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Engineering NIR Probes to Enhance Affinity and Clinical Workflow Compatibility for Prostate Cancer Imaging.

Gauri S Malankar1, Dani A Szafran1, Gourav Kumar1

  • 1Department Biomedical Engineering, Oregon Health & Science University, Portland, Oregon, 97201, USA.

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Summary

Researchers developed a novel fluorescent probe for prostate cancer surgery. This probe targets prostate specific membrane antigen (PSMA) and clears rapidly from the body, improving fluorescence-guided surgery (FGS) compatibility with radical prostatectomy (RARP) timelines.

Keywords:
Fluorescence‐guided surgery (FGS)Fluorescent probeNear Infrared (NIR) imagingPharmacokinetic modulationProstate cancer

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Area of Science:

  • Oncology
  • Medical Imaging
  • Chemical Biology

Background:

  • Positive surgical margins in radical prostatectomy correlate with increased risk of biochemical recurrence and disease progression.
  • Fluorescence-guided surgery (FGS) offers benefits for various cancers, but current prostate cancer probes have limitations.
  • Existing probes' long pharmacokinetic (PK) profiles hinder integration into clinical workflows due to lengthy waiting times.

Purpose of the Study:

  • To develop novel near-infrared (NIR) fluorescent probes for prostate cancer with improved pharmacokinetic properties.
  • To design probes that enable rapid off-target tissue clearance while maintaining high tumor specificity.
  • To create probes compatible with the clinical timelines of robotic-assisted radical prostatectomy (RARP).

Main Methods:

  • Developed a library of NIR water-soluble fluorescent probes using a tri-compartment design.
  • Incorporated a glutamic acid-urea-lysine (EuK) ligand targeting prostate specific membrane antigen (PSMA).
  • Optimized fluorophore and PK modulators for enhanced binding, rapid clearance, and in vivo tumor targeting.

Main Results:

  • Probes with PK modulators demonstrated superior tumor-specific fluorescence and accumulation compared to controls.
  • Molecular docking, photophysical properties, and cell staining showed comparable performance across designs.
  • Identified a lead probe with robust tumor targeting and accelerated off-target clearance.

Conclusions:

  • The developed probe design strategy successfully created a probe with optimal tumor-specific signal and contrast.
  • The lead probe's rapid clearance and effective targeting are compatible with RARP procedures.
  • This advancement addresses the clinical compatibility challenge of current prostate cancer imaging probes.