WO2016134164A1 - Methods of enhancing cerenkov luminescence using nanoparticles, and compositions related thereto - Google Patents

Methods of enhancing cerenkov luminescence using nanoparticles, and compositions related thereto Download PDF

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Publication number
WO2016134164A1
WO2016134164A1 PCT/US2016/018502 US2016018502W WO2016134164A1 WO 2016134164 A1 WO2016134164 A1 WO 2016134164A1 US 2016018502 W US2016018502 W US 2016018502W WO 2016134164 A1 WO2016134164 A1 WO 2016134164A1
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nanoparticle
radionuclide
composition
liposome
nanoparticles
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PCT/US2016/018502
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French (fr)
Inventor
Edwin Pratt
Jan Grimm
Moritz Kircher
Travis M. SHAFFER
Matthew WALL
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Memorial Sloan Kettering Cancer Center
Cornell University
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Publication of WO2016134164A1 publication Critical patent/WO2016134164A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0059Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/0002General or multifunctional contrast agents, e.g. chelated agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K49/00Preparations for testing in vivo
    • A61K49/001Preparation for luminescence or biological staining
    • A61K49/0013Luminescence
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K51/00Preparations containing radioactive substances for use in therapy or testing in vivo
    • A61K51/12Preparations containing radioactive substances for use in therapy or testing in vivo characterised by a special physical form, e.g. emulsion, microcapsules, liposomes, characterized by a special physical form, e.g. emulsions, dispersions, microcapsules
    • A61K51/1217Dispersions, suspensions, colloids, emulsions, e.g. perfluorinated emulsion, sols
    • A61K51/1234Liposomes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K51/00Preparations containing radioactive substances for use in therapy or testing in vivo
    • A61K51/12Preparations containing radioactive substances for use in therapy or testing in vivo characterised by a special physical form, e.g. emulsion, microcapsules, liposomes, characterized by a special physical form, e.g. emulsions, dispersions, microcapsules
    • A61K51/1241Preparations containing radioactive substances for use in therapy or testing in vivo characterised by a special physical form, e.g. emulsion, microcapsules, liposomes, characterized by a special physical form, e.g. emulsions, dispersions, microcapsules particles, powders, lyophilizates, adsorbates, e.g. polymers or resins for adsorption or ion-exchange resins
    • A61K51/1244Preparations containing radioactive substances for use in therapy or testing in vivo characterised by a special physical form, e.g. emulsion, microcapsules, liposomes, characterized by a special physical form, e.g. emulsions, dispersions, microcapsules particles, powders, lyophilizates, adsorbates, e.g. polymers or resins for adsorption or ion-exchange resins microparticles or nanoparticles, e.g. polymeric nanoparticles
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01TMEASUREMENT OF NUCLEAR OR X-RADIATION
    • G01T1/00Measuring X-radiation, gamma radiation, corpuscular radiation, or cosmic radiation
    • G01T1/16Measuring radiation intensity
    • G01T1/22Measuring radiation intensity with Cerenkov detectors
    • GPHYSICS
    • G02OPTICS
    • G02FOPTICAL DEVICES OR ARRANGEMENTS FOR THE CONTROL OF LIGHT BY MODIFICATION OF THE OPTICAL PROPERTIES OF THE MEDIA OF THE ELEMENTS INVOLVED THEREIN; NON-LINEAR OPTICS; FREQUENCY-CHANGING OF LIGHT; OPTICAL LOGIC ELEMENTS; OPTICAL ANALOGUE/DIGITAL CONVERTERS
    • G02F1/00Devices or arrangements for the control of the intensity, colour, phase, polarisation or direction of light arriving from an independent light source, e.g. switching, gating or modulating; Non-linear optics
    • G02F1/35Non-linear optics
    • G02F1/37Non-linear optics for second-harmonic generation
    • G02F1/374Cherenkov radiation

Definitions

  • This invention relates generally to imaging agents and related methods. More particularly, in certain embodiments, the invention relates to radionuclides coupled (covalently or non-covalently) to biocompatible high refractive index nanomaterials for enhanced biomedical imaging and therapeutic applications.
  • Cerenkov luminescence occurs when the velocity of a charged particle exceeds the phase velocity of a medium.
  • RI refractive index
  • Cerenkov enhancement may be produced by altering the RI of the suspension. However, this is not feasible for preclinical and clinical models because serum and tissue become the dominant RI materials, thereby limiting the yield of emitted particles.
  • Nanoparticles are often combined with ionizing radiation sources for in vivo imaging and therapy. These combinations include both radiotracers that emit high-energy photons and beta particles along with proton, photon, and electron beam therapy. Ionizing radiation is routinely used in the clinic and is an area where nanoparticles offer an array of imaging and therapeutic applications. Ionizing radiation sources such as proton, photon, and electron beams or radionuclides are often combined with nanoparticles for various applications.
  • nanoparticles have been used as radionuclide platforms for diagnostic purposes such as sentinel lymph node imaging and photodynamic therapy.
  • Other applications outside of in vivo applications include dosimetry instrumentation, and betavoltaic cells on a macro level.
  • dosimetry instrumentation and betavoltaic cells on a macro level.
  • betavoltaic cells on a macro level.
  • the lack of understanding of the mechanisms of interaction between ionizing radiation and nanoparticles limit the biomedical applications of radionuclides used in combination with nanoparticles.
  • HEP high-energy sub-atomic particle
  • these interactions include 1) photoelectric effect, 2) Compton scattering, 3) coherent scattering, and 4) pair formation.
  • interactions include 1) Cerenkov radiation, 2) excitation, 3) ionization, 4) bremsstrahlung, and 5) positron annihilation.
  • the probability of each type of interaction occurring depends on the properties of both the HEP and the matter through which the HEP is interacting. These interactions have facilitated applications, such as: Cerenkov radiation and various nanoparticles for imaging and therapy, quantum dot scintillation under gamma-ray irradiation, and rare-earth nanoparticle excitation by both Cerenkov radiation and gamma-ray irradiation mechanisms.
  • Cerenkov radiation and various nanoparticles for imaging and therapy such as: Cerenkov radiation and various nanoparticles for imaging and therapy, quantum dot scintillation under gamma-ray irradiation, and rare-earth nanoparticle excitation by both Cerenkov radiation and gamma-ray irradiation mechanisms.
  • Cerenkov radiation and various nanoparticles for imaging and therapy such as: Cerenkov radiation and various nanoparticles for imaging and therapy, quantum dot scintillation under gamma-ray irradiation, and rare-earth nanoparticle ex
  • Cerenkov radiation excitation e.g., spectrum shifting
  • gamma excitation e.g., radioluminescence
  • other mechanisms of ionizing radiation modulation are possible, and may be beneficial to improved instrumental design, dosimetry calculations, etc. applicable to the medical field.
  • the present disclosure describes the enhancement of Cerenkov luminescence and alternative interactions of particles by coupling radionuclides (e.g., covalently or non-covalently) to biocompatible nanoparticles that have refractive indices greater than heterogeneous medium (e.g., tissue).
  • radionuclides e.g., covalently or non-covalently
  • biocompatible nanoparticles that have refractive indices greater than heterogeneous medium (e.g., tissue).
  • Described herein are various interactions between high-energy subatomic particles and nanoparticles that result in modulation of the photon flux in both the visible and high-energy spectrum. Furthermore, flux modulation at specific wavelengths is assigned to photoluminescence from visible spectrum photons and excitation and ionization events from high-energy photons and beta particles. These interactions provide an ability to pair
  • nanoparticles with ionizing radiation sources for use in various biomedical applications (e.g., imaging, therapeutics, cell-based assays, etc.).
  • ionizing radiation e.g., including electrons, positrons, and high-energy photons
  • nanoparticles with an array of compositions.
  • ionizing radiation e.g., including electrons, positrons, and high-energy photons
  • Both high-energy and visible photon modulations are investigated with (i) high-energy photon emitter m Tc, (ii) low energy pure beta emitters S and P, and radionuclides that emit both low energy betas and high-energy photons 18 F, 68 Ga, 90 Y, and 177 Lu.
  • GaNP germanium nanoparticles
  • Ti0 2 titanium dioxide
  • Hf0 2 hafnium dioxide
  • systems that exhibit photoluminescence and scintillation from various HEPs for example, europium oxide nanoparticles (Eu 2 0 3 ). Each system reveals mechanisms of photon modulation and are applied to applications in vitro and in vivo.
  • the invention is directed to a method of imaging tissue (e.g., a luminescence detection method), which method comprises administering one or more agents to the tissue (e.g., in vitro, or administering to a subject, in vivo) so that the tissue (e.g., the subject) is receiving a nanoparticle and/or liposome having one or more radionuclides either coupled thereto (e.g., covalently or non-covalently coupled, e.g., with or without a chelator, e.g., with or without a linker moiety between the radionuclide and the nanoparticle) or within its vicinity (e.g., within 3 millimeters, e.g., within 2 millimeters in water, e.g., within 1 millimeter in tissue, e.g., within a Cerenkov distance) in the tissue (e.g., the tissue of the subject) the nanoparticle or liposome and the one or more
  • the one or more radionuclides comprises one or more members selected from the set consisting of 89 Zr, 90 Y, 64 Cu, 177 Lu, 68 Ga, 18 FDG, 33 P, 35 S, 14 C, 3H, 18 F, and combinations thereof.
  • the one or more radionuclides comprises 33 P. In certain embodiments, the one or more radionuclides comprises 35 S.
  • the nanoparticle and/or liposome has diameter no greater than about 250 nm (e.g., no greater than 200 nm, no greater than 150 nm, no greater than 140 nm, or no greater than 100 nm).
  • the nanoparticle is a member selected from the group consisting of silica, aluminum oxide, titanium dioxide, zinc oxide, quartz, cuprite, titania (rutile), titania (anatase), europium, hafnium, gadolinium oxide, and diamond.
  • the one or more agents exhibits greater radiance/ ⁇ than a solution (e.g., buffer solution) having the same one or more radionuclide, but without the nanoparticle (or liposome).
  • the one or more agents has at least 1.5 times the radiance ⁇ Ci of the solution of the radionuclide alone (e.g., at least 2.0 times, at least 2.5 times, or at least 3.0 times, at least 20 times, at least 40 times, at least 80 times, at least 100 times, at least 500 times, at least 1000 times, at least 1500 times, at least 2000 times).
  • the one or more agents exhibits an average radiance of greater than 8 x 10 5 p/s/cm 2 /sr (e.g., at least 1.5 times the average radiance of a buffer solution of the radionuclide without the nanoparticle and/or liposome, e.g., at least 1.6 times greater, e.g., at least 1.63 times greater, e.g., at least 2.0 times greater, e.g., for 90 Y) (e.g., at least 10 times the average radiance of a buffer solution of the radionuclide without the nanoparticle and/or liposome, e.g., at least 20 times greater, e.g., at least 100 times greater, e.g., at least 2000 times greater, e.g., for 35 S) [0022] In certain embodiments, the one or more agents exhibits at least 0.75 times the average radiance of a buffer solution of the radionuclide without the nanoparticle and/sr (e
  • the nanoparticle and/or liposome comprise targeting ligands to target a tumor.
  • the tissue is tumor tissue.
  • the invention is directed to a composition of matter comprising a nanoparticle and/or liposome having one or more radionuclides either coupled thereto (e.g., covalently or non-covalently coupled, e.g., with or without a chelator, e.g., with or without a linker moiety between the radionuclide and the nanoparticle) or within its vicinity (e.g., within 3 millimeters, e.g., within 2 millimeters in water, e.g., within 1 millimeter in tissue, e.g., within a Cerenkov distance), the nanoparticle and/or liposome having a refractive index of at least 1.2 (e.g., at least 1.45, at least 1.49, at least 1.7, at least 1.9, at least 2.0, at least 2.4, or at least 2.5) such that the composition exhibits enhanced Cerenkov luminescence.
  • a refractive index of at least 1.2 e.g., at least 1.
  • the one or more radionuclides comprises one or more members selected from the set consisting of 89 Zr, 90 Y, 64 Cu, 177 Lu, 68 Ga, 18 FDG, 33 P, 35 S, 14 C, 3 H, 18 F, and combinations thereof.
  • the one or more radionuclides comprises 33 P. In certain embodiments, the one or more radionuclides comprises 35 S.
  • the nanoparticle and/or liposome has diameter no greater than about 250 nm (e.g., no greater than 200 nm, no greater than 150 nm, no greater than 140 nm, or no greater than 100 nm).
  • the composition comprises a nanoparticle and the nanoparticle is a member selected from the group consisting of silica, aluminum oxide, titanium dioxide, zinc oxide, quartz, cuprite, titania (rutile), titania (anatase), europium, hafnium, gadolinium oxide, and diamond.
  • the composition exhibits greater radiance/ ⁇ than a solution (e.g., buffer solution) having the same radionuclide as the composition, but without the nanoparticle (or liposome).
  • a solution e.g., buffer solution
  • the composition has at least 1.5 times the radiance ⁇ Ci of the solution of the radionuclide alone (e.g., at least 2.0 times, at least 2.5 times, or at least 3.0 times, at least 20 times, at least 40 times, at least 80 times, at least 100 times, at least 500 times, at least 1000 times, at least 1500 times, at least 2000 times).
  • the composition exhibits an average radiance of greater than 8 x 10 5 p/s/cm 2 /sr (e.g., at least 1.5 times the average radiance of a buffer solution of the radionuclide without the nanoparticle or liposome, e.g., at least 1.6 times greater, e.g., at least 1.63 times greater, e.g., at least 2.0 times greater, e.g., for 90 Y) (e.g., at least 10 times the average radiance of a buffer solution of the radionuclide without the nanoparticle or liposome, e.g., at least 20 times greater, e.g., at least 100 times greater, e.g., at least 2000 times greater, e.g., for 35 S)
  • the composition exhibits at least 0.75 times the average radiance of a buffer solution of the radionuclide without the nanoparticle or liposome, e.g., at least 0.5 times greater, e.g., at least 0.2 times greater, e.g., at least 0.1 times greater, e.g., for GaAs or GaP nanoparticles).
  • the radionuclide emits low energy beta minus particles and does not emit detectable gamma and/or x-ray particles (e.g., wherein the radionuclide is
  • the invention is directed to a method of detecting a radionuclide, the method comprising: administering (e.g., spraying) one or more agents comprising a nanoparticle and/or liposome to a surface; and detecting (e.g., via a camera) luminescence produced by the nanoparticle and/or liposome having one or more radionuclides either coupled thereto (e.g., covalently or non-covalently coupled, e.g., with or without a chelator, e.g., with or without a linker moiety between the radionuclide and the nanoparticle) or within its vicinity (e.g., within 3 millimeters, e.g., within 2 millimeters in water, e.g., within 1 millimeter in tissue, e.g., within a Cerenkov distance), (e.g., wherein the radionuclides either coupled thereto (e.g., covalently or non-covalently coupled,
  • radionuclide is selected from the group consisting of P, S, C, and H).
  • the method comprises administering the one or more agents to the surface, thereby resulting in the composition.
