264 Current Radiopharmaceuticals, 2012, 5, 264-270 Radioarsenic from a Portable 72Se/72As Generator: A Current Perspective B. Ballard, F.M. Nortier, E.R. Birnbaum, K.D. John, D.R. Phillips† and M.E. Fassbender* Chemistry Division, Los Alamos National Laboratory, P.O. Box 1663, Los Alamos NM 87545, USA † Present Address: U.S. Department of Energy, Office of Nuclear Physics, 100 Independence Avenue, Washington, DC 20585, USA Abstract: Positron emission tomography (PET) of slower biological processes calls for the use of longer lived positron emitting radioisotopes. Beyond radionuclide production considerations, practicality and rapidity of subsequent labeling chemistry further limits the selection of radioisotopes with potentially favorable nuclear properties. One additional limitation is the availability of PET radiotracers at the point-of-care with appropriate on-site production methodologies or robust radionuclide generator systems. The positron emitter 72As (half-life 26 h) is generated via decay of 72Se (half-life 8.5 d); this pair comprises and excellent generator system for clinical availability of a longer lived PET isotope. Many 72Se/As generator systems have been introduced utilizing the rich interplay of Se(IV)/Se(VI) and As(III) /As(V) chemical behavior. This paper describes available generator concepts, and briefly outlines some current arsenic labeling methodologies for the introduction of radioarsenic into biomolecules. Keywords: Arsenic-72, radionuclide generator, accelerator isotope production, radioarsenic labeling. INTRODUCTION Demand for Longer-lived Positron Emitters Positron Emission Tomography (PET) provides a noninvasive means to quantitatively image biological processes in vivo [1]. The commonly used PET isotopes 11C ( t = 20 min), 13N ( t = 10 min), 15O ( t = 2 min) and 18F ( t = 110 min) have short half-lives [2], and thus are not often suitable for imaging of slower biological processes such as immunological responses in conjunction with labeled antibodies. For this reason, there is a growing interest in longer-lived positron emitters which would more adequately match the biological half-life associated with the targeting vectors [3]. Fortunately, a number of longer-lived radioisotopes are known with sufficiently high positron branching ratios suitable for PET imaging. Several recent reviews highlight the advantages of longer-lived PET isotopes and the versatility of their use in immunological imaging techniques [4-7]. A comparison of the nuclear properties of several long lived PET isotopes is given in Table 1 [2, 8]. Compared to the low-Z isotopes used in current PET procedures, many longer-lived positron emitters are associated with high + endpoint energies, giving rise to reduced spatial resolution in the PET image. They also tend to emit additional -rays, causing an increase in image noise [9]. The use of proper correction factors, however, can mediate these undesired side effects [6]. properties. This allows sufficient time for parent nuclide production and recovery, generator manufacturing, and the shipment of the generator units to the point of care, supplying a continual source of the daughter nuclide for use in a nuclear medicine clinic [10]. The advantages of such generator systems are well known. They provide a cost effective alternative to on-site production and processing of radionuclides for nuclear medicine applications [11]. Generators also supply radionuclides of high specific activity owing to the inherent parent/daughter chemical separation mechanism by repeated elutions [12]. Production of 72As for use in Nuclear Medicine Arsenic has several isotopes which are appropriate for PET imaging, namely 70As (t = 52.5 min, 100% +), 71As (t = 64 h, 30% +), 72As (t = 26 h, 85% +) and 74As (t = 17.77 d, 29% +) [2]. Among the positron-emitting isotopes of arsenic, 72As is of particular interest for PET. The physical decay characteristics of this nuclide combined with the unique chemistry of arsenic make it a very attractive building block for the synthesis of a variety of PET radiopharmaceuticals. The longest-lived radioarsenic isotope 73As (t1/2 = 80.3 d) has been considered for toxicological studies [13-15]. Both 73As and 74As production and recovery have been subject to research at Los Alamos for some time [16, 17]. Radionuclides produced in generators separate the imaging study from the usual necessity of an on-site cyclotron. The most desirable generators use a