多肽受体靶向放射治疗:现状与进展

Peptide receptor radionuclide therapy: current status and future directions

  • 摘要: 临床前及临床多中心试验结果已证实应用放射性核素标记的生长抑素类似物进行多肽受体靶向放射治疗(PRRT)的有效性,不同治疗手段联合治疗能进一步提高PRRT的临床疗效,177Lu与90Y标记的生长抑素类似物联合治疗可以获得更好的疗效,其受体在前列腺与乳腺癌等常见肿瘤细胞上表达的蛙皮素和神经肽Y类似物正在研究中。联合放射性核素标记的蛙皮素和神经肽Y类似物进行多受体肿瘤靶向治疗对于乳腺癌及其淋巴结转移灶的诊断与PRRT也很有希望。

     

    Abstract: Results from preclinical and clinical multicenter studies with radiolabeled somatostatin ana-logues for peptide receptor radionuclide therapy(PRRT) already have shown an effective therapeutic response. The combination of different therapy modalities holds interest as a means of improving the clinical therapeutic effects of radiolabeled peptides. The combination of different radionuclides, such as 177Lu- and 90Y-labeled somatostatin analogues, to reach a wider tumor region of high curability, has been described. A variety of other peptide-based radioligands, such as bombesin and NPY analogues, receptors for which are expressed on common cancers such as prostate and breast cancer, are currently under development. Multireceptor tumor targeting using the combination of bombesin and NPY analogues is promising for scintigraphy and PRRT of breast carcinomas and their lymph node metastases.

     

/

返回文章
返回