FAPI PET显像在良性纤维化疾病中的临床应用进展

Advances in the clinical application of FAPI PET imaging in benign fibrotic diseases

  • 摘要: 纤维化是多种疾病的重要病理过程,成纤维细胞活化蛋白(FAP)是一种在活化的成纤维细胞中过表达的膜蛋白,FAP阳性成纤维细胞在伤口愈合、炎症或缺血等非恶性病理生理过程中亦发挥着重要作用,在多种恶性肿瘤和良性纤维化疾病中均可观察到FAP表达上调。放射性核素标记的成纤维细胞活化蛋白抑制剂(FAPI)PET显像作为具有高灵敏度,且能够全面、无创检测FAP表达的有效检测方式,在纤维化疾病的诊断和评估方面展现出巨大潜力。笔者对FAPI PET显像在心脏、肾脏、肺、肝脏等器官良性纤维化疾病中的临床应用进展进行综述,以期为良性纤维化疾病的无创评估与临床决策制定提供参考。

     

    Abstract: Fibrosis is a key pathological process in various diseases. Fibroblast activation protein (FAP) is a membrane protein overexpressed in activated fibroblasts. FAP-positive fibroblasts also play a significant role in non-malignant pathophysiological processes such as wound healing, inflammation, or ischemia. Upregulated FAP expression can be observed in a variety of malignant tumors and benign fibrotic diseases. Radionuclide-labeled fibroblast activation protein inhibitor (FAPI) PET imaging provide a highly sensitive, comprehensive, and non-invasive method for detecting FAP expression, showing great potential in the diagnosis and evaluation of fibrotic diseases. The authors summarize the application of FAPI PET imaging in benign fibrotic diseases of organ, including the heart, kidneys, lungs, and liver, aiming to provide reference for the non-invasive assessment and clinical decision-making in benign fibrotic diseases.

     

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