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Tumor Discovery                                             Mg-28-A theoretical novel strategy in cancer therapy



            10  to 10  Gy for T –T  tumors (0.03 mg–500 g). For the   assuming a replication cycle ratio (k) of 2 between
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            same tumors, the doses increased from 10  to 10  Gy in   cancerous and healthy tissue.
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            regimen (b) but decreased from 10  to 10  Gy in regimen   This substantial increase in the Mg-uptake coefficient
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            (c). These results indicate that applying the Mg-uptake   with tumor growth underscores the elevated Mg demand
            coefficient significantly increases the cell dose compared to   of rapidly proliferating cancer cells. As tumors expand,
            a uniform whole-body distribution.                 their metabolic and replicative requirements for Mg—a
              Based on these results, we proposed three additional   crucial cofactor for numerous enzymes involved in these
            intravenous regimens: (d) 62, (e) 300, and (f) 400 Mg-28   processes—escalate. Consequently, Mg-28 is preferentially
            ions/cell. These regimens were capable of targeting 20%,   accumulated in larger and more aggressive tumors, making
            100%, and 133% of the total 300 Mg-dependent enzymes,   it an increasingly effective agent for targeted radiotherapy
            respectively. They achieved absorbed doses ranging from   in advanced stages.
            60  to  415  Gy  across  T –T   tumors,  with  a  total  Mg-28   Furthermore, the relatively high Mg-uptake coefficient
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            quantity of only 6.2  ng. Notably, the highest effective   observed even in early-stage T  tumors suggests a promising
            systemic absorbed dose among the regimens remained   avenue for early cancer detection, which will be discussed
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            below 2.4 Gy, indicating a favorable safety profile. These   further in the subsequent section. The dependence of the
            results  demonstrate  that  Mg-28  delivers  sufficient   Mg-uptake coefficient on the number of replication cycles
            absorbed doses to induce significant cytotoxicity in cancer   and the k-factor highlights the importance of considering
            cells across a wide range of tumor sizes, with minimal   tumor growth dynamics in optimizing Mg-28-based
            damage to surrounding healthy tissues and limited overall   treatment strategies. Tumors with faster replication rates
            radioisotope exposure. These results are shown in Figure 2.
                                                               (higher k values) are expected to exhibit even greater
            4. Discussion                                      Mg-28 accumulation, potentially enhancing therapeutic
                                                               efficacy and reducing the required dosage.
            4.1. Tumor growth, replication cycle, and Mg uptake
                                                               4.2. Early diagnosis and real-time monitoring
            Cancer cell replication cycles are known to vary depending
            on tumor type and microenvironmental conditions. Our   The exceptionally high Mg-uptake coefficient observed
            data, presented in  Table 1, indicate a clear relationship   even in early-stage, microscopic tumors (T :  1.8 × 10 ,
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            between tumor size, the number of replication cycles, and   as shown  in  Table 1) provides a strong  foundation for
            the  Mg-uptake  coefficient. For instance,  a  microscopic   early cancer diagnosis. This preferential accumulation
            tumor at stage T  (mass  ∼3.1 × 10   g, approximately   of Mg-28 in nascent tumors allows for robust imaging
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            3.1 ×  10   cells) after 15 replication cycles exhibits an   signals through gamma rays, Bremsstrahlung, and X-rays,
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            Mg-uptake coefficient of 1.8 × 10 . As the tumor progresses   enabling detection through positron emission tomography
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            through stages T –T , with increasing mass and number of   (PET) or single-photon emission computed tomography
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            replication cycles, the Mg-uptake coefficient demonstrates   (SPECT) imaging. The ability to visualize tumors as small
            a significant upward trend, reaching 7.1 × 10  for a large   as  ∼3.1  ×  10   g  (approximately  31,000  cells)  represents
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            T  tumor (mass ∼500 g, ∼5.0 × 10  cells) after 39 cycles,   a significant advancement over many current diagnostic
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            Figure 2. Comparison of absorbed radiation dose delivered to tumors and the whole body across different regimens. The tumor-specific and systemic
            absorbed dose are computed from Table 4. Regimens d, e, and f correspond to assumptions where 62, 300, and 400 magnesium-28 ions were taken up per
            cancer cell to inactivate magnesium-dependent enzymes. Tumor doses range between 60 Gy and 415 Gy, while whole-body doses are from 1.0 × 10  Gy
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            to 2.4 Gy, indicating high therapeutic selectivity and patient safety.

            Volume 4 Issue 3 (2025)                         76                           doi: 10.36922/TD025070010
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