Development of the purification process of gallium-68 eluated from Ge-68/Ga-68 generator Tossaporn Siriprapa1,*, Nopamon Sritongkul1,#, Malulee Tuntawiroon1,#, Nipavan Poramatikul2,#, Jatupol Sangsuriyan 2,# 1 Radiation Science Program, Division of Nuclear Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand 2 Thailand Institute of Nuclear Technology, Bangkok, Thailand *e-mail: Tossaporn.sir@mahidol.ac.th #e-mail: sinsu@mahidol.ac.th, simtt@mahidol.ac.th, pomnipa@yahoo.com, j_sangsuriyan@hotmail.com Abstract Introduction: Gallium-68 have a short half-lived of 68 min, 89.14% positron decay, produced by generator system and have suitable chemical property for labelling radioligand, make it a promising tracer for PET imaging. Methods: In this work, development of purification method for Ga-68 eluted from 68Ge/68Ga generator prior to perform radio labeling had been investigated. Cation and anion exchange chromatography techniques were used in combination to separate trace amount of competing metal ions and Ge-68 parent nuclide. The eluant Ga-68 in 5 ml 0.6N HCl was loaded onto AG50W-X8 cation exchange column, wash with 80%Acetone/0.15NHCl, eluted the Ga-68 by 98%Acetone/0.2NHCl mixture. The Ga-68 was then pass through AG1-X8 anion exchange column and purified Ga-68 was recovered by eluted with small volume of ultra pure water. Metal content, after purification process, analysed by ICP-AES, were reduced by 61%, 38% and 44% for Fe(II), Zn(II) and Al(III) respectively ,68Ge breakthrough was in the range of ∼10−3% by MCA spectrometer with HPGe detector. Labeling efficiency with NOTA-RGD,a tracer for angiogenesis imaging, gave average yields Ga-68 NOTA-RGD around 50% (not corrected for decay) and 9899% radiochemical purity(by HPLC). Conclusions: Cation exchange incombination with anion exchange chromatography had been proven to be an efficient method for purification of Ga-68 eluant from Ge-68/Ga-68 generator prior to radiolabeling of Ga-68 PET radiotracer. Keywords: 68GE/68GA GENERATOR, PURIFICATION, RADIOLAELING, ION EXCHANGE PURIFICATION, PET Introduction Positron emission tomography (PET) is an excellent diagnostic imaging technique and has become the dominant imaging method in the field of nuclear medicine with high resolution, high sensitivity and offering a precise quantitative analysis. Gallium-68 is a decay product of its parent Ge-68(half-life [t1/2] = 270.95 days) and can be available by 68Ge/68Ga generator system. Gallium-68 have short half-life 68 min decay by positron emission(89.14%) and have been developed as potential PET radiopharmaceuticals without on site cyclotron eg.Ga-68DOTA-TOC/DOTA -TATE for neuroendocrine,Ga-68 NOTA-RGD for angiogenesis or Ga-68 Citrate for infection imaging. Currently, several 68Ge/68Ga generator systems for 68 Ga are based on metal oxide, organic resin or inorganic support such as TiO2, SnO2, Al2O3, pyrogallolformaldehyde resins and silica based as sorbents. The principle drawback of these system is that the Ga-68 eluant usually contaminate with long life Ge68 and trace metal impurities which will potentially compete Ga-68 ion when radiolabeling with nanomole level of conjugated peptides or other carrier ligands. In addition, the eluant from Ge68/Ga-68 generator are relatively large volume and high HCl concentration from 0.1-1 N which make problem on labeling process. Therefore, dedicated procedures to purify and concentrate Ga-68 before radiolabeling are need to be explored. Recently, Zhernosekov et al. (2007) [1] reported a third method to purify 68 Ga from generator eluates on a micro cation-exchange column eluted with HCl/acetone mixtures for preparation of 68 Ga-labelled radiopharmaceuticals. Ocak et al. (2009) [2] summarized the three purification and concentration techniques of the characteristics of the 68 eluate of TiO2-based Ge/68Ga generators by fractionated elution, cation exchange chromatography and anion exchange chromatography. An important aspect for wide use of 68Garadiolabelling in clinical PET is the large volume after elution from the generator, high [H+], Moreover, there is concern about 68Ge breakthrough and contamination of metal ion impurities. [3-4]. The purpose of this study is to study a method for purification of Gallium-68 with high radiochemical purity and short purification times using the system of ion-exchange columns combining cation and anion exchange processes with a high labelling efficiency of 68Ga-NOTA-RGD with small volume and low acidity useful for direct radiolabeling reactions. 