“…Radiolabeled 2-NIs have shown success as hypoxia-selective radiotracers in clinical settings, and some widely used radiopharmaceuticals for hypoxia imaging include 18 F-fluoromisonidazole ( 18 F-FMISO), ,, 18 F-fluoroazomycin arabinofuranoside ( 18 F-FAZA), − and 123 I-iodoazomycin arabinofuranoside ( 123 I-IAZA). − In addition to its diagnostic capacity, ,, IAZA has shown potential as a hypoxia-directed therapeutic in cell-based assays, either as a radiosensitizer , to enhance therapeutic effects of external X-ray beam radiotherapy or for delivering in situ molecular radiotherapy (MRT) when IAZA is labeled with a therapeutic radionuclide ( 131 I). Most recently Rashed et al examined the effects of IAZA on tumor hypoxia, with a particular emphasis on identifying the cellular phenotype induced by this drug as well as analyzing their effects on target cellular macromolecules. , Cytostasis was observed in a head and neck (FaDu) cancer model, where hypoxic cells displayed higher sensitivity to IAZA exhibiting an altered cell morphology, compromised DNA replication, slower cell cycle progression, and induction of replication stress . Due to its promising anti-tumor properties and no indication of peripheral neurotoxicity at lower doses, a limitation seen with previous 2-NIs in clinical trials, IAZA could offer multifold theranostic potential.…”