  • the invention is directed to a method for detecting biological processes (e.g., amino acids, phosphate, e.g., in vitro), the method comprising tethering (e.g., via
  • low energy radionuclides e.g., P, S, C, and/or H
  • amino acids e.g., a 35 S-Cysteine or 35 S-methionine
  • phosphates e.g., a 33 P-phosphate
  • contacting e.g., bringing together within a Cerenkov distance
  • a nanoparticle and the tethered radionuclide composition e.g., contacting the tethered radionuclide composition with nanoparticles in solution, e.g., ⁇ 3 ⁇ 40 3 nanoparticles, e.g., wherein the solution has a concentration of 1E10, 5E10, 1E11, 2E11, 5E11, 1E12 nanoparticles/mL, e.g., wherein the nanoparticle is coated on a concentration of 1E10, 5E10, 1E11, 2E11, 5E11, 1E12 nanoparticles/mL, e.g
  • the term "approximately” or “about” refers to a range of values that fall within 25%, 20%, 19%, 18%, 17%, 16%, 15%, 14%, 13%, 12%, 11%, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%), 2%), 1%), or less in either direction (greater than or less than) of the stated reference value unless otherwise stated or otherwise evident from the context (except where such number would exceed 100% of a possible value).
  • agent or “One or more agents”: The term “agent” may include nanoparticles, radionuclides, conjugates of nanoparticles and radionuclides, carriers, excipients, etc.
  • administering refers to introducing a substance into a subject.
  • any route of administration may be utilized including, for example, parenteral (e.g., intravenous), oral, topical, subcutaneous, peritoneal, intraarterial, inhalation, vaginal, rectal, nasal, introduction into the cerebrospinal fluid, or instillation into body compartments.
  • administration is oral. Additionally or alternatively, in certain embodiments, administration is parenteral. In certain embodiments, administration is intravenous.
  • Biocompatible The term “biocompatible”, as used herein is intended to describe materials that do not elicit a substantial detrimental response in vivo. In certain embodiments, the materials are “biocompatible” if they are not toxic to cells. In certain embodiments, materials are “biocompatible” if their addition to cells in vitro results in less than or equal to 20% cell death, and/or their administration in vivo does not induce inflammation or other such adverse effects. In certain embodiments, materials are biodegradable.
  • Biodegradable As used herein, “biodegradable” materials are those that, when introduced into cells, are broken down by cellular machinery ⁇ e.g., enzymatic degradation) or by hydrolysis into components that cells can either reuse or dispose of without significant toxic effects on the cells. In certain embodiments, components generated by breakdown of a biodegradable material do not induce inflammation and/or other adverse effects in vivo. In certain embodiments, biodegradable materials are enzymatically broken down. Alternatively or additionally, in certain embodiments, biodegradable materials are broken down by hydrolysis. In certain embodiments, biodegradable polymeric materials break down into their component polymers.
  • breakdown of biodegradable materials includes hydrolysis of ester bonds. In certain embodiments, breakdown of materials (including, for example, biodegradable polymeric materials) includes cleavage of urethane linkages.
  • carrier refers to a diluent, adjuvant, excipient, or vehicle with which the compound is administered. Such pharmaceutical carriers can be sterile liquids, such as water and oils, including those of petroleum, animal, vegetable or synthetic origin, such as peanut oil, soybean oil, mineral oil, sesame oil and the like.
  • Water or aqueous solution saline solutions and aqueous dextrose and glycerol solutions are preferably employed as carriers, particularly for injectable solutions.
  • Suitable pharmaceutical carriers are described in "Remington's Pharmaceutical Sciences” by E. W. Martin.
  • Detector As used herein, the term “detector” includes any detector of electromagnetic radiation including, but not limited to, CCD camera, photomultiplier tubes, photodiodes, and avalanche photodiodes. In certain embodiments, the detector is a germanium detector.
  • Sensor As used herein, the term “sensor” includes any sensor of
  • electromagnetic radiation including, but not limited to, CCD camera, photomultiplier tubes, photodiodes, and avalanche photodiodes, unless otherwise evident from the context.
  • substantially As used herein, the term “substantially”, and grammatic equivalents, refer to the qualitative condition of exhibiting total or near-total extent or degree of a characteristic or property of interest.
  • biological and chemical phenomena rarely, if ever, go to completion and/or proceed to completeness or achieve or avoid an absolute result.
  • Subject As used herein, the term “subject” includes humans and mammals
  • subjects are be mammals, particularly primates, especially humans.
  • subjects are livestock such as cattle, sheep, goats, cows, swine, and the like; poultry such as chickens, ducks, geese, turkeys, and the like; and domesticated animals particularly pets such as dogs and cats.
  • subject mammals will be , for example, rodents (e.g., mice, rats, hamsters), rabbits, primates, or swine such as inbred pigs and the like.
  • Therapeutic agent refers to any agent that has a therapeutic effect and/or elicits a desired biological and/or pharmacological effect, when administered to a subject.
  • Treatment refers to any administration of a substance that partially or completely alleviates, ameliorates, relives, inhibits, delays onset of, reduces severity of, and/or reduces incidence of one or more symptoms, features, and/or causes of a particular disease, disorder, and/or condition.
  • Such treatment may be of a subject who does not exhibit signs of the relevant disease, disorder and/or condition and/or of a subject who exhibits only early signs of the disease, disorder, and/or condition.
  • such treatment may be of a subject who exhibits one or more established signs of the relevant disease, disorder and/or condition.
  • treatment may be of a subject who has been diagnosed as suffering from the relevant disease, disorder, and/or condition.
  • treatment may be of a subject known to have one or more susceptibility factors that are statistically correlated with increased risk of development of the relevant disease, disorder, and/or condition.
  • FIG. 1 depicts that the majority of 18 F positrons (shaded) do not reach the
  • FIG. 2 depicts a facile radiolabeling method to stably attach radioisotopes to certain metal-oxide nanoparticles.
  • FIG. 3 A shows Cerenkov luminescence of 90 Y at various wavelengths.
  • FIG. 3B depicts Cerenkov Enhancement over buffer of various high refractive index nanoparticles.
  • FIG. 4A depicts Cerenkov Enhancement of 90 Y using various high refractive index nanoparticles using an open emission filter (IVIS instrumentation).
  • FIG. 4B depicts Cerenkov Enhancement of silica nanoparticles and their absorbance within the wavelengths of 500-800 nm.
  • FIG. 4C depicts 90 Y Enhancement with nanoparticles normalized to signal MES buffer (as shown in FIG. 4A).
  • FIG. 5 A shows Cerenkov enhancement of 64 Cu using liposomes. Luminescence values plotted comparing buffer with activity to liposomes extruded and stored in the same buffer.
  • FIG. 5B shows Cerenkov enhancement of 68 Ga using liposomes. Luminescence values plotted comparing buffer with activity to liposomes extruded and stored in the same buffer.
  • FIG. 5C shows Cerenkov luminescence of 90 Y using liposomes. Luminescence values plotted comparing buffer with activity to liposomes extruded and stored in the same buffer.
  • FIG. 6 shows the relative Cerenkov luminescence enhancement of 64 Cu, 68 Ga, and
  • FIG. 7 shows a plot of RMS distance spread calculated as described in Mitchell et al. and interpolated for various beta-emitting nuclides such as 64 Cu, 89 Zr and 68 Ga.
  • FIG. 8 shows Cerenkov enhancement of 64 Cu, 68 Ga, and 90 Y using liposomes normalized to the RMS spread distance of the beta particle. Copper which has a low beta particle kinetic energy compared to that of Yttrium experiences a greater enhancement in part to the increase in refractive index.
  • FIG. 9A shows a schematic of seeded growth of a silica nanoparticle using a modified Stober process outlined by Bogush. Seeded growth occurs via tetra-ethyl-orthosilicate (TEOS) + H20 precursors.
  • TEOS tetra-ethyl-orthosilicate
  • FIG. 9B shows radiance per activity for MES buffer with activity, a radiolabeled silicon nanoparticle (Si P), and a radiolabeled Si P that was seeded.
  • the particle size change was from 48.3 ⁇ 2.5nm to 68.1 ⁇ 1.8nm. Enhancement of seeded radiolabeled SiNP was 1.5X compared to MES buffer and 1.2X compared to smaller radiolabeled SiNP.
  • FIGS. 10A and 10B show average radiance ((p/s/cm 2 /sr)xl0 4 ) for 90 Y, 68 Ga, 64 Cu,
  • FIG. 11 depicts ⁇ - Cerenkov luminescence radionuclides and MeV spectra with a
  • Cerenkov threshold in tissue for 64 Cu, 18 F, 89 Zr, 90 Y, 68 Ga, 177 Lu, 33 P, and 35 S.
  • FIGS. 12A - 12D also show that the refractive index and absorbance properties of a nanoparticle can vary with wavelength and are nanoparticle dependent. Without wishing to be bound to any theory, in certain embodiments, transparency affects Cerenkov luminescence.
  • FIG. 13 shows 177 Lu fold enhancement to water per particles per mL for various types of nanoparticles. "#5" refers to 10 nm and “#6" refers to 30 nm. [0070] FIG. 14 shows larger enhancement to water per particles per mL for various types of nanoparticles by replacing 177 Lu (FIG. 13) with 35 S
  • FIG. 15 shows a plot of various nanoparticle enhancements to water compared to refractive index.
  • FIGS. 16A and 16B show radiance (p/s) for silica nanoparticles (S P) and germanium (Ge) using different radionuclides.
  • FIG. 17 shows time dependence of measurement in imaged corrected for radioactive decay.
  • FIG. 18 shows 177 Lu nanoparticle enhancement to water.
  • FIG. 19 shows 35 S nanoparticle enhancement to water.
  • FIGS. 20A and 20B show increased enhancement for 35 S, although total radiance with EU2O3 varies by 4X (at 620 nm) from 90 Y, which is the highest energy radionuclide of the radionuclides used.
  • FIGS. 21A and 21B show IVIS spectra of 1E12 nanoparticles 30 ⁇ 68 Ga.
  • FIG. 21 A shows Cerenkov luminescence contribution of flat enhancement spectra for various nanoparticles, water, and glucose.
  • FIG. 2 IB shows EU2O3 or yttrium aluminate nanopowder (YAG) and Gd0 3 atomic transition peaks.
  • FIG. 22 shows different energies for 99m TC and glucose at peaks (x-rays: 18.2,
  • FIG. 23 shows a 99m TC and Eu 2 0 3 four previously unidentified characteristic peaks at 40.80 keV, 41.56 keV, 47.00 keV, and 48.2 keV.
  • FIGS. 24 and 25 shows peaks for i / 7 Lu (x-rays: 54.6, 55.7, 62.9, 63.2, and 64.9 keV; gammas: 71.6. 112.9, and 208 keV) and Gd 2 0 3 . (e.g., four previously unidentified peaks with lower energy than Eu 2 0 3 from 35 S).
  • FIG. 24 shows 177 Lu Ge detector overlay with glucose (dotted line) and Gd 2 0 3
  • FIG. 25 shows comparison of 177 Lu with Gd 2 0 3 and Eu 2 0 3 showing shift in four peaks based upon nanoparticle added while preserving radionuclide signature energy.
  • FIG. 26 shows peaks for 18 FDG and Eu 2 0 3 with radioactivity peak at 511 keV.
  • FIG. 27 shows peaks for 68 Ga and Eu 2 0 3 with radioactivity peak at 511 keV.
  • FIG. 28 shows peaks for 35 S and Eu 2 0 3 . No x-rays or gammas are seen from 35 S alone. Addition of Eu 2 0 3 yields quartet of peaks in the 40 keV region.
  • FIG. 29 shows 1 ⁇ and 30 ⁇ detection limits for 35 S in ⁇ dress2 ⁇ 3 and Hf0 2 respectively. Increasing activity levels leads to stronger luminescence signals as sdescribbed herein. Note that 35 S cannot be optically imaged in H 2 0 or Glucose alone.
  • FIG. 30 shows Hf0 2 particle titration with a fixed 30 ⁇ of activity per well.
  • FIG. 31 depicts in vivo data showing that the light emitted by 18FDG
  • FIG. 32 shows photoluminescence of 1E12 nanoparticles in 1 mL of glucose.
  • Exposure was 300 seconds Fl, where Fl is a lens aperature that is fully open (where light in equals light out).
  • FIG. 33 shows 35 S luminescence enhancements change with time in IVIS. This represents the effect of photoluminescence on enhancement factor at low radiance radionuclides.
  • FIG. 34 shows an exemplary radioluminescence setup containing 24 well plate with 1 mL of nanoparticles (1), black paper (2), plexi glass (3), and 24 well plate containing 30 ⁇ of a particular radionuclide in H 2 0 (4).
  • FIG. 35 shows enhancement of Hf0 2 and Ge nanoparticles using 30 ⁇ of 33 P with 1E11 particles per mL (maximum concentration).
  • FIG. 36 shows same data as shown in FIG. 35; however, FIG. 36 shows radiance
  • compositions are described as having, including, or comprising specific components, or where methods are described as having, including, or comprising specific steps, it is contemplated that, additionally, there are
  • compositions of the present invention that consist essentially of, or consist of, the recited components, and that there are methods according to the present invention that consist essentially of, or consist of, the recited processing steps.
  • the present disclosure describes the enhancement of Cerenkov luminescence and alternative interactions of particles by coupling radionuclides (e.g., covalently or non-covalently) to biocompatible nanoparticles that have refractive indices greater than heterogeneous medium (e.g., tissue).
  • radionuclides e.g., covalently or non-covalently
  • biocompatible nanoparticles that have refractive indices greater than heterogeneous medium (e.g., tissue).
  • nanoparticles with ionizing radiation sources for use in various biomedical applications (e.g., imaging, therapeutics, cell-based assays, etc.).
  • ionizing radiation e.g., including electrons, positrons, and high-energy photons
  • nanoparticles with an array of compositions.
  • ionizing radiation e.g., including electrons, positrons, and high-energy photons
  • Both high-energy and visible photon modulations are investigated with (i) high-energy photon emitter 99m Tc, (ii) low energy pure beta emitters 35 S and 32 P, and radionuclides that emit both low energy betas and high-energy photons 18 F, 68 Ga, 90 Y, and 177 Lu.
  • Ga P nanoparticles, that do not exhibit photoluminescence.
  • Ti0 2 titanium dioxide
  • Hf0 2 hafnium dioxide
  • systems that exhibit photoluminescence and scintillation from various HEPs for example, europium oxide nanoparticles (Eu 2 0 3 ). Each system reveals mechanisms of photon modulation and are applied to applications in vitro and in vivo.
  • Embodiments described herein exhibit enhanced Cerenkov luminescence through the use of high refractive index nanoparticles.
  • Cerenkov luminescence occurs when a charged particle travels through a medium faster than a speed of light. The luminescence generated depends on the refractive index (RI) of the material and the energy of the particle traveling through the dielectric medium.
  • RI refractive index
  • Biomedical applications of Cerenkov luminescence presently utilize radionuclides producing Cerenkov light through interactions with tissue, which has a refractive index range of about 1.33-1.41.
  • the enhancement of Cerenkov luminescence in a biological environment is seen to result from coupling radionuclides to bio-compatible nanoparticles which have refractive indices higher than tissue.
  • radionuclides can provide enhancement ranging from about 25% to 250% when coupled with high refractive index nanoparticles relative to samples in buffer alone.
  • any biocompatible nanoparticle with a refractive index greater than that of tissue can provide enhancement, although other factors (e.g., kinetic energy of the beta particle, the optical density of the particle, absorbance and scattering of the nanoparticles, etc.) may also affect the enhancement.
  • the amount of Cerenkov luminescence is mostly dependent on the refractive index (RI) of the medium as expressed by the Frank-Tamm equation (Equation 1), with the refractive index defined as n.
  • the RI of a substance, or medium describes how light propagates through the medium (Equation 2).