long-lived parent nuclide that continually produces, by its radioactive decay, a radioactive daughter nuclide with desirable imaging Arsenic-72’s relatively high + abundance and hours-long half-life allows for imaging of slower biological processes, although the reported tissue range would limit the spatial resolution achieved without correction factors being applied. Combined with proper development of imaging protocols, 72 As is a highly promising candidate for imaging with PET [8, 18-20]. *Address correspondence to this author at the Chemistry Division, Los Alamos National Laboratory, P.O. Box 1663, Los Alamos NM 87545, USA; Tel: 505-606-1801; Fax: 505-665-7306; E-mail: [email protected] Arsenic-72 can be produced directly at a medium-energy cyclotron utilizing a production energy window of 10-50 MeV. Direct production of this isotope has been investigated using charged particle irradiation of germanium tar- 1874-47/12 $58.00+.00 © 2012 Bentham Science Publishers Current Radiopharmaceuticals, 2012, Vol. 5, No. 3 Radioarsenic from a Portable 72Se/72As Generator 265 Table 1. Table of Nuclear Properties for Selected Long Lived Positron Emitters. The Reported -Intensities were Limited to the Three Most Abundant Lines of Greater Than 1% Abundance [10,12] Half-life (h) Radionuclide 18 F 1.83 Daughter (half-life) 18 O (stable) + in MeV (+ yield) Tissue Mean Range (mm) 0.63 (97%) -energy in keV(I %) Generator Parent (half-life) 0.69 -- Direct Production Direct Production Direct Production Te (stable) 2.14 (24%) 3.25 602 (63%) 723 (10%) 1691 (11%) 76 Se (stable) 3.98 (56%) 5.07 559 (74%) 657 (16%) 1854 (15%) 25.9 72 Ge (stable) 3.32 (88%) 5.01 834 (81%) 630 (8%) Se (8.4 d) 86 Y 14.7 86 3.15 (34%) 2.46 628 (33%) 1153 (31%) 1076 (83%) Direct Production 89 Zr 78.4 89 Y (stable) 0.90 (23%) 1.18 909 (99%) Direct Production 44 Sc 3.9 Ca (stable) 1.47 (94%) 1.45 1157 (100%) 44 Ti (60 yrs) 124 I 100.2 124 76 Br 16.0 72 As Sr (stable) 44 72 Table 2. Direct Production Yields for 72As from Proton Irradiated natGe. Reported Radiochemical Impurities are Given as a Percentage of 72As Activity Produced [21,22] Reaction Energy Range (MeV) Yield (at EOB) (mCi/μAh) Impurity (%) 71 As 73 As 74 As nat Ge (p,xn) As [21] 18 8 2.5 8.6 1.8 6.3 nat Ge (p,xn) 72As [21] 50 8 10.8 23 1.8 3.2 72 nat GeO2 ( He,x) As [22] 37 18 0.21 27 NR 12 nat GeO2 ( 4He,x) 72As [22] 40 10 0.14 37 NR 3 3 72 NR: values not reported by the authors get material via several reactions: natGe(p,xn)72As, natGeO2 (3He,x)72As, and natGeO2 (4He,x)72As. Viable options for direct production of 72As are summarized in Table 2 [21, 22]. Arsenic-72 can also be produced indirectly, i.e. as a daughter radionuclide of the longer-lived 72Se (t1/2 = 8.5 d). A 72 Se/72As generator for in-house use at a clinical imaging center or regional radiopharmacy would provide the 72As radiopharmaceuticals with high specific activity. A generator would reach 70% of the maximum activity within 48 hours, and full activity in 89 hours. An illustration of the 72As activity in growth for a 72Se/72As generator system is given in Fig. (1). Various methods for the production of 72Se have been described in the literature; deuteron- and proton-induced reactions on arsenic, as well as 3He and 4He induced reactions on germanium have been investigated [23-26]. Alternatively, 72 Se can be obtained via proton induced reactions on bromine in the form of bromide salts [27, 28]. Table 3 illustrates several routes of production of 72Se by bombardment of target material with charged particles. An assessment of the different production pathways must consider the production yield, the ease of the required separation chemistry, and the radiochemical purity of the 72Se product. Production yields for 72Se from targets of elemental or inorganic compounds of As, Ge, and Br are listed in Table 3. The highest production yield for 72Se is obtained via several proton induced reaction channels from RbBr salt targets, although this production approach creates additional challenges in subsequent separations due to the complexity of the product mixture in dissolved solutions. Irradiation of As targets with medium energy protons provides the next highest yields for 72Se. In this approach, the subsequent processing of multi-gram production targets leads to concerns with the eventual waste disposal pathways. The alkaline bromides balance a relatively inexpensive and biologically benign proton beam target material with sufficiently