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González SJ, Pozzi ECC, Monti Hughes A, Provenzano L, Koivunoro H, Carando DG, Thorp SI, Casal MR, Bortolussi S, Trivillin VA, Garabalino MA, Curotto P, Heber EM, Santa Cruz GA, Kankaanranta L, Joensuu H, Schwint AE. Photon iso-effective dose for cancer treatment with mixed field radiation based on dose–response assessment from human and an animal model: clinical application to boron neutron capture therapy for head and neck cancer. ACTA ACUST UNITED AC 2017; 62:7938-7958. [DOI: 10.1088/1361-6560/aa8986] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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Farías RO, Garabalino MA, Ferraris S, Santa María J, Rovati O, Lange F, Trivillin VA, Monti Hughes A, Pozzi ECC, Thorp SI, Curotto P, Miller ME, Santa Cruz GA, Bortolussi S, Altieri S, Portu AM, Saint Martin G, Schwint AE, González SJ. Toward a clinical application of ex situ boron neutron capture therapy for lung tumors at the RA-3 reactor in Argentina. Med Phys 2016; 42:4161-73. [PMID: 26133616 DOI: 10.1118/1.4922158] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
PURPOSE Many types of lung tumors have a very poor prognosis due to their spread in the whole organ volume. The fact that boron neutron capture therapy (BNCT) would allow for selective targeting of all the nodules regardless of their position, prompted a preclinical feasibility study of ex situ BNCT at the thermal neutron facility of RA-3 reactor in the province of Buenos Aires, Argentina. (l)-4p-dihydroxy-borylphenylalanine fructose complex (BPA-F) biodistribution studies in an adult sheep model and computational dosimetry for a human explanted lung were performed to evaluate the feasibility and the therapeutic potential of ex situ BNCT. METHODS Two kinds of boron biodistribution studies were carried out in the healthy sheep: a set of pharmacokinetic studies without lung excision, and a set that consisted of evaluation of boron concentration in the explanted and perfused lung. In order to assess the feasibility of the clinical application of ex situ BNCT at RA-3, a case of multiple lung metastases was analyzed. A detailed computational representation of the geometry of the lung was built based on a real collapsed human lung. Dosimetric calculations and dose limiting considerations were based on the experimental results from the adult sheep, and on the most suitable information published in the literature. In addition, a workable treatment plan was considered to assess the clinical application in a realistic scenario. RESULTS Concentration-time profiles for the normal sheep showed that the boron kinetics in blood, lung, and skin would adequately represent the boron behavior and absolute uptake expected in human tissues. Results strongly suggest that the distribution of the boron compound is spatially homogeneous in the lung. A constant lung-to-blood ratio of 1.3 ± 0.1 was observed from 80 min after the end of BPA-F infusion. The fact that this ratio remains constant during time would allow the blood boron concentration to be used as a surrogate and indirect quantification of the estimated value in the explanted healthy lung. The proposed preclinical animal model allowed for the study of the explanted lung. As expected, the boron concentration values fell as a result of the application of the preservation protocol required to preserve the lung function. The distribution of the boron concentration retention factor was obtained for healthy lung, with a mean value of 0.46 ± 0.14 consistent with that reported for metastatic colon carcinoma model in rat perfused lung. Considering the human lung model and suitable tumor control probability for lung cancer, a promising average fraction of controlled lesions higher than 85% was obtained even for a low tumor-to-normal boron concentration ratio of 2. CONCLUSIONS This work reports for the first time data supporting the validity of the ovine model as an adequate human surrogate in terms of boron kinetics and uptake in clinically relevant tissues. Collectively, the results and analysis presented would strongly suggest that ex situ whole lung BNCT irradiation is a feasible and highly promising technique that could greatly contribute to the treatment of metastatic lung disease in those patients without extrapulmonary spread, increasing not only the expected overall survival but also the resulting quality of life.