  • velocity of charged particle relative to speed of light in medium
  • n refractive index of medium
  • n refractive index of medium
  • the relativistic kinetic energy of emitted particles (such as positrons and electrons from beta decay) can be calculated:
  • Beta particles have a range dependent on the radionuclide and medium of interaction, with typical ranges of millimeters before annihilation. Despite this range, the beta particle will have a decreasing kinetic energy as it travels through each successive medium.
  • the Frank-Tamm equation as shown in Equation 1 describes the output of the Cerenkov luminescence as a function of distance and highlights that particles with lower kinetic energy, hence lower speed of light ratio, will emit less light in a given refractive index medium.
  • Equation 1 Consistent with Equation 1 is the finding that, in order to maintain a similar yield of light over any distance, an increase in refractive index, n, will allow a proportional increase in particle velocity relative to the speed of light.
  • n refractive index
  • the kinetic energy threshold is exceeded for the majority of the beta particles emitted.
  • 18 F and 64 Cu with a lower kinetic energy distribution of beta particles, produces fewer photons per emitted particle as depicted in FIG. 1.
  • methods and features e.g., radiolabelling of
  • nanoparticles optimization of nanoparticles stability
  • Shaffer et al. Nano letters 2015: 15(2): 864-8., which is incorporated herein by reference in its entirety, can be used.
  • beta particles themselves lead to strong enhancement of an optical signature.
  • the nanoparticles used in the present disclosure include, but are not limited to, rare earth particles, ZnO, Hf() 2 , Si 3 N 4 , Dy 2 0 3 , Ti0 2 anatase, Ti0 2 rutile, A1 2 0 3 , Ge, TiN, A1 2 0 3 , GaAs, GaP, Eu 2 0 3 , etc.
  • 33 P and 35 S are used in biomedical research in combination with Eu 2 0 3 to yield Cerenkov enhancement.
  • the enhancement is a result from interactions between subatomic particles and nanoparticles.
  • the addition of these radionuclides (e.g., P and S) into amino acids or phosphate groups enable enhanced optical readout for plate based assays upon adding a nanoparticle solution.
  • Eu 2 0 3 produces a strong total photo flux.
  • 35 S does not produce gammas or x-rays (e.g., alone in H 2 0 or glucose).
  • Eu 2 0 3 and 30 ⁇ of 35 S yield a luminescence enhancement of nearly 2500X that of 35 S in water (FIG. 14).
  • nanoparticles are sprayed on a surface to detect radiation.
  • 35 S and 33 P are currently challenging to detect on available machines due to their low energy levels (e.g., lack positron and gamma particles).
  • the present disclosure provides the ability to detect radionuclides more easily. Examples of other radionuclides that are beta minus emitting (and no gamma and/or x-ray generation) include but are not limited to 14 C and 3 H.
  • rare earth nanoparticles e.g., gadolinium
  • the present disclosure provides dual- mode detection (e.g., optical and MR detection).
  • reactive oxygen species are generated with the nanoparticles (e.g., europium) to induce oxidative and/or catalytic properties.
  • Si0 2 particles were made as described by Shaffer et al. Ti0 2 , A1 2 0 3 , and ZnO were purchased as less than 150 nm dispersions from Sigma Aldrich, Item #'s 700347, 702129, and 721085 respectively.
  • the refractive indexes described in the literature are listed in Table 1. In certain embodiments, other high refractive index and biocompatible nanoparticles not listed in Table 1 may be used.
  • the optical density of silica nanoparticles with a diameter of 140 nm is as measured in FIG. 4.
  • Table 1 shows exemplary high refractive index nanoparticles at a wavelength of
  • Table 1 shows refractive indexes for nanoparticles of different sizes and, in certain embodiments, different refractive indexes for the same material of nanoparticle.
  • Ti0 2 includes a refractive index material for anatase and rutile Ti0 2 and different sizes. Note that the listed refractive index is a bulk measurement at 500 nm.
  • FIG. 2 shows the method for chelator-free radiolabeling of nanoparticles. This method can also be successfully applied for radiolabeling high refractive index nanoparticles (e.g., aluminum oxide nanoparticles, titanium dioxide nanoparticles). As shown in FIGS. 3A and 3B, radionuclides tested with all of the nanoparticles include 89 Zr and 90 Y. Silica nanoparticle enhancement was further tested with 64 Cu and 177 Lu.
  • Enhancement of 90 Y depends on the selected nanoparticle. Moreover, Cerenkov Enhancement of silica nanoparticles and their absorbance are stable over the visible spectrum (e.g, within the wavelengths of 500 nm - 800 nm) as depicted in FIG. 4B.
  • liposomes were also tested for liposomes
  • Liposomes were prepared by solvent casting a lipid film of DSPE-PEG, DSPC, and Cholesterol (5/62/33 mol percent) and rehydrated with 1M HEPES buffer with gentle bath sonication. Liposomes were then extruded at 55°C through 1 ⁇ , 0.2 ⁇ and then 0.1 ⁇ filters ten times each to achieve liposomes with an average size of 220 nm. These liposomes were then incubated with 64 Cu, 68 Ga, and 90 Y at a total volume of 100 ⁇ with lOOuCi of activity per sample.
  • Luminescence values were acquired in phantom wells over 1000 ms to quantify the Cerenkov enhancement relative to the same activity in buffer as depicted in FIGS. 5A-5C.
  • 90 Y shows the largest enhancement and is also the highest energy emitting beta particle. Higher kinetic energy beta particles travel over a greater spread distance before annihilation than lower kinetic energy beta particles.
  • RMS root means square
  • the enhancement per nuclide based on the change in refractive index can be estimated when the enhancement of various nuclides with liposomes is normalized by the enhancement by the nuclide beta emitting RMS travel distance.
  • FIG. 8 depicts confirmation of the diagram (Mitchell et al.) reproduced in FIG. 1.
  • FIG. 8 shows that nuclides with low/threshold beta particle energy for Cerenkov, such as 64 Cu, will see the largest enhancement by increasing the refractive index.
  • Table 2 summarizes values of average radiance for 90 Y, comparing values observed for the 90 Y buffer solution (without nanoparticles) to values observed with 90 Y coupled to silica nanoparticles (1.60 times greater average radiance), coupled to aluminum oxide nanoparticles (1.63 times greater average radiance), and coupled to titanium dioxide nanoparticles (2.23 times greater average radiance).
  • Table 2 shows average radiance values for 90 Y coupled to high refractive index nanoparticles.
  • silica nanoparticles (RI 1.49): 8.63E+05
  • Table 3 shows characteristic x-ray spectra from NIST x-ray transitions database.
  • KL refers to the transition between K shell and L shell
  • KM refers to the transition between K shell and M shell
  • KN refers to the transition between K shell and N shell.
  • FIGS. 9A and 9B depict that a radionuclide can be in a volume (e.g., the radionuclide does not have to be attached) with a nanoparticle.
  • the nanoparticle is near a positron and/or a ⁇ " particle.
  • FIG. 9A shows a schematic of seeded growth of a silica nanoparticle using modified Stober process outlined by Bogush. Seeded growth occurs via TEOS + H20 precursors.
  • FIG. 9B shows radiance per activity for MES buffer with activity, a radiolabeled silicon nanoparticle (SiNP), and a radiolabeled SiNP that was seeded.
  • the particle size change was from 48.3 ⁇ 2.5nm to 68.1 ⁇ 1.8nm. Enhancement of seeded radiolabeled SiNP was 1.5X compared to MES buffer and 1.2X compared to smaller radiolabeled SiNP.
  • the radionuclide does not have to be attached to the particle.
  • the radionuclide is within an interaction volume in which the radionuclide decays. By full width half maximum, range varies between 0 mm - 1mm in tissue while in water this expands to nearly 2 mm (not shown). These distances highlight relative proximity of the radionuclide and nanoparticle for the beta interaction to make a contribution.
  • FIGS. 10A and 10B show average radiance ((p/s/cm 2 /sr)xl0 4 ) for 90 Y, 68 Ga, 64 Cu,
  • FIG. 11 depicts ⁇ - Cerenkov luminescence radionuclides MeV spectra with a
  • Cerenkov threshold in tissue for 64 Cu, 18 F, 89 Zr, 90 Y, 68 Ga, 177 Lu, 33 P, and 35 S.
  • the area under the curve represents the Cerenkov luminescence threshold in tissue.
  • imaging isotopes with low levels of ⁇ include but are not limited to the following: (i) longer half-life of low energy isotopes (e.g., about 85 days or years (e.g., 14 H, 3 H)) provides for longer trajectory imaging studies and (ii) such isotopes can be naturally found in various biological processes.
  • 35 S can be incorporated into cysteine amino acids or 33 P can be used to image phosphorous.
  • a cysteine amino acid or phosphorous can be imaged in cell-based assays if a nanoparticle is in close proximity to the amino acid and/or phosphorus.
  • a nanoparticle-coated plate is used to image low levels of ⁇ " from radionuclides, such as 33 P and 35 S, in cell based assays.
  • FIGS. 12A - 12D also show that the refractive index and absorbance properties of a nanoparticle can vary with wavelength and are nanoparticle dependent. Without wishing to be bound to any theory, in certain embodiments, transparency affects Cerenkov luminescence (e.g., enhancement of light or absorption of light).
  • FIG. 13 shows 177 Lu fold enhancement to water per particles per mL for various types of nanoparticles.
  • a higher concentration of nanoparticles produces more light.
  • a high concentration of nanoparticle absorbs the light (e.g., serves as a light quencher).
  • targeting agents are added to the nanoparticles and used to target tumors in vitro and/or in vivo.
  • FIG. 14 shows larger enhancement to water per particles per mL for various types of nanoparticles by replacing 177 Lu (FIG. 13) with 35 S. For example, the less energy that the nanoparticle, the greater enhancement that is measured.
  • FIG. 15 shows a plot of various nanoparticle enhancements to water compared to refractive index.
  • FIG. 15 shows that multiple factors, e.g., not just refractive index, contribute to fold-enhancement of light.
  • FIGS. 16A and 16B show radiance (p/s) for silica nanoparticles (S P) and germanium (Ge) using different radionuclides.
  • Silica nanoparticles do not seem to enhance light at lel2 particles/mL; however, enhancement is seen for germanium at this concentration.
  • FIG. 17 shows time dependence of measurement in imaged corrected for radioactive decay.
  • FIG. 18 shows 177 Lu nanoparticle enhancement to water.
  • FIG. 19 shows 35 S nanoparticle enhancement to water.
  • FIGS. 20A and 20B show increased enhancement for S, although total radiance with EU2O3 varies by 4X less (at 620 nm) from 90 Y, which is the highest energy radionuclide of the radionuclides used, although 35 S has 10X less energy than 90 Y. Accordingly, more light per energy is measured when using 35 S.
  • EU2O3 has only been shown with 18 FDG, 68 Ga and 99m Tc radionuclides (e.g., radionuclides that are not ⁇ emitting).
  • FIGS. 21 A and 21B show IVIS spectra of 1E12 nanoparticles per mL at 30 ⁇
  • FIG. 21A shows Cerenkov luminescence contribution of flat enhancement spectra for various nanoparticles, water, and glucose.
  • FIG. 21 A shows that these nanoparticles have no spectral dependence.
  • FIG. 2 IB shows Eu 2 0 3 or YAG and Gd0 3 atomic transition peaks.
  • FIG. 2 IB shows that these nanoparticles have a spectral dependence based on interactions other than Cerenkov luminescence (e.g., properties other than refractive index).
  • alternative interactions may include gamma and/or x-ray interactions between the radionuclide and nanoparticle.
  • FIG. 22 shows different energies for 99m TC and glucose at peaks (x-rays: 18.2,
  • FIG. 23 shows Eu 2 0 3 characteristic four peaks and demonstrates that the radionuclide does not have to be attached to the nanoparticle to see the effect.
  • material characterization is performed via this type of spectroscopy.
  • FIGS. 24 and 25 shows peaks for 177 Lu (x-rays: 54.6, 55.7, 62.9, 63.2, and 64.9 keV; gammas: 71.6. 112.9, and 208 keV) and Gd 2 0 3 . (e.g., four new peaks with lower energy than Eu 2 0 3 from 35 S).
  • FIGS. 24 and 25 show that the peaks are characteristic to the nanoparticle regardless of which radionuclide is used. For example, the characteristic four peaks of Eu 2 0 3 exhibit the same energy regardless of the radionuclide associated with the nanoparticle.
  • This spectroscopy technique provides the ability to parse out the nanoparticle being used (e.g., Gd 2 0 3 or Eu 2 0 3 ).
  • the measurements shown in FIG. 25 are beta minus, with high energy gamma, or high energy gamma itself.
  • FIG. 26 shows peaks for 18 FDG and Eu 2 0 3 with radioactivity peak at 511 keV.
  • FIG. 27 shows peaks for 68 Ga and Eu 2 0 3 with radioactivity peak at 511 keV.
  • FIG. 28 shows peaks for 35 S and Eu 2 0 3 . No x-rays or gammas are seen from 35 S alone. Addition of Eu 2 0 3 yields quartet of peaks in the 40 keV region. No x-rays or gammas are seen from 35 S alone. Addition of Eu 2 0 3 yields quartet of peaks in the 40 keV region.
  • the beta-minus particle or the positron is contributing to the light enhancement.
  • 99m Tc results show characteristic spectra in rare earths as seen in both beta emitting radionuclides. Intensity of characteristic x-rays not calibrated, but appear to be more in line with abundance using ⁇ " radionuclides.
  • FIG. 29 shows a 35 S activity titration of Eu 2 0 3 and Hf0 2 nanoparticles at lei 1 particles per mL from a range of 0.5 ⁇ to 50 ⁇ .
  • FIG. 30 shows that enhancement from nanoparticle concentration is not linear at different "dark" time points (0 min, 5 min, 10 min, 15 min), where dark is minutes in IVIS box away from ambient light.
  • the nanoparticles were titrated at 30 ⁇ per well.
  • FIG. 31 depicts in vivo data showing that the light emitted by 18FDG
  • radionuclides is enhanced by 1.5 times when Hf0 2 nanoparticles are co-injected compared to radionuclide alone.
  • Matrigel and Matrigel/Hf0 2 injections served as negative controls.
  • this technique has applications in improved optical sensitivity of tumor regions.
  • FIG. 32 shows photoluminescence of 1E12 nanoparticles in 1 mL of glucose.
  • Exposure was 300 seconds F l, where Fl is a lens aperature that is fully open (where light in equals light out).
  • FIG. 33 shows 35 S luminescence enhancements change with time in IVIS. This represents the effect of photoluminescence on enhancement factor at low radiance radionuclides.
  • FIG. 34 shows an exemplary radioluminescence setup containing 24 well plate with 1 mL of nanoparticles (1), black paper (2), plexi glass (3), and 24 well plate containing 30 ⁇ of a particular radionuclide in H 2 0 (4).
  • FIG. 35 shows enhancement of Hf0 2 and Ge nanoparticles using 30 ⁇ of 33 P with 1E1 1 particles per mL (maximum concentration).
  • FIG. 36 shows same data as shown in FIG. 35; however, FIG. 36 shows radiance
  • Accumulation of amino acid or phosphate can then be optically measured by adding a fixed amount of Eu 2 0 3 nanoparticles in solution.
  • the particles are also coated on a plate.
  • Assay readout can be performed using a high sensitivity camera like that is USED by the IVIS Spectrum. Activity correlates with luminescence.
  • Radioluminescence studies were conducted in a similar manner (FIGS. 33 and 34) to the luminescence studies, but with the addition of a plexi glass, paper cover and the radioactivity placed at the bottom in a separate 24 well plate.
