Skip to main content
Erschienen in: European Journal of Nuclear Medicine and Molecular Imaging 8/2022

31.01.2022 | Review Article

Clinical summary of fibroblast activation protein inhibitor-based radiopharmaceuticals: cancer and beyond

verfasst von: Mengting Li, Muhsin H. Younis, Yongxue Zhang, Weibo Cai, Xiaoli Lan

Erschienen in: European Journal of Nuclear Medicine and Molecular Imaging | Ausgabe 8/2022

Einloggen, um Zugang zu erhalten

Abstract

Fibroblast activation protein (FAP) is a type II membrane-bound glycoprotein which is overexpressed in cancer-associated fibroblasts and activated fibroblasts at wound healing/inflammatory sites. Since the first clinical application of quinoline-based FAP ligands in 2018, FAP inhibitor (FAPI)-based PET imaging and radiotherapy have been investigated for a wide variety of diseases, both cancerous and non-cancerous. As a consequence, promising strides have been made in particular to improve the understanding of FAPI-based PET imaging and the potential value of FAPI-based tumor radiotherapy. Herein, we present a comprehensive review of radiolabeled FAPI, including their clinical translation, in order to clarify the current and potential future role of this class of molecules in nuclear medicine. In particular, this review underlines the value of FAPI radiopharmaceuticals in the diagnosis or therapy of tumors or benign conditions. However, limitations in present studies have hampered a precise evaluation of FAPI radiopharmaceuticals. Despite this, it will likely be worthwhile to further explore the clinical value of FAPI in diagnosis and therapy through better-designed and larger-population clinical trials in the future.
Literatur
3.
Zurück zum Zitat Radzina M, Tirane M, Roznere L, Zemniece L, Dronka L, Kalnina M, et al. Accuracy of (68)Ga-PSMA-11 PET/CT and multiparametric MRI for the detection of local tumor and lymph node metastases in early biochemical recurrence of prostate cancer. Am J Nucl Med Mol Imaging. 2020;10:106–18.PubMedPubMedCentral Radzina M, Tirane M, Roznere L, Zemniece L, Dronka L, Kalnina M, et al. Accuracy of (68)Ga-PSMA-11 PET/CT and multiparametric MRI for the detection of local tumor and lymph node metastases in early biochemical recurrence of prostate cancer. Am J Nucl Med Mol Imaging. 2020;10:106–18.PubMedPubMedCentral
9.
Zurück zum Zitat Lamprecht S, Sigal-Batikoff I, Shany S, Abu-Freha N, Ling E, Delinasios GJ, et al. Teaming up for trouble: cancer cells, transforming growth factor-beta1 signaling and the epigenetic corruption of stromal naive fibroblasts. Cancers (Basel). 2018;10. https://doi.org/10.3390/cancers10030061. Lamprecht S, Sigal-Batikoff I, Shany S, Abu-Freha N, Ling E, Delinasios GJ, et al. Teaming up for trouble: cancer cells, transforming growth factor-beta1 signaling and the epigenetic corruption of stromal naive fibroblasts. Cancers (Basel). 2018;10. https://​doi.​org/​10.​3390/​cancers10030061.
12.
20.
Zurück zum Zitat Wang LC, Lo A, Scholler J, Sun J, Majumdar RS, Kapoor V, et al. Targeting fibroblast activation protein in tumor stroma with chimeric antigen receptor T cells can inhibit tumor growth and augment host immunity without severe toxicity. Cancer Immunol Res. 2014;2:154–66. https://doi.org/10.1158/2326-6066.CrossRefPubMed Wang LC, Lo A, Scholler J, Sun J, Majumdar RS, Kapoor V, et al. Targeting fibroblast activation protein in tumor stroma with chimeric antigen receptor T cells can inhibit tumor growth and augment host immunity without severe toxicity. Cancer Immunol Res. 2014;2:154–66. https://​doi.​org/​10.​1158/​2326-6066.CrossRefPubMed
