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Molecular imaging of epidermal growth factor receptor expression-activity at the kinase level in tumors with positron
1Department of Experimental Diagnostic Imaging, Center for Advanced Biomedical Imaging Research, UT M. D. Anderson Cancer Center, Houston, TX 77030-4095, USA. jgelovani@mdanderson.org
Abstract:
Because of the importance of epidermal growth factor receptor (EGFR) signaling pathway in oncogenesis, maintenance, and progression of different types of tumors, there has been an intense effort to develop non-invasive imaging approaches for selection and monitoring of EGFR-targeted therapies. During the past decade, EGFR-tyrosine kinase inhibitors have been explored as potential radiotracers for positron emission tomography (PET) imaging of EGFR over-expressing tumors. The development of agents for PET imaging of EGFR at the tyrosine kinase level has been so far based exclusively on anilinoquinazoline core structure, which has been "borrowed" as the key pharmacophore from the leading EGFR-inhibitory pharmaceuticals. The I-124, F-18, and C-11 radiolabeled irreversible inhibitors of EGFR demonstrate the greatest potential for derivatization into effective EGFR kinase imaging agents. PET imaging with radiolabeled agents specific for activated forms of EGFR kinase will facilitate the selection (stratification) of patients which will have more favorable responses to therapy with EGFR signaling inhibitors.
Insights
Developing novel positron emission tomography (PET) imaging agents targeting the epidermal growth factor receptor (EGFR) tyrosine kinase can improve patient selection for EGFR-inhibitor therapies.
Area of Science:
- Oncology
- Radiochemistry
- Molecular Imaging
Background:
- The epidermal growth factor receptor (EGFR) signaling pathway is crucial in various cancers.
- Targeted therapies inhibiting EGFR are vital for cancer treatment.
- Non-invasive imaging is needed for selecting and monitoring these therapies.
Purpose of the Study:
- To explore the development of novel positron emission tomography (PET) imaging agents for EGFR.
- To investigate EGFR-tyrosine kinase inhibitors as potential radiotracers.
- To enable precise patient stratification for EGFR-targeted therapies.
Main Methods:
- Review of EGFR-tyrosine kinase inhibitors as radiotracers.
- Focus on anilinoquinazoline pharmacophore for PET agent development.
- Exploration of I-124, F-18, and C-11 labeled irreversible EGFR inhibitors.
Main Results:
- Anilinoquinazoline derivatives show promise as EGFR imaging agents.
- Radiolabeled irreversible EGFR inhibitors are suitable for PET imaging.
- Development of agents targeting activated EGFR kinase is feasible.
Conclusions:
- PET imaging agents targeting EGFR tyrosine kinase can guide patient selection for EGFR inhibitors.
- Non-invasive monitoring of EGFR-targeted therapy response is achievable.
- Targeting activated EGFR kinase with PET facilitates personalized cancer treatment.
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