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Updated: May 18, 2026

Development of a 68Gallium-Labeled D-Peptide PET Tracer for Imaging Programmed Death-Ligand 1 Expression
Published on: February 3, 2023
Recent advances in the molecular imaging of programmed cell death: part I--pathophysiology and radiotracers
Francis G Blankenberg1, H William Strauss
1Division of Pediatric Radiology, Department of Radiology, Lucile Salter Packard Children's Hospital, Stanford, CA, USA. blankenb@stanford.edu
Abstract:
In humans, apoptosis (programmed cell death) is the most common form of cell death after necrosis. Apoptosis is a series of genetically preprogrammed biochemical and morphologic energy-requiring events that, after a specific external or internal stimulus, results in the physiologic disappearance of a cell via its self-disintegration and packaging of its contents into membrane vesicles called apoptotic bodies. Apoptotic bodies can readily be ingested, with their nutrients and even organelles recycled by neighboring cells or phagocytes without local inflammation. In contrast, necrosis is characterized by the primary loss of plasma membrane integrity and the uncontrolled release of a cell's contents, often causing local inflammation, tissue damage, and scarring. Alternate forms of cell death also exist, associated with specific molecular mechanisms involving enzymes, organelles, genes, external stimuli, or blockade of normal cell proliferation. In this review we will briefly outline the molecular mechanisms of apoptosis that can be imaged with radiotracers now under development.
Insights
Apoptosis, a programmed cell death, offers a clean cellular disposal mechanism without inflammation, unlike necrosis. This review explores apoptosis mechanisms suitable for imaging with developing radiotracers.
Area of Science:
- Cell Biology
- Biochemistry
- Pathology
Background:
- Apoptosis is the primary programmed cell death pathway in humans, distinct from necrosis.
- Apoptosis involves genetically controlled, energy-dependent events leading to cell self-disintegration into apoptotic bodies.
- Necrosis causes uncontrolled cell lysis, releasing contents and inducing inflammation, tissue damage, and scarring.
Purpose of the Study:
- To review the molecular mechanisms of apoptosis.
- To discuss the potential for imaging apoptosis using novel radiotracers.
- To differentiate apoptosis from necrosis and other cell death forms.
Main Methods:
- Review of existing literature on apoptosis and necrosis.
- Analysis of molecular pathways involved in programmed cell death.
- Exploration of radiotracer development for apoptosis imaging.
Main Results:
- Apoptosis facilitates efficient cellular clearance via apoptotic bodies, preventing inflammation.
- Necrosis results in inflammatory responses and tissue damage due to uncontrolled cell lysis.
- Various cell death forms exist, each with unique molecular triggers and pathways.
Conclusions:
- Understanding apoptosis mechanisms is crucial for developing targeted imaging agents.
- Radiotracers for apoptosis imaging hold promise for non-invasive monitoring of cell death.
- Distinguishing apoptosis from necrosis is vital for accurate diagnosis and treatment monitoring.
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