation exchange is related to the isotopic exchange in that a substitution reaction occurs either on the surface or inside the core of the nanocrystal (Fig. 3). The key difference is that for cation exchange, the incoming radionuclide and the displaced cation can be chemically distinct. Perhaps the term heteronuclide exchange is a more appropriate one since it encompasses possible substitution of different atoms, irrespective of the charge. To the best of our knowledge, there have been only two reports on the use of cation exchange for radiolabeling nanoparticles.
Sun et al. produced 64Cu-radiolabeled CdSe/ZnS quantum dots via M2+ cation exchange (59). The process was described as doping, but since the quantum dots were prefabricated before radiolabeling, the mechanism is more accurately classified as cation exchange or chemisorption. Interestingly, incorporation of 64Cu radionuclides into the quantum dots induced the particles to auto-fluoresce after excitation from the emitted Cerenkov radiation. Subsequent measurements in mice bearing U87MG glioblastoma showed specific accumulation of 64Cu-quantum dots in the tumors and provided evidence that optical luminescence imaging can be fused with nuclear imaging in the form of PET/Cerenkov luminescence imaging.
Separately, Sun et al. (60) reported that cation exchange could be used to radiolabel different mixed core-shell nanoparticles based on NaLuF4:Yb,Gd,Tm composites with 153Sm. This example lies at the borderline between cation exchange and radiochemical doping (35). The authors produced a composite nanoparticle consisting of NaLuF4:Yb,Tm coated in a secondary shell of NaGdF4(153Sm). A homogeneous solution of GdCl3 and 153SmCl3 was added to preformed nanocrystals of NaLuF4 to form a radiolabeled coating using forcing conditions. Subsequent annealing at 300°C and redispersion in citrate produced cit-NaLuF4:Yb,Tm@NaGdF4(153Sm) nanocrystals. Although successful in the production of an optical/SPECT/CT imaging agent, such harsh radiolabeling conditions will limit potential biomedical applications of this method.
Particle Beam or Reactor Activation
An interesting concept toward radiolabeled nanoparticles is to presynthesize the nonradioactive variant and then use particle beam or reactor-based activation to transmute an atom in situ (Fig. 3) (5). Both neutron (61,62) and proton (63,64) activations have been reported to produce radiolabeled nanoparticles via 18O(p,n)18F, 16O(p,α)13N, and 165Ho(n,γ)166Ho transmutation. For example, Munaweera et al. produced 166Ho-radiolabeled garnet nanoparticles loaded with various platinum-based chemotherapeutics (62). The magnetic 166Ho-HolG-Pt nanoparticles were selectively delivered to a lung tumor model using an external magnetic field. Statistically significant decreases in tumor burden were noted for groups treated simultaneously with both active platinum complexes and the application of an external magnetic field versus controls. Although this inorganic system shows promise, lack of stability of organic materials in the particle beam will likely limit more widespread use of this method.
Cavity Encapsulation
The final method involves trapping a radioactive species inside the cavity of a nanoparticle. The process relies on a physical encapsulation that can also be described as a mechanical bond. Classic examples of systems that allow for drug encapsulation include liposomes (65) and single-walled carbon nanotubes (66) (Fig. 7). Although incorporation of radiometal ions into the aqueous-phase core of liposomes is a well-established method for producing radioscintigraphy and SPECT imaging agents using 99mTc, insertion of radionuclides into nanotubes is more challenging. In 2014, Cisneros et al. reported methods for the stable, simultaneous confinement of both Gd3+ ions and 64Cu2+ ions into ultrashort single-walled carbon nanotubes (66). Radiolabeled nanotubes were stabilized using surfactants, and although some 64Cu was removed by serum challenge, the constructs were sufficiently stable to allow evaluation of the pharmacokinetic profiles using PET/MRI. Since single-walled carbon nanotubes have a high loading capacity, and the Gd3+ ions and radionuclides contained within are shielded from the biologic environment, cavity encapsulation offers a potential solution for solving the concentration problem between PET and MRI without compromising biologic specificity.
CONCLUSION
Emerging methods that exploit the intrinsic chemical and physical properties of nanoparticles have sparked a revolution in surface-based radiochemistry. Although nanoparticles remain inherently challenging systems, they present unparalleled opportunities for developing multimodality radiotracers. The expansion of chelate-free radiochemistry has broadened the tools available to radiochemists, narrowing the gap between academic curiosity and clinical translation. Future advancements will likely utilize intrinsically labeled nanomedicines as multimodality imaging agents that target specific disease biomarkers.
DISCLOSURE
Jason P. Holland received funding from the Swiss National Science Foundation (SNSF Professorship PP00P2_163683), the European Research Council (ERC-StG-2015, NanoSCAN–676904), and the University of Zurich. No other potential conflict of interest relevant to this article was reported.
Footnotes
Published online Oct. 12, 2017.
- © 2018 by the Society of Nuclear Medicine and Molecular Imaging.
REFERENCES
- Received for publication August 30, 2017.
- Accepted for publication September 30, 2017.