high yields for the production of 72Se. Alkaline bromides also have high solubility in water, allowing for a smooth dissolution of the target material following the irradiation without the introduction of toxic solvents. Moreover, alkaline bromides have high molten salt thermal conductivity, which is important for target robustness during irradiation. Sodium bromide possesses the highest conductivity in the series at 0.31 Wcm-1K-1, versus (0.22, 0.17, 0.14) Wcm-1K-1 for KBr, RbBr, CsBr, respectively [29]. Overall, the preference for a bromide salt target is based upon three considerations: low cost, low alkaline metal activation in the proton beam and a reasonably high thermal conductivity. 266 Current Radiopharmaceuticals, 2012, Vol. 5, No. 3 Ballard et al. Fig. (1). Re-extraction of 72Se generated 72As from the liquid-liquid generator system described in this work. Table 3. Possible Routes for the Production of 72Se. Targtes Consist of Elemental Metallic Germanium or Arsenic; Others are Inorganic Compounds such as Cu3Ge and KBr Reaction Energy Range Yield(mCi/μAh) 72 (MeV) 75 As (p,4n) [17] 75 As (d,5n) [17] nat 3 Ge ( He, xn) [20] 70 3 Ge ( He, xn) [20] nat £ 4 Cu3 Ge ( He,xn) [18] 70 4 § Cu3 Ge ( He,xn) [18] nat K Br (p,x) [21] nat K Br (p,x) [21] nat Rb Br (p,x) [22] ¥ 72 72 Generator systems based on Se/ As have been discussed previously in the literature, using both Se carrier and no-carrier-added designs. Al-Kouraishi et al. introduced a 72 Se/72As generator based on cation exchange [25]. In this method, the 72Se produced by alpha irradiation of an enriched 70Ge target was precipitated via the addition of stable selenous acid followed by reduction using sulfur dioxide solution. The precipitated selenium was then centrifuged and washed prior to suspension in deionized water. The suspen- Se 0.21 57 0.03 56 26 0.15 32 0.08 36 (incident) 0.08 NR NR 36 (incident) 0.22 NR NR 28 10 0.0005 0.09 0.0004 28 10 0.002 0.4 0.0003 100 69 0.10 7.18 0.12 62 42 0.05 2.36 0.03 £: Germanium enriched to a 96.4% Ge content. NR: values not reported by the authors. §: The enrichment in 70 Ge(0.48%). ¥: Values measured as yields from a spallation target irradiated at the LAMPF facility. Se/As Generator Systems Described in the Literature 75 Se 45 24 800 incident 70 73 Se 3.03 70 Ge was 70 30.3 70 3.03 70 Ge(96.75%), Ge(1.12%), Ge(0.29%), 70 Ge(1.36), sion was loaded onto a cation exchange column and held for 90 hours for the in-growth of the 72As daughter. The column was warmed to 60 °C by a water jacket, and deionized water was used to elute 60% of the newly generated 72As from the column. Another generator system developed within the Los Alamos Isotope Program utilized added Se carrier and subsequent precipitation to achieve Se/As separation upon 72As daughter in-growth [19, 30]. Briefly described, selenium was precipitated as Se(0) by hydrazine and collected by vacuum filtration. The selenium was redissolved by addition of 3% (by volume) H2O2 in 6M HCl, which oxidizes the selenium Radioarsenic from a Portable 72Se/72As Generator to Se(IV), and the 72As was allowed to grow into equilibrium with the 72Se parent. After sufficient time, separation of ingrown 72As was achieved by a repetitive hydrazine precipitation and subsequent filtration. This process requires the addition of stable selenium in the form of selenous acid, giving a final selenium concentration of 6 x 10-4 M. This technology has been patented in the US as well as in Europe [31]. A recent study by Chajduk et al. established a method to separate Se/As based on sorption of aromatic orthodiamines onto polystyrene column materials. Radioactive tracer experiments were caried out utilizing 75Se and 76As produced from neutron irradiation of natural Se and As materials. In these studies, Se(IV)/As(III) distiribution coefficients (Kd) were measured where 75Se and 76As served as surrogates for 72Se and 72As. The resultant Kd showed the ability to quantitatively sorb 75Se while recovering >95% of the loaded 76As activities [32]. Several no-carrier added concepts have also been proposed in the literature, largely based on proton irradiation of arsenic target material. Jennewein et al. developed a nocarrier-added AsCl3 distillation-type generator [33]. In this work, 72Se was produced by 3He irradiation of a natural germanium target material. The germanium was distilled off as the volatile GeCl4 species for recycling, while the selenium was retained in the concentrated HCl