Department of Medical Oncology, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Department of Medical Imaging, Nuclear Medicine, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.
Eur J Nucl Med Mol Imaging. 2021 Dec;48(13):4350-4368. doi: 10.1007/s00259-021-05433-w. Epub 2021 Jun 12.
In the past decade, a growing body of literature has reported promising results for prostate-specific membrane antigen (PSMA)-targeted radionuclide imaging and therapy in prostate cancer. First clinical studies evaluating the efficacy of [Lu]Lu-PSMA radioligand therapy (PSMA-RLT) demonstrated favorable results in prostate cancer patients. [Lu]Lu-PSMA is generally well tolerated due to its limited side effects. While PSMA is highly overexpressed in prostate cancer cells, varying degrees of PSMA expression have been reported in other malignancies as well, particularly in the tumor-associated neovasculature. Hence, it is anticipated that PSMA-RLT could be explored for other solid cancers. Here, we describe the current knowledge of PSMA expression in other solid cancers and define a perspective towards broader clinical implementation of PSMA-RLT. This review focuses specifically on salivary gland cancer, glioblastoma, thyroid cancer, renal cell carcinoma, hepatocellular carcinoma, lung cancer, and breast cancer. An overview of the (pre)clinical data on PSMA immunohistochemistry and PSMA PET/CT imaging is provided and summarized. Furthermore, the first clinical reports of non-prostate cancer patients treated with PSMA-RLT are described.
在过去的十年中,越来越多的文献报道了前列腺特异性膜抗原(PSMA)靶向放射性核素成像和治疗在前列腺癌中的有前景的结果。首先,评估 [Lu]Lu-PSMA 放射性配体治疗(PSMA-RLT)疗效的临床研究在前列腺癌患者中取得了良好的效果。由于其副作用有限,[Lu]Lu-PSMA 通常具有良好的耐受性。虽然 PSMA 在前列腺癌细胞中高度过表达,但在其他恶性肿瘤中也有不同程度的 PSMA 表达,特别是在肿瘤相关的新生血管中。因此,预计 PSMA-RLT 可以用于其他实体瘤。在这里,我们描述了 PSMA 在其他实体瘤中的表达的现有知识,并为更广泛地临床实施 PSMA-RLT 定义了一个视角。本综述专门针对唾液腺癌、胶质母细胞瘤、甲状腺癌、肾细胞癌、肝细胞癌、肺癌和乳腺癌。提供并总结了 PSMA 免疫组化和 PSMA PET/CT 成像的(临床前)临床数据概述。此外,还描述了首例接受 PSMA-RLT 治疗的非前列腺癌患者的临床报告。
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