Dissecting the effects of <sup>223</sup>Radium on the bone microenvironment.
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ABSTRACT: Radium-223 (223Ra) is a bone-seeking, alpha-particle-emitting radionuclide that is approved for the treatment of patients with metastatic prostate cancer and is currently being tested in clinical trials for primary and metastatic cancers to the bone. 223Ra accumulates in mineralized bone areas with high bone turnover, where its effects are confined within 100 μm of the bone-marrow interface due to the short tissue penetrance of the alpha particles. A recent clinical study has shown a significantly increased fracture rate associated with the administration of 223Ra, mostly in tumor-free bones. Importantly, the biological mechanisms underlying this bone fragility remain unclear. In this work, we combined micro-computed tomography and mechanical studies with <
SUBMITTER: Barrios S
PROVIDER: S-EPMC12541612 | biostudies-literature | 2025 Oct
REPOSITORIES: biostudies-literature
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