solution used to dissolve the target. In-grown 72As was removed as the volatile AsCl3 by distillation at 105 ˚C for 10 minutes in a gaseous HCl stream, and collected on a charcoal filter to give a radiochemical yield of greater than 99%. Jennewein et al. also reported a working system which used a solid phase support to extract generated 72As from elemental 72Se(0) sorbed on a polystyrene solid support [26]. In this process, irradiated germanium target materials were dissolved in an HF/HNO3 mixture and the Se reduced to Se(0) by the addition of hydrazine or SO2. The solution was then passed through a Varian ENV (500μL bed volume) solid phase extraction cartridge to adsorb the selenium to the solid support while the germanium was eluted with the mobile phase. The ingrown 72 As was eluted with 2 mL of HFconc with a 50% yield and < 0.1% breakthrough of 72Se parent. After elution, the 72As was converted to 72AsI3 by the addition of KI, with reaction yields of >95%. This technology has been patented in Europe [34]. A New Chelation-based rator 72 Se/72As Radionuclide Gene- In a recent publication [29], we successfully introduced a Se/72As generator principle based on chelation/ liquidliquid extraction. Proton irradiations of NaBr targets were carried out at the LANL Isotope Production Facility (IPF). Direct water dissolution of the NaBr target matrix recovered >99% of the produced 72Se. Bromide was quantitatively removed by oxidation to elemental bromine followed by distillation. The oxidation was performed by slowly adding HCl followed by addition of a 30% H2O2 giving a mole ratio of 2:1 Cl-/Br- and 1:1 H2O2/Br- in the solution after addition. Chemical processing of the target matrix in the presence of excess HCl, which quantitatively reduced any Se(VI), ensured that all Se in solution was converted to Se(IV) [35]. Following the distillation of bromine, the residual activity 72 Current Radiopharmaceuticals, 2012, Vol. 5, No. 3 267 was dissolved in 0.1M HCl in preparation for separation of selenium isotopes from the target matrix. Solvent extraction experiments previously illustrated that the hydrated diethyldithiocarbamate ligand in a hydrochloric acid matrix selectively extracts selenium into the organic phase [29]. Selenium recovery from the target matrix in an initial bulk extraction was 94±2 %, as measured in the organic phase subsequent to extraction, while 95±2 % of the directly (i.e., via nuclear reaction with protons) formed radioarsenic (as evident by the presence of 74As) remained in the aqueous phase. A liquid-liquid extraction prototype system was used to establish proof-of-principle for a chelation-based 72Se/72As radionuclide generator system. The organic phase containing the selenium was repeatedly extracted to demonstrate a simple generator system. The 72Se containing generator phase was repeatedly allowed to accumulate 72As daughter activity, and the decay product 72As was periodically re-extracted into aqueous phases to determine parent “break-through” and daughter extraction yield. The selenium “break-through” amounted to 0.9±0.1 % with respect to the selenium activity load at the beginning of each extraction; 76 ± 1 % of the decay generated 72As activity was repeatedly “milked’ every 48 hours from the generator for a period of 8 days. The aqueous re-extraction of 72As and selenium are illustrated in Fig. (2). A previous study demonstrated that As(III) is much more strongly coordinated by dithiocarbamates than As(V) [36]. Thus, As(V) is expected to have a substantially lower organic/aqueous distribution coefficient than the trivalent form. Generator yield will consequently depend strongly on the As(V)/As(III) ratio. Any arsenic-72 remaining in the organic layer will likely occur in the trivalent state. The utility of alternate dithiocarbamate ligand systems as selective chelators for separation of selenium from arsenic is currently being investigated. A complete flow scheme from production to distribution of the chelation-based generator system is illustrated in Fig. (3). A comprehensive comparison of the 72 Se/72As generator systems discussed is provided in Table 4. Labeling Chemistry of Arsenic The utility of any new radiopharmaceutical based on analogous natural or synthetic biomolecules requires that biological activity be retained following the addition of the radioactive moiety. Incorporation of the radioactive label often introduces significant structural perturbations which often