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Preparing a 68Ga-labeled Arginine Glycine Aspartate (RGD)-peptide for Angiogenesis
Published on: January 7, 2019
Peptide-based radiopharmaceuticals for targeted tumor therapy
1Medical Isotopes Research Center, Peking University, 38 Xueyuan Road, Beijing 100191, China. wangfan@bjmu.edu.cn.
Abstract:
A series of radiolabeled peptides have been designed and optimized for tumor-targeted peptide receptor radionuclide therapy (PRRT). Pre-clinical and clinical applications of PRRT have shown promising results on tumor response, overall survival, and quality of life in patients with several kinds of tumors. (90)Y-DOTA-TOC and (177)Lu-DOTA-TATE are two of the most common radiopharmaceuticals with symptomatic improvements and complete clinical data. In addition to somatostatin analogs, radiolabeled peptides have been developed to target the relative receptors overexpressed in the tumors, such as integrin αvβ3, gastrin-releasing peptide receptor (GRPR), melanocortin-1 receptor (MC1-R), cholecystokinin (CCK) receptor, and glucagon-like peptide-1 receptor (GLP-1R). Several strategies have been designed to improve the therapeutic efficacy of PRRT. For instance, radiolabeled peptides could be optimized by the amino acid modification and radionuclide selection. Healthy tissue protective agents and multi-cycle procedures could effectively decrease the side effects of PRRT. Furthermore, combination treatments, including PRRT combined with surgery, chemotherapeutic agents, or radiosensitizing agents could be applied to increase the effectiveness of PRRT. In this review, the current progress of peptide-based radiopharmaceuticals for tumor-targeted PRRT was summarized. Radiopharmaceuticals currently under clinical investigation were also described.
Insights
Peptide receptor radionuclide therapy (PRRT) shows promise for cancer treatment, with ongoing research into novel radiopharmaceuticals and combination strategies to enhance efficacy and minimize side effects.
Area of Science:
- Oncology
- Nuclear Medicine
- Radiopharmaceutical Chemistry
Background:
- Peptide receptor radionuclide therapy (PRRT) utilizes radiolabeled peptides to target tumors, demonstrating positive outcomes in clinical trials for various cancers.
- Established radiopharmaceuticals like (90)Y-DOTA-TOC and (177)Lu-DOTA-TATE have shown symptomatic improvements and survival benefits.
- Beyond somatostatin analogs, peptides targeting receptors such as integrin αvβ3, GRPR, MC1-R, CCK, and GLP-1R are being developed.
Purpose of the Study:
- To review the current advancements in peptide-based radiopharmaceuticals for tumor-targeted PRRT.
- To summarize radiopharmaceuticals currently under clinical investigation.
- To highlight strategies for improving PRRT efficacy and safety.
Main Methods:
- Review of pre-clinical and clinical data on PRRT.
- Analysis of radiolabeled peptides targeting various tumor receptors.
- Examination of optimization strategies including amino acid modification, radionuclide selection, protective agents, and combination therapies.
Main Results:
- PRRT has demonstrated significant potential in improving tumor response, overall survival, and quality of life.
- Various radiolabeled peptides targeting specific receptors are under development and investigation.
- Strategies like optimizing peptide design, radionuclide choice, and combination treatments are being explored to enhance therapeutic outcomes.
Conclusions:
- PRRT is a promising therapeutic modality for various tumors.
- Continued research into novel radiopharmaceuticals and treatment strategies is crucial for maximizing PRRT's potential.
- Optimization and combination approaches are key to improving PRRT's effectiveness and patient safety.
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