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Affiliation(s)
- R O Farías
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina and Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires 1033, Argentina
| | - M A Garabalino
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina
| | - S Ferraris
- CIDME, Universidad Maimónides, Buenos Aires 1405, Argentina
| | - J Santa María
- CIDME, Universidad Maimónides, Buenos Aires 1405, Argentina
| | - O Rovati
- CIDME, Universidad Maimónides, Buenos Aires 1405, Argentina
| | - F Lange
- CIDME, Universidad Maimónides, Buenos Aires 1405, Argentina
| | - V A Trivillin
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina and Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires 1033, Argentina
| | - A Monti Hughes
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina
| | - E C C Pozzi
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina
| | - S I Thorp
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina
| | - P Curotto
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina
| | - M E Miller
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina
| | - G A Santa Cruz
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina
| | - S Bortolussi
- Istituto Nazionale di Fisica Nucleare, Sezione di Pavia 27100, Italy
| | - S Altieri
- Istituto Nazionale di Fisica Nucleare, Sezione di Pavia 27100, Italy and Dipartimento di Fisica, Università di Pavia, Pavia 27100, Italy
| | - A M Portu
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina and Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires 1033, Argentina
| | - G Saint Martin
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina
| | - A E Schwint
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina and Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires 1033, Argentina
| | - S J González
- Comisión Nacional de Energía Atómica (CNEA), San Martín 1650, Argentina and Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires 1033, Argentina
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Monti Hughes A, Pozzi ECC, Thorp SI, Curotto P, Medina VA, Martinel Lamas DJ, Rivera ES, Garabalino MA, Farías RO, Gonzalez SJ, Heber EM, Itoiz ME, Aromando RF, Nigg DW, Trivillin VA, Schwint AE. Histamine reduces boron neutron capture therapy-induced mucositis in an oral precancer model. Oral Dis 2015; 21:770-7. [DOI: 10.1111/odi.12346] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Revised: 04/10/2014] [Accepted: 04/19/2015] [Indexed: 02/04/2023]
Affiliation(s)
- A Monti Hughes
- Department of Radiobiology; National Atomic Energy Commission; San Martin Province Buenos Aires Argentina
| | - ECC Pozzi
- Department of Research and Production Reactors; National Atomic Energy Commission; Ezeiza Province Buenos Aires Argentina
| | - SI Thorp
- Department of Instrumentation and Control; National Atomic Energy Commission; Ezeiza Province Buenos Aires Argentina
| | - P Curotto
- Department of Research and Production Reactors; National Atomic Energy Commission; Ezeiza Province Buenos Aires Argentina
| | - VA Medina
- Radioisotopes Laboratory; School of Pharmacy and Biochemistry; University of Buenos Aires; Buenos Aires Argentina
- Laboratory of Cellular and Molecular Biology; School of Medical Sciences; Institute for Biomedical Research (BIOMED CONICET-UCA); Pontifical Catholic University of Argentina (UCA); Buenos Aires Argentina
- National Research Council (CONICET); Buenos Aires Argentina
| | - DJ Martinel Lamas
- Radioisotopes Laboratory; School of Pharmacy and Biochemistry; University of Buenos Aires; Buenos Aires Argentina
- Laboratory of Cellular and Molecular Biology; School of Medical Sciences; Institute for Biomedical Research (BIOMED CONICET-UCA); Pontifical Catholic University of Argentina (UCA); Buenos Aires Argentina
| | - ES Rivera
- Radioisotopes Laboratory; School of Pharmacy and Biochemistry; University of Buenos Aires; Buenos Aires Argentina
| | - MA Garabalino
- Department of Radiobiology; National Atomic Energy Commission; San Martin Province Buenos Aires Argentina
| | - RO Farías
- Department of Technology and Applications of Accelerators; National Atomic Energy Commission; San Martin Province Buenos Aires Argentina
| | - SJ Gonzalez
- National Research Council (CONICET); Buenos Aires Argentina
- Department of Technology and Applications of Accelerators; National Atomic Energy Commission; San Martin Province Buenos Aires Argentina
| | - EM Heber
- Department of Radiobiology; National Atomic Energy Commission; San Martin Province Buenos Aires Argentina
| | - ME Itoiz
- Department of Radiobiology; National Atomic Energy Commission; San Martin Province Buenos Aires Argentina
- Department of Oral Pathology; Faculty of Dentistry; University of Buenos Aires; Buenos Aires Argentina
| | - RF Aromando
- Department of Oral Pathology; Faculty of Dentistry; University of Buenos Aires; Buenos Aires Argentina
| | - DW Nigg
- Idaho National Laboratory; Idaho Falls ID USA
| | - VA Trivillin
- Department of Radiobiology; National Atomic Energy Commission; San Martin Province Buenos Aires Argentina
- National Research Council (CONICET); Buenos Aires Argentina
| | - AE Schwint
- Department of Radiobiology; National Atomic Energy Commission; San Martin Province Buenos Aires Argentina
- National Research Council (CONICET); Buenos Aires Argentina
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Razetti A, Farías RO, Thorp SI, Trivillin VA, Pozzi ECC, Curotto P, Schwint AE, González SJ. Design, construction and application of a neutron shield for the treatment of diffuse lung metastases in rats using BNCT. Appl Radiat Isot 2014; 88:50-4. [PMID: 24447934 DOI: 10.1016/j.apradiso.2013.12.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2012] [Revised: 12/17/2013] [Accepted: 12/21/2013] [Indexed: 11/17/2022]
Abstract
A model of multiple lung metastases in BDIX rats is under study at CNEA (Argentina) to evaluate the feasibility of BNCT for multiple, non-surgically resectable lung metastases. A practical shielding device that comfortably houses a rat, allowing delivery of a therapeutic, uniform dose in lungs while protecting the body from the neutron beam is presented. Based on the final design obtained by numerical simulations, the shield was constructed, experimentally characterized and recently used in the first in vivo experiment at RA-3.
