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Recent Advances in the Development and Application of Radiolabeled Kinase Inhibitors for PET Imaging
Vadim Bernard-Gauthier1, Justin J Bailey2, Sheldon Berke3
1Division of Oncological Imaging, Department of Oncology, University of Alberta, 11560 University Ave., Edmonton, AB T6G 1Z2, Canada. bernardg@ualberta.ca.
Abstract:
Over the last 20 years, intensive investigation and multiple clinical successes targeting protein kinases, mostly for cancer treatment, have identified small molecule kinase inhibitors as a prominent therapeutic class. In the course of those investigations, radiolabeled kinase inhibitors for positron emission tomography (PET) imaging have been synthesized and evaluated as diagnostic imaging probes for cancer characterization. Given that inhibitor coverage of the kinome is continuously expanding, in vivo PET imaging will likely find increasing applications for therapy monitoring and receptor density studies both in- and outside of oncological conditions. Early investigated radiolabeled inhibitors, which are mostly based on clinically approved tyrosine kinase inhibitor (TKI) isotopologues, have now entered clinical trials. Novel radioligands for cancer and PET neuroimaging originating from novel but relevant target kinases are currently being explored in preclinical studies. This article reviews the literature involving radiotracer design, radiochemistry approaches, biological tracer evaluation and nuclear imaging results of radiolabeled kinase inhibitors for PET reported between 2010 and mid-2015. Aspects regarding the usefulness of pursuing selective vs. promiscuous inhibitor scaffolds and the inherent challenges associated with intracellular enzyme imaging will be discussed.
Insights
Radiolabeled kinase inhibitors are emerging as powerful tools for positron emission tomography (PET) imaging in cancer and other diseases. These diagnostic probes show promise for therapy monitoring and receptor studies.
Area of Science:
- Biochemistry
- Radiochemistry
- Nuclear Medicine
Background:
- Small molecule kinase inhibitors are a key therapeutic class, particularly in oncology.
- Radiolabeled kinase inhibitors have been developed for positron emission tomography (PET) imaging.
- The expanding coverage of the kinome suggests broader applications for in vivo PET imaging.
Purpose of the Study:
- To review the literature on radiolabeled kinase inhibitors for PET imaging between 2010 and mid-2015.
- To discuss radiotracer design, radiochemistry, biological evaluation, and imaging results.
- To explore the utility of selective vs. promiscuous scaffolds and challenges in intracellular enzyme imaging.
Main Methods:
- Literature review of studies published from 2010 to mid-2015.
- Analysis of radiotracer design and radiochemistry approaches.
- Evaluation of biological tracer studies and nuclear imaging outcomes.
Main Results:
- Early radiolabeled inhibitors, often based on tyrosine kinase inhibitor (TKI) isotopologues, have advanced to clinical trials.
- Novel radioligands targeting relevant kinases are under preclinical investigation for cancer and neuroimaging.
- The review covers diverse aspects from tracer design to imaging results.
Conclusions:
- Radiolabeled kinase inhibitors are increasingly important for PET imaging in oncology and beyond.
- Future applications include therapy monitoring and receptor density studies.
- Ongoing research focuses on novel radioligands and addressing imaging challenges.
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