  • This design removes the Cerenkov luminescence and beta interactions by the radionuclide and retains the gamma and x-ray interactions if possible. While this design does not account for identical geometry for all well (e.g., some wells will see more activity based on location in plate), this tool serves as a good rank order mechanism, along with a follow on 99m Tc study which represents gamma excitation only.
  • Activity and nanoparticle titration were conducted in a similar manner (FIGS. 33 and 34) to the luminescence studies, but with the addition of a plexi glass, paper cover and the radioactivity placed at the bottom in a separate 24 well plate.
  • the Ge detector is designed to measure the high energy x-ray and gamma rays given off during radionuclide decay. Every radionuclide has a signature energy pattern that is used to determine the radionuclide.
  • nanoparticles e.g., rare earth nanoparticles
  • the peak energies are dependent on the type of nanoparticle, while the abundance of the peak depends on the type of the radionuclide used.
  • the produced peak energies correspond to characteristic x-ray energies, enabling material identification through radionuclide addition.
  • Positrons produced the weakest new peaks, while SPECT nuclides such as 99m Tc produced higher abundance peaks.
  • Beta minus emitting radionuclides e.g., 177 Lu, 35 S
  • the Canberra Ge detector was run for 2 hours containing 1 mL of nanoparticles (1E12 particles) and radionuclide. Radionuclide amounts varied from 3 iCi ' of 90 Y to 100 ⁇ of 35 S. Amounts were adjusted to maintain between 1% and 5% dead time on the detector, which is related to count rate (FIGS. 22-28).
  • any beta minus emitter is used to identify the element it is mixed with, as long as the element or mineral has characteristic x-rays that are known, in the low x-ray range, and do no overlap with the spectral signature of the nuclide.
  • Matrigel plugs were prepared via mixture of radioisotope, matrigel, and 2 nM
  • Prostate tumor models were prepared by injecting 1.5 x 10 6 22RV1 cells (ATCC) subcutaneously in the left flank. Three weeks after xenografts injection, mice were fasted for 4 hours followed by intravenous 18 FDG injection (400 ⁇ ). At 1 hour post-injection, PET and IVIS imaging was conducted. Immediately following IVIS imaging, 2 nM (50 ⁇ .) (or 1E12 particles per mL)) of nanoparticle solution was applied topically to the matrigel and the mouse was reimaged. The solution was then removed and the mouse was imaged a third time. 68 Ga- PSMA (600 ⁇ ) was injected intravenously and PET imaging conducted 2 hours post-injection. IVIS imaging and topical application of P was conducted as described for 18 FDG.
  • Lymph node imaging was conducted via injection of E 2 0 3 (10 ⁇ , 2 nM or 1E12 particles per mL) into the left footpad and a saline control (10 ⁇ ) into the right footpad, followed by injection of radionuclide. PET and IVIS imaging was conducted at 1 hour and 4 hours post-injection. P luminescence and enhancement
  • FIG. 35 shows enhancement of Hf0 2 and Ge nanoparticles using 30 iCi ' of 33 P with 1E11 particles per mL (maximum concentration).
  • FIG. 36 shows same data as shown in FIG. 35; however, FIG. 36 shows radiance (p/s) (compared to enhancement as provided in FIG. 35).
  • Nanoparticles were purchased from either American Elements or Sigma Aldrich with the exception of synthesized silica nanoparticles. Nanopowders were suspended in 60% by weight glucose with the aid of tip sonication to create a monodisperse nanoparticle suspension. Silica nanoparticles were prepared via a modified Stober method.
  • Nanoparticle morphology and diameter were determined using both transmission electron microscopy (TEM) and dynamic light scattering (DLS). A Nanosight instrument was used to determine particle concentration. The optical refractive index of the nanoparticles was assumed to be a bulk state refractive index. The absorbance and photo-luminescence was determined via cuvette measurements of 1E10 particles per mL or lower and extrapolated when exceeding 1 optical density (OD).
  • TEM transmission electron microscopy
  • DLS dynamic light scattering
  • Nanoparticles at 1E10, 1E11, and 1E12 (IX) particles per mL in 60% glucose were added to a black walled 24 well plate.
  • Plate design includes triplicate wells of H 2 0, Glucose, and three concentration levels of NPs for two different NPs.
  • Particles were stored under ambient fluorescent light for more than 15 minutes before measurement in the IVIS spectrum. Samples were imaged with an open filter at Fl for 300s per exposure as seen in the figure below. Subsequent exposures of particles retained in the IVIS Spectrum, which is a dark light sealed imaging chamber, showed the loss of total luminescence with time.
  • Photoluminescence decay curves could be determined to confirm. Losses varied by particle while some (YAG, Gd 2 0 3 ) had increases in luminescence likely due to settling of the nanosuspension, thus altering the absorption of the 1 mL dispersion. These values represent no addition of radioactivity.
  • S, P, Lu, and Y were purchased from PerkinElmer as liquid solutions.
  • Nanoparticle solutions were prepared in 60% glucose by weight with 1E10, 1E11 and 1E12 particles per mL. ImL of nanosuspension was diluted with 5 ⁇ . of the radionuclide of interest, targeting 30 ⁇ per well at time of measurement. Enhancement was normalized to the total flux of the radionuclide in H 2 0.
  • the radioisotope of interest was placed in 1 mL H 2 0 in a 24 well black walled plate upon which a poly(methyl methacrylate) plate and black paper was then placed. On top of the black paper another 24 well plate containing in triplicate wells of H 2 0, 50% glucose, or nanoparticle solution. IVIS imaging was conducted with an open filter. ROIs were drawn over the wells and background subtracted.
  • 35 S in H 2 0 was prepared in 1 mL volumes ranging from 0.5-30 ⁇ in 24 well black-walled plates. 35 S was added to either H 2 0, 60% glucose in H 2 0, or P (HO or EO). IVIS imaging was conducted for 5 minutes (binning 8, fstop 1, XYZ). ROIs were drawn over each well and radiance (photons) values were determined.

Abstract

Cerenkov luminescence occurs when a charged particle travels through a medium faster than a speed of light in that medium. The luminescence generated depends on the refractive index of the material and the energy of the particle traveling through the dielectric medium. Biomedical applications of Cerenkov luminescence currently utilize radionuclides producing Cerenkov light through interactions with tissue, which has a refractive index range of 1.36-1.41. The present disclosure describes the enhancement of Cerenkov luminescence through coupling various radionuclides to different biocompatible nanoparticles that have refractive indices greater than tissue.

Description

METHODS OF ENHANCING CERENKOV LUMINESCENCE USING
NANOP ARTICLES, AND COMPOSITIONS RELATED THERETO
Cross Reference to Related Application
[0001] This application claims the benefit of U.S. Application Serial No. 62/117,928 filed on February 18, 2015, the disclosure of which is hereby incorporated by reference in its entirety.
Field of the Invention
[0002] This invention relates generally to imaging agents and related methods. More particularly, in certain embodiments, the invention relates to radionuclides coupled (covalently or non-covalently) to biocompatible high refractive index nanomaterials for enhanced biomedical imaging and therapeutic applications.
Government Support
[0003] This invention was made with government support under Grant Nos. R01
EB014944-01, R01CA183953, and P30-CA00874 awarded by National Institutes of Health (NIH) and Grant No. DGS 0965983 awarded by the National Science Foundation (NSF). The government has certain rights in this invention.
Background
[0004] Cerenkov luminescence occurs when the velocity of a charged particle exceeds the phase velocity of a medium. The phase velocity is governed in general by Einstein's relativistic kinetic energy equation where phase velocity v, and the speed of light c can be related by the refractive index n such as c/n=v. By increasing the refractive index (RI) of the material and/or environment of a radionuclide, the phase velocity is lowered and charged particles emitted by the radionuclide emit Cerenkov light.
[0005] In a preclinical and/or clinical setting, radionuclides are surrounded by tissues and water which typically have a RI of -1.33-1.41. However, the RI of the environment
surrounding the radionuclide must be greater than about 1.41 in order to increase the yield of emitted particles that produce Cerenkov light. The material properties that govern Cerenkov enhancement remain unknown. Cerenkov enhancement may be produced by altering the RI of the suspension. However, this is not feasible for preclinical and clinical models because serum and tissue become the dominant RI materials, thereby limiting the yield of emitted particles.
[0006] Enhancement of Cerenkov luminescence of radionuclides in joint cartilage detection has been described (U.S. Patent Application No. US 2014/0228682 Al); however, these methods are limited to imaging of cartilage alone. Moreover, the use of radionuclides alone may not fully harness the full effect of enhanced Cerenkov luminescence.
[0007] Nanoparticles are often combined with ionizing radiation sources for in vivo imaging and therapy. These combinations include both radiotracers that emit high-energy photons and beta particles along with proton, photon, and electron beam therapy. Ionizing radiation is routinely used in the clinic and is an area where nanoparticles offer an array of imaging and therapeutic applications. Ionizing radiation sources such as proton, photon, and electron beams or radionuclides are often combined with nanoparticles for various applications.
[0008] In the medical field, nanoparticles have been used as radionuclide platforms for diagnostic purposes such as sentinel lymph node imaging and photodynamic therapy. Other applications outside of in vivo applications include dosimetry instrumentation, and betavoltaic cells on a macro level. However, the lack of understanding of the mechanisms of interaction between ionizing radiation and nanoparticles limit the biomedical applications of radionuclides used in combination with nanoparticles.
[0009] Although the interactions of visible spectrum photons with nanoparticles have been studied, other interactions need to be considered when utilizing ionizing radiation (e.g., high-energy photons or sub-atomic particles) with nanoparticles for improvements in biomedical applications. For example, when a high-energy sub-atomic particle (HEP) is traveling through matter, it dissipates energy until reaching a thermal equilibrium. During this process, the main interaction of the HEP is typically with the electromagnetic field of the atoms rather than direct interaction with the nucleus. For photons, these interactions include 1) photoelectric effect, 2) Compton scattering, 3) coherent scattering, and 4) pair formation. For electrons and positrons, interactions include 1) Cerenkov radiation, 2) excitation, 3) ionization, 4) bremsstrahlung, and 5) positron annihilation.
[0010] The probability of each type of interaction occurring depends on the properties of both the HEP and the matter through which the HEP is interacting. These interactions have facilitated applications, such as: Cerenkov radiation and various nanoparticles for imaging and therapy, quantum dot scintillation under gamma-ray irradiation, and rare-earth nanoparticle excitation by both Cerenkov radiation and gamma-ray irradiation mechanisms. However, there is a need to better understand these interactions for improved biomedical applications in imaging, therapeutics, cell-based assays, etc.
[0011] For medical applications, typically only Cerenkov radiation excitation (e.g., spectrum shifting) or gamma excitation (e.g., radioluminescence) of the nanoparticles are considered as mechanisms. However, other mechanisms of ionizing radiation modulation are possible, and may be beneficial to improved instrumental design, dosimetry calculations, etc. applicable to the medical field.
[0012] There exists a need for high refractive index biocompatible nanomaterials that can deliver radionuclides to sites of interest, produce Cerenkov luminescence for biomedical imaging and therapeutic applications, and exploit the full potential of Cerenkov luminescence of a radionuclide that is absent when using the radionuclide alone.
Summary of the invention
[0013] The present disclosure describes the enhancement of Cerenkov luminescence and alternative interactions of particles by coupling radionuclides (e.g., covalently or non-covalently) to biocompatible nanoparticles that have refractive indices greater than heterogeneous medium (e.g., tissue).
[0014] Described herein are various interactions between high-energy subatomic particles and nanoparticles that result in modulation of the photon flux in both the visible and high-energy spectrum. Furthermore, flux modulation at specific wavelengths is assigned to photoluminescence from visible spectrum photons and excitation and ionization events from high-energy photons and beta particles. These interactions provide an ability to pair
nanoparticles with ionizing radiation sources for use in various biomedical applications (e.g., imaging, therapeutics, cell-based assays, etc.).
[0015] Also described herein are interactions between ionizing radiation (e.g., including electrons, positrons, and high-energy photons) and nanoparticles with an array of compositions. Both high-energy and visible photon modulations are investigated with (i) high-energy photon emitter mTc, (ii) low energy pure beta emitters S and P, and radionuclides that emit both low energy betas and high-energy photons 18F, 68Ga, 90Y, and 177Lu.
[0016] Described herein are simple systems, for example, silica (S P) and germanium
(GeNP) nanoparticles, that do not exhibit photoluminescence. Also described herein are more complex systems, for example, titanium dioxide (Ti02) and hafnium dioxide (Hf02), that do exhibit photoluminescence. Also described are systems that exhibit photoluminescence and scintillation from various HEPs: for example, europium oxide nanoparticles (Eu203). Each system reveals mechanisms of photon modulation and are applied to applications in vitro and in vivo.
[0017] In one aspect, the invention is directed to a method of imaging tissue (e.g., a luminescence detection method), which method comprises administering one or more agents to the tissue (e.g., in vitro, or administering to a subject, in vivo) so that the tissue (e.g., the subject) is receiving a nanoparticle and/or liposome having one or more radionuclides either coupled thereto (e.g., covalently or non-covalently coupled, e.g., with or without a chelator, e.g., with or without a linker moiety between the radionuclide and the nanoparticle) or within its vicinity (e.g., within 3 millimeters, e.g., within 2 millimeters in water, e.g., within 1 millimeter in tissue, e.g., within a Cerenkov distance) in the tissue (e.g., the tissue of the subject) the nanoparticle or liposome and the one or more radionuclides; and detecting luminescence produced in the tissue (e.g., of the subject) as a result of the administered nanoparticle or liposome and one or more radionuclides (e.g., wherein the nanoparticle or liposome has higher refractive index than the tissue, e.g., the tissue of the subject in the vicinity of the administered one or more agents being imaged). [0018] In certain embodiments, the one or more radionuclides comprises one or more members selected from the set consisting of 89Zr, 90Y, 64Cu, 177Lu, 68Ga, 18FDG, 33P, 35S, 14C, 3H, 18F, and combinations thereof.
[0019] In certain embodiments, the one or more radionuclides comprises 33P. In certain embodiments, the one or more radionuclides comprises 35S.
[0020] In certain embodiments, the nanoparticle and/or liposome has diameter no greater than about 250 nm (e.g., no greater than 200 nm, no greater than 150 nm, no greater than 140 nm, or no greater than 100 nm). In certain embodiments, the nanoparticle is a member selected from the group consisting of silica, aluminum oxide, titanium dioxide, zinc oxide, quartz, cuprite, titania (rutile), titania (anatase), europium, hafnium, gadolinium oxide, and diamond.
[0021] In certain embodiments, the one or more agents exhibits greater radiance/ μθ than a solution (e.g., buffer solution) having the same one or more radionuclide, but without the nanoparticle (or liposome). In certain embodiments, the one or more agents has at least 1.5 times the radiance^Ci of the solution of the radionuclide alone (e.g., at least 2.0 times, at least 2.5 times, or at least 3.0 times, at least 20 times, at least 40 times, at least 80 times, at least 100 times, at least 500 times, at least 1000 times, at least 1500 times, at least 2000 times). In certain embodiments, the one or more agents exhibits an average radiance of greater than 8 x 105 p/s/cm2/sr (e.g., at least 1.5 times the average radiance of a buffer solution of the radionuclide without the nanoparticle and/or liposome, e.g., at least 1.6 times greater, e.g., at least 1.63 times greater, e.g., at least 2.0 times greater, e.g., for 90Y) (e.g., at least 10 times the average radiance of a buffer solution of the radionuclide without the nanoparticle and/or liposome, e.g., at least 20 times greater, e.g., at least 100 times greater, e.g., at least 2000 times greater, e.g., for 35S) [0022] In certain embodiments, the one or more agents exhibits at least 0.75 times the average radiance of a buffer solution of the radionuclide without the nanoparticle and/or liposome, e.g., at least 0.5 times greater, e.g., at least 0.2 times greater, e.g., at least 0.1 times greater, e.g., for GaAs or GaP nanoparticles).
