Targeting of activated fibroblasts for imaging and therapy

Thomas Lindner1, Anastasia Loktev1,2, Frederik Giesel1,2

  • 1Department of Nuclear Medicine, University Hospital Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany.

Insights

Cancer-associated fibroblasts play a key role in tumor progression. Targeting fibroblast activation protein (FAP) offers a promising strategy for cancer imaging and therapy.

Area of Science:

  • Oncology
  • Biochemistry
  • Medical Imaging

Background:

  • Tumors comprise complex microenvironments with various non-malignant cells.
  • Cancer-associated fibroblasts (CAFs) significantly influence tumor migration, metastasis, chemotherapy resistance, and immunosuppression.

Purpose of the Study:

  • To explore the potential of targeting cancer-associated fibroblasts (CAFs) for tumor imaging and therapy.
  • To investigate fibroblast activation protein (FAP) as a specific target on activated fibroblasts.

Main Methods:

  • The study focuses on the role of fibroblast activation protein (FAP) expressed on activated fibroblasts.
  • Exploration of radionuclide-based approaches for diagnosis and treatment targeting FAP.

Main Results:

  • Fibroblast activation protein (FAP) is specifically expressed on activated fibroblasts, distinguishing them from quiescent ones.
  • FAP presents a viable target for developing diagnostic and therapeutic strategies.

Conclusions:

  • Targeting fibroblast activation protein (FAP) on cancer-associated fibroblasts holds significant potential for both tumor imaging and therapy.
  • Radionuclide-based approaches targeting FAP can be utilized for cancer diagnosis and treatment, as well as non-malignant diseases involving extracellular matrix remodeling.