68Ga labelled peptides for clinical use Gallium-68 labeled peptide has been explored for different receptors and 68 Ga-NOTA-RGD(fig.1) has also been applied for imaging of tumors and angiogenesis. The integrin binds to extracellular matrix proteins such as vitronetic, fibrinogen and laminin, the amino acid sequence. Moreover, arginine-glycineaspartic acid (RGD) peptide sequence (Fig. 1) has the most efficient for targeting the integrin αvβ3 receptor. The highly expressed of the integrin αvβ3 on osteoclasts and active endothelial cells of the neovasculature of various tumors. It has been demonstrated that it is expressed in tumor cells in human such as late-stage glioblastomas, breast tumor, prostate tumor, malignant melanomas, and ovarian carcinomas [5-8]. Thus, the αvβ3 integrin-positive patients have proved to be a valid target and can be quantify integrin αvβ3 expression level for angiogenesis imaging. O OH N Ga+3 N N K : Lysine O HN O HO HO S y : D-Tyrosine OH NH O O HN O HO N H O HN O D : Aspartic acid R : Arginine H N NH2 NH NH NH O G : Glycine Figure 1 Chemical structure of NOTA–RGD 68 Ga- Materials and methods Two types of 68Ge/68Ga generators were used in this study. The 1st 68 Ge/68Ga generator was the product of iThemba Labs (Somerset West, SouthAfrica) and had been checked for metallic impurity. The elution was done by using steriled 0.6N HCl prepared from ultra pured Hydrochloric Acid and tri-distilled water. The 2nd 68Ge/68Ga generator was the product Eckert&Ziegler (Berlin, Germany). The elution was done by using steriled 0.1N HCl prepared from ultra pured Hydrochloric Acid and tridistilled water, was used for radiolabeling. Ga-68 purification and ICP-AES analysis for metal ions Using iThemba Lab’s 68Ge/68Ga generator, initially, the generator was eluted with 5 mL 0.6N HCl, flow rate <1 mL/min, the eluate was loaded on to cation exchange column (AG 50W-X8, 100–200 Mesh, Bio-Rad). Secondly, 0.5 mL of 80%Acetone/0.15N HCL was used to wash the cation column and eluted with 0.5 mL mixture of 98%Acetone and various concentration of HCL (0.05, 0.1, 0.15 and 0.2N) on four column of micro-chromatography column. Thirdly, each eluant from cation exchange column was loaded onto anion exchange column (AG1-X8, 100–200 Mesh Bio-Rad) separately, discard first eluant and then 68Ga was recovered in 1 mL tri-distilled water. The 68Ga products after purification process were analyzed for metal ion content by ICP-AES (Inductively Coupled Plasma atomic emission spectrometer) By ICP-AES, concentrations of the following metal ions were determined: Fe, Zn, Ge and Al. The standard solutions were used to prepare one standard solution containing 1000 ppb of each of these metals. The 1000 ppb standard solution was diluted to prepare a 50, 100, 200 and 400 ppb standard solutions. Labeling efficiency of purify 68Ga Using Eckert&Ziegler 68 68 Ge/ Ga generator which has higher radioactivity, Initially, the generator was eluted with 5 mL HCl 0.1N flow rate <1 mL/min, the eluate was loaded on the cation exchange column (AG 50W-X8, 100–200 Mesh, BioRad). Secondly, 0.5 mL of 80%Acetone/0.15N HCL was used to wash the cation column and eluted with 0.5 mL 98%Acetone/0.2N HCL. Thirdly, the eluant from cation exchange column was loaded onto anion exchange column (AG1-X8, 200– 400 Mesh Bio-Rad), discard first eluant and then 68Ga was recovered in 1 mL tri-distilled water. Labeling was performed as the method previously described [9] briefly 20 µg NOTA-RGD peptide, 20 µL Ga-68(20 µCi) were added to 200 µL 0.1M NaOAc (Sodium Acetate), pH was adjusted to 5.0-5.5 and the mixture was heated at 90-95 0C for 10 min. The labeled product of Ga68NOTA-RGD was purified by SepPak C-18 mini column. The labelling efficiencies and radiochemical purities of purified 68Ga-NOTA-RGD, were