锆-89标记单克隆抗体和抗体片段的剂量系数

M. Zhukovsky, Hesham MH Zakaly
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引用次数: 3

摘要

目的是评估单克隆抗体(MAb)及其被89Zr标记的片段注射入人体用于正电子发射断层扫描(PET)后的行为,以及评估最大辐射暴露的器官和组织的吸收剂量。该生物动力学模型是基于单克隆抗体及其片段行为的基本参考数据和人体螯合物排泄的文献数据建立的。计算每Bq给药剂量下器官和组织中89Zr的累积活性。对于受照射最多的器官,计算器官和组织的平均吸收剂量。将含有完整单克隆抗体的89Zr注射到人体内时,剂量最高的器官是脾脏、肝脏和心脏壁。对这些器官的估计剂量分别为1.69、1.48和1.08毫戈瑞/MBq。当考虑单克隆抗体片段相关的注射时,暴露最多的器官是肾脏,F(ab'))和F(ab')2的剂量分别为0.939 mGy/MBq和0.920 mGy/MBq。
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DOSE COEFFICIENTS FOR MONOCLONAL ANTIBODIES AND ANTIBODY FRAGMENTS LABELED BY ZIRCONIUM-89
The purpose was to assess the behavior of monoclonal antibodies (MAb) and their fragments labeled by 89Zr after injecting them into the human body for the purpose of positron emission tomography (PET), as well as to assess absorbed doses in organs and tissues with maximum radiation exposure. The biokinetic model has been built on the base reference data about the behavior of MAb and their fragments and on the literature data on the excretion of chelate complexes from the human body. The cumulative activity of 89Zr in organs and tissues per Bq of administered activity was calculated. For the most exposed organs, average absorbed doses for organs and tissues were calculated. The organs which had the highest doses, when 89Zr was injected into the human body associated with intact monoclonal antibodies, are the spleen, the liver, and the heart wall. The estimated doses on these organs are 1.69, 1.48 and 1.08 mGy/MBq, respectively. When the injection associated with the fragments of monoclonal antibodies is considered, the most exposed organs are the kidneys with the doses of 0.939 mGy/MBq for F(ab’)) and 0.920 mGy/MBq for F(ab')2.
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