Papers by our colleagues

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Some of scientific papers by our colleagues which have been published in domestic or foreign international journals can be found below.

Papers 

β-radiating radionuclides in cancer treatment, novel insight into promising approach

Abstract
Targeted radionuclide therapy, known as molecular radiotherapy is a novel therapeutic module in cancer medicine. β-radiating radionuclides have definite impact on target cells via interference in cell cycle and particular signalings that can lead to tumor regression with minimal off-target effects on the surrounding tissues. Radionuclides play a remarkable role not only in apoptosis induction and cell cycle arrest, but also in the amelioration of other characteristics of cancer cells. Recently, application of novel β-radiating radionuclides in cancer therapy has been emerged as a promising therapeutic modality. Several investigations are ongoing to understand the underlying molecular mechanisms of β-radiating elements in cancer medicine. Based on the radiation dose, exposure time and type of the β-radiating element, different results could be achieved in cancer cells. It has been shown that β-radiating radioisotopes block cancer cell proliferation by inducing apoptosis and cell cycle arrest. However, physical characteristics of the β-radiating element (half-life, tissue penetration range, and maximum energy) and treatment protocol determine whether tumor cells undergo cell cycle arrest, apoptosis or both and to which extent. In this review, we highlighted novel therapeutic effects of β-radiating radionuclides on cancer cells, particularly apoptosis induction and cell cycle arrest.

DOI: 10.1016/j.phrs.2020.105070

Kit formulation of active pharmaceutical ingredient d,l-HMPAO as a brain perfusion diagnostic system

Abstract
The purpose of this research study is to prepare Exametazime (d,l-HMPAO) kit for labeling with 99m-technetium radionuclide as a brain perfusion diagnostic system. In first step, the active pharmaceutical ingredient d,l-HMPAO was prepared in two steps with the purity of 99.29 %. Its molecular structure was characterized using elemental analysis, Fourier-transform infrared spectroscopy (FT-IR) and nuclear magnetic resonance (NMR) technique. In second step, the d,l-HMPAO kit was prepared using six different formulations and labeled by technetium-99m radionuclide. The high radiochemical yield was attributed to the high amount of SnCl2 and adding phosphate buffer. The animal studies were conducted on three-month old male Wistar rats. The biodistribution studies revealed that, the mean activity in brain of all rats was above 1% ID/g. This showed the high isomerism purity of the synthesized compound (d,l-HMPAO) and optimization of the suggested formulations.

DOI: 10.33945/SAMI/PCBR.2019.4.4

Phase 2 Study of a High Dose of 186Re-HEDP for Bone Pain Palliation in Patients with Widespread Skeletal Metastases

Abstract
186Re-1-hydroxyethylidene-1,1-diphosphonate (HEDP) is an attractive radiopharmaceutical for the treatment of bone pain arising from skeletal metastatic lesions. Currently, 186Re-HEDP is most commonly used in European countries. The aim of this study was to investigate the palliative efficacy and adverse effects of 186Re-HEDP in patients with different types of cancers and skeletal bone pain. Methods: Nineteen (8 male, 11 female) patients with various cancers (breast, prostate, renal cell carcinoma, colon, and neuroendocrine tumors) and painful bone metastases were included in the study. A dose of 1,480–3,330 MBq (40–90 mCi) of 186Re-HEDP was administered intravenously. The patients’ level of pain relief was assessed by the Visual Analog Scale for 8 wk after treatment and by a weekly blood cell count to evaluate for hematologic toxicity. Results: The overall response rate was 89.5%, and the mean pain score assessed by the Visual Analog Scale was reduced from 9.1 to 5.3 after 1 wk (P = 0.003). No adverse effects were reported by patients during intravenous administration or for up to 24 h after administration. A flare reaction was seen in 63.2% of patients, mainly during days 1–3, and lasted for 2–4 d. There was no significant correlation between the response to therapy and the flare reactions (P > 0.05). The nadir of platelet reduction occurred at the fourth or fifth week and led to platelet infusion in only 4 patients with a low baseline platelet count and diffuse skeletal metastases. Bone marrow suppression occurred in patients receiving higher doses, but no clinical problems were seen except in 2 patients who required packed cell transfusion similar to their prior transfusions. Conclusion: 186Re-HEDP is an effective radiopharmaceutical for the palliative treatment of metastatic bone pain and has minimal adverse effects.

