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Current Status of Radiopharmaceuticals for the Theranostics of Neuroendocrine Neoplasms
Division of Radiopharmaceutical Chemistry, University Hospital of Basel, 4031 Basel, Switzerland.
Department of Nuclear Medicine, University Medical Centre Ljubljana, 1000 Ljubljana, Slovenia.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Radiology. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Medicinal Chemistry, Preparative Medicinal Chemistry.
2017 (English)In: Pharmaceuticals, ISSN 1424-8247, E-ISSN 1424-8247, Vol. 10, no 1, article id E30Article, review/survey (Refereed) Published
Abstract [en]

Nuclear medicine plays a pivotal role in the management of patients affected by neuroendocrine neoplasms (NENs). Radiolabeled somatostatin receptor analogs are by far the most advanced radiopharmaceuticals for diagnosis and therapy (radiotheranostics) of NENs. Their clinical success emerged receptor-targeted radiolabeled peptides as an important class of radiopharmaceuticals and it paved the way for the investigation of other radioligand-receptor systems. Besides the somatostatin receptors (sstr), other receptors have also been linked to NENs and quite a number of potential radiolabeled peptides have been derived from them. The Glucagon-Like Peptide-1 Receptor (GLP-1R) is highly expressed in benign insulinomas, the Cholecystokinin 2 (CCK2)/Gastrin receptor is expressed in different NENs, in particular medullary thyroid cancer, and the Glucose-dependent Insulinotropic Polypeptide (GIP) receptor was found to be expressed in gastrointestinal and bronchial NENs, where interestingly, it is present in most of the sstr-negative and GLP-1R-negative NENs. Also in the field of sstr targeting new discoveries brought into light an alternative approach with the use of radiolabeled somatostatin receptor antagonists, instead of the clinically used agonists. The purpose of this review is to present the current status and the most innovative strategies for the diagnosis and treatment (theranostics) of neuroendocrine neoplasms using a cadre of radiolabeled regulatory peptides targeting their receptors.

Place, publisher, year, edition, pages
2017. Vol. 10, no 1, article id E30
Keywords [en]
CCK2, GIP, GLP-1R, exendin-4, gastrin, neuroendocrine neoplasms, radiolabeled peptides, somatostatin receptor antagonists, theranostics
National Category
Natural Sciences
Identifiers
URN: urn:nbn:se:uu:diva-318840DOI: 10.3390/ph10010030ISI: 000409311900029PubMedID: 28295000OAI: oai:DiVA.org:uu-318840DiVA, id: diva2:1085898
Available from: 2017-03-30 Created: 2017-03-30 Last updated: 2018-03-16Bibliographically approved

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