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Radiolabeled Vitamins and Nanosystems as Potential Agents in Oncology Theranostics: Developed Approaches and Future
Ghazal Basirinia1,2, Albert Comelli2,3, Pierpaolo Alongi4,5
1Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, Molecular and Clinical Medicine, University of Palermo, 90127 Palermo, Italy.
Abstract:
Theranostic approaches employing radioactive materials have emerged as innovative strategies that integrate molecular imaging with targeted therapy using nanosystems, thereby advancing the paradigm of precision medicine in oncology. Each year, substantial research efforts are dedicated to developing molecular probes capable of detecting early-stage tumors, with improved efficacy and reduced toxicity to the surrounding healthy tissues. Radiopharmaceuticals based on vitamins and nanoparticles are among the most promising developments in this field, as they possess a high level of specificity and low toxicity. Vitamin B9 and vitamin B12 represent notable examples, as their targeting properties exploit the overexpression of corresponding receptors in tumor cells. In this context, future directions may include the radiolabeling of nanoparticles functionalized with these vitamins using isotopes such as [68Ga] and [177Lu], thereby enabling both diagnostic imaging and therapeutic applications. Despite the encouraging preclinical evidence, many in vitro and in vivo studies employing these strategies do not sufficiently address their translational applicability to radiotheranostics. This review highlights the most promising advances in the diagnostic and therapeutic potential of vitamin and nanoparticle-based systems. It aims to critically evaluate current findings and propose hypotheses for further study in the emerging field of radiopharmaceutical theranostics.
Insights
Vitamin- and nanoparticle-based radiopharmaceuticals offer targeted cancer imaging and therapy. Further research is needed to translate these promising theranostic strategies into clinical applications.
Area of Science:
- Oncology
- Radiopharmaceutical Science
- Nanomedicine
Background:
- Precision medicine in oncology utilizes theranostic nanosystems for molecular imaging and targeted therapy.
- Developing molecular probes for early tumor detection with high efficacy and low toxicity is crucial.
- Radiopharmaceuticals based on vitamins and nanoparticles show high specificity and low toxicity.
Purpose of the Study:
- To review advances in diagnostic and therapeutic applications of vitamin and nanoparticle-based systems.
- To critically evaluate current findings on radiopharmaceutical theranostics.
- To propose future research directions for translational applicability.
Main Methods:
- Review of preclinical and clinical studies on vitamin and nanoparticle-based radiopharmaceuticals.
- Analysis of targeting mechanisms exploiting tumor-specific receptor overexpression (e.g., Vitamin B9, B12).
- Evaluation of radiolabeling strategies using isotopes like Gallium-68 and Lutetium-177.
Main Results:
- Vitamin B9 and B12 targeting demonstrate potential due to receptor overexpression in tumors.
- Radiolabeling nanoparticles with these vitamins enables dual diagnostic and therapeutic applications.
- Significant preclinical data exists, but translational challenges remain.
Conclusions:
- Vitamin and nanoparticle-based systems show promise for cancer theranostics.
- Further investigation into translational applicability is essential for clinical success.
- Future research should focus on optimizing these systems for radiotheranostic applications.
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