[0023] In certain embodiments, the nanoparticle and/or liposome comprise targeting ligands to target a tumor. In certain embodiments, the tissue is tumor tissue.
[0024] In another aspect, the invention is directed to a composition of matter comprising a nanoparticle and/or liposome having one or more radionuclides either coupled thereto (e.g., covalently or non-covalently coupled, e.g., with or without a chelator, e.g., with or without a linker moiety between the radionuclide and the nanoparticle) or within its vicinity (e.g., within 3 millimeters, e.g., within 2 millimeters in water, e.g., within 1 millimeter in tissue, e.g., within a Cerenkov distance), the nanoparticle and/or liposome having a refractive index of at least 1.2 (e.g., at least 1.45, at least 1.49, at least 1.7, at least 1.9, at least 2.0, at least 2.4, or at least 2.5) such that the composition exhibits enhanced Cerenkov luminescence.
[0025] In certain embodiments, the one or more radionuclides comprises one or more members selected from the set consisting of 89Zr, 90Y, 64Cu, 177Lu, 68Ga, 18FDG, 33P, 35S, 14C, 3H, 18F, and combinations thereof.
[0026] In certain embodiments, the one or more radionuclides comprises 33P. In certain embodiments, the one or more radionuclides comprises 35S.
[0027] In certain embodiments, the nanoparticle and/or liposome has diameter no greater than about 250 nm (e.g., no greater than 200 nm, no greater than 150 nm, no greater than 140 nm, or no greater than 100 nm). In certain embodiments, the composition comprises a nanoparticle and the nanoparticle is a member selected from the group consisting of silica, aluminum oxide, titanium dioxide, zinc oxide, quartz, cuprite, titania (rutile), titania (anatase), europium, hafnium, gadolinium oxide, and diamond.
[0028] In certain embodiments, the composition exhibits greater radiance/ μθ than a solution (e.g., buffer solution) having the same radionuclide as the composition, but without the nanoparticle (or liposome).
[0029] In certain embodiments, the composition has at least 1.5 times the radiance^Ci of the solution of the radionuclide alone (e.g., at least 2.0 times, at least 2.5 times, or at least 3.0 times, at least 20 times, at least 40 times, at least 80 times, at least 100 times, at least 500 times, at least 1000 times, at least 1500 times, at least 2000 times).
[0030] In certain embodiments, the composition exhibits an average radiance of greater than 8 x 105 p/s/cm2/sr (e.g., at least 1.5 times the average radiance of a buffer solution of the radionuclide without the nanoparticle or liposome, e.g., at least 1.6 times greater, e.g., at least 1.63 times greater, e.g., at least 2.0 times greater, e.g., for 90Y) (e.g., at least 10 times the average radiance of a buffer solution of the radionuclide without the nanoparticle or liposome, e.g., at least 20 times greater, e.g., at least 100 times greater, e.g., at least 2000 times greater, e.g., for 35S)
[0031] In certain embodiments, the composition exhibits at least 0.75 times the average radiance of a buffer solution of the radionuclide without the nanoparticle or liposome, e.g., at least 0.5 times greater, e.g., at least 0.2 times greater, e.g., at least 0.1 times greater, e.g., for GaAs or GaP nanoparticles).
[0032] In certain embodiments, the radionuclide emits low energy beta minus particles and does not emit detectable gamma and/or x-ray particles (e.g., wherein the radionuclide is
33 35 14 3
selected from the group consisting of P, S, C, and H). [0033] In another aspect, the invention is directed to a method of detecting a radionuclide, the method comprising: administering (e.g., spraying) one or more agents comprising a nanoparticle and/or liposome to a surface; and detecting (e.g., via a camera) luminescence produced by the nanoparticle and/or liposome having one or more radionuclides either coupled thereto (e.g., covalently or non-covalently coupled, e.g., with or without a chelator, e.g., with or without a linker moiety between the radionuclide and the nanoparticle) or within its vicinity (e.g., within 3 millimeters, e.g., within 2 millimeters in water, e.g., within 1 millimeter in tissue, e.g., within a Cerenkov distance), (e.g., wherein the radionuclide emits low energy beta minus particles and does not emit detectable gamma and/or x-ray particles (e.g.,
33 35 14 3
wherein the radionuclide is selected from the group consisting of P, S, C, and H)).
[0034] In certain embodiments, the method comprises administering the one or more agents to the surface, thereby resulting in the composition.
[0035] In another aspect, the invention is directed to a method for detecting biological processes (e.g., amino acids, phosphate, e.g., in vitro), the method comprising tethering (e.g., via
33 35 14 3
click-chemistry, etc.) low energy radionuclides (e.g., P, S, C, and/or H) that do not emit detectable gamma and/or x-ray particles to amino acids (e.g., a 35S-Cysteine or 35S-methionine) or phosphates (e.g., a 33P-phosphate) to form a tethered radionuclide composition; contacting (e.g., bringing together within a Cerenkov distance) a nanoparticle and the tethered radionuclide composition (e.g., contacting the tethered radionuclide composition with nanoparticles in solution, e.g., Ε¾03 nanoparticles, e.g., wherein the solution has a concentration of 1E10, 5E10, 1E11, 2E11, 5E11, 1E12 nanoparticles/mL, e.g., wherein the nanoparticle is coated on a surface); and detecting luminescence resulting from the contacting of the nanoparticle and the tethered radionuclide composition (e.g., via a high sensitivity camera). [0036] In certain embodiments, contacting the nanoparticle and the tethered radionuclide composition results in the composition.
Definitions
[0037] In order for the present disclosure to be more readily understood, certain terms are first defined below. Additional definitions for the following terms and other terms are set forth throughout the specification.
[0038] In this application, the use of "or" means "and/or" unless stated otherwise. As used in this application, the term "comprise" and variations of the term, such as "comprising" and "comprises," are not intended to exclude other additives, components, integers or steps. As used in this application, the terms "about" and "approximately" are used as equivalents. Any numerals used in this application with or without about/approximately are meant to cover any normal fluctuations appreciated by one of ordinary skill in the relevant art. In certain
embodiments, the term "approximately" or "about" refers to a range of values that fall within 25%, 20%, 19%, 18%, 17%, 16%, 15%, 14%, 13%, 12%, 11%, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%), 2%), 1%), or less in either direction (greater than or less than) of the stated reference value unless otherwise stated or otherwise evident from the context (except where such number would exceed 100% of a possible value).
[0039] "Agent" or "One or more agents": The term "agent" may include nanoparticles, radionuclides, conjugates of nanoparticles and radionuclides, carriers, excipients, etc.
[0040] "Administration ": The term "administration" refers to introducing a substance into a subject. In general, any route of administration may be utilized including, for example, parenteral (e.g., intravenous), oral, topical, subcutaneous, peritoneal, intraarterial, inhalation, vaginal, rectal, nasal, introduction into the cerebrospinal fluid, or instillation into body compartments. In certain embodiments, administration is oral. Additionally or alternatively, in certain embodiments, administration is parenteral. In certain embodiments, administration is intravenous.
[0041] "Biocompatible": The term "biocompatible", as used herein is intended to describe materials that do not elicit a substantial detrimental response in vivo. In certain embodiments, the materials are "biocompatible" if they are not toxic to cells. In certain embodiments, materials are "biocompatible" if their addition to cells in vitro results in less than or equal to 20% cell death, and/or their administration in vivo does not induce inflammation or other such adverse effects. In certain embodiments, materials are biodegradable.
[0042] "Biodegradable" . As used herein, "biodegradable" materials are those that, when introduced into cells, are broken down by cellular machinery {e.g., enzymatic degradation) or by hydrolysis into components that cells can either reuse or dispose of without significant toxic effects on the cells. In certain embodiments, components generated by breakdown of a biodegradable material do not induce inflammation and/or other adverse effects in vivo. In certain embodiments, biodegradable materials are enzymatically broken down. Alternatively or additionally, in certain embodiments, biodegradable materials are broken down by hydrolysis. In certain embodiments, biodegradable polymeric materials break down into their component polymers. In certain embodiments, breakdown of biodegradable materials (including, for example, biodegradable polymeric materials) includes hydrolysis of ester bonds. In certain embodiments, breakdown of materials (including, for example, biodegradable polymeric materials) includes cleavage of urethane linkages. [0043] "Carrier": As used herein, "carrier" refers to a diluent, adjuvant, excipient, or vehicle with which the compound is administered. Such pharmaceutical carriers can be sterile liquids, such as water and oils, including those of petroleum, animal, vegetable or synthetic origin, such as peanut oil, soybean oil, mineral oil, sesame oil and the like. Water or aqueous solution saline solutions and aqueous dextrose and glycerol solutions are preferably employed as carriers, particularly for injectable solutions. Suitable pharmaceutical carriers are described in "Remington's Pharmaceutical Sciences" by E. W. Martin.
[0044] "Detector": As used herein, the term "detector" includes any detector of electromagnetic radiation including, but not limited to, CCD camera, photomultiplier tubes, photodiodes, and avalanche photodiodes. In certain embodiments, the detector is a germanium detector.
[0045] "Sensor": As used herein, the term "sensor" includes any sensor of
electromagnetic radiation including, but not limited to, CCD camera, photomultiplier tubes, photodiodes, and avalanche photodiodes, unless otherwise evident from the context.
[0046] "Substantially": As used herein, the term "substantially", and grammatic equivalents, refer to the qualitative condition of exhibiting total or near-total extent or degree of a characteristic or property of interest. One of ordinary skill in the art will understand that biological and chemical phenomena rarely, if ever, go to completion and/or proceed to completeness or achieve or avoid an absolute result.
[0047] "Subject": As used herein, the term "subject" includes humans and mammals
(e.g., mice, rats, pigs, cats, dogs, and horses). In many embodiments, subjects are be mammals, particularly primates, especially humans. In certain embodiments, subjects are livestock such as cattle, sheep, goats, cows, swine, and the like; poultry such as chickens, ducks, geese, turkeys, and the like; and domesticated animals particularly pets such as dogs and cats. In certain embodiments (e.g., particularly in research contexts) subject mammals will be , for example, rodents (e.g., mice, rats, hamsters), rabbits, primates, or swine such as inbred pigs and the like.
[0048] "Therapeutic agent": As used herein, the phrase "therapeutic agent" refers to any agent that has a therapeutic effect and/or elicits a desired biological and/or pharmacological effect, when administered to a subject.
[0049] "Treatment": As used herein, the term "treatment" (also "treat" or "treating") refers to any administration of a substance that partially or completely alleviates, ameliorates, relives, inhibits, delays onset of, reduces severity of, and/or reduces incidence of one or more symptoms, features, and/or causes of a particular disease, disorder, and/or condition. Such treatment may be of a subject who does not exhibit signs of the relevant disease, disorder and/or condition and/or of a subject who exhibits only early signs of the disease, disorder, and/or condition. Alternatively or additionally, such treatment may be of a subject who exhibits one or more established signs of the relevant disease, disorder and/or condition. In certain
embodiments, treatment may be of a subject who has been diagnosed as suffering from the relevant disease, disorder, and/or condition. In certain embodiments, treatment may be of a subject known to have one or more susceptibility factors that are statistically correlated with increased risk of development of the relevant disease, disorder, and/or condition.
[0050] Drawings are presented herein for illustration purposes, not for limitation.
Brief description of drawings
[0051] FIG. 1 depicts that the majority of 18F positrons (shaded) do not reach the
Cerenkov threshold in water, while the majority of 90 Y beta particles do. [0052] FIG. 2 depicts a facile radiolabeling method to stably attach radioisotopes to certain metal-oxide nanoparticles.
[0053] FIG. 3 A shows Cerenkov luminescence of 90Y at various wavelengths.
[0054] FIG. 3B depicts Cerenkov Enhancement over buffer of various high refractive index nanoparticles.
[0055] FIG. 4A depicts Cerenkov Enhancement of 90Y using various high refractive index nanoparticles using an open emission filter (IVIS instrumentation).
[0056] FIG. 4B depicts Cerenkov Enhancement of silica nanoparticles and their absorbance within the wavelengths of 500-800 nm.
[0057] FIG. 4C depicts 90Y Enhancement with nanoparticles normalized to signal MES buffer (as shown in FIG. 4A).
[0058] FIG. 5 A shows Cerenkov enhancement of 64Cu using liposomes. Luminescence values plotted comparing buffer with activity to liposomes extruded and stored in the same buffer.
[0059] FIG. 5B shows Cerenkov enhancement of 68Ga using liposomes. Luminescence values plotted comparing buffer with activity to liposomes extruded and stored in the same buffer.
[0060] FIG. 5C shows Cerenkov luminescence of 90Y using liposomes. Luminescence values plotted comparing buffer with activity to liposomes extruded and stored in the same buffer.
[0061] FIG. 6 shows the relative Cerenkov luminescence enhancement of 64Cu, 68Ga, and
90Y using liposomes. [0062] FIG. 7 shows a plot of RMS distance spread calculated as described in Mitchell et al. and interpolated for various beta-emitting nuclides such as 64Cu, 89Zr and 68Ga.
[0063] FIG. 8 shows Cerenkov enhancement of 64 Cu, 68Ga, and 90Y using liposomes normalized to the RMS spread distance of the beta particle. Copper which has a low beta particle kinetic energy compared to that of Yttrium experiences a greater enhancement in part to the increase in refractive index.
[0064] FIG. 9A shows a schematic of seeded growth of a silica nanoparticle using a modified Stober process outlined by Bogush. Seeded growth occurs via tetra-ethyl-orthosilicate (TEOS) + H20 precursors.
[0065] FIG. 9B shows radiance per activity for MES buffer with activity, a radiolabeled silicon nanoparticle (Si P), and a radiolabeled Si P that was seeded. The particle size change was from 48.3±2.5nm to 68.1±1.8nm. Enhancement of seeded radiolabeled SiNP was 1.5X compared to MES buffer and 1.2X compared to smaller radiolabeled SiNP.
[0066] FIGS. 10A and 10B show average radiance ((p/s/cm2/sr)xl04) for 90Y, 68Ga, 64Cu,
18 89 177
FDG, °¾ and 1 "Lu versus becquerel (Bq) (10A) and ratio of average radiance/activity concentration ((p/s/cm2/sr)/kBq^L)) versus 90Y, 68Ga, 64Cu, 18FDG, 89Zr, and 177Lu.
[0067] FIG. 11 depicts β- Cerenkov luminescence radionuclides and MeV spectra with a
Cerenkov threshold in tissue (-0.2 MeV) for 64Cu, 18F, 89Zr, 90Y, 68Ga, 177Lu, 33P, and 35S.
[0068] FIGS. 12A - 12D also show that the refractive index and absorbance properties of a nanoparticle can vary with wavelength and are nanoparticle dependent. Without wishing to be bound to any theory, in certain embodiments, transparency affects Cerenkov luminescence.
[0069] FIG. 13 shows 177Lu fold enhancement to water per particles per mL for various types of nanoparticles. "#5" refers to 10 nm and "#6" refers to 30 nm. [0070] FIG. 14 shows larger enhancement to water per particles per mL for various types of nanoparticles by replacing 177Lu (FIG. 13) with 35S
[0071] FIG. 15 shows a plot of various nanoparticle enhancements to water compared to refractive index.
