Theragnostic imaging using radiolabeled antibodies and tyrosine kinase inhibitors

Mitsuyoshi Yoshimoto1, Hiroaki Kurihara2, Hirofumi Fujii1

  • 1Division of Functional Imaging, National Cancer Center Hospital East, 6-5-1, Kashiwanoha, Kashiwa, Chiba 277-8577, Japan.

Insights

Molecular targeted therapies are mainstream cancer treatments, but predicting efficacy and side effects requires better diagnostics. This review explores radiolabeled molecular imaging probes for noninvasive assessment of cancer drug targets.

Area of Science:

  • Oncology
  • Molecular Imaging
  • Pharmacology

Background:

  • Molecular targeted therapies, including tyrosine kinase inhibitors (TKIs) and monoclonal antibodies, are now standard cancer treatments.
  • Despite their efficacy, these therapies can cause unexpected adverse effects or suboptimal therapeutic outcomes.
  • Accurate diagnostic tools are needed to assess target molecule status, predict treatment response, and anticipate adverse events.

Purpose of the Study:

  • To review the development and clinical applications of novel radiolabeled molecular imaging probes.
  • To discuss the utility of these probes in evaluating molecular targeted therapy.
  • To highlight challenges and future directions for molecular imaging in precision oncology.

Main Methods:

  • Review of current literature on radiolabeled TKIs and antibodies for molecular imaging.
  • Discussion of conventional diagnostic methods like immunohistochemistry, PCR, and FISH.
  • Exploration of positron emission tomography (PET) and single photon emission computed tomography (SPECT) for noninvasive molecular assessment.

Main Results:

  • Radiolabeled TKIs and antibodies show promise for noninvasive molecular imaging in targeted cancer therapy.
  • Molecular imaging can provide insights into gene/protein expression and drug pharmacokinetics.
  • These techniques offer potential for personalized treatment strategies and improved patient outcomes.

Conclusions:

  • Molecular imaging probes are valuable tools for guiding molecular targeted therapy.
  • Noninvasive assessment of drug targets and pharmacokinetics can optimize cancer treatment.
  • Further research is needed to address current limitations and enhance the clinical utility of these imaging agents.

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