DOI: 10.2967/jnmt.113.124297

Human reliability assessment in a 99Mo/99mTc generator production facility using the standardized plant analysis risk-human (SPAR-H) technique

Abstract
Introduction. Reducing human error is an important factor for enhancing safety protocols in various industries. Hence, analysis of the likelihood of human error in nuclear industries such as radiopharmaceutical production facilities has become more essential. Methods. This cross-sectional descriptive study was conducted to quantify the probability of human errors in a 99Mo/99mTc generator production facility in Iran. First, through expert interviews, the production process of the 99Mo/99mTc generator was analyzed using hierarchical task analysis (HTA). The standardized plant analysis risk-human (SPAR-H) method was then applied in order to calculate the probability of human error. Results. Twenty tasks were determined using HTA. All of the eight performance shaping factors (PSFS) were evaluated for the tasks. The mean probability of human error was 0.320. The highest and the lowest probability of human error in the 99Mo/99mTc generator production process, related to the ‘loading the generator with the molybdenum solution’ task and the ‘generator elution’ task, were 0.858 and 0.059, respectively. Conclusion. Required measures for reducing the human error probability (HEP) were suggested. These measures were derived from the level of PSFS that were evaluated in this study.

DOI: 10.1080/10803548.2017.1415832

Optimization of fundamental parameters in routine production of 90Y-hydroxyapatite for radiosynovectomy

Abstract
186Re-1-hydroxyethylidene-1,1-diphosphonate (HEDP) is an attractive radiopharmaceutical for the treatment of bone pain arising from skeletal metastatic lesions. Currently, 186Re-HEDP is most commonly used in European countries. The aim of this study was to investigate the palliative efficacy and adverse effects of 186Re-HEDP in patients with different types of cancers and skeletal bone pain. Methods: Nineteen (8 male, 11 female) patients with various cancers (breast, prostate, renal cell carcinoma, colon, and neuroendocrine tumors) and painful bone metastases were included in the study. A dose of 1,480–3,330 MBq (40–90 mCi) of 186Re-HEDP was administered intravenously. The patients’ level of pain relief was assessed by the Visual Analog Scale for 8 wk after treatment and by a weekly blood cell count to evaluate for hematologic toxicity. Results: The overall response rate was 89.5%, and the mean pain score assessed by the Visual Analog Scale was reduced from 9.1 to 5.3 after 1 wk (P = 0.003). No adverse effects were reported by patients during intravenous administration or for up to 24 h after administration. A flare reaction was seen in 63.2% of patients, mainly during days 1–3, and lasted for 2–4 d. There was no significant correlation between the response to therapy and the flare reactions (P > 0.05). The nadir of platelet reduction occurred at the fourth or fifth week and led to platelet infusion in only 4 patients with a low baseline platelet count and diffuse skeletal metastases. Bone marrow suppression occurred in patients receiving higher doses, but no clinical problems were seen except in 2 patients who required packed cell transfusion similar to their prior transfusions. Conclusion: 186Re-HEDP is an effective radiopharmaceutical for the palliative treatment of metastatic bone pain and has minimal adverse effects.

DOI: 10.1007/s10967-014-3326-4

Sol–gel synthesis and characterization of silica–zirconia inorganic polymer as 99Mo/99mTc generator

Abstract
A variety of new silica–zirconia sulfate inorganic polymer sorbent materials, designated as SZ were prepared using the in situ generated zirconium-tetra octanoxide Zr(Oct)4 from condensation of zirconium-tetra-n-butoxide and 1-octanol followed by reaction with tetraethylorthosilicate in ethanolic solution by sol gel method. The prepared SZ sorbents were characterized by FT-IR, SEM, XRD, N2 sorption isotherms and ICP techniques. Different molar ratios of substrates were used in order to study the maximum capacity of MoO4 2− adsorption. Mo adsorption was found to depend on several parameters such as SO4 2−/Zr, Zr/Si molar ratios and gel calcination temperatures. The maximum amount of 99Mo (Mo) adsorption on inorganic polymer was realized to be about 450 mg/g. Notably, elution of technetium-99m with a small volume of saline solution was carried out with about 75 % yield and less than 0.02 % 99Mo breakthrough.

