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Tumor targeting with 99m Tc radiolabeled peptides: Clinical application and recent development
Farzaneh Rezazadeh1,2, Nourollah Sadeghzadeh1
1Department of Radiopharmacy, Faculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran.
Abstract:
Targeting overexpressed receptors on the cancer cells with radiolabeled peptides has become very important in nuclear oncology in the recent years. Peptides are small and have easy preparation and easy radiolabeling protocol with no side-effect and toxicity. These properties made them a valuable tool for tumor targeting. Based on the successful imaging of neuroendocrine tumors with 111 In-octreotide, other receptor-targeting peptides such as bombesin (BBN), cholecystokinin/gastrin analogues, neurotensin analogues, glucagon-like peptide-1, and RGD peptides are currently under development or undergoing clinical trials. The most frequently used radionuclides for tumor imaging are 99m Tc and 111 In for single-photon emission computed tomography and 68 Ga and 18 F for positron emission tomography imaging. This review presents some of the 99m Tc-labeled peptides, with regard to their potential for radionuclide imaging of tumors in clinical and preclinical application.
Insights
Radiolabeled peptides offer a promising, low-toxicity approach for cancer imaging by targeting overexpressed receptors. This review focuses on technetium-99m (99m Tc)-labeled peptides for nuclear oncology applications.
Area of Science:
- Nuclear oncology
- Radiopharmaceutical science
- Molecular imaging
Background:
- Targeting cancer cell receptors with radiolabeled peptides is a key area in nuclear oncology.
- Peptides offer advantages like small size, ease of preparation, and straightforward radiolabeling with minimal toxicity.
- The success of 111 In-octreotide has spurred development of other receptor-targeting peptides for imaging.
Purpose of the Study:
- To review the potential of 99m Tc-labeled peptides for tumor imaging.
- To highlight clinical and preclinical applications of these radiolabeled peptides.
Main Methods:
- Review of existing literature on radiolabeled peptides for cancer imaging.
- Focus on peptides labeled with technetium-99m (99m Tc).
- Discussion of various receptor-targeting peptides under development or in clinical trials.
Main Results:
- 99m Tc-labeled peptides are valuable tools for tumor targeting due to their favorable properties.
- Several peptide classes, including bombesin analogues and RGD peptides, are being investigated.
- Commonly used radionuclides for imaging include 99m Tc and 111 In (SPECT), and 68 Ga and 18 F (PET).
Conclusions:
- 99m Tc-labeled peptides show significant potential for radionuclide imaging of tumors.
- These agents are crucial for advancing diagnostic capabilities in nuclear oncology.
- Continued research into peptide-based radiopharmaceuticals will enhance cancer detection and management.
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