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Stable isotope 75 As Relative atomic mass 74.921 595 Mole fraction 1 Arsenic isotopes in biology 73 As and 76 As are important radioactive tracers used in environmental and biomedical studies to quantify arsenic uptake [266]. 74 As has been used to investigate the biotransformation (modification of a chemical compound by an organism) of arsenate by mammals. In one study, rabbits were injected with 74 As-labeled arsenate. After a given amount of time, blood and blood products were sampled and tested for the presence and quantity of labeled arsenate metabolites [266]. Inhalation of dust or smoke containing 74 As is thought to be a causal agent of lung cancer. In one study [267], the “absorption rate from the bronchial tree (a respiratory tract conducts air into the lungs) was rapid for the first several days and then tapered off slowly. In three patients an average of 45 per cent of the inhaled arsenic was eliminated in the urine in 10 days and ~0.5 per cent in the stools. The remainder must be assumed to have been deposited in the body, exhaled, and/or eliminated in body secretions and excreta over a long period of time.” See Figure 1. Fig. 1: Combined urine and fecal elimination of inhaled 74 As over a 10-day period. The ratio of urine to fecal elimination was approximately 30 to 1 (modified from [267]). Arsenic isotopes in medicine 72 As and 74 As are useful in molecular imaging because they are radioactive isotopes that emit positrons that can be designed to bind to monoclonal antibodies (moAb), which accumulate in tumors and then 72 As- or 74 As-labeled ligands will bind to the moAbs. Once the 72 As- or 74 Aslabeled ligand binds to the moAb, positron emission tomography (PET) can be used to visualize the exact location of the tumor [265, 268]. A specific example of using radiolabeled antibodies for better imaging of tumors is the combination of 74 As with bavituximab, which is an antibody that binds strongly to unique lipids on the surface of tumors. When a thiol group is introduced to bavituximab, arsenic is able to bind covalently, creating a simple and elegant radio-label for targeting cancerous tumors [265, 268]. Glossary atomic number (Z) – The number of protons in the nucleus of an atom. covalently - share electron pairs between atoms. [return] CT scan (X-ray computed tomography or X-ray CT, computerized axial tomography scan or CAT scan) – a computerized tomography (CT) scan combines a series of X-ray images taken from different angles and uses computer processing to create cross-sectional images, or slices, of the bones, blood vessels and soft tissues inside your body [702]. electron – elementary particle of matter with a negative electric charge and a rest mass of about 9.109 × 10–31 kg. element (chemical element) – a species of atoms; all atoms with the same number of protons in the atomic nucleus. A pure chemical substance composed of atoms with the same number of protons in the atomic nucleus [703]. gamma rays (gamma radiation) – a stream of high-energy electromagnetic radiation given off by an atomic nucleus undergoing radioactive decay. The energies of gamma rays are higher than those of X-rays; thus, gamma rays have greater penetrating power. half-life (radioactive) – the time interval that it takes for the total number of atoms of any radioactive isotope to decay and leave only one-half of the original number of atoms. isotope – one of two or more species of atoms of a given element (having the same number of protons in the nucleus) with different atomic masses (different number of neutrons in the nucleus). The atom can either be a stable isotope or a radioactive isotope. ligand – the atoms or groups joined to the central atom [703]. [return] monoclonal antibodies (mAb or moAb) - identical immune cells that are all clones of a unique parent cell, in contrast to polyclonal antibodies, which are made from several different immune cells. [return] neutron – an elementary particle with no net charge and a rest mass of about 1.675 × 10–27 kg, slightly more than that of the proton. All atoms contain neutrons in their nucleus except for protium (1H). positron – the antimatter counterpart of the electron, with a mass identical to that of the electron and an equal but opposite (positive) charge. [return] positron emission tomography (PET) scan – an imaging technique that is used to observe metabolic activity within the body. The system detects pairs of gamma rays emitted indirectly by a radioactive isotope used as a tracer, which emits positrons and which is introduced into the body on a biologically-active molecule. Three-dimensional images of the concentration of the radioactive isotope within the body are then constructed by computer analysis. The imaging often is performed with an X-ray CT scan in the same instrument. [return] proton – an elementary particle having a rest mass of about 1.673 × 10–27 kg, slightly less than that of a neutron, and a positive electric charge equal and opposite to that of the electron. The number of protons in the nucleus of an atom is the atomic number. radioactive decay – the process by which unstable (or radioactive) isotopes lose energy by emitting alpha particles (helium nuclei), beta particles (positive or negative electrons), gamma radiation, neutrons or protons to reach a final stable energy state. radioactive isotope (radioisotope) – an atom for which radioactive decay has been experimentally measured (also see half-life). [return] radiolabeled – a mixture of an isotopically unmodified compound with one or more analogous radioactive isotopically substituted compound(s). [return] stable isotope – an atom for which no radioactive decay has ever been experimentally measured. thiol – any of various compounds having the general formula RSH, which are analogous to alcohols, but in which sulfur replaces the oxygen of the hydroxyl group and which have disagreeable odors [718]. [return] tracer - substance used for tracking purposes. [return] X-rays – electromagnetic radiation with a wavelength ranging from 0.01 to 10 nanometers— shorter than those of UV rays and typically longer than those of gamma rays. References 265. M. Jennewein, Lewis, M.A., Zhao, D., et al. Clinical Cancer Research. 14, 1377 (2008). 10.1158/1078-0432.CCR-07-1516 266. J. De Kimpe, Cornelis, R., Mees, L., and Vanholder, R. FUNDAMENTAL AND APPLIED TOXICOLOGY. 34 240 (1996). 267. M. S. M. R. H. Holland, and H. C. Lanz. Cancer Research. 19 (11), 1154 (1959). 268. M. Jennewein, Hermanne, A., Mason, R. P., Thorpe, P. E., and Rösch, F. Accelerators, Spectrometers, Detectors and Associated Equipment. 569 (2), 512 (2006). 702. M. Clinic. Test and Procedures: CT scan. 2016 June 22. http://www.mayoclinic.org/tests-procedures/ct-scan/basics/definition/prc-20014610 703. I. U. o. P. a. A. Chemistry. Compendium of Chemical Terminology, 2nd ed. (the "Gold Book"). Blackwell Scientific Publications, Oxford (1997). 718. Merriam-Webster. thiol. Merriam-Webster. 2016 June 22. http://www.merriamwebster.com/dictionary/thiol