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Affiliation(s)
- A Razetti
- Universidad Favaloro, FICEN, Av. Belgrano 1723 (1093), C.A.B.A., Buenos Aires, Argentina
| | - R O Farías
- Universidad Favaloro, FICEN, Av. Belgrano 1723 (1093), C.A.B.A., Buenos Aires, Argentina; CONICET, Av. Rivadavia 1917 (1033), C.A.B.A., Córdoba, Argentina; Comisión Nacional de Energía Atómica (CNEA), Av. Gral Paz 1499 (1650), Buenos Aires, Argentina
| | - S I Thorp
- Comisión Nacional de Energía Atómica (CNEA), Av. Gral Paz 1499 (1650), Buenos Aires, Argentina
| | - V A Trivillin
- CONICET, Av. Rivadavia 1917 (1033), C.A.B.A., Córdoba, Argentina; Comisión Nacional de Energía Atómica (CNEA), Av. Gral Paz 1499 (1650), Buenos Aires, Argentina
| | - E C C Pozzi
- Comisión Nacional de Energía Atómica (CNEA), Av. Gral Paz 1499 (1650), Buenos Aires, Argentina
| | - P Curotto
- Comisión Nacional de Energía Atómica (CNEA), Av. Gral Paz 1499 (1650), Buenos Aires, Argentina
| | - A E Schwint
- CONICET, Av. Rivadavia 1917 (1033), C.A.B.A., Córdoba, Argentina; Comisión Nacional de Energía Atómica (CNEA), Av. Gral Paz 1499 (1650), Buenos Aires, Argentina
| | - S J González
- CONICET, Av. Rivadavia 1917 (1033), C.A.B.A., Córdoba, Argentina; Comisión Nacional de Energía Atómica (CNEA), Av. Gral Paz 1499 (1650), Buenos Aires, Argentina.
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Hughes AM, Pozzi ECC, Thorp S, Garabalino MA, Farías RO, González SJ, Heber EM, Itoiz ME, Aromando RF, Molinari AJ, Miller M, Nigg DW, Curotto P, Trivillin VA, Schwint AE. Boron neutron capture therapy for oral precancer: proof of principle in an experimental animal model. Oral Dis 2013; 19:789-95. [DOI: 10.1111/odi.12077] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2012] [Revised: 12/26/2012] [Accepted: 12/28/2012] [Indexed: 11/26/2022]
Affiliation(s)
- A Monti Hughes
- Department of Radiobiology; National Atomic Energy Commission (CNEA); San Martin; Argentina
| | | | - S Thorp
- Department of Technology and Applications of Accelerators; CNEA; Ezeiza; Argentina
| | - MA Garabalino
- Department of Radiobiology; National Atomic Energy Commission (CNEA); San Martin; Argentina
| | - RO Farías
- Department of Technology and Applications of Accelerators; CNEA; Ezeiza; Argentina
| | | | - EM Heber
- Department of Radiobiology; National Atomic Energy Commission (CNEA); San Martin; Argentina
| | | | | | - AJ Molinari
- Department of Radiobiology; National Atomic Energy Commission (CNEA); San Martin; Argentina
| | - M Miller
- Department of Technology and Applications of Accelerators; CNEA; Ezeiza; Argentina
| | - DW Nigg
- Idaho National Laboratory; Idaho Falls; ID; USA
| | - P Curotto
- Department of Research and Production Reactors; CNEA; Ezeiza; Argentina
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Cardoso J, Nievas S, Pereira M, Schwint A, Trivillin V, Pozzi E, Heber E, Monti Hughes A, Sanchez P, Bumaschny E, Itoiz M, Liberman S. Boron biodistribution study in colorectal liver metastases patients in Argentina. Appl Radiat Isot 2009; 67:S76-9. [DOI: 10.1016/j.apradiso.2009.03.021] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Monti Hughes A, Heber EM, Pozzi E, Nigg DW, Calzetta O, Blaumann H, Longhino J, Nievas SI, Aromando RF, Itoiz ME, Trivillin VA, Schwint AE. Boron neutron capture therapy (BNCT) inhibits tumor development from precancerous tissue: an experimental study that supports a potential new application of BNCT. Appl Radiat Isot 2009; 67:S313-7. [PMID: 19376711 DOI: 10.1016/j.apradiso.2009.03.070] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
