CXCR4-targeted Theranostics in Hematooncology: Opportunities and Challenges.

IF 1.2
Nuklearmedizin. Nuclear medicine Pub Date : 2024-04-01 Epub Date: 2024-01-08 DOI:10.1055/a-2194-9965
Rudolf Werner, Alexander Haug, Christian Buske, Simon Heidegger, Anna L Illert, Florian Bassermann, Peter Herhaus, Andreas Buck, Johannes Duell, Max S Topp, Sabrina Kraus, Hermann Einsele, Constantin Lapa, Markus Raderer, Georg Lenz, Stefan Habringer, Bastian von Tresckow, Ulrich Keller
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引用次数: 0

Abstract

C-X-C motif chemokine receptor 4 (CXCR4) is overexpressed in a multitude of cancers, including neoplasms of hematopoietic origin. This feature can be leveraged by a theranostic approach, which provides a read-out of the actual CXCR4 expression in vivo, followed by CXCR4-targeted radioligand therapy (RLT) exerting anti-cancer as well as myeloablative efficacy. In a recent meeting of hematooncology and nuclear medicine specialists, statements on the current clinical practice and future perspectives of this innovative concept were proposed and summarized in this opinion article. Experts concluded that i) CXCR4-directed [68Ga]Ga-PentixaFor PET/CT has the potential to improve imaging for patients with marginal zone lymphoma; ii) CXCR4-targeted RLT exerts anti-lymphoma efficacy and myeloablative effects in patients with advanced, treatment-refractory T-cell lymphomas; iii) prospective trials with CXCR4-based imaging and theranostics are warranted.

Abstract Image

Abstract Image

血液肿瘤学中的 CXCR4 靶向疗法:机遇与挑战。
C-X-C motif趋化因子受体4(CXCR4)在多种癌症(包括造血肿瘤)中过度表达。治疗方法可以利用这一特点,读出 CXCR4 在体内的实际表达情况,然后通过 CXCR4 靶向放射性配体疗法(RLT)发挥抗癌和减瘤疗效。在最近召开的一次血液肿瘤学和核医学专家会议上,专家们就这一创新概念的当前临床实践和未来前景提出了建议,并在这篇观点文章中进行了总结。专家们的结论是:i) CXCR4定向[68Ga]Ga-PentixaFor PET/CT有可能改善边缘区淋巴瘤患者的成像;ii) CXCR4靶向RLT对晚期难治性T细胞淋巴瘤患者具有抗淋巴瘤疗效和骨髓溶解作用;iii) 有必要进行基于CXCR4成像和治疗学的前瞻性试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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