Journal
INTERNATIONAL JOURNAL OF CANCER
Volume 122, Issue 5, Pages 1164-1171Publisher
WILEY-LISS
DOI: 10.1002/ijc.23224
Keywords
boron neutron capture therapy; autotransplantation; L-para-boronophenylalanine; sodium mercaptoundecahydro-closo-dodecaborate; B-10-biodistribution
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Disseminated metastases of colorectal cancer in liver are incurable. The trial EORTC 11001 investigates whether autotransplantation after extracorporeal irradiation of the liver by boron neutron capture therapy (BNCT) might become a curative treatment option because of selective uptake of the compounds sodium mercaptoundecahydro-closo-dodecaborate (BSH) or L-para-boronophenylalanine (BPA). BSH (50 mg/kg bw) or BPA (100 mg/kg bw) were infused into patients who subsequently underwent resection of hepatic metastases. Blood and tissue samples were analyzed for the B-10-concentration with prompt gamma ray spectroscopy (PGRS). Three patients received BSH and 3 received BPA. Adverse effects from the boron carriers did not occur. For BSH, the highest B-10-concentration was observed in liver (31.5 +/- 2.7 mu g/g) followed by blood (24.8 +/- 4.7 mu g/g) and tumor (23.2 +/- 2.1 mu g/g) with a mean B-10-concentration ratio metastasis/liver of 0.72 +/- 0.07. For BPA, the highest B-10-concentration was measured in metastases (12.1 +/- 2.2 mu g/g) followed by liver (8.5 +/- 0.5 mu g/g) and blood (5.8 +/- 0.8 mu g/g). As BPA is transported actively into cells, viable, metabolically active cells accumulate exclusively this compound. Consequently, a model is proposed to adjust the values measured by PGRS for the proportion of viable cells to express the relevant B-10-concentration in the tumor cells, revealing a B-10-concentration ratio metastasis/liver of 6.8 +/- 1.7. In conclusion, BSH is not suitable as B-10-carrier in liver metastases as the B-10-concentration in liver was higher compared to metastasis. BPA accumulates in hepatic metastases to an extent that allows for extracorporeal irradiation of the liver with BNCT. (C) 2007 Wiley-Liss, Inc.
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