induce a change in the biological function of targeted molecules such as peptides. However, incorporation to larger biological targeting vectors such as monoclonal antibodies do not cause this response. Arsenic has been incorporated into biologically active compounds with minimal alteration of the pharmacological response [37]. Similar synthetic methods can be readily applied to different arsenic isotopes to generate radiopharmaceuticals to be used as imaging as well as therapy by introducing other arsenic radioisotopes, namely the -emitters 76As (t = 26.4 h, 100% -) or 77As (t = 38.8 h, 100% -). Both therapeutic isotopes can be produced with relatively high yields at nuclear reactors, while the imaging isotopes are primarily produced via a cyclotron [38]. 268 Current Radiopharmaceuticals, 2012, Vol. 5, No. 3 Ballard et al. Fig. (2). Re-extraction of 72Se generated 72As from the liquid-liquid generator system described in this work. NaBr, 50g, p-irradiation 100 μA, 10 h NaBr dissolution, water oxidization: H2O2, HCl Br2 release evap, reconst, DDTC, pH 1.3 liquid-liquid extraction ethyl acetate 22NaCl waste 72 Se organic phase evap, reconst liquid-liquid re-extraction H2O2, HCl, pH1 72 Se aqueous phase generator loading Fig. (3). Schematic flow chart for parent recovery and loading of a chelation based 72Se/72As generator system. Radioarsenic from a Portable 72Se/72As Generator Current Radiopharmaceuticals, 2012, Vol. 5, No. 3 269 Table 4. Comparison of Some Published 72Se/72As Generator Systems. Some Studies did not Utilize the Actual 72Se/72As Pair, but were Tested with Isotopic Surrogates Only Method of Separation Selenium Carrier Per 72 Se Generator Se(IV) sorption H2SeO3 (10mg) Se(0) percip./filtration Se(0) (5mg) 72 Se Loading Per Batch (MBq) 72 As Elution Yield (%) 72 Se Break-Through (%) Ref. NR 60 not detected 25 ~30,000 > 95 < 0.1 30 no carrier added 75 76 NR < 0.001 (as Se) 32 AsCl3 distillation no carrier added 75 77 Se/ As surrogates > 99 <1 33 Se(0) sorption no carrier added <5 30-60 0.1-1.5 26 liquid/liquid extraction no carrier added 1100 76 <1 29 Se(IV) chelation/sorption Se/ As surrogates 75 NR: values not reported by the authors Simple organoarsenic precursors and subsequent labeling with monodentate thiol-containing ligand systems have been previously illustrated [39-41]. Recently, Jennewein et al. successfully developed a method to label N-succimidyl Sacetylthiacetate(SATA) derivitized bavituximab with 74As. The bavituximab-SATA-74As conjugate retained its immunoreactivity after complexation, as well as exhibiting good in vitro stability in fetal bovine serum. During the subsequent biodistribution studies with Dunning prostate R3327-AT1 tumor bearing rats, tumors were clearly visible after 48 hours, exhibiting 8-fold higher uptake at 72 hours as compared to the control antibody [37, 38]. Research Reactor (MURR). The research described in this paper was funded by the United States Department of Energy, Office of Science via an award from The Isotope Development and Production for Research and Applications subprogram in the Office of Nuclear Physics. CONFLICT OF INTEREST Declared none. REFERENCES [1] SUMMARY AND CONCLUSIONS Arsenic-72 is of particular interest. It is a positron emitter with a half-life of 26h, rendering itself conducive to the imaging of longer-term biological processes. Moreover, the longer half-life allows for more elaborate chemical modification and labeling methodologies subsequent to 72As production and recovery. The isotope is a daughter of another radioisotope, 72Se, so that the system 72Se/72As is independent of any accelerator facility in close proximity. Owing to favorable combination of half-life and particle emission energies, several neutron deficient radioisotopes of arsenic could be used as PET imaging agents. The utility of these isotopes is limited by three factors: (1) accelerator isotope production capability, (2) efficiency of chemical product isotope recovery and (3) availability of end-user labeling techniques. While recent progress is evident in all three areas, additional studies will be required before the versatility of arsenic can be exploited to the full potential. To bring any of these successfully to the clinic generator performance, portability, ease of use, and biocompatibility need to be assessed. Furthermore, the presence of other selenium and arsenic isotopes would need to be evaluated. 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