DOI: 10.1007/s10971-015-3640-5

Development of an in vivo radionuclide generator by labeling bleomycin with 191Os

Abstract
Bleomycin (BLM) has been labeled with various radioisotopes and widely used in therapy and diagnosis. 191Os is a parent radionuclide with 15.4 day half-life and decays by beta emission to 191mIr, which is a radionuclide with 4.96 s half-life. BLM was labeled with 191Os-hexachloro-osmate and its distribution and stability in wild-type mice was determined. The complex was obtained at the pH 2 in normal saline at 90 °C in 48 h. Radio-TLC showed an overall radiochemical yield of 93–97%, radio-chemical purity > 97%. The biodistribution study for 191Os-hexachloro-osmate and 191Os-BLM were carried in wild type-mice up to 14 days. Lungs, liver and spleen uptake increased 24–72 h after administration of 191Os-BLM. 24 h after administration, the radioactivity of the kidney increased and remained constant.

DOI: 10.1007/s10967-011-1288-3

Treatment with 188Re Reduces Cancerous Phenotype in Liver Cancer Cells

Abstract
Background
Recurrence in hepatocellular carcinoma (HCC) after conventional treatments is a big challenge. Despite the promising progress in advanced targeted therapies, HCC is the fourth leading cause of cancer death worldwide. Radionuclide therapy could be an effective targeted approach to address this concern. Rhenium-188 (188Re) is a β-emitting radionuclide that can be used in clinic for apoptosis induction and inhibit cell proliferation. Although adherent cell cultures are efficient and reliable, the lack of appropriate cell-cell and cell-ECM contact exists. It has been demonstrated that three-dimensional organotypic human cancer models are suitable alternatives.
Methods
Conventional adherent culture and 3D constructs of Huh7 or HepG2 hepatoma cell lines cultured on liver extracellular matrix (ECM) were treated by different doses of 188 Rhenium Perrhenate (188ReO4). To evaluate cell viability, live/dead assay carried out. The flow-cytometric assay, qRT-PCR, western bolting, colony formation assay, and immunofluorescence (IF) studies were performed to investigate the therapeutic effect of 188ReO4. Subsequently, the tumor formation ability of 188ReO4-treated Huh7 cells was evaluated in animal model.
Results
According to viability assay and live/dead staining, the number of dead cells in Huh7 and HepG2 lines were significantly increased compared to untreated control groups. Data obtained from Annexin/PI showed that Huh7 and HepG2 cells showed typical apoptotic changes after treatment with 188ReO4. Quantitative RT-PCR and western blotting data also supported that 188ReO4 treatment can induce apoptosis. Furthermore, cell cycle arrest observed in G2 phase after exposure to effective dose of 188ReO4 in Huh7 cells. Colony formation assay confirmed growth suppression in Huh7 and HepG2 cells post exposure. The IF also displayed proliferation inhibition in the 188ReO4 treated cells on 3D scaffolds of liver extracellular matrix (LEM). In 2D culture, PI3-AKT signaling pathway remained unchanged whereas, in the 3D condition it was activated. Treated Huh7 cells with effective dose of 188ReO4 lose their tumor formation ability in nude mice compare to the control group.
Conclusion
The results supported that 188ReO4 could induce apoptosis and cell cycle arrest and inhibit tumor formation capacity in HCC cells.

DOI: 10.21203/rs.3.rs-398524/v1

Influence of drying conditions of zirconium molybdate gel on performance of 99mTc gel generator

Abstract
99mTc can be produced from 99Mo/99mTc gel generators. These gels are part of the generator and the 99Mo/99mTc gel generator performance is directly related with gel structure. In this work a series of zirconium molybdate gels have been synthesized and dried under different conditions and characterized using thermal analysis (TGA, DTA), SEM, XRD and porosity measurements. It is found that the water content of the gel determines the structure porosity which allows the diffusion of the 99mTcO4 ions inside the gel and was directly connected with performance of the 99Mo/99mTc gel generators. Drying conditions of the gel is as an important factor that influence water content and physical–chemical properties of this gel and must be carefully studied to optimize the properties of the gel generators.

