Specific marrow ablation before marrow transplantation using an aminophosphonic acid conjugate 166Ho-EDTMP

Blood. 1992 Sep 15;80(6):1608-13.

Abstract

166Holmium ethylenediaminetetramethylene phosphonic acid (166Ho-EDTMP) is a short-lived beta-emitting radionuclide complexed to an aminophosphonate ligand that we have investigated in a canine model as a potential agent for specific marrow ablation before marrow transplantation. After intravenous injections, 166Ho-EDTMP distributed principally to bone and after 24 hours the concentrations of 166Ho-EDTMP in bone were more than 200-fold higher than in any other organ. Increasing dosages of 166Ho-EDTMP led to increasingly prolonged and severe myelosuppression, but myeloablation was not achieved. Histologic examination of recovering animals suggested that the spleen may have acted as a reservoir for circulatory hematopoietic precursors. Four splenectomized animals administered 20 to 30 mCi/kg 166Ho-EDTMP without marrow transplantation died with marrow aplasia, while four splenectomized animals administered similar dosages of 166Ho-EDTMP followed by autologous transplantation recovered. The dose-limiting toxicity of 166Ho-EDTMP appeared to be marrow stromal damage resulting in myelofibrosis, which was reversible. These results suggest that 166Ho-EDTMP can be used to specifically ablate marrow function before marrow transplantation.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Blood / diagnostic imaging
  • Bone Marrow / radiation effects*
  • Bone Marrow Transplantation*
  • Bone and Bones / diagnostic imaging
  • Chelating Agents* / pharmacokinetics
  • Dogs
  • Hematopoiesis / radiation effects
  • Holmium
  • Organometallic Compounds* / pharmacokinetics
  • Organophosphorus Compounds* / pharmacokinetics
  • Radioisotopes
  • Radionuclide Imaging
  • Splenectomy

Substances

  • Chelating Agents
  • Organometallic Compounds
  • Organophosphorus Compounds
  • Radioisotopes
  • Holmium