Acyl-CoA synthetase long-chain family member 4 (ACSL4)-targeting fluorescent probes for precision intraoperative visualization of hepatocellular carcinoma

  • 0Department of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, China.

Summary

This summary is machine-generated.

A new fluorescent probe targeting ACSL4 shows promise for real-time intraoperative imaging of hepatocellular carcinoma (HCC). This innovative tool enhances tumor visualization with high specificity and safety, aiding surgical precision.

Area Of Science

  • Molecular Imaging
  • Oncology
  • Biotechnology

Background

  • Hepatocellular carcinoma (HCC) diagnosis and surgical resection require improved visualization techniques.
  • ACSL4 (Acyl-CoA Synthetase Long Chain Family Member 4) is identified as a potential target for HCC visualization.
  • Development of targeted fluorescent probes is crucial for enhancing intraoperative imaging.

Purpose Of The Study

  • To develop and validate a novel fluorescent probe targeting ACSL4 for improved intraoperative visualization of HCC.
  • To assess the probe's binding affinity, specificity, biosafety, and clinical applicability in HCC.
  • To evaluate the probe's potential in real-time surgical guidance for HCC.

Main Methods

  • Bioinformatic analysis of transcriptomic data (TCGA, ICGC, CPTAC, GSE25097) to identify ACSL4 as a target.
  • Phage display screening to identify an ACSL4-specific binding peptide (ABP).
  • Conjugation of ABP with IRDye 800CW to create the fluorescent probe (ABP-IRDye 800CW); assessment of binding, specificity, and biosafety via SPR, fluorescence imaging, immunoprecipitation, histology, and blood biochemistry.

Main Results

  • The ABP demonstrated moderate binding affinity to ACSL4 (Kd = 3.767 μM).
  • The ABP-IRDye 800CW probe selectively targeted HCC cells with high ACSL4 expression, showing a tumor-to-background ratio (TBR) of 4.58 in PDX models.
  • Histological and biochemical analyses confirmed the probe's biosafety, with no significant toxicity or impact on liver/kidney function.

Conclusions

  • The novel ACSL4-targeted fluorescent probe (ABP-IRDye 800CW) is a safe and effective tool for intraoperative HCC visualization.
  • The probe's high specificity and ability to correlate with ACSL4 expression levels support its potential clinical utility.
  • This probe offers a promising advancement for real-time surgical guidance in HCC treatment.

Related Concept Videos

Angina V: Nursing Management 01:20

234

Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...

Angina III: Clinical Manifestations and Assessment 01:29

152

Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...

Angina I: Introduction 01:30

396

Definition and Symptoms: Angina (angina pectoris) is chest pain or discomfort caused by myocardial ischemia, which occurs when the heart muscle receives insufficient oxygen-rich blood. It typically manifests as pressing, squeezing, or crushing sensations in the chest and may radiate to the shoulders, arms, neck, jaw, or back.Primary Cause: In a healthy state, the coronary arteries can dilate (widen) to increase blood flow and meet the increased oxygen demand during physical activity or...

Acute Coronary Syndrome V: Nursing Management 01:26

204

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...

Pericarditis II: Clinical Features and Diagnostic Tests 01:19

219

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...

Imaging Studies for Cardiovascular System I:Echocardiography 01:17

661

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...