[0072] FIGS. 16A and 16B show radiance (p/s) for silica nanoparticles (S P) and germanium (Ge) using different radionuclides.
[0073] FIG. 17 shows time dependence of measurement in imaged corrected for radioactive decay.
[0074] FIG. 18 shows 177Lu nanoparticle enhancement to water.
[0075] FIG. 19 shows 35 S nanoparticle enhancement to water.
[0076] FIGS. 20A and 20B show increased enhancement for 35S, although total radiance with EU2O3 varies by 4X (at 620 nm) from 90Y, which is the highest energy radionuclide of the radionuclides used.
[0077] FIGS. 21A and 21B show IVIS spectra of 1E12 nanoparticles 30μϋϊ 68Ga.
[0078] FIG. 21 A shows Cerenkov luminescence contribution of flat enhancement spectra for various nanoparticles, water, and glucose.
[0079] FIG. 2 IB shows EU2O3 or yttrium aluminate nanopowder (YAG) and Gd03 atomic transition peaks.
[0080] FIG. 22 shows different energies for 99mTC and glucose at peaks (x-rays: 18.2,
18.3, 20.5, 20.6 keV; gammas: 140 keV).
[0081] FIG. 23 shows a 99mTC and Eu203 four previously unidentified characteristic peaks at 40.80 keV, 41.56 keV, 47.00 keV, and 48.2 keV. [0082] FIGS. 24 and 25 shows peaks for i / 7Lu (x-rays: 54.6, 55.7, 62.9, 63.2, and 64.9 keV; gammas: 71.6. 112.9, and 208 keV) and Gd203. (e.g., four previously unidentified peaks with lower energy than Eu203 from 35S).
[0083] FIG. 24 shows 177Lu Ge detector overlay with glucose (dotted line) and Gd203
(solid line).
[0084] FIG. 25 shows comparison of 177Lu with Gd203 and Eu203 showing shift in four peaks based upon nanoparticle added while preserving radionuclide signature energy.
[0085] FIG. 26 shows peaks for 18FDG and Eu203 with radioactivity peak at 511 keV.
[0086] FIG. 27 shows peaks for 68Ga and Eu203 with radioactivity peak at 511 keV.
[0087] FIG. 28 shows peaks for 35S and Eu203. No x-rays or gammas are seen from 35S alone. Addition of Eu203 yields quartet of peaks in the 40 keV region.
[0088] FIG. 29 shows 1 μϋϊ and 30 μϋϊ detection limits for 35 S in Ε„2θ3 and Hf02 respectively. Increasing activity levels leads to stronger luminescence signals as sdescribbed herein. Note that 35S cannot be optically imaged in H20 or Glucose alone.
[0089] FIG. 30 shows Hf02 particle titration with a fixed 30 μθ of activity per well.
Subsequent time points show a change in the nanoparticle radiance curve that reflects a nonlinear relationship at different "dark" time points (0 min, 5 min, 10 min, 15 min), where dark is minutes in IVIS box away from ambient light.
[0090] FIG. 31 depicts in vivo data showing that the light emitted by 18FDG
radionuclides is enhanced by 1.5 times when Hf02 nanoparticles are co-injected compared to radionuclide alone. Matrigel and Matrigel/Hf02 injections served as negative controls. In certain embodiments, this technique has applications in improved optical sensitivity of tumor regions. [0091] FIG. 32 shows photoluminescence of 1E12 nanoparticles in 1 mL of glucose.
Exposure was 300 seconds Fl, where Fl is a lens aperature that is fully open (where light in equals light out).
[0092] FIG. 33 shows 35S luminescence enhancements change with time in IVIS. This represents the effect of photoluminescence on enhancement factor at low radiance radionuclides.
[0093] FIG. 34 shows an exemplary radioluminescence setup containing 24 well plate with 1 mL of nanoparticles (1), black paper (2), plexi glass (3), and 24 well plate containing 30 μθ of a particular radionuclide in H20 (4).
[0094] FIG. 35 shows enhancement of Hf02 and Ge nanoparticles using 30 μθ of 33P with 1E11 particles per mL (maximum concentration).
[0095] FIG. 36 shows same data as shown in FIG. 35; however, FIG. 36 shows radiance
(p/s) (compared to enhancement as provided in FIG. 35).
Detailed Description
[0096] It is contemplated that methods of the claimed invention encompass variations and adaptations developed using information from the embodiments described herein.
[0097] Throughout the description, where compositions are described as having, including, or comprising specific components, or where methods are described as having, including, or comprising specific steps, it is contemplated that, additionally, there are
compositions of the present invention that consist essentially of, or consist of, the recited components, and that there are methods according to the present invention that consist essentially of, or consist of, the recited processing steps. [0098] It should be understood that the order of steps or order for performing certain action is immaterial so long as the invention remains operable. Moreover, two or more steps or actions may be conducted simultaneously.
[0099] It should be understood that the order of steps or order for performing certain action is immaterial so long as the invention remains operable. Moreover, two or more steps or actions may be conducted simultaneously.
[0100] The mention herein of any publication, for example, in the Background section, is not an admission that the publication serves as prior art with respect to any of the claims presented herein. The Background section is presented for purposes of clarity and is not meant as a description of prior art with respect to any claim.
[0101] The present disclosure describes the enhancement of Cerenkov luminescence and alternative interactions of particles by coupling radionuclides (e.g., covalently or non-covalently) to biocompatible nanoparticles that have refractive indices greater than heterogeneous medium (e.g., tissue).
[0102] Described herein are various interactions between high-energy subatomic particles and nanoparticles that result in modulation of the photon flux in both the visible and high-energy spectrum. Furthermore, flux modulation at specific wavelengths is assigned to photoluminescence from visible spectrum photons and excitation and ionization events from high-energy photons and beta particles. These interactions provide an ability to pair
nanoparticles with ionizing radiation sources for use in various biomedical applications (e.g., imaging, therapeutics, cell-based assays, etc.).
[0103] Also described herein are interactions between ionizing radiation (e.g., including electrons, positrons, and high-energy photons) and nanoparticles with an array of compositions. Both high-energy and visible photon modulations are investigated with (i) high-energy photon emitter 99mTc, (ii) low energy pure beta emitters 35 S and 32P, and radionuclides that emit both low energy betas and high-energy photons 18F, 68Ga, 90Y, and 177Lu.
[0104] Described herein are simple systems, for example, silica (S P) and germanium
(Ge P) nanoparticles, that do not exhibit photoluminescence. Also described herein are more complex systems, for example, titanium dioxide (Ti02) and hafnium dioxide (Hf02), that do exhibit photoluminescence. Also described are systems that exhibit photoluminescence and scintillation from various HEPs: for example, europium oxide nanoparticles (Eu203). Each system reveals mechanisms of photon modulation and are applied to applications in vitro and in vivo.
[0105] Embodiments described herein exhibit enhanced Cerenkov luminescence through the use of high refractive index nanoparticles. Cerenkov luminescence occurs when a charged particle travels through a medium faster than a speed of light. The luminescence generated depends on the refractive index (RI) of the material and the energy of the particle traveling through the dielectric medium. Biomedical applications of Cerenkov luminescence presently utilize radionuclides producing Cerenkov light through interactions with tissue, which has a refractive index range of about 1.33-1.41.
[0106] In certain embodiments, the enhancement of Cerenkov luminescence in a biological environment is seen to result from coupling radionuclides to bio-compatible nanoparticles which have refractive indices higher than tissue. In certain embodiments, radionuclides can provide enhancement ranging from about 25% to 250% when coupled with high refractive index nanoparticles relative to samples in buffer alone. In certain embodiments, any biocompatible nanoparticle with a refractive index greater than that of tissue can provide enhancement, although other factors (e.g., kinetic energy of the beta particle, the optical density of the particle, absorbance and scattering of the nanoparticles, etc.) may also affect the enhancement.
[0107] The amount of Cerenkov luminescence is mostly dependent on the refractive index (RI) of the medium as expressed by the Frank-Tamm equation (Equation 1), with the refractive index defined as n. The RI of a substance, or medium, describes how light propagates through the medium (Equation 2).
Figure imgf000022_0001
^ = photons emitted per distance
a = fine structure constant (1/137)
β = velocity of charged particle relative to speed of light in medium
n = refractive index of medium
λ1 λ2 = wavelengths of interest c
n =— (Equation 2)
v
n = refractive index of medium
c = speed of light in a vacuum
v = speed of light in medium
[0108] The relativistic kinetic energy of emitted particles (such as positrons and electrons from beta decay) can be calculated:
E = mc2 (Equation 3)
Figure imgf000022_0002
[0109] By increasing the refractive index of the material directly surrounding the radionuclide, a greater proportion of Cerenkov radiation can be generated. Beta particles have a range dependent on the radionuclide and medium of interaction, with typical ranges of millimeters before annihilation. Despite this range, the beta particle will have a decreasing kinetic energy as it travels through each successive medium. The Frank-Tamm equation as shown in Equation 1 describes the output of the Cerenkov luminescence as a function of distance and highlights that particles with lower kinetic energy, hence lower speed of light ratio, will emit less light in a given refractive index medium.
[0110] Consistent with Equation 1 is the finding that, in order to maintain a similar yield of light over any distance, an increase in refractive index, n, will allow a proportional increase in particle velocity relative to the speed of light. For high-energy beta emitters such as 68Ga and 90 Y, the kinetic energy threshold is exceeded for the majority of the beta particles emitted. In contrast, 18F and 64Cu, with a lower kinetic energy distribution of beta particles, produces fewer photons per emitted particle as depicted in FIG. 1.
[0111] In certain embodiments, methods and features (e.g., radiolabelling of
nanoparticles, optimization of nanoparticles stability) described in Shaffer et al., Nano letters 2015: 15(2): 864-8., which is incorporated herein by reference in its entirety, can be used.
[0112] In certain embodiments, beta particles themselves (e.g., not gamma and/or x-rays) lead to strong enhancement of an optical signature. In certain embodiments, the nanoparticles used in the present disclosure include, but are not limited to, rare earth particles, ZnO, Hf()2, Si3N4, Dy203, Ti02 anatase, Ti02 rutile, A1203, Ge, TiN, A1203, GaAs, GaP, Eu203, etc.
[0113] In certain embodiments, 33P and 35S are used in biomedical research in combination with Eu203 to yield Cerenkov enhancement. The enhancement is a result from interactions between subatomic particles and nanoparticles. In certain embodiments, the addition of these radionuclides (e.g., P and S) into amino acids or phosphate groups enable enhanced optical readout for plate based assays upon adding a nanoparticle solution.
[0114] In certain embodiments, Eu203 produces a strong total photo flux. Hu et al.
("Optical imaging of articular cartilage degeneration using near-infrared dipicolylamine probes," Biomaterials 35(2014) 7511-7521) published on Eu203 nanoparticles. However, Hu et al.
attributed the luminescence properties of Eu203 nanoparticles to the gamma and x-ray
interaction. As described herein, the accurate interaction is clearly though 35S, as 35S does not produce gammas or x-rays (e.g., alone in H20 or glucose). As described herein, Eu203 and 30 μθ of 35S yield a luminescence enhancement of nearly 2500X that of 35S in water (FIG. 14).
[0115] Combining radioisotope and nanoparticles for in vitro and/or in vivo use provides high payload and multimodal possibilities (e.g., dual mode imaging of Cerenkov and magnetic resonance). The visible light emanating from beta-emitting radiotracers has allowed pre-clinical and clinical luminescence imaging, but the photon flux is quite low. Here, nanoparticles are shown to modulate the Cerenkov signal through various mechanisms for use in medical applications. For example, interactions between the nanoparticles and radionuclides are used in PET imaging reconstruction. As the stopping power for a positron is strongly dependent on the atomic (Z) number of surrounding matter, higher Z numbers lead to shorter positron ranges, which benefits in vivo PET imaging reconstruction. In certain embodiments, the present disclosure provides methods for lymph node imaging, tumor imaging, and alternative in vivo applications that vary based upon the concentration of nanoparticles used.
[0116] In certain embodiments, nanoparticles are sprayed on a surface to detect radiation.
For example, 35 S and 33P are currently challenging to detect on available machines due to their low energy levels (e.g., lack positron and gamma particles). The present disclosure provides the ability to detect radionuclides more easily. Examples of other radionuclides that are beta minus emitting (and no gamma and/or x-ray generation) include but are not limited to 14C and 3H.
[0117] In certain embodiments, rare earth nanoparticles (e.g., gadolinium) are able to be detected with magnetic resonance. In certain embodiments, the present disclosure provides dual- mode detection (e.g., optical and MR detection). In certain embodiments, reactive oxygen species are generated with the nanoparticles (e.g., europium) to induce oxidative and/or catalytic properties.
Examples
High refractive index nanoparticles
[0118] Si02 particles were made as described by Shaffer et al. Ti02, A1203, and ZnO were purchased as less than 150 nm dispersions from Sigma Aldrich, Item #'s 700347, 702129, and 721085 respectively. The refractive indexes described in the literature are listed in Table 1. In certain embodiments, other high refractive index and biocompatible nanoparticles not listed in Table 1 may be used. The optical density of silica nanoparticles with a diameter of 140 nm is as measured in FIG. 4.
[0119] Table 1 shows exemplary high refractive index nanoparticles at a wavelength of
500 nm. Table 1 shows refractive indexes for nanoparticles of different sizes and, in certain embodiments, different refractive indexes for the same material of nanoparticle. For example, Ti02 includes a refractive index material for anatase and rutile Ti02 and different sizes. Note that the listed refractive index is a bulk measurement at 500 nm.
Table 1
Figure imgf000025_0001
Figure imgf000026_0001
Cerenkov enhancement using radionuclide bound high refractive index nanoparticles
[0120] Silica nanoparticles, as described by Shaffer et al., were used as chelator free constructs to probe Cerenkov enhancement. FIG. 2 shows the method for chelator-free radiolabeling of nanoparticles. This method can also be successfully applied for radiolabeling high refractive index nanoparticles (e.g., aluminum oxide nanoparticles, titanium dioxide nanoparticles). As shown in FIGS. 3A and 3B, radionuclides tested with all of the nanoparticles include 89Zr and 90Y. Silica nanoparticle enhancement was further tested with 64Cu and 177Lu. Compared to the activity in buffer (e.g., a refractive index of 1.33), attaching the radionuclide to nanoparticles with high refractive indexes (e.g., greater than 1.49) resulted in enhanced Cerenkov luminescence in accordance with theory. As shown in FIG. 4A, the degree of Cerenkov
Enhancement of 90Y depends on the selected nanoparticle. Moreover, Cerenkov Enhancement of silica nanoparticles and their absorbance are stable over the visible spectrum (e.g, within the wavelengths of 500 nm - 800 nm) as depicted in FIG. 4B.
Cerenkov enhancement using radionuclide bound liposomes
[0121] In addition to high refractive index solid cores, liposomes were also tested for
Cerenkov enhancement given their shell like structure. Liposomes were prepared by solvent casting a lipid film of DSPE-PEG, DSPC, and Cholesterol (5/62/33 mol percent) and rehydrated with 1M HEPES buffer with gentle bath sonication. Liposomes were then extruded at 55°C through 1 μπι, 0.2 μπι and then 0.1 μπι filters ten times each to achieve liposomes with an average size of 220 nm. These liposomes were then incubated with 64Cu, 68Ga, and 90Y at a total volume of 100 μΕ with lOOuCi of activity per sample. Samples and measurements were done in triplicate, with the exception of the 90Y HEPES buffer ,which has a n=l . Luminescence values were acquired in phantom wells over 1000 ms to quantify the Cerenkov enhancement relative to the same activity in buffer as depicted in FIGS. 5A-5C.
