68Ga-MY6349 PET/CT imaging to assess Trop2 expression in multiple types of cancer
- Haojun Chen 1,2, Liang Zhao 1,3,4, Yizhen Pang 1,3,4, Jiyun Shi 5, Hannan Gao 5, Yining Sun 5, Jianhao Chen 1, Hao Fu 1, Jiayu Cai 1, Lingyu Yu 1, Ru Zeng 6, Long Sun 1, Hua Wu 1, Zhanxiang Wang 7, Fan Wang 5,8,9
- Haojun Chen 1,2, Liang Zhao 1,3,4, Yizhen Pang 1,3,4
- 1Department of Nuclear Medicine and Minnan PET Center, Xiamen Key Laboratory of Radiopharmaceuticals, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
- 2Xiamen Key Laboratory of Rare Earth Photoelectric Functional Materials, Xiamen Institute of Rare Earth Materials, Haixi Institute, Chinese Academy of Sciences, Xiamen, China.
- 3Departments of Diagnostic Radiology, Surgery, Chemical and Biomolecular Engineering, and Biomedical Engineering, Yong Loo Lin School of Medicine and College of Design and Engineering, National University of Singapore, Singapore.
- 4Clinical Imaging Research Centre, Centre for Translational Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
- 5Key Laboratory of Biomacromolecules, CAS Center for Excellence in Biomacromolecules, Institute of Biophysics, Chinese Academy of Sciences, Beijing, China.
- 6Department of Medical Oncology, The First Affiliated Hospital of Xiamen University, Xiamen, China.
- 7Department of Neurosurgery and Department of Neuroscience, Fujian Key Laboratory of Brain Tumors Diagnosis and Precision Treatment, Xiamen Key Laboratory of Brain Center, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
- 8Medical Isotopes Research Center and Department of Radiation Medicine, School of Basic Medical Sciences, International Cancer Institute, Peking University, Beijing, China.
- 9Guangzhou National Laboratory, Guangzhou, China.
- 0Department of Nuclear Medicine and Minnan PET Center, Xiamen Key Laboratory of Radiopharmaceuticals, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
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View abstract on PubMed
Summary
This summary is machine-generated.This study introduces 68Ga-MY6349 PET/CT, a new imaging tool for assessing trophoblast cell-surface antigen 2 (Trop2) expression in various cancers. The tracer shows promise for improved cancer diagnosis, staging, and personalized treatment decisions.
Area Of Science
- Oncology
- Radiochemistry
- Molecular Imaging
Background
- Trophoblast cell-surface antigen 2 (Trop2) is overexpressed in many epithelial cancers, making it a potential therapeutic and diagnostic target.
- A novel Trop2-specific radiotracer, 68Ga-MY6349, has been developed for positron emission tomography/computed tomography (PET/CT).
Purpose Of The Study
- To evaluate the clinical utility of 68Ga-MY6349 PET/CT in a prospective trial across 15 cancer types.
- To compare the diagnostic performance of 68Ga-MY6349 PET/CT with established imaging modalities like 18F-FDG PET/CT and 68Ga-PSMA-11 PET/CT.
Main Methods
- A prospective translational study involving 90 patients with 15 different cancer types undergoing 68Ga-MY6349 PET/CT.
- Paired imaging was performed in 78 patients (68Ga-MY6349 vs. 18F-FDG PET/CT) and 12 prostate cancer patients (68Ga-MY6349 vs. 68Ga-PSMA-11 PET/CT).
- Immunohistochemistry was used to correlate Trop2 expression levels with radiotracer uptake.
Main Results
- 68Ga-MY6349 PET/CT demonstrated high, albeit heterogeneous, tumor uptake across various cancer types, correlating well with Trop2 expression levels.
- The tracer showed superior tumor uptake compared to 18F-FDG PET/CT in breast, prostate, and thyroid cancers.
- In prostate cancer, 68Ga-MY6349 PET/CT offered comparable lesion uptake but improved tumor-to-background contrast over 68Ga-PSMA-11 PET/CT, revealing more metastatic lesions.
Conclusions
- 68Ga-MY6349 PET/CT serves as a noninvasive method for assessing tumor Trop2 expression.
- This imaging approach can enhance cancer diagnosis, staging, and guide personalized treatment strategies, particularly for Trop2-targeted therapies.
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