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Updated: May 19, 2026

Mimicking the Function of Signaling Proteins: Toward Artificial Signal Transduction Therapy
Published on: September 29, 2016
PET of signal transduction pathways in cancer
Jason P Holland1, Paul Cumming, Neil Vasdev
1Division of Nuclear Medicine and Molecular Imaging, Massachusetts General Hospital, and Department of Radiology, Harvard Medical School, Boston, Massachusetts 02114, USA. jholland@pet.mgh.harvard.edu
Abstract:
In this era of systems biology, the tide of information derived from "omic" technologies (genomics, proteomics, etc.) has sparked a revolution in drug design, with many industrial and academic programs now embracing the concepts of molecular medicine (i.e., targeting changes in specific proteins or pathways) as measures of treatment efficacy and outcome. This approach has yielded a plethora of new preclinical therapeutics directed at novel targets within oncology. In many ways, the evolution of molecular imaging agents as diagnostic probes mirrors that of chemotherapeutics; yet despite an increasing number of PET and SPECT radiotracers being evaluated in human trials, relatively few agents have found widespread use in clinical oncology. In light of this observation, is it time to reevaluate our strategies for radiopharmaceutical design and use? In this article, we argue that PET has enormous potential to deliver clinically relevant information on disease dynamics that extends beyond mapping the density and spatial distribution of a target. Recent developments in targeting pharmacodynamic biomarkers aim to exploit better the advantages of functional PET by detecting changes in signal transduction pathways, particularly in response to disease progression or treatment in cancer.
Insights
Molecular imaging agents, like Positron Emission Tomography (PET) tracers, offer great potential in oncology drug design. Reevaluating radiopharmaceutical strategies can improve their clinical use by targeting pharmacodynamic biomarkers.
Area of Science:
- Oncology
- Molecular Medicine
- Systems Biology
Background:
- The integration of "omic" technologies has revolutionized drug design, emphasizing molecular medicine for treatment efficacy.
- While numerous preclinical oncology therapeutics target novel pathways, the clinical translation of molecular imaging agents (PET and SPECT) remains limited.
- The evolution of diagnostic probes parallels that of chemotherapeutics, yet few radiotracers achieve widespread clinical oncology use.
Purpose of the Study:
- To reevaluate current strategies for radiopharmaceutical design and utilization in clinical oncology.
- To highlight the potential of Positron Emission Tomography (PET) to provide clinically relevant insights into disease dynamics beyond simple target mapping.
- To advocate for the development of PET agents targeting pharmacodynamic biomarkers for improved cancer treatment monitoring.
Main Methods:
- Review of current trends in "omic" technologies and molecular medicine for drug discovery.
- Analysis of the clinical translation challenges for PET and SPECT radiotracers in oncology.
- Exploration of recent advancements in targeting pharmacodynamic biomarkers for functional PET imaging.
Main Results:
- Systems biology and "omic" data have driven significant advancements in preclinical oncology drug development.
- Despite a growing number of radiotracers in trials, clinical adoption in oncology is lagging.
- Functional PET imaging targeting pharmacodynamic biomarkers shows promise for assessing treatment response and disease dynamics.
Conclusions:
- A strategic reevaluation of radiopharmaceutical design is necessary to enhance clinical utility in oncology.
- PET imaging offers capabilities beyond target localization, providing crucial information on biological processes.
- Targeting pharmacodynamic biomarkers with PET can significantly improve the monitoring of cancer progression and treatment response.
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