Liposome enhancement relative to buffer by nuclide
[0122] As shown in FIG. 6, 90Y shows the largest enhancement and is also the highest energy emitting beta particle. Higher kinetic energy beta particles travel over a greater spread distance before annihilation than lower kinetic energy beta particles. Using the root means square (RMS) spread of a beta particle published by Mitchell et al. versus the beta particle simulated distance, a coarse measurement of enhancement per area can be estimated. The trend of beta particle energy and RMS distance as described by Mitchell et al. can be used to interpolate additional RMS values for intermediate nuclides as depicted in FIG. 7. [0123] The enhancement per nuclide based on the change in refractive index can be estimated when the enhancement of various nuclides with liposomes is normalized by the enhancement by the nuclide beta emitting RMS travel distance. FIG. 8 depicts confirmation of the diagram (Mitchell et al.) reproduced in FIG. 1. FIG. 8 shows that nuclides with low/threshold beta particle energy for Cerenkov, such as 64Cu, will see the largest enhancement by increasing the refractive index.
[0124] Table 2 summarizes values of average radiance for 90Y, comparing values observed for the 90Y buffer solution (without nanoparticles) to values observed with 90Y coupled to silica nanoparticles (1.60 times greater average radiance), coupled to aluminum oxide nanoparticles (1.63 times greater average radiance), and coupled to titanium dioxide nanoparticles (2.23 times greater average radiance).
[0125] Table 2 shows average radiance values for 90Y coupled to high refractive index nanoparticles.
Table 2 yttrium-90:
Avg Radiance [p/s/cm2/sr]
~ioo μα
Buffer (RI 1.33) (control): 5.41E+05
silica nanoparticles (RI 1.49): 8.63E+05
aluminum oxide (RI 1.76): 8.84E+05
titanium dioxide (RI-2.5): 1.21E+06 [0126] Table 3 shows characteristic x-ray spectra from NIST x-ray transitions database.
KL refers to the transition between K shell and L shell, KM refers to the transition between K shell and M shell, and KN refers to the transition between K shell and N shell.
Table 3
Figure imgf000029_0001
[0127] FIGS. 9A and 9B depict that a radionuclide can be in a volume (e.g., the radionuclide does not have to be attached) with a nanoparticle. For example, the nanoparticle is near a positron and/or a β" particle.
[0128] FIG. 9A shows a schematic of seeded growth of a silica nanoparticle using modified Stober process outlined by Bogush. Seeded growth occurs via TEOS + H20 precursors.
[0129] FIG. 9B shows radiance per activity for MES buffer with activity, a radiolabeled silicon nanoparticle (SiNP), and a radiolabeled SiNP that was seeded. The particle size change was from 48.3±2.5nm to 68.1±1.8nm. Enhancement of seeded radiolabeled SiNP was 1.5X compared to MES buffer and 1.2X compared to smaller radiolabeled SiNP. [0130] In certain embodiments, the radionuclide does not have to be attached to the particle. In certain embodiments, the radionuclide is within an interaction volume in which the radionuclide decays. By full width half maximum, range varies between 0 mm - 1mm in tissue while in water this expands to nearly 2 mm (not shown). These distances highlight relative proximity of the radionuclide and nanoparticle for the beta interaction to make a contribution.
[0131] FIGS. 10A and 10B show average radiance ((p/s/cm2/sr)xl04) for 90Y, 68Ga, 64Cu,
18 89 177
FDG, °¾ and 1 "Lu versus becquerel (Bq) (10A) and ratio of average radiance/activity concentration ((p/s/cm2/sr)/kBq^L)) versus 90Y, 68Ga, 64Cu, 18FDG, 89Zr, and 177Lu. As shown in FIGS. 10A and 10B, 90 Y associated with the nanoparticles produces the most light and 177Lu associated with the nanoparticles produces the least amount of light.
[0132] FIG. 11 depicts β- Cerenkov luminescence radionuclides MeV spectra with a
Cerenkov threshold in tissue (-0.2 MeV) for 64Cu, 18F, 89Zr, 90Y, 68Ga, 177Lu, 33P, and 35S. The area under the curve represents the Cerenkov luminescence threshold in tissue. Prior to the present disclosure, isotopes with no gamma and/or positron particles and with low levels of β", such as 33P and 35S, were not able to be optically imaged. Advantages to imaging isotopes with low levels of β" include but are not limited to the following: (i) longer half-life of low energy isotopes (e.g., about 85 days or years (e.g., 14H, 3H)) provides for longer trajectory imaging studies and (ii) such isotopes can be naturally found in various biological processes. For example, 35 S can be incorporated into cysteine amino acids or 33P can be used to image phosphorous. Using the present disclosure, for example, a cysteine amino acid or phosphorous can be imaged in cell-based assays if a nanoparticle is in close proximity to the amino acid and/or phosphorus. In certain embodiments, a nanoparticle-coated plate is used to image low levels of β" from radionuclides, such as 33P and 35S, in cell based assays. [0133] FIGS. 12A - 12D also show that the refractive index and absorbance properties of a nanoparticle can vary with wavelength and are nanoparticle dependent. Without wishing to be bound to any theory, in certain embodiments, transparency affects Cerenkov luminescence (e.g., enhancement of light or absorption of light).
[0134] FIG. 13 shows 177Lu fold enhancement to water per particles per mL for various types of nanoparticles. In certain embodiments, a higher concentration of nanoparticles produces more light. In certain embodiments, a high concentration of nanoparticle absorbs the light (e.g., serves as a light quencher). In certain embodiments, targeting agents are added to the nanoparticles and used to target tumors in vitro and/or in vivo.
[0135] FIG. 14 shows larger enhancement to water per particles per mL for various types of nanoparticles by replacing 177Lu (FIG. 13) with 35S. For example, the less energy that the nanoparticle, the greater enhancement that is measured.
[0136] FIG. 15 shows a plot of various nanoparticle enhancements to water compared to refractive index. FIG. 15 shows that multiple factors, e.g., not just refractive index, contribute to fold-enhancement of light.
[0137] FIGS. 16A and 16B show radiance (p/s) for silica nanoparticles (S P) and germanium (Ge) using different radionuclides. Silica nanoparticles do not seem to enhance light at lel2 particles/mL; however, enhancement is seen for germanium at this concentration.
[0138] FIG. 17 shows time dependence of measurement in imaged corrected for radioactive decay.
[0139] FIG. 18 shows 177Lu nanoparticle enhancement to water.
[0140] FIG. 19 shows 35S nanoparticle enhancement to water. [0141] FIGS. 20A and 20B show increased enhancement for S, although total radiance with EU2O3 varies by 4X less (at 620 nm) from 90Y, which is the highest energy radionuclide of the radionuclides used, although 35 S has 10X less energy than 90 Y. Accordingly, more light per energy is measured when using 35S. Note that EU2O3 has only been shown with 18FDG, 68Ga and 99mTc radionuclides (e.g., radionuclides that are not β emitting).
[0142] FIGS. 21 A and 21B show IVIS spectra of 1E12 nanoparticles per mL at 30μϋϊ
68Ga.
[0143] FIG. 21A shows Cerenkov luminescence contribution of flat enhancement spectra for various nanoparticles, water, and glucose. FIG. 21 A shows that these nanoparticles have no spectral dependence.
[0144] FIG. 2 IB shows Eu203 or YAG and Gd03 atomic transition peaks. FIG. 2 IB shows that these nanoparticles have a spectral dependence based on interactions other than Cerenkov luminescence (e.g., properties other than refractive index). For example, alternative interactions may include gamma and/or x-ray interactions between the radionuclide and nanoparticle.
[0145] FIG. 22 shows different energies for 99mTC and glucose at peaks (x-rays: 18.2,
18.3, 20.5, 20.6 keV; gammas: 140 keV).
[0146] FIG. 23 shows Eu203 characteristic four peaks and demonstrates that the radionuclide does not have to be attached to the nanoparticle to see the effect. In certain embodiments, material characterization is performed via this type of spectroscopy.
[0147] FIGS. 24 and 25 shows peaks for 177Lu (x-rays: 54.6, 55.7, 62.9, 63.2, and 64.9 keV; gammas: 71.6. 112.9, and 208 keV) and Gd203. (e.g., four new peaks with lower energy than Eu203 from 35S). FIGS. 24 and 25 show that the peaks are characteristic to the nanoparticle regardless of which radionuclide is used. For example, the characteristic four peaks of Eu203 exhibit the same energy regardless of the radionuclide associated with the nanoparticle. This spectroscopy technique provides the ability to parse out the nanoparticle being used (e.g., Gd203 or Eu203). The measurements shown in FIG. 25 are beta minus, with high energy gamma, or high energy gamma itself.
[0148] FIG. 26 shows peaks for 18FDG and Eu203 with radioactivity peak at 511 keV.
[0149] FIG. 27 shows peaks for 68Ga and Eu203 with radioactivity peak at 511 keV.
[0150] FIG. 28 shows peaks for 35S and Eu203. No x-rays or gammas are seen from 35S alone. Addition of Eu203 yields quartet of peaks in the 40 keV region. No x-rays or gammas are seen from 35S alone. Addition of Eu203 yields quartet of peaks in the 40 keV region.
Accordingly, without wishing to be bound to any theory, the beta-minus particle or the positron is contributing to the light enhancement.
[0151] 99mTc results show characteristic spectra in rare earths as seen in both beta emitting radionuclides. Intensity of characteristic x-rays not calibrated, but appear to be more in line with abundance using β" radionuclides.
[0152] FIG. 29 shows a 35S activity titration of Eu203 and Hf02 nanoparticles at lei 1 particles per mL from a range of 0.5 μθ to 50 μθ.
[0153] FIG. 30 shows that enhancement from nanoparticle concentration is not linear at different "dark" time points (0 min, 5 min, 10 min, 15 min), where dark is minutes in IVIS box away from ambient light. The nanoparticles were titrated at 30 μθ per well.
[0154] FIG. 31 depicts in vivo data showing that the light emitted by 18FDG
radionuclides is enhanced by 1.5 times when Hf02 nanoparticles are co-injected compared to radionuclide alone. Matrigel and Matrigel/Hf02 injections served as negative controls. In certain embodiments, this technique has applications in improved optical sensitivity of tumor regions.
[0155] FIG. 32 shows photoluminescence of 1E12 nanoparticles in 1 mL of glucose.
Exposure was 300 seconds F l, where Fl is a lens aperature that is fully open (where light in equals light out).
[0156] FIG. 33 shows 35S luminescence enhancements change with time in IVIS. This represents the effect of photoluminescence on enhancement factor at low radiance radionuclides.
[0157] FIG. 34 shows an exemplary radioluminescence setup containing 24 well plate with 1 mL of nanoparticles (1), black paper (2), plexi glass (3), and 24 well plate containing 30 μθ of a particular radionuclide in H20 (4).
[0158] FIG. 35 shows enhancement of Hf02 and Ge nanoparticles using 30 μθ of 33P with 1E1 1 particles per mL (maximum concentration).
[0159] FIG. 36 shows same data as shown in FIG. 35; however, FIG. 36 shows radiance
(p/s) (compared to enhancement as provided in FIG. 35).
Total luminescence measurements
[0160] Using the plate design and nanoparticles concentrations as described below, 30iC of radioactivity was added per well and imaged on the IVIS Spectrum. Subsequent scans using the open filter were done to track the loss in total luminescence with time. Radiance values were decay corrected and thus losses represent the photoluminescence contribution.
Spectrum scans to assess the wavelength output in the 500 nm - 840 nm region were also done on the IVIS in 20 nm increments, open filter (FIG. 32). For more energetic radionuclides such as 18FDG, scans of 2 minutes F l were used instead. For the most energetic radionuclides like 90Y exposure times of 30 s - 60 s were used. [0161] Applications include, but are not limited to, tethering low energy radionuclides that produce no visible light to amino acids (e.g., 35S Cysteine or methionine) or phosphates (e.g., 33P). Accumulation of amino acid or phosphate can then be optically measured by adding a fixed amount of Eu203 nanoparticles in solution. In certain embodiments, the particles are also coated on a plate. Assay readout can be performed using a high sensitivity camera like that is USED by the IVIS Spectrum. Activity correlates with luminescence.
Radioluminescence
[0162] Radioluminescence studies were conducted in a similar manner (FIGS. 33 and 34) to the luminescence studies, but with the addition of a plexi glass, paper cover and the radioactivity placed at the bottom in a separate 24 well plate. This design removes the Cerenkov luminescence and beta interactions by the radionuclide and retains the gamma and x-ray interactions if possible. While this design does not account for identical geometry for all well (e.g., some wells will see more activity based on location in plate), this tool serves as a good rank order mechanism, along with a follow on 99mTc study which represents gamma excitation only. Activity and nanoparticle titration
[0163] To test the effect of nanoparticle concentration, 6 concentrations of nanoparticles were tested (e.g., 1E10, 5E10, 1E11, 2E11, 5E11, 1E12 nanoparticles / mL) for Hf02 with 30 μθ 89Zr. Doubling of particles can lead to a less than linear response in increased radiance, though concentrations below 1E11 nanoparticles per mL appear linear as shown in FIG. 30. The activity titration ranges from 0.5 to 50 μθ per well using a fixed 1E11 particles per mL of either Hf02 or Eu203. A clear optical signal at 1 μθ is shown in FIG. 30 with 35S. This previously undetected optical signal enables Cerenkov imaging of 35S. Furthermore, without wishing to be bound to any theory, pure beta emitters are harder to measure than positron or gamma emitting radionuclides, suggesting that nanoparticle sprays with Eu203 can be used with a camera to measure amounts of 35S on a surface. For example 1 μθ of 35S cannot be seen optically, nor by a Geiger counter or x-ray or gamma detector. As described herein, by adding Eu203, the 1 μθ of 35S can be imaged and quantified, as shown in FIG. 30. Furthermore, in certain embodiments monitoring of 35S is detected in a Ge detector if the sample in question and the nanoparticles are combined and placed in the detector.
Germanium (Ge) detector
[0164] The Ge detector is designed to measure the high energy x-ray and gamma rays given off during radionuclide decay. Every radionuclide has a signature energy pattern that is used to determine the radionuclide. Upon adding nanoparticles to the detector with activity, nanoparticles (e.g., rare earth nanoparticles) produced four previously unidentified peaks in the energy spectrum, without observable loss in existing known radionuclide peaks. The peak energies are dependent on the type of nanoparticle, while the abundance of the peak depends on the type of the radionuclide used. The produced peak energies correspond to characteristic x-ray energies, enabling material identification through radionuclide addition. Positrons produced the weakest new peaks, while SPECT nuclides such as 99mTc produced higher abundance peaks. Beta minus emitting radionuclides (e.g., 177Lu, 35S) produced the strongest peak signals, though still a minority peak by counts. Geometry was not taken into account for this study so integrated values are not available. The Canberra Ge detector was run for 2 hours containing 1 mL of nanoparticles (1E12 particles) and radionuclide. Radionuclide amounts varied from 3 iCi' of 90Y to 100 μθ of 35S. Amounts were adjusted to maintain between 1% and 5% dead time on the detector, which is related to count rate (FIGS. 22-28). [0165] Applications can be directed towards characterization of rare earth elements by addition of radionuclide to sample. In certain embodiments, any beta minus emitter is used to identify the element it is mixed with, as long as the element or mineral has characteristic x-rays that are known, in the low x-ray range, and do no overlap with the spectral signature of the nuclide.
