Sprayable pH-sensitive near-infrared fluorophore for rapid, bright, specific, and safe visualization of human thyroid

Sunidhi Jaiswal1, Atsushi Yamashita2, Sohee Lee3

  • 1Department of Surgery, University of California San Diego, La Jolla, CA; Department of Surgery, VA San Diego Healthcare System, La Jolla, CA.

Surgery
|October 8, 2025
PubMed
Abstract

Insights

A novel pH-sensitive near-infrared fluorophore, PH10, effectively labeled thyroid cancer in mice. This sprayable agent offers rapid and specific tumor visualization, potentially improving surgical outcomes for thyroid cancer patients.

Area of Science:

  • Oncology
  • Medical Imaging
  • Biotechnology

Background:

  • Surgery is the primary treatment for thyroid cancer, but incomplete resection leads to recurrence.
  • Accurate tumor margin visualization is crucial for successful thyroid cancer surgery.
  • A pH-sensitive near-infrared fluorophore (PH10) was developed for topical application.

Purpose of the Study:

  • To evaluate the efficacy of PH10 in labeling thyroid tumors in preclinical models.
  • To assess the safety and specificity of PH10 for tumor visualization.
  • To determine the potential of PH10 as an adjunct for thyroid cancer surgery.

Main Methods:

  • PH10 uptake and cytotoxicity were studied in thyroid cancer cell lines (TPC-1 and TT).
  • Subcutaneous and orthotopic thyroid tumors were established in nude mice.
  • PH10 was topically sprayed onto tumors, and fluorescence was quantified and compared to surrounding tissues.

Main Results:

  • PH10 demonstrated effective uptake and was non-toxic at effective concentrations.
  • Spraying PH10 resulted in rapid and strong near-infrared fluorescence of both subcutaneous and orthotopic tumors.
  • High tumor-to-background ratios (5.5 and 9.4) indicated specific tumor labeling with minimal background signal.

Conclusions:

  • PH10 brightly, rapidly, and specifically labeled thyroid cancer in mouse models.
  • The sprayable formulation of PH10 demonstrated safety and efficacy in preclinical studies.
  • PH10 shows significant clinical promise for enhancing thyroid cancer visualization during surgery.

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