Pretargeting for imaging and therapy in oncological nuclear medicine

Abstract Background Oncological pretargeting has been implemented and tested in several different ways in preclinical models and clinical trials over more than 30 years. Despite highly promising results, pretargeting has not achieved market approval even though it could be considered the ultimate th...

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Main Authors: Clément Bailly, Caroline Bodet-Milin, Caroline Rousseau, Alain Faivre-Chauvet, Françoise Kraeber-Bodéré, Jacques Barbet
Format: Article
Language:English
Published: SpringerOpen 2017-06-01
Series:EJNMMI Radiopharmacy and Chemistry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41181-017-0026-8
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author Clément Bailly
Caroline Bodet-Milin
Caroline Rousseau
Alain Faivre-Chauvet
Françoise Kraeber-Bodéré
Jacques Barbet
author_facet Clément Bailly
Caroline Bodet-Milin
Caroline Rousseau
Alain Faivre-Chauvet
Françoise Kraeber-Bodéré
Jacques Barbet
author_sort Clément Bailly
collection DOAJ
description Abstract Background Oncological pretargeting has been implemented and tested in several different ways in preclinical models and clinical trials over more than 30 years. Despite highly promising results, pretargeting has not achieved market approval even though it could be considered the ultimate theranostic, combining PET imaging with short-lived positron emitters and therapy with radionuclides emitting beta or alpha particles. Results We have reviewed the pretargeting approaches proposed over the years, discussing their suitability for imaging, particularly PET imaging, and therapy, as well as their limitations. The reviewed pretargeting modalities are the avidin-biotin system, bispecific anti-tumour x anti-hapten antibodies and bivalent haptens, antibody-oligonucleotide conjugates and radiolabelled complementary oligonucleotides, and approaches using click chemistry. Finally, we discuss recent developments, such as the use of small binding proteins for pretargeting that may offer new perspectives to cancer pretargeting. Conclusions While pretargeting has shown promise and demonstrated preclinical and clinical proof of principle, full-scale clinical development programs are needed to translate pretargeting into a clinical reality that could ideally fit into current theranostic and precision medicine perspectives.
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spelling doaj.art-d8551b493b254c6699eda614f4cadf5d2022-12-21T22:35:51ZengSpringerOpenEJNMMI Radiopharmacy and Chemistry2365-421X2017-06-012111410.1186/s41181-017-0026-8Pretargeting for imaging and therapy in oncological nuclear medicineClément Bailly0Caroline Bodet-Milin1Caroline Rousseau2Alain Faivre-Chauvet3Françoise Kraeber-Bodéré4Jacques Barbet5Service de Médecine Nucléaire, CHU de NantesService de Médecine Nucléaire, CHU de NantesService de Médecine Nucléaire, Institut de Cancérologie de l’OuestService de Médecine Nucléaire, CHU de NantesService de Médecine Nucléaire, CHU de NantesUniversité de NantesAbstract Background Oncological pretargeting has been implemented and tested in several different ways in preclinical models and clinical trials over more than 30 years. Despite highly promising results, pretargeting has not achieved market approval even though it could be considered the ultimate theranostic, combining PET imaging with short-lived positron emitters and therapy with radionuclides emitting beta or alpha particles. Results We have reviewed the pretargeting approaches proposed over the years, discussing their suitability for imaging, particularly PET imaging, and therapy, as well as their limitations. The reviewed pretargeting modalities are the avidin-biotin system, bispecific anti-tumour x anti-hapten antibodies and bivalent haptens, antibody-oligonucleotide conjugates and radiolabelled complementary oligonucleotides, and approaches using click chemistry. Finally, we discuss recent developments, such as the use of small binding proteins for pretargeting that may offer new perspectives to cancer pretargeting. Conclusions While pretargeting has shown promise and demonstrated preclinical and clinical proof of principle, full-scale clinical development programs are needed to translate pretargeting into a clinical reality that could ideally fit into current theranostic and precision medicine perspectives.http://link.springer.com/article/10.1186/s41181-017-0026-8PretargetingImmunoscintigraphyImmunoPETRadioimmunotherapyBispecific antibodyAvidin-biotin
spellingShingle Clément Bailly
Caroline Bodet-Milin
Caroline Rousseau
Alain Faivre-Chauvet
Françoise Kraeber-Bodéré
Jacques Barbet
Pretargeting for imaging and therapy in oncological nuclear medicine
EJNMMI Radiopharmacy and Chemistry
Pretargeting
Immunoscintigraphy
ImmunoPET
Radioimmunotherapy
Bispecific antibody
Avidin-biotin
title Pretargeting for imaging and therapy in oncological nuclear medicine
title_full Pretargeting for imaging and therapy in oncological nuclear medicine
title_fullStr Pretargeting for imaging and therapy in oncological nuclear medicine
title_full_unstemmed Pretargeting for imaging and therapy in oncological nuclear medicine
title_short Pretargeting for imaging and therapy in oncological nuclear medicine
title_sort pretargeting for imaging and therapy in oncological nuclear medicine
topic Pretargeting
Immunoscintigraphy
ImmunoPET
Radioimmunotherapy
Bispecific antibody
Avidin-biotin
url http://link.springer.com/article/10.1186/s41181-017-0026-8
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