Fibroblast-Activated Protein Inhibitor PET/CT: Cancer Diagnosis and Management

Fibroblast activation protein (FAP), overexpressed on cancer-associated fibroblasts (CAFs), is a novel target for molecular imaging of various tumors. Recently, the development of several small-molecule FAP inhibitors for radiolabeling with 68Ga has resulted in the emergence of studies evaluating it...

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Autores principales: Serkan Kuyumcu, Yasemin Sanli, Rathan M. Subramaniam
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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PET
Acceso en línea:https://doaj.org/article/f6b7392e8fb940db825892af269b3b9a
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spelling oai:doaj.org-article:f6b7392e8fb940db825892af269b3b9a2021-11-11T08:17:49ZFibroblast-Activated Protein Inhibitor PET/CT: Cancer Diagnosis and Management2234-943X10.3389/fonc.2021.758958https://doaj.org/article/f6b7392e8fb940db825892af269b3b9a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.758958/fullhttps://doaj.org/toc/2234-943XFibroblast activation protein (FAP), overexpressed on cancer-associated fibroblasts (CAFs), is a novel target for molecular imaging of various tumors. Recently, the development of several small-molecule FAP inhibitors for radiolabeling with 68Ga has resulted in the emergence of studies evaluating its clinical role in cancer imaging. Preliminary findings have demonstrated that, in contrast to radiotracers taking advantage of cancer-specific targets such as PSMA and DOTATATE, FAPs as a target are the most promising that can compete with 18FDG in terms of widespread indications. They also have the potential to overcome the shortcomings of 18FDG, particularly false-positive uptake due to inflammatory or infectious processes, low sensitivity in certain cancer types, and radiotherapy planning. In addition, the attractive theranostic properties may facilitate the treatment of many refractory cancers. This review summarizes the current FAP variants and related clinical studies, focusing on radiopharmacy, dosimetry, and diagnostic and theranostic applications.Serkan KuyumcuYasemin SanliRathan M. SubramaniamRathan M. SubramaniamFrontiers Media S.A.articlePETcancer-associated fibroblastfibroblast activation proteintheranostic68Ga-FAPI04FAPINeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic PET
cancer-associated fibroblast
fibroblast activation protein
theranostic
68Ga-FAPI04
FAPI
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle PET
cancer-associated fibroblast
fibroblast activation protein
theranostic
68Ga-FAPI04
FAPI
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Serkan Kuyumcu
Yasemin Sanli
Rathan M. Subramaniam
Rathan M. Subramaniam
Fibroblast-Activated Protein Inhibitor PET/CT: Cancer Diagnosis and Management
description Fibroblast activation protein (FAP), overexpressed on cancer-associated fibroblasts (CAFs), is a novel target for molecular imaging of various tumors. Recently, the development of several small-molecule FAP inhibitors for radiolabeling with 68Ga has resulted in the emergence of studies evaluating its clinical role in cancer imaging. Preliminary findings have demonstrated that, in contrast to radiotracers taking advantage of cancer-specific targets such as PSMA and DOTATATE, FAPs as a target are the most promising that can compete with 18FDG in terms of widespread indications. They also have the potential to overcome the shortcomings of 18FDG, particularly false-positive uptake due to inflammatory or infectious processes, low sensitivity in certain cancer types, and radiotherapy planning. In addition, the attractive theranostic properties may facilitate the treatment of many refractory cancers. This review summarizes the current FAP variants and related clinical studies, focusing on radiopharmacy, dosimetry, and diagnostic and theranostic applications.
format article
author Serkan Kuyumcu
Yasemin Sanli
Rathan M. Subramaniam
Rathan M. Subramaniam
author_facet Serkan Kuyumcu
Yasemin Sanli
Rathan M. Subramaniam
Rathan M. Subramaniam
author_sort Serkan Kuyumcu
title Fibroblast-Activated Protein Inhibitor PET/CT: Cancer Diagnosis and Management
title_short Fibroblast-Activated Protein Inhibitor PET/CT: Cancer Diagnosis and Management
title_full Fibroblast-Activated Protein Inhibitor PET/CT: Cancer Diagnosis and Management
title_fullStr Fibroblast-Activated Protein Inhibitor PET/CT: Cancer Diagnosis and Management
title_full_unstemmed Fibroblast-Activated Protein Inhibitor PET/CT: Cancer Diagnosis and Management
title_sort fibroblast-activated protein inhibitor pet/ct: cancer diagnosis and management
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/f6b7392e8fb940db825892af269b3b9a
work_keys_str_mv AT serkankuyumcu fibroblastactivatedproteininhibitorpetctcancerdiagnosisandmanagement
AT yaseminsanli fibroblastactivatedproteininhibitorpetctcancerdiagnosisandmanagement
AT rathanmsubramaniam fibroblastactivatedproteininhibitorpetctcancerdiagnosisandmanagement
AT rathanmsubramaniam fibroblastactivatedproteininhibitorpetctcancerdiagnosisandmanagement
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