The substances of choice for enhancing the excretion of transportable
forms of Pu, Am and Th from humans are the trisodium calcium or zinc s
alts of diethylenetriaminepentaacetic acid (DTPA). This paper summaris
es recent studies with laboratory animals which suggest that oral admi
nistration or infusion of DTPA would be an effective treatment for inh
aled Pu and Am. The review is, however, devoted principally to progres
s achieved with siderophore analogues for the decorporation of Pu, Am
and Th. Experimental evidence is presented which shows that the hydrox
ypyridinone derivative 3,4,3-LIHOPO, can be appreciably more effective
than DTPA after their administration by intravenous injection, inhala
tion or wound contamination. Its use for humans must depend on the res
ults of comprehensive toxicity testing, but the evidence available so
far is encouraging. Potentially 3,4,3-LIHOPO represents a most signifi
cant advance for the decorporation of Pu, Am and Th. However, other si
derophore analogues such as TREN-(3,2-HOPO) are worthy of further inve
stigation.