In vivo imaging using ionizing radiation interactions with nanoparticles
[0166] Matrigel plugs were prepared via mixture of radioisotope, matrigel, and 2 nM
(50μΙ.) (or 1E12 particles per mL) of nanoparticle solution in an eppendorf tube. 100 μΐ^ of the solution (25 μθ) was injected subcutaneously and both PET and IVIS optical imaging were conducted. A control matrigel plug with no nanoparticles (e.g., only matrigel, 18FDG, and saline) was used as a comparison (FIG. 31).
[0167] Prostate tumor models were prepared by injecting 1.5 x 106 22RV1 cells (ATCC) subcutaneously in the left flank. Three weeks after xenografts injection, mice were fasted for 4 hours followed by intravenous 18FDG injection (400 μθ). At 1 hour post-injection, PET and IVIS imaging was conducted. Immediately following IVIS imaging, 2 nM (50μΙ.) (or 1E12 particles per mL)) of nanoparticle solution was applied topically to the matrigel and the mouse was reimaged. The solution was then removed and the mouse was imaged a third time. 68Ga- PSMA (600 μθ) was injected intravenously and PET imaging conducted 2 hours post-injection. IVIS imaging and topical application of P was conducted as described for 18FDG.
[0168] Lymph node imaging was conducted via injection of E203 (10 μΕ, 2 nM or 1E12 particles per mL) into the left footpad and a saline control (10 μΕ) into the right footpad, followed by injection of radionuclide. PET and IVIS imaging was conducted at 1 hour and 4 hours post-injection. P luminescence and enhancement
[0169] 1 mL of nanoparticles in solution was applied per well. Concentrations of OF02 and Ge were titrated at lower levels, with 1E11 nanoparticles per mL as the maximum concentration (e.g., as compared to 1E12 nanoaprticles per mL in 35S experiments described herein). Enahncement was calculated by comparing to H20 luminescence, as described herein. Exposure was 300 seconds Fl . FIG. 35 shows enhancement of Hf02 and Ge nanoparticles using 30 iCi' of 33P with 1E11 particles per mL (maximum concentration). FIG. 36 shows same data as shown in FIG. 35; however, FIG. 36 shows radiance (p/s) (compared to enhancement as provided in FIG. 35).
Nanoparticle preparation
[0170] The majority of the nanoparticles were purchased from either American Elements or Sigma Aldrich with the exception of synthesized silica nanoparticles. Nanopowders were suspended in 60% by weight glucose with the aid of tip sonication to create a monodisperse nanoparticle suspension. Silica nanoparticles were prepared via a modified Stober method.
[0171] Suspension of the nanoparticles in 60% by weight glucose was achieved by sonication in a 500W tip or cup sonicator. Sonication was done to disperse the nanoparticles and minimize sedimentation or aggregation over the course of the experiment. Absorbance measurements were taken to correct for size measurements by DLS. Refractive index of the nanomaterial was assumed for the DLS measurements. Transmission electron microscopy of identical nanoparticles was done (from an aqueous dilution) on a Jeol electron microscope to confirm particle size and morphology. Nanosight measurements were done to confirm the ballpark concentration of the nanosuspensions. Particle concentrations were set at 1E10, 1E11, and 1E12 particles per mL in 60% Glucose. Nanoparticle characterization (SI Absorbance, Photoluminescence)
[0172] Nanoparticle morphology and diameter were determined using both transmission electron microscopy (TEM) and dynamic light scattering (DLS). A Nanosight instrument was used to determine particle concentration. The optical refractive index of the nanoparticles was assumed to be a bulk state refractive index. The absorbance and photo-luminescence was determined via cuvette measurements of 1E10 particles per mL or lower and extrapolated when exceeding 1 optical density (OD).
[0173] Nanoparticles at 1E10, 1E11, and 1E12 (IX) particles per mL in 60% glucose were added to a black walled 24 well plate. Plate design includes triplicate wells of H20, Glucose, and three concentration levels of NPs for two different NPs. Particles were stored under ambient fluorescent light for more than 15 minutes before measurement in the IVIS spectrum. Samples were imaged with an open filter at Fl for 300s per exposure as seen in the figure below. Subsequent exposures of particles retained in the IVIS Spectrum, which is a dark light sealed imaging chamber, showed the loss of total luminescence with time.
Photoluminescence decay curves could be determined to confirm. Losses varied by particle while some (YAG, Gd203) had increases in luminescence likely due to settling of the nanosuspension, thus altering the absorption of the 1 mL dispersion. These values represent no addition of radioactivity.
Radiotracer production (SI)
35 33 177 90
[0174] S, P, Lu, and Y were purchased from PerkinElmer as liquid solutions.
When appropriate, solutions were brought to neutral pH prior to addition to nanoparticle solutions. 89Zr was produced on the Memorial Sloan Kettering Cancer Center cyclotron and purified as zirconium oxalate. Zirconium oxalate was neutralized with sodium carbonate prior to use. Cu was produced on a cyclotron at Washington University in Saint Louis and eluted as copper chloride in 0.05 N HC1. 68Ga was produced on a germanium generator and eluted in 0.3 N HC1. This was neutralized with 28% ammonium hydroxide prior to use.
Gamma and x-ray interactions for visible light modulation
[0175] 24 well black walled plates were used for luminescence imaging. Nanoparticle solutions were prepared in 60% glucose by weight with 1E10, 1E11 and 1E12 particles per mL. ImL of nanosuspension was diluted with 5 μΐ. of the radionuclide of interest, targeting 30 μθ per well at time of measurement. Enhancement was normalized to the total flux of the radionuclide in H20.
High-energy photon measurements
[0176] The radioisotope of interest was placed in 1 mL H20 in a 24 well black walled plate upon which a poly(methyl methacrylate) plate and black paper was then placed. On top of the black paper another 24 well plate containing in triplicate wells of H20, 50% glucose, or nanoparticle solution. IVIS imaging was conducted with an open filter. ROIs were drawn over the wells and background subtracted.
Beta particle interactions for visible light modulation
[0177] 35S in H20 was prepared in 1 mL volumes ranging from 0.5-30 μθί in 24 well black-walled plates. 35S was added to either H20, 60% glucose in H20, or P (HO or EO). IVIS imaging was conducted for 5 minutes (binning 8, fstop 1, XYZ). ROIs were drawn over each well and radiance (photons) values were determined.

Claims

What is claimed is:
1. A method of imaging tissue (e.g., a luminescence detection method), which method comprises
administering one or more agents to the tissue (e.g., in vitro, or administering to a subject, in vivo) so that the tissue (e.g., the subject) is receiving a nanoparticle and/or liposome having one or more radionuclides either coupled thereto (e.g., covalently or non-covalently coupled, e.g., with or without a chelator, e.g., with or without a linker moiety between the radionuclide and the nanoparticle) or within its vicinity (e.g., within 3 millimeters, e.g., within 2 millimeters in water, e.g., within 1 millimeter in tissue, e.g., within a Cerenkov distance) in the tissue (e.g., the tissue of the subject) the nanoparticle or liposome and the one or more radionuclides; and detecting luminescence produced in the tissue (e.g., of the subject) as a result of the administered nanoparticle or liposome and one or more radionuclides (e.g., wherein the nanoparticle or liposome has higher refractive index than the tissue, e.g., the tissue of the subject in the vicinity of the administered one or more agents being imaged).
2. The method of claim 1, wherein the one or more radionuclides comprises one or more members selected from the set consisting of 89Zr, 90Y, 64Cu, 177Lu, 68Ga, 18FDG, 33P, 35S, 14C, 3H, 18F, and combinations thereof.
3. The method of any one of the preceding claims, wherein the one or more radionuclides comprises 33P.
4. The method of any one of the preceding claims, wherein the one or more radionuclides comprises 35S.
5. The method of any one of the preceding claims, wherein the nanoparticle and/or liposome has diameter no greater than about 250 nm (e.g., no greater than 200 nm, no greater than 150 nm, no greater than 140 nm, or no greater than 100 nm).
6. The method of any one of the preceding claims, wherein the nanoparticle is a member selected from the group consisting of silica, aluminum oxide, titanium dioxide, zinc oxide, quartz, cuprite, titania (rutile), titania (anatase), europium, hafnium, gadolinium oxide, and diamond.
7. The method of any one of the preceding claims, wherein the one or more agents exhibits greater radiance^Ci than a solution (e.g., buffer solution) having the same one or more radionuclide, but without the nanoparticle (or liposome).
8. The method of claim 7, wherein the one or more agents has at least 1.5 times the radiance^Ci of the solution of the radionuclide alone (e.g., at least 2.0 times, at least 2.5 times, or at least 3.0 times, at least 20 times, at least 40 times, at least 80 times, at least 100 times, at least 500 times, at least 1000 times, at least 1500 times, at least 2000 times).
9. The method of claim 7, wherein the one or more agents exhibits an average radiance of greater than 8 x 105 p/s/cm2/sr (e.g., at least 1.5 times the average radiance of a buffer solution of the radionuclide without the nanoparticle and/or liposome, e.g., at least 1.6 times greater, e.g., at least 1.63 times greater, e.g., at least 2.0 times greater, e.g., for 90Y) (e.g., at least 10 times the average radiance of a buffer solution of the radionuclide without the nanoparticle and/or liposome, e.g., at least 20 times greater, e.g., at least 100 times greater, e.g., at least 2000 times greater, e.g., for 35S)
10. The method of claim 7, wherein the one or more agents exhibits at least 0.75 times the average radiance of a buffer solution of the radionuclide without the nanoparticle and/or liposome, e.g., at least 0.5 times greater, e.g., at least 0.2 times greater, e.g., at least 0.1 times greater, e.g., for GaAs or GaP nanoparticles).
11. The method of any one of the preceding claims, wherein the nanoparticle and/or liposome comprise targeting ligands to target a tumor.
12. The method of any one of the preceding claims, wherein the tissue is tumor tissue.
13. A composition of matter comprising a nanoparticle and/or liposome having one or more radionuclides either coupled thereto (e.g., covalently or non-covalently coupled, e.g., with or without a chelator, e.g., with or without a linker moiety between the radionuclide and the nanoparticle) or within its vicinity (e.g., within 3 millimeters, e.g., within 2 millimeters in water, e.g., within 1 millimeter in tissue, e.g., within a Cerenkov distance), the nanoparticle and/or liposome having a refractive index of at least 1.2 (e.g., at least 1.45, at least 1.49, at least 1.7, at least 1.9, at least 2.0, at least 2.4, or at least 2.5) such that the composition exhibits enhanced Cerenkov luminescence.
14. The composition of claim 13, wherein the one or more radionuclides comprises one or more members selected from the set consisting of 89Zr, 90Y, 64Cu, 177Lu, 68Ga, 18FDG, 33P, 35S, 14C, 3H, 18F, and combinations thereof.
15. The composition of claims 13 or 14, wherein the one or more radionuclides comprises 33P.
16. The composition of any one of claims 13 to 15, wherein the one or more radionuclides comprises 35S.
17. The composition of any one of claims 13 to 16, wherein the nanoparticle and/or liposome has diameter no greater than about 250 nm (e.g., no greater than 200 nm, no greater than 150 nm, no greater than 140 nm, or no greater than 100 nm).
18. The composition of any one of claims 13 to 17, wherein the composition comprises a nanoparticle and the nanoparticle is a member selected from the group consisting of silica, aluminum oxide, titanium dioxide, zinc oxide, quartz, cuprite, titania (rutile), titania (anatase), europium, hafnium, gadolinium oxide, and diamond.
19. The composition of any one of claims 13 to 18, wherein the composition exhibits greater radiance^Ci than a solution (e.g., buffer solution) having the same radionuclide as the composition, but without the nanoparticle (or liposome).
20. The composition of claim 19, wherein the composition has at least 1.5 times the radiance^Ci of the solution of the radionuclide alone (e.g., at least 2.0 times, at least 2.5 times, or at least 3.0 times, at least 20 times, at least 40 times, at least 80 times, at least 100 times, at least 500 times, at least 1000 times, at least 1500 times, at least 2000 times).
21. The composition of any one claims 13 to 20, wherein the composition exhibits an average radiance of greater than 8 x 105 p/s/cm2/sr (e.g., at least 1.5 times the average radiance of a buffer solution of the radionuclide without the nanoparticle or liposome, e.g., at least 1.6 times greater, e.g., at least 1.63 times greater, e.g., at least 2.0 times greater, e.g., for 90Y) (e.g., at least 10 times the average radiance of a buffer solution of the radionuclide without the nanoparticle or liposome, e.g., at least 20 times greater, e.g., at least 100 times greater, e.g., at least 2000 times greater, e.g., for 35S)
22. The composition of any one of claims 13 to 21, wherein the composition exhibits at least 0.75 times the average radiance of a buffer solution of the radionuclide without the nanoparticle or liposome, e.g., at least 0.5 times greater, e.g., at least 0.2 times greater, e.g., at least 0.1 times greater, e.g., for GaAs or GaP nanoparticles).
23. The composition of any one of claims 13 to 22, wherein the radionuclide emits low energy beta minus particles and does not emit detectable gamma and/or x-ray particles (e.g.,
33 35 14 3
wherein the radionuclide is selected from the group consisting of P, S, C, and H).
24. A method of detecting a radionuclide, the method comprising:
administering (e.g., spraying) one or more agents comprising a nanoparticle and/or liposome to a surface; and
detecting (e.g., via a camera) luminescence produced by the nanoparticle and/or liposome having one or more radionuclides either coupled thereto (e.g., covalently or non-covalently coupled, e.g., with or without a chelator, e.g., with or without a linker moiety between the radionuclide and the nanoparticle) or within its vicinity (e.g., within 3 millimeters, e.g., within 2 millimeters in water, e.g., within 1 millimeter in tissue, e.g., within a Cerenkov distance), (e.g., wherein the radionuclide emits low energy beta minus particles and does not emit detectable gamma and/or x-ray particles (e.g., wherein the radionuclide is selected from the group consisting of 33P, 35S, 14C, and 3H)).
25. The method of claim 24, comprising:
administering the one or more agents to the surface, thereby resulting in the composition of any one of claims 13 to 23.
26. A method for detecting biological processes (e.g., amino acids, phosphate, e.g., in vitro), the method comprising: tethering (e.g., via click-chemistry, etc.) low energy radionuclides (e.g., P, S, C, and/or 3H) that do not emit detectable gamma and/or x-ray particles to amino acids (e.g., a 35S- Cysteine or 35S-methionine) or phosphates (e.g., a 33P-phosphate) to form a tethered radionuclide composition;
contacting (e.g., bringing together within a Cerenkov distance) a nanoparticle and the tethered radionuclide composition (e.g., contacting the tethered radionuclide composition with nanoparticles in solution, e.g., Ε¾03 nanoparticles, e.g., wherein the solution has a concentration of 1E10, 5E10, 1E11, 2E11, 5E11, 1E12 nanoparticles/mL, e.g., wherein the nanoparticle is coated on a surface); and
detecting luminescence resulting from the contacting of the nanoparticle and the tethered radionuclide composition (e.g., via a high sensitivity camera).
27. The method of claim 26, wherein contacting the nanoparticle and the tethered
radionuclide composition results in the composition of any one of claims 13 to 23.
PCT/US2016/018502 2015-02-18 2016-02-18 Methods of enhancing cerenkov luminescence using nanoparticles, and compositions related thereto WO2016134164A1 (en)

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