We previously demonstrated the efficacy of boron neutron capture therapy (BNCT) mediated by boronophenylalanine (BPA), GB-10 (Na(2)(10)B(10)H(10)) and (GB-10+BPA) to control tumors, with no normal tissue radiotoxicity, in the hamster cheek pouch oral cancer model. Herein we developed a novel experimental model of field-cancerization and precancerous lesions (globally termed herein precancerous tissue) in the hamster cheek pouch to explore the long-term potential inhibitory effect of the same BNCT protocols on the development of second primary tumors from precancerous tissue. Clinically, second primary tumor recurrences occur in field-cancerized tissue, causing therapeutic failure. We performed boron biodistribution studies followed by in vivo BNCT studies, with 8 months follow-up. All 3 BNCT protocols induced a statistically significant reduction in tumor development from precancerous tissue, reaching a maximum inhibition of 77-100%. The inhibitory effect of BPA-BNCT and (GB-10+BPA)-BNCT persisted at 51% at the end of follow-up (8 months), whereas for GB-10-BNCT it faded after 2 months. Likewise, beam-only elicited a significant but transient reduction in tumor development. No normal tissue radiotoxicity was observed. At 8 months post-treatment with BPA-BNCT or (GB-10+BPA)-BNCT, the precancerous pouches that did not develop tumors had regained the macroscopic and histological appearance of normal (non-cancerized) pouches. A potential new clinical application of BNCT would lie in its capacity to inhibit local regional recurrences.
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Affiliation(s)
- A Monti Hughes
- Department of Radiobiology, National Atomic Energy Commission (CNEA), Buenos Aires, Argentina
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Stoliar P, Kreiner AJ, Debray ME, Caraballo ME, Valda AA, Davidson J, Davidson M, Kesque JM, Somacal H, DiPaolo H, Burlon AA, Ozafrán MJ, Vázquez ME, Minsky D, Heber EM, Trivillin VA, Schwint AE. Microdistributions of prospective BNCT-compound CuTCPH in tissue sections with a heavy ion microbeam. Appl Radiat Isot 2004; 61:771-4. [PMID: 15308142 DOI: 10.1016/j.apradiso.2004.05.062] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Microdistributions of the prospective BNCT-compound CuTCPH, a carborane-containing tetraphenylporphyrin with one Cu atom in its molecular structure, have been obtained in tissue sections of different organs of tumor-bearing and normal Syrian hamsters injected with the boron compound by employing a heavy ion microbeam. High resolution X-ray spectroscopy following micro-PIXE (Particle Induced X-ray Emission with micrometer-sized beams) with a focused (16)O ion beam was used. Focusing was performed with a heavy-ion scanning high-precision magnetic quadrupole triplet microprobe. Squamous Cell Carcinomas were induced on the right Cheek Pouch of Syrian Hamsters (HCP), sampled, cryo-sectioned and freeze-dried. Two-dimensional maps of elemental concentration were obtained by scanning the beam over the samples. Very non-uniform Cu concentrations were found in all sections.
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Affiliation(s)
- P Stoliar
- Departamento de Física, Argentine Atomic Energy Commission, CNEA, Av. Gral. Paz 1499, CP 1650, Bienos Aires, Villa Martelli, Argentina
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Sandri P, Vidali C, Milan V, Trivillin V, Mustacchi G. Male breast cancer: A retrospective analysis of patients treated in Trieste, Italy. Eur J Cancer 1998. [DOI: 10.1016/s0959-8049(98)80202-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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