determined by High-performance liquid chromatography (HPLC), (Agilent tech., Serie 1200) with Phenomenex Jupiter column C18, 5 µm, 4.6x250 mm. The solvents were 0.1% (m/v) trifluoroacetic acid in de-ionised water (A) and 100% acetonitrile (B), flow rate 1 mL/min,detector UV-visible (200, 280 nm) and gamma-ray detector (Raytest Gabi Star). Determination of 68Ge breakthrough was done after completed decay of Ga-68(>48 hr), using γ-ray spectrometer (MCA) equipped with a coaxial HPGe detector. Breakthrough and Radionuclidic purity (RNP) Breakthrough is use to express the ratio of activities in the eluate of the parent radionuclide (68Ge) versus daughter radionuclide (68Ga). Another radionuclidic purity (RNP) is defined as the ratio of activity of a radionuclide versus the activity of another radionuclide. We define radionuclidic purity (RNP) here as the ratio of activities of 68Ge versus 68Ga in the eluate, expressed in % by this equation. Breakthrough (%) = 68Ge activity product x 100% 68Ga activity Results and discussion Concentration of cationic metallic impurities The Inductively Coupled Plasma atomic emission spectrometer (ICPAES) analysis of the eluates verified the presence of metal impurities that could interfere in Ga (III) complexation chemistry. In the solutions, Metal ions (Fe (III), Zn (II), Ge (IV) and Al (III)) in the eluate, Germanium (IV) was always ˂1 ppb (Fig. 1). Figure 1 metal ion in several eluates. And for all other metals ˂1 ppm. (Fe(II), Zn(II) and Al(III) were reduced from the solution 61, 38 and 44% respectively, after purification process) compared to the non-purified eluate. 68Ge Breakthrough 68 For quantification, Ge breakthrough was also measured after complete 68Ga decay (>48 h) in spectrometer equipped with a coaxial HPGe detector for determination of 68 68 Ge breakthrough. The Ge breakthrough to the generator was found to be ∼10−3% of the eluted 68Ga activity after eluate purification. Radiolabelling of NOTA-RGD The labeling yields of 68Ga-NOTARGD were 96.0-99.3% from the loaded activity on the first column. When combined the two purification methods (cation exchange and anion exchange chromatography respectively). The elution yields decreased to 50% after the first elutions. The radiochemical purity (RCP) of 68Ga-NOTA-RGD was higher than 99%. The time for this experiment was completed within 30 minutes. The preparation process, including HPLC quality control. Conclusion The 68Ge/68Ga generator was eluted every day for radiotracer production for reduce the amount of metal impurities at the time of 68Ga-NOTA-RGD synthesis. After eluate purification, the 68 Ga (III) preparation could be obtained in a minimized volume, the mean elution yield was 50% (not corrected for decay). Most importantly, The 68Ge breakthrough to the generator was found to be ∼10−3% of the eluted 68Ga activity after eluate purification. And the radiochemical purity (RCP) of 68 Ga-NOTA-RGD used for patient doses were greater than 90% (up to 99%), overall processing time was accomplished within 30 minutes. This resulted in a high labelling efficiency of 68Ga-NOTA-RGD with small volume and low acidity useful for direct radiolabeling reactions. Acknowledgements: The dissertation was financially supported under Research Fellowship, provided by Siriraj Graduate Scholarship. We are grateful for Radioisotope Center, Thailand Institute of Nuclear Technology to include copyrighted photographs as part of my thesis. I would like to thank Mr. Jatupol Sangsuriyan and Miss Nipavan Poramatikul for his valuable and constructive suggestions during the planning and development of this research work. References 1. 2. 3. 4. 5. 6. 7. 8. 9. Zhernosekov KP, Filosofov DV, Baum RP. Processing of generator produced 68Ga for medical application. J Nucl Med. 2007; 48:1741-1748. Ocak, M., Antretter, M., Knopp, R., Kunkel, F., Petrik, M., Bergisadi, N., Decristoforo, C. Full automation of 68Ga labeling of DOTApeptides including cation exchange prepurification. Appl. Radiat. Isot. 2009; 68: 297–302. Breeman WA, de Jong M, Krenning E. Preclinical aspects of Lu-177 labelled DOTA-peptides. 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