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锆-89标记抗体:癌症患者分子成像的新工具。

Zirconium-89 labeled antibodies: a new tool for molecular imaging in cancer patients.

作者信息

van de Watering Floor C J, Rijpkema Mark, Perk Lars, Brinkmann Ulrich, Oyen Wim J G, Boerman Otto C

机构信息

Department of Radiology and Nuclear Medicine, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA, Nijmegen, The Netherlands.

Radboud Translational Medicine B.V., Reinier Postlaan 2, 6525 GC, Nijmegen, The Netherlands.

出版信息

Biomed Res Int. 2014;2014:203601. doi: 10.1155/2014/203601. Epub 2014 May 28.

Abstract

Antibody based positron emission tomography (immuno-PET) imaging is of increasing importance to visualize and characterize tumor lesions. Additionally, it can be used to identify patients who may benefit from a particular therapy and monitor the therapy outcome. In recent years the field is focused on (89)Zr, a radiometal with near ideal physical and chemical properties for immuno-PET. In this review we will discuss the production of  (89)Zr, the bioconjugation strategies, and applications in (pre-)clinical studies of  (89)Zr-based immuno-PET in oncology. To date, (89)Zr-based PET imaging has been investigated in a wide variety of cancer-related targets. Moreover, clinical studies have shown the feasibility for (89)Zr-based immuno-PET to predict and monitor treatment, which could be used to tailor treatment for the individual patient. Further research should be directed towards the development of standardized and robust conjugation methods and improved chelators to minimize the amount of released Zr(4+) from the antibodies. Additionally, further validation of the imaging method is required. The ongoing development of new (89)Zr-labeled antibodies directed against novel tumor targets is expected to expand applications of  (89)Zr-labeled immuno-PET to a valuable method in the medical imaging.

摘要

基于抗体的正电子发射断层扫描(免疫PET)成像对于可视化和表征肿瘤病变越来越重要。此外,它可用于识别可能从特定治疗中获益的患者并监测治疗结果。近年来,该领域聚焦于89Zr,一种在免疫PET方面具有近乎理想物理和化学性质的放射性金属。在本综述中,我们将讨论89Zr的生产、生物偶联策略以及基于89Zr的免疫PET在肿瘤学(临床前)研究中的应用。迄今为止,基于89Zr的PET成像已在多种癌症相关靶点中得到研究。此外,临床研究表明基于89Zr的免疫PET预测和监测治疗的可行性,这可用于为个体患者量身定制治疗方案。进一步的研究应致力于开发标准化且稳健的偶联方法以及改进螯合剂,以尽量减少抗体释放的Zr(4+)量。此外,成像方法需要进一步验证。针对新型肿瘤靶点的新型89Zr标记抗体的不断开发有望将89Zr标记的免疫PET的应用扩展为医学成像中的一种有价值的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e5a/4058511/65c16dc51b0e/BMRI2014-203601.001.jpg

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