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5-(/sup 125/I)-iododeoxyuridine and the Auger effect: biological consequences and implications for therapy

Journal Article · · Pathobiol. Annu.; (United States)
OSTI ID:5100136
The development of a strategy for the treatment of cancer with internally administered radionuclides has two overriding constraints. The first is a biological one requiring the radiopharmaceutical to be incorporated preferentially within tumor cells or tumor cell targets in high enough concentration to be effective yet without causing irreparable damage to surrounding or critical normal tissues. The second is a physical one requiring the radionuclide to deposit its energy within a volume approximately that of the tumor cell or, if possible, confined to the radiosensitive targets of the tumor cell. Conceptually, as we shall explain below, this can be achieved by using the Auger effect from radionuclides decaying by electron capture. In many ways the physical and biological requisites for such an internally administered radiopharmaceutical are met by the thymidine analog 5-(/sup 125/I)-iododeoxyuridine (/sup 125/IUdR), in which the 5-methyl group of thymidine is replaced by /sup 125/I. This substitution produces a compound which behaves remarkably like thymidine because both the methyl group and iodine have similar van der Waal's radii. As a result, the radioiodine deposits its energy within the sensitive structures of the cell. Consideration in this report will be limited to the biologic consequences and implications for therapy of /sup 125/IUdR incorporated into DNA.
Research Organization:
Harvard Medical School, Boston, MA
OSTI ID:
5100136
Journal Information:
Pathobiol. Annu.; (United States), Journal Name: Pathobiol. Annu.; (United States) Vol. 8; ISSN PBANB
Country of Publication:
United States
Language:
English

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