Rejoice with Rhenium: The Chemistry of Obtaining and Using Rhenium to Treat Cancer
Rhenium is a highly redox active metal that has two potentially useful radioisotopes, Re-186 and Re-188, for radioimmunotherapy. Both emit beta particles suitable for radiotherapy of cancers and both emit low-energy gamma rays suitable for in vivo tracking via gamma scintigriphy. Since rhenium is a highly redox active metal, a major concern for the development of potential Re-186/188 radiopharmaceuticals is the kinetic and redox stability of the radiotracer complexes. To this end, our IGERT team has been investigating the redox stability of Re Schiff base complexes that possess extensive redox chemistry. We are also investigating the chemistry of Re-188 complexes under “tracer” conditions, i.e. under conditions of high dilution such as found in high specific activity radiopharmaceuticals once introduced in vivo. Under high dilution, the kinetics of the tracer Re-186/188 complexes may be quite different than under macroscopic conditions. Finally, our team is investigating the development of an accelerator-based method to produce high specific activity Re-186. Part of this effort involves separations of Re-186 from the activated W-187 target. Overall, the IGERT team is providing all aspects of chemistry/physics to render radiorhenium convenient for radioimmunotherapy.
Marc Porter
Faculty: Project PI
How will the Re-ligand complex by linked with the targeting antibody? Do you have an example in mind as to the first cancer to go after as a model?
Sam Groveman
Thanks for the question!
We have been exploring various means to attach the bifunctional chelate to an antibody, including active esters, thiolactones, and even a tetrazine method. We first need to determine the best ligand core before testing the various linkers, so we can’t say which linker would be best yet.
As for the cancer, the 6D2 antibody developed at our partner institution Albert Einstein School of Medicine would be well suited to 188Re, and targets melanoma, so that would likely be our first target.
Jon Kellar
Faculty: Project Co-PI
What is the toxicity of Rhenium 186 and 188 to humans?
Matthew Gott
Graduate Student
Hello Jon,
Thank you for the question.
With Re-186 and Re-188, the toxicity is going to be more associated with the radiation dose than the metal toxicity. We only need to use trace level quantities of rhenium to induce the desired effect.
As an example from a published study, Re-188 was used to treat metastatic bone pain. Each patient received 75-96 nanograms of Re-188.
Please let us know if you have further questions.
All the best,
Matt
Adriane Ludwick
Faculty: Project Co-PI
What rhenium complexes have been sythesized thus far? Or is there a particular complex synthesis underway? Please give more details on this part of the project.
Sam Groveman
Thanks for the question!
Currently, we have synthesized Re-complexes for all of the ligands described in the poster, i.e. Re-P11, Re-BAT-TECH, Re-FGC, and Re-FKC. While we have synthesized the complexes, we are still investigating the complex stabilities to determine the best ligand.
We are also adding linker groups to our ligands to develop the bifunctional chelate, this will necessitate a reevaluation of the stabilities of the ligands, so those syntheses are still underway.
Please let us know if you have further questions.
Peter Gannett
Faculty: Project Co-PI
The use of antibodies for targeting can be a very effective approach. However, they sometimes induce an immune response themselves. Has 6D2 shown any tendency to do this and do you think attachment of the Re complex will alter this?
Sam Groveman
Hi Peter, thanks for the question!
Phase I clinical trials of directly labeled 6D2 didn’t show any immune response, however, the trials were only for lethal metastatic melanoma and a small sample size of patients. While the results are encouraging, further investigation is needed before we can draw conclusions about immune response.
The 6D2 in the trial had 188Re directly labeled into the antibody, so using a bifunctional chelate would likely change the structure of the antibody even less than the direct labeling. While we can’t say for sure without further trials, there would likely be no increased chance of immune response from the addition of Re.
I hope that helps, and please let us know if you have any further questions.
Antal Jakli
Faculty: Project Co-PI
How does the half-life of 186RE relate to the localized dose to tumors?
Matthew Gott
Graduate Student
Thank you for the great question.
The ~90 hr half-life allows time for slower metabolizing biomolecules such as antibodies to circulate and localize at the tumor site. With the longer half-life, there will be less damage to healthy tissues as the radiopharmaceuticals circulate through the body compared to a short-lived isotope.
With its shorter half life (17 hr), Re-188 is better suited for faster circulating antibodies and peptides.
Please let us know if you have any further questions.
All the best,
Matt