40.
Zurück zum Zitat Zhao L, Pang Y, Zheng H, Han C, Gu J, Sun L, et al. Clinical utility of [68Ga]Ga-labeled fibroblast activation protein inhibitor (FAPI) positron emission tomography/computed tomography for primary staging and recurrence detection in nasopharyngeal carcinoma. Eur J Nucl Med Mol Imaging. 2021;48:3606–17. https://doi.org/10.1007/s00259-021-05336-w.CrossRefPubMed Zhao L, Pang Y, Zheng H, Han C, Gu J, Sun L, et al. Clinical utility of [68Ga]Ga-labeled fibroblast activation protein inhibitor (FAPI) positron emission tomography/computed tomography for primary staging and recurrence detection in nasopharyngeal carcinoma. Eur J Nucl Med Mol Imaging. 2021;48:3606–17. https://​doi.​org/​10.​1007/​s00259-021-05336-w.CrossRefPubMed
44.
Zurück zum Zitat Aimes RT, Zijlstra A, Hooper JD, Ogbourne SM, Sit ML, Fuchs S, et al. Endothelial cell serine proteases expressed during vascular morphogenesis and angiogenesis. Thromb Haemost. 2003;89:561–72.CrossRef Aimes RT, Zijlstra A, Hooper JD, Ogbourne SM, Sit ML, Fuchs S, et al. Endothelial cell serine proteases expressed during vascular morphogenesis and angiogenesis. Thromb Haemost. 2003;89:561–72.CrossRef
49.
Zurück zum Zitat Chen YP CA, Le QT, Blanchard P, Sun Y, Ma J. Nasopharyngeal carcinoma; 2019. Chen YP CA, Le QT, Blanchard P, Sun Y, Ma J. Nasopharyngeal carcinoma; 2019.
58.
Zurück zum Zitat D Jiang X Chen Z You H Wang X Zhang X Li et al 2021 Comparison of [(68) Ga]Ga-FAPI-04 and [(18)F]-FDG for the detection of primary and metastatic lesions in patients with gastric cancer: a bicentric retrospective study Eur J Nucl Med Mol Imaging https://doi.org/10.1007/s00259-021-05441-w D Jiang X Chen Z You H Wang X Zhang X Li et al 2021 Comparison of [(68) Ga]Ga-FAPI-04 and [(18)F]-FDG for the detection of primary and metastatic lesions in patients with gastric cancer: a bicentric retrospective study Eur J Nucl Med Mol Imaging https://​doi.​org/​10.​1007/​s00259-021-05441-w
71.
Zurück zum Zitat Y Pang L Zhao Q Shang T Meng L Zhao L Feng et al 2021 Positron emission tomography and computed tomography with [(68)Ga]Ga-fibroblast activation protein inhibitors improves tumor detection and staging in patients with pancreatic cancer Eur J Nucl Med Mol Imaging https://doi.org/10.1007/s00259-021-05576-w Y Pang L Zhao Q Shang T Meng L Zhao L Feng et al 2021 Positron emission tomography and computed tomography with [(68)Ga]Ga-fibroblast activation protein inhibitors improves tumor detection and staging in patients with pancreatic cancer Eur J Nucl Med Mol Imaging https://​doi.​org/​10.​1007/​s00259-021-05576-w
89.
Zurück zum Zitat Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid. 2016;26:1–133. https://doi.org/10.1089/thy.2015.0020.CrossRefPubMedPubMedCentral Haugen BR, Alexander EK, Bible KC, Doherty GM, Mandel SJ, Nikiforov YE, et al. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Task Force on Thyroid Nodules and Differentiated Thyroid Cancer. Thyroid. 2016;26:1–133. https://​doi.​org/​10.​1089/​thy.​2015.​0020.CrossRefPubMedPubMedCentral
90.
