Immuno-Imaging (PET/SPECT)–Quo Vadis?

The use of immunotherapy has revolutionized the treatment regimen of certain cancer types, but response assessment has become a difficult task with conventional methods such as CT/MRT or FDG PET-CT and the classical response criteria such as RECIST or PERCIST which have been developed for chemothera...

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Main Authors: Carsten S. Kramer, Antonia Dimitrakopoulou-Strauss
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/27/10/3354
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author Carsten S. Kramer
Antonia Dimitrakopoulou-Strauss
author_facet Carsten S. Kramer
Antonia Dimitrakopoulou-Strauss
author_sort Carsten S. Kramer
collection DOAJ
description The use of immunotherapy has revolutionized the treatment regimen of certain cancer types, but response assessment has become a difficult task with conventional methods such as CT/MRT or FDG PET-CT and the classical response criteria such as RECIST or PERCIST which have been developed for chemotherapeutic treatment. Plenty of new tracers have been published to improve the assessment of treatment response and to stratify the patient population. We gathered the information on published tracers (in total, 106 individual SPECT/PET tracers were identified) and performed a descriptor-based analysis; in this way, we classify the tracers with regard to target choice, developability (probability to progress from preclinical stage into the clinic), translatability (probability to be widely applied in the ‘real world’), and (assumed) diagnostic quality. In our analysis, we show that most tracers are targeting PD-L1, PD-1, CTLA-4, and CD8 receptors by using antibodies or their fragments. Another finding is that plenty of tracers possess only minor iterations regarding chelators and nuclides instead of approaching the problem in a new innovative way. Based on the data, we suggest an orthogonal approach by targeting intracellular targets with PET-activatable small molecules that are currently underrepresented.
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spelling doaj.art-d4f8a13e04db4022a6570df1e9a307b82023-11-23T12:25:11ZengMDPI AGMolecules1420-30492022-05-012710335410.3390/molecules27103354Immuno-Imaging (PET/SPECT)–Quo Vadis?Carsten S. Kramer0Antonia Dimitrakopoulou-Strauss1Curanosticum Wiesbaden-Frankfurt, Center for Advanced Radiomolecular Precision Oncology, D-65191 Wiesbaden, GermanyClinical Cooperation Unit Nuclear Medicine, German Cancer Research Center, D-69120 Heidelberg, GermanyThe use of immunotherapy has revolutionized the treatment regimen of certain cancer types, but response assessment has become a difficult task with conventional methods such as CT/MRT or FDG PET-CT and the classical response criteria such as RECIST or PERCIST which have been developed for chemotherapeutic treatment. Plenty of new tracers have been published to improve the assessment of treatment response and to stratify the patient population. We gathered the information on published tracers (in total, 106 individual SPECT/PET tracers were identified) and performed a descriptor-based analysis; in this way, we classify the tracers with regard to target choice, developability (probability to progress from preclinical stage into the clinic), translatability (probability to be widely applied in the ‘real world’), and (assumed) diagnostic quality. In our analysis, we show that most tracers are targeting PD-L1, PD-1, CTLA-4, and CD8 receptors by using antibodies or their fragments. Another finding is that plenty of tracers possess only minor iterations regarding chelators and nuclides instead of approaching the problem in a new innovative way. Based on the data, we suggest an orthogonal approach by targeting intracellular targets with PET-activatable small molecules that are currently underrepresented.https://www.mdpi.com/1420-3049/27/10/3354immuno-imagingmolecular imagingimmunotherapycheckpoint inhibitorsdrug designimmunoPET
spellingShingle Carsten S. Kramer
Antonia Dimitrakopoulou-Strauss
Immuno-Imaging (PET/SPECT)–Quo Vadis?
Molecules
immuno-imaging
molecular imaging
immunotherapy
checkpoint inhibitors
drug design
immunoPET
title Immuno-Imaging (PET/SPECT)–Quo Vadis?
title_full Immuno-Imaging (PET/SPECT)–Quo Vadis?
title_fullStr Immuno-Imaging (PET/SPECT)–Quo Vadis?
title_full_unstemmed Immuno-Imaging (PET/SPECT)–Quo Vadis?
title_short Immuno-Imaging (PET/SPECT)–Quo Vadis?
title_sort immuno imaging pet spect quo vadis
topic immuno-imaging
molecular imaging
immunotherapy
checkpoint inhibitors
drug design
immunoPET
url https://www.mdpi.com/1420-3049/27/10/3354
work_keys_str_mv AT carstenskramer immunoimagingpetspectquovadis
AT antoniadimitrakopouloustrauss immunoimagingpetspectquovadis