DOI: 10.1016/j.apradiso.2009.06.011

Establishment of a fast and high yield method for routine production of [131I]MIBG and investigation of its radiochemical stability for diagnosis and treatment uses

Abstract
In this work, exchange radioiodination of metaiodobenzylguanidine (MIBG) was carried out at optimum conditions that facilitates the production of [131I]MIBG both quickly and efficiently. The radiochemical purity and yield of the labeled product are typically as high as 99% and 90% for diagnostic dose and 95% and 80% for therapeutic dose, respectively. Stability studies show that labeled material at the room temperature met the demand of the clinical application. This labeling procedure will be used in the routine production process of [131I]MIBG for diagnosis and treatment uses.

DOI: 10.1002/jlcr.3099

Evaluation of Effective Parameters on Labeling of Hydroxyapatite Compound with 90Y and Introducing the Best Method to Produce 90Y-HAp Radiopharmaceutical for Radiosynovectomy

Abstract
Radiosynovectomy is a local intra-articular injection of radionuclides in colloidal form for treatment of articular inflammatory in rheumatoid arthritis, hemophilia or orthopedic troubles. β-emitting radionuclides can be used for various joints based on radiation energy. 90Y is a pure β-emitter with a half-life of 64.1 hours that is used for treatment of the knee joint. β-radiation of this radionuclide possesses maximum energy of 2.281 MeV (99.98%), mean pathway of 3.6 mm in the soft tissue and maximum 11 mm. In this project, hydroxyapatite (HAp) is applied as a colloid maker agent that interacts with 90Y3+ ions via ion-dipole bonds and produces 90Y-HAp. The colloidal pharmaceutical is produced by adding an acidic solution of 90YCl3 to an HAp suspension in saline. Effective parameters within which the colloid is applied, such as the volume of diluent, HAp particle size and sonication effect were evaluated and tested. First, these determinative parameters were optimized in the simulated conditions and then examined in the active phase. Finally, the best procedure was determined for the production of the radiopharmaceutical. Radionuclide purity of the radiopharmaceutical according to the primary 90YCl3 solution was over 99.9%. Labeling yield and radiochemical purity were obtained over 99% using TLC method in saline solvent up to three days after production of radiopharmaceutical. Radiochemical purity of 90Y-HAp colloid was also evaluated in human serum albumin solution for three days at room temperature. The amount of released activity was between 0.3 to 2%.

Investigation of Radioiodination of Meta-Iodobenzylguanidine Compound with 131I Isotope in Solid Phase Using Cu Catalyser

Abstract
In this study the radioiodination process of meta-iodobenzylguanidine with 131I isotope in presence of ammonium sulphate and Cu(II) Catalyser was investigaded. In order to optimize the process, the influence of different parameters on labeling yield was studied. The results of experiments showed that the use of oil bath with temperature of 160˚C is necessary. After the labeling process, purification step of the final product was carried out using Dowex-1×8 resin. The mean labeling yield was 97.2%. In this method radiolabelling of MIBG with 131I (185 MBq for diagnostic dose and 3330 MBq for therapeutic dose) is quite simple and it complies with the requirements of routine production of 131I-MIBG radiopharmaceutical for diagnostic and therapeutic purposes. This paper is a narration of industrial scale production of 131I-MIBG radiopharmaceutical

Modification of elution efficiency of ^sup 99m^Tc from ^sup 99^Mo/^sup 99m^Tc gel generators using ascorbic acid

Abstract
Newer applications of radiopharmaceuticals in nuclear medicine require pertechnetate of moderate to high radioactive concentration. Hence there is a need to develop simple procedures for the concentration of pertechnetate. In this paper the influence of the addition of ascorbic acid to the eluent saline solution on the 99mTc elution yield is examined.

