RT Journal Article SR Electronic T1 Anti–Prostate-Specific Membrane Antigen Liposomes Loaded with 225Ac for Potential Targeted Antivascular α-Particle Therapy of Cancer JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 107 OP 114 DO 10.2967/jnumed.113.125476 VO 55 IS 1 A1 Amey Bandekar A1 Charles Zhu A1 Rohit Jindal A1 Frank Bruchertseifer A1 Alfred Morgenstern A1 Stavroula Sofou YR 2014 UL http://jnm.snmjournals.org/content/55/1/107.abstract AB This study evaluates targeted liposomes loaded with the α-particle generator 225Ac to selectively kill prostate-specific membrane antigen (PSMA)–expressing cells with the aim to assess their potential for targeted antivascular radiotherapy. Methods: In this study, PEGylated liposomes were loaded with 225Ac and labeled with the mouse antihuman PSMA J591 antibody or with the A10 PSMA aptamer. The targeting selectivity, extent of internalization, and killing efficacy of liposomes were evaluated on monolayers of prostate cancer cells intrinsically expressing PSMA (human LNCaP and rat Mat-Lu cells) and on monolayers of HUVEC induced to express PSMA (induced HUVEC). Results: The loading efficiency of 225Ac into preformed liposomes ranged from 58.0% ± 4.6% to 85.6% ± 11.7% of introduced radioactivity. The conjugation reactions resulted in approximately 17 ± 2 J591 antibodies and 9 ± 2 A10 aptamers per liposome. The average size of liposomes, 107 ± 2 nm in diameter, was not affected by conjugation or loading. LNCaP cells exhibit 2:1:0.5 relative PSMA expression, compared with MatLu and induced HUVEC, respectively, based on flow cytometry detecting association of the J591 antibody. J591-labeled liposomes display higher levels of total specific binding to all cell lines than A10 aptamer-labeled liposomes. Specific cell association of targeted liposomes increases with incubation time. Cytotoxicity studies demonstrate that radiolabeled J591-labeled liposomes are most cytotoxic, with median lethal dose values, after 24 h of incubation, equal to 1.96 (5.3 × 10−5), 2.92 × 102 (7.9 × 10−3), and 2.33 × 101 Bq/mL (6.3 × 10−4 μCi/mL) for LNCaP, Mat-Lu, and induced HUVEC, respectively, which are comparable to the values for the radiolabeled J591 antibody. For A10 aptamer–labeled liposomes, the corresponding values are 3.70 × 101 (1.0 × 10−3), 1.85 × 103 (5.0 × 10−2), and 4.07 × 103 Bq/mL (1.1 × 10−1 μCi/mL), respectively. Conclusion: Our studies demonstrate that anti-PSMA–targeted liposomes loaded with 225Ac selectively bind, become internalized, and kill PSMA-expressing cells including endothelial cells induced to express PSMA. These findings—combined with the unique ability of liposomes to be easily tuned, in terms of size and surface modification, for optimizing biodistributions—suggest the potential of PSMA-targeting liposomes encapsulating α-particle emitters for selective antivascular α radiotherapy.