An Octopus probe for high-performance >1,300 nm NIR-II fluorescence molecular imaging of cancer

Zhennan Peng1,2,3, Haoran Liu1,2,3,4, Huaxi Wang1,2,3

  • 1Department of Chemistry, Mechanical Engineering and School of Biomedical Sciences, The University of Hong Kong, Hong Kong 999077, China.

Insights

A new Near-infrared II (NIR-II) probe, Octopus (OCTP), offers superior tumor visualization for surgical oncology. It enables precise, background-free margin detection, outperforming existing probes in preclinical models.

Area of Science:

  • Biomedical Imaging
  • Molecular Imaging
  • Surgical Oncology

Background:

  • Intraoperative tumor delineation for complete resection is challenging in surgical oncology.
  • Near-infrared II (NIR-II) imaging offers deep-tissue visualization but lacks clinical probes.
  • Existing probes like Cytalux have limitations in imaging depth and contrast.

Purpose of the Study:

  • To develop and evaluate a novel NIR-II molecular imaging probe for enhanced tumor visualization.
  • To assess the probe's performance against clinically approved agents in preclinical cancer models.
  • To demonstrate the utility of NIR-II imaging for precise tumor margin delineation.

Main Methods:

  • Development of Octopus (OCTP), a modular, multi-arm PEG-based NIR-II probe targeting folate receptor (FR).
  • Evaluation of OCTP's tumor accumulation, tumor-to-background ratios, and imaging performance in mouse models.
  • Comparison of OCTP with Cytalux using NIR-II imaging, focusing on emission ranges >1,300 nm.
  • Assessment of OCTP's pharmacokinetics, biodistribution, and toxicity.

Main Results:

  • OCTP demonstrated rapid and sustained tumor accumulation with superior tumor-to-background ratios compared to Cytalux.
  • NIR-II imaging in the >1,300 nm range effectively suppressed tissue autofluorescence, enabling clear visualization of residual tumor cells.
  • OCTP facilitated accurate, background-free fluorescence-guided tumor margin visualization in preclinical studies.
  • Pharmacokinetic and toxicity studies confirmed OCTP's rapid clearance, minimal off-target effects, and excellent biocompatibility.

Conclusions:

  • OCTP is a promising next-generation NIR-II molecular imaging probe for surgical oncology.
  • The probe enables accurate, background-free fluorescence-guided surgery with enhanced precision.
  • OCTP significantly outperforms existing probes, addressing limitations in deep-tissue imaging and contrast.

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