Biomedical Engineering Reference
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liposome-incorporated polychelating amphiphilic polymer (pAp), which resulted in
better and faster gamma-imaging compared to nontargeted liposomal controls [53].
Liposomes labeled with
99m
Tc have also shown promise in monitoring therapeutic
drug delivery. In one such study,
99m
Tc was introduced into the aqueous layer of
liposomes of similar size and composition to the drug Doxil, a pegylated lipo-
somal-encapsulated form of doxorubicin. mice were injected with either the
99m
Tc-labeled liposome, Doxil, or both with subsequent quantification of tumor
delivery post-hyperthermia treatment. This allowed visualization of the drug's effec-
tiveness in reaching its target site [54]. In another study, the pharmacokinetics of
intratumoral injections of liposomal-based drugs was quantified with
99m
Tc-labeled
liposomes. Rat head and neck tumors had intratumoral injections of either
99m
Tc-
labeled liposomes or a
99m
Tc-labeled small-molecule N,N-bis(2-mercaptoethyl)-N′,
N′-diethylethylenediamine (bmeDA). At 20 h p.i., the liposomal-encapsulated
99m
Tc
showed a greater tumor retention (39.2 ± 10.6%,
n
= 4) compared to the unencapsulated
form (18.7 ± 3.3%,
n
= 3) [55]. Additionally, better intratumoral
99m
Tc activity diffusion
was observed for
99m
Tc-liposomes when compared with
99m
Tc-bmeDA as shown
in the pinhole microSpeCT images.
Radiolabeled liposomes can also be used to monitor therapeutic drug delivery
to infection sites.
99m
Tc was radiolabeled on liposomes using the chelator
N
-hydroxysuccinimidyl hydrazine nicotinate hydrochloride (HYNIC), which was
first conjugated to the liposome and then incubated with the
99m
Tc. This robust
labeling did not require subsequent purification. High retention at the disease site
was observed (1.74 ± 0.38% ID/g, 24 h post injection) with minimal uptake in the
kidney. This new labeling technique showed better
in vitro
and
in vivo
stability as
compared to an older chelation approach using hexamethylpropyleneamine oxime
(HmpAO)-liposome [56].
Researchers have taken advantage of the multifunctional capabilities of liposomes.
Zielhuis
et al
. successfully labeled liposomes with both a SpeCT radiotracer, either
99m
Tc or
166
Ho, and paramagnetic gadolinium. In addition to SpeCT imaging, these
multilabeled liposomes allowed for measurements of mRI relaxivity. potential thera-
peutic advantages could be seen from the beta emissions of
166
Ho. Thus, a single lipo-
some could effectively offer two different imaging modalities as well as therapeutic
gains [57].
7.3.3
Radiolabeled iron oxides for spect imaging
Iron oxide, a member of the inorganic nanoparticle construct, has garnered attention
due to its magnetic properties as well as it low toxicity in humans. Under the influence
of an external alternating magnetic field (Amf), iron oxide exhibits thermoablative
properties and thus, when targeted to solid tumors, can be used in a therapeutic manner.
De Nardo
et al
. looked at
111
In-DOTA-labeled chimeric L6 (ChL6) mAb conjugated to
pegylated, dextran-coated, 20 nm superparamagnetic iron oxide (SpIO) particles with
one to two mAbs per nanoparticle. The study included considerations of radioimmu-
notargeting, therapeutic potential, and toxicity of the immunotargeted iron oxide nano-
probe in mouse breast cancer xenografts. This immunotargeted nanocarrier showed
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