靶向PSMA的核素标记分子探针在胶质母细胞瘤诊治中的研究进展

Research progress of nuclide-labeled molecular probes targeting PSMA in the diagnosis and treatment of glioblastoma

  • 摘要: 前列腺特异性膜抗原(PSMA)是一种在前列腺癌细胞表面显著表达的膜抗原,由于在前列腺癌及其转移灶的表达水平较高,其已成为前列腺癌诊断显像和治疗干预的突出靶点。PSMA可以在包括胶质母细胞瘤(GBM)在内的多种恶性肿瘤中表达。基于GBM的高度侵袭性以及治疗抵抗性,研究人员对其新型治疗靶点的探索也一直在进行中。笔者从PSMA在GBM中的表达,PSMA PET显像对GBM的诊断、复发监测、放疗靶区勾画、预后评估的应用,放射性核素标记PSMA配体治疗GBM的潜力等6个方面论述了靶向PSMA的核素标记分子探针在GBM诊治中的研究进展,指出未来针对靶向PSMA核素标记分子探针的研究应该探索其在GBM治疗中的作用机制、个体化治疗策略以及与其他治疗方法的联合应用,以提高治疗效果。

     

    Abstract: Prostate specific membrane antigen (PSMA) is a membrane antigen that is significantly expressed in prostate cancer cells. Due to its high expression level in prostate cancer and its metastases, it has become a prominent target for diagnostic imaging and therapeutic intervention of prostate cancer. PSMA has also been found to be expressed in a variety of tumors, including glioblastoma (GBM). Based on the high aggressiveness and treatment resistance of GBM, the exploration of its new therapeutic targets has been ongoing by researchers. The authors discusse the research progress of radionuclide labeled molecular probes targeting PSMA in the diagnosis and treatment of GBM from six aspects: the expression of PSMA in GBM, the application of PSMA PET imaging in diagnosis, recurrence monitoring, radiotherapy target delineation, prognosis evaluation, and the potential of radionuclide labeled PSMA ligand in the treatment of GBM. The authors point out that future research on targeted PSMA nuclide labeled molecular probes should explore its mechanism of action in the treatment of GBM, individualized treatment strategies and combined application with other therapeutic methods to improve the therapeutic effect.

     

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