Zurück zum Zitat van Dijk D, Plukker JT, Phan HT, Muller Kobold AC, van der Horst-Schrivers AN, Jansen L, et al. 18-fluorodeoxyglucose positron emission tomography in the early diagnostic workup of differentiated thyroid cancer patients with a negative post-therapeutic iodine scan and detectable thyroglobulin. Thyroid. 2013;23:1003–9. https://doi.org/10.1089/thy.2012.0498.CrossRefPubMed van Dijk D, Plukker JT, Phan HT, Muller Kobold AC, van der Horst-Schrivers AN, Jansen L, et al. 18-fluorodeoxyglucose positron emission tomography in the early diagnostic workup of differentiated thyroid cancer patients with a negative post-therapeutic iodine scan and detectable thyroglobulin. Thyroid. 2013;23:1003–9. https://​doi.​org/​10.​1089/​thy.​2012.​0498.CrossRefPubMed
140.
142.
Zurück zum Zitat Ballal S, Yadav MP, Kramer V, Moon ES, Roesch F, Tripathi M, et al. A theranostic approach of [(68)Ga]Ga-DOTA.SA.FAPi PET/CT-guided [(177)Lu]Lu-DOTA.SA.FAPi radionuclide therapy in an end-stage breast cancer patient: new frontier in targeted radionuclide therapy. Eur J Nucl Med Mol Imaging. 2021;48:942–4. https://doi.org/10.1007/s00259-020-04990-w. Ballal S, Yadav MP, Kramer V, Moon ES, Roesch F, Tripathi M, et al. A theranostic approach of [(68)Ga]Ga-DOTA.SA.FAPi PET/CT-guided [(177)Lu]Lu-DOTA.SA.FAPi radionuclide therapy in an end-stage breast cancer patient: new frontier in targeted radionuclide therapy. Eur J Nucl Med Mol Imaging. 2021;48:942–4. https://​doi.​org/​10.​1007/​s00259-020-04990-w.
143.
Zurück zum Zitat S Ballal MP Yadav ES Moon F Roesch S Kumari S Agarwal et al 2021 Novel fibroblast activation protein inhibitor-based targeted theranostics for radioiodine refractory differentiated thyroid cancer patients: A Pilot Study Thyroid https://doi.org/10.1089/thy.2021.0412 S Ballal MP Yadav ES Moon F Roesch S Kumari S Agarwal et al 2021 Novel fibroblast activation protein inhibitor-based targeted theranostics for radioiodine refractory differentiated thyroid cancer patients: A Pilot Study Thyroid https://​doi.​org/​10.​1089/​thy.​2021.​0412
149.
Zurück zum Zitat Barreira da Silva R, Laird ME, Yatim N, Fiette L, Ingersoll MA, Albert ML. Dipeptidylpeptidase 4 inhibition enhances lymphocyte trafficking, improving both naturally occurring tumor immunity and immunotherapy. Nat Immunol. 2015; 16: 850–8. https://doi.org/10.1038/ni.3201. Barreira da Silva R, Laird ME, Yatim N, Fiette L, Ingersoll MA, Albert ML. Dipeptidylpeptidase 4 inhibition enhances lymphocyte trafficking, improving both naturally occurring tumor immunity and immunotherapy. Nat Immunol. 2015; 16: 850–8. https://​doi.​org/​10.​1038/​ni.​3201.
153.
Zurück zum Zitat Treglia G, Muoio B, Roustaei H, Kiamanesh Z, Aryana K, Sadeghi R. Head-to-head comparison of fibroblast activation protein inhibitors (FAPI) radiotracers versus [(18)F]F-FDG in oncology: a systematic review. Int J Mol Sci. 2021;22. https://doi.org/10.3390/ijms222011192. Treglia G, Muoio B, Roustaei H, Kiamanesh Z, Aryana K, Sadeghi R. Head-to-head comparison of fibroblast activation protein inhibitors (FAPI) radiotracers versus [(18)F]F-FDG in oncology: a systematic review. Int J Mol Sci. 2021;22. https://​doi.​org/​10.​3390/​ijms222011192.
156.
Zurück zum Zitat CE Mona MR Benz F Hikmat TR Grogan K Luckerath A Razmaria et al 2021 Correlation of (68)Ga-FAPi-46 PET biodistribution with FAP expression by immunohistochemistry in patients with solid cancers: a prospective translational exploratory study J Nucl Med https://doi.org/10.2967/jnumed.121.262426 CE Mona MR Benz F Hikmat TR Grogan K Luckerath A Razmaria et al 2021 Correlation of (68)Ga-FAPi-46 PET biodistribution with FAP expression by immunohistochemistry in patients with solid cancers: a prospective translational exploratory study J Nucl Med https://​doi.​org/​10.​2967/​jnumed.​121