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Molecular Eye: A System for Precise Diagnosis and Treatment of Major Clinical Diseases Based on Molecular Probe Technology.

作者信息

Ji Xin, Chen Xin, Li Kexin, Zhang Zhihao, Tang Lijun, Li Tiannv, Han Feng, Hong Hao, Zhang Tao

机构信息

Department of Radiopharmaceuticals, Nuclear Medicine Clinical Translation Center, School of Pharmacy, Nanjing Medical University, Nanjing 211166, China.

Department of Nuclear Medicine, the First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China.

出版信息

Chem Biomed Imaging. 2023 Nov 15;2(3):168-184. doi: 10.1021/cbmi.3c00093. eCollection 2024 Mar 25.


DOI:10.1021/cbmi.3c00093
PMID:39474146
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11504603/
Abstract

With the flourishing development of precision medicine, theranostics, generally recognized as the integration of diagnosis and treatment, has emerged as a prominent trend in clinical research. However, theranostics primarily emphasizes the end result of integration, without providing sufficient details on how precise diagnosis and synergetic individualized treatment could be achieved and what clinical challenges could be effectively addressed in clinical practice. Molecular probe technology provides a robust method to bridge the gap between theory and practice. Through meticulous design of the chemical structure, imaging labels or drugs were conjugated to tumor-targeting peptides, antibodies, or inducers to form molecular probes, which allow a seamless switch between targeted intervention and targeted imaging with consistency in time, space, and biodistribution. Thus, this review proposes a concept called "molecular eye", which refers to a comprehensive system for precise diagnosis and treatment of major clinical diseases based on molecular probe technology. This medical system emphasizes the chemical basis of probe development and optimization, which can provide precise actionable information for clinical decision making, allow molecular-targeted therapy, expand the indications of old therapy, and accelerate the regulatory approval of molecular drugs. "Molecular eye" resembles the piercing eye of the Monkey King, which can detect previously "invisible" diseases and facilitate disease diagnosis, treatment, real-time evaluation, and pathology research, guiding drug development. The emergence of the "molecular eyes" will provide opportunities and challenges in the fields of clinical practice and medical research and propel the progression of contemporary medicine toward precision medicine.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/15bf415dbbe0/im3c00093_0009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/c4756da6ffb0/im3c00093_0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/e8d1d0a1fba8/im3c00093_0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/4f4c817fe9ec/im3c00093_0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/969ce9468d20/im3c00093_0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/80b786a5f6da/im3c00093_0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/0a499142add9/im3c00093_0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/1f4eb8f088be/im3c00093_0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/00df6733486b/im3c00093_0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/15bf415dbbe0/im3c00093_0009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/c4756da6ffb0/im3c00093_0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/e8d1d0a1fba8/im3c00093_0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/4f4c817fe9ec/im3c00093_0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/969ce9468d20/im3c00093_0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/80b786a5f6da/im3c00093_0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/0a499142add9/im3c00093_0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/1f4eb8f088be/im3c00093_0007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/00df6733486b/im3c00093_0008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e26/11504603/15bf415dbbe0/im3c00093_0009.jpg

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本文引用的文献

[1]
Druggability of Targets for Diagnostic Radiopharmaceuticals.

ACS Pharmacol Transl Sci. 2023-7-12

[2]
Development of FAPI Tetramers to Improve Tumor Uptake and Efficacy of FAPI Radioligand Therapy.

J Nucl Med. 2023-9

[3]
Somatostatin Receptor Antagonists as a Theranostic Option in Iodine-Refractory Thyroid Carcinoma.

J Nucl Med. 2023-12-1

[4]
Ligand Chemistry in Antitumor Theranostic Nanoparticles.

Acc Chem Res. 2023-6-20

[5]
What Is Theranostics?

J Nucl Med. 2023-5

[6]
Optimizing maximum resection of glioblastoma: Raman spectroscopy versus 5-aminolevulinic acid.

J Neurosurg. 2023-8-1

[7]
Detection of Bone Metastases by Ga-DOTA-SSAs and F-FDG PET/CT: A Two-Center Head-to-Head Study of Gastroenteropancreatic Neuroendocrine Neoplasms.

Contrast Media Mol Imaging. 2022

[8]
Photoacoustic Imaging Probes for Theranostic Applications.

Biosensors (Basel). 2022-11-1

[9]
PET Imaging of Fibroblast Activation Protein in Various Types of Cancer Using Ga-FAP-2286: Comparison with F-FDG and Ga-FAPI-46 in a Single-Center, Prospective Study.

J Nucl Med. 2023-3

[10]
Safety and efficacy of peptide receptor radionuclide therapy with Lu-DOTA-EB-TATE in patients with metastatic neuroendocrine tumors.

Theranostics. 2022

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