A pharmaceutical, wherein the formulation is a conjugate of a saccharide with one or a plurality of isotopic
boron-10 atoms or
gadolinium, and having a utility in the binary form of low energy
neutron therapy (i.e.
boron neutron capture therapy). Further, that the therapy has an indicated use for the selective targeting and killing of oxygenated and hypoxic cells in tumors, and that the pharmaceutical is preferentially taken up by
cancer cells. The inclusion of any of a family of saccharides, its derivatives or analogues, including
sulfur linkage saccharides as a delivery carrier for
boron-10 atoms or the rare element
gadolinium is a strategy to take
advantage of the hallmark of
cancer cells, that being an increased requisite for glucose to sustain a rate of uncontrollable
cell division and proliferation. A
cancer cell facilitates an increase in availability of molecular glucose by overexpression of
glucose transporter proteins on membrane surfaces. The use of a saccharide attached with one or more of isotopic boron-10 atoms or
gadolinium is to utilize this known amplification of glucose transport to achieve significantly greater quantities of isotopic boron-10 atoms or gadolinium taken up cancer cells than deposited into healthy cells.Tissues of malignant tumors are not homogeneous, but consist of oxygenated and hypoxic cells.
Oxygen deprivation causes cancer cells to be resistant to
radiation and to chemotherapeutic agents. It is further noted that the
etiology of
metastasis is hypoxia induced
tumor cells, where
oxygen deprivation stimulates activation of genes, and that one
gene is responsible for
programming oxygen-starved cancer cells to migrate to distant and specific host organs.A saccharide with a ring
sulfur atom can participate more readily in biological processes than a
sugar with a ring
oxygen atom, and such thiosaccharides possess unique physiochemical properties that include penetration of a viscous
lipid bilayer membrane of a
cancer cell, and resistance to reduction by enzymes, enabling retention of the conjugate within
cytoplasm, mitochondria and nuclei of cancer cells. Therefore, an objective is the use of a conjugated boron-10 or gadolinium thiosaccharide as a pharmaceutical for low energy
neutron therapy to participate in a boron-10 interception of a passing slow (thermal) neutron to produce an α-particle,
high energy Li-7
ion and low energy gamma (γ) rays that are damaging to a
cell. The pharmaceutical, when in combination with
exposure of a subject to low energy neutrons, is a method of treatment for a subject diagnosed with a cancer, so as to cause a regression of tumors, to inhibit
metastasis, and to extend life.