Preparation of ^sup 131^I-labelled MIBG for diagnosis and therapy purposes in nuclear medicine

Abstract
Meta-iodobenzylguanidine (MIBG) is an analogue of the adergenic neuron blocking guanethidine. MIBG labeled with radioiodine is a very valuable radiopharmaceutical, where it is intensively used in nuclear medicine for both diagnostic imaging and targeted radiotherapy of neural crest derived
tumors, such as neuroblastoma and pheochromocytoma. We have developed in 2009 an in house method of labeling MIBG with 131I. Since then we are regularly preparing 131I-MIBG for scintigraphy, with a gradual increase in the number of preparations. Methods: The procedure involved the addition of 1 mg of MIBG, 4 mg of ammonium sulfate, 50 μl of glacial acetic acid and 20 μl of freshly prepared CuSO4, 5H2O (3.25 mg/ml), followed by 131I-sodium iodide (supplied by the Nuclear Science Research School of NSTRI, AEOI, Tehran, Iran) in a vial. All the reagents were pure. After sealing the vial, the mixture was heated at 160 ºC for 30 min in an oil bath. The final product was cooled and dissolved in 2 ml of 0.15 M sodium acetate solution prepared by using sterile N2-purged water for injection. The radiochemical yield and the purity were determined by thin layer chromatography. Stability of the produced [131I]MIBG was evaluated at different time intervals by checking the RC purity with paper chromatography. Results: In this work, we succeeded in direct radiolabeling of MIBG by means of isotopic exchange. It was found that the labelling efficiency could be affected by several factors such as the composition of the reaction mixture, the temperature and the period of reaction. The process produced high yields of radioiodination (>80%) with very high radiochemical purity (>98%) and high specific activity. The pH of the labelled product was between 5-6. The results of biodistribution as demonstrated in animal imaging studies, revealed  physiologic distribution of the radiopharmaceutical and images were similar to those of the commercial product. Conclusion: We have developed a method for 13lI-labeIled MIBG for routine-production process. This method has some acceptance because of the simplified set-up and fewer reagents required for the synthesis. The 131I-labelled MIBG has high radiochemical purity and the deiodination is low. The good images resulting from the use of locally prepared 131I-MIBG revealed a good quality.

Preparation of Zirconium Molybdate Gel and Evaluation of its Physico-Chemical Characteristics Effects on 99mTc Generators Performances

Abstract
Zirconium molybdate gel has an excellent characteristic to be used as a column matrix material of 99mTc generators. The preparation conditions of zirconium molybdate gels will directly influence their physico-chemical characteristics and thus generator performances. In this work a series of zirconium molybdate gels were synthesized under different conditions and characterized by ICP, TGA, XRD and SEM Techniques. The effects of different parameters including pH of molybdate solution, Zr:Mo molar ratios, order of reactants addition, washing and granulating of gel on the performance of technetium-99m generators were evaluated. The experiments show that the optimum conditions for synthesis of the gel consist of: pH=4-4.5, Zr:Mo ratio of 1:1, gradual addition of molybdate solution to zirconium oxy chloride solution, no washing and grinding the resulted gel.

INVESTIGATION IN EFFECT OF FOURFOLD PARAMETERS ON PREPARATION OF 166HO RADIOPHARMACEUTICAL

Abstract
Radiopharmaceuticals are now increasingly used for therapy of cancer, palliation of pain secondary to bone metastasis and for the treatment of rheumatoid arthritis.165Ho (n, g) 166Ho is currently used for radiotherapy due to its attractive properties which include emission of high energy b- particles (Eb-1=1855 Kev (51%), Eb-2=1776 Kev (48%) and Eave=666 Kev), an appropriate physical half- life of 26.4 h and decay to stable daughter. In this research holmium oxide (Ho2O3, purity > 99.9%) was irradiated in Tehran research reactor (TRR) and four parameters mass, thermal neutron flux (j), bombarding time (tb) and cooling time (tc) were investigated. The best conditions for producing of 166Ho were achieved (m=2 mg, j=5.7×1013 n/cm2.s, tb=8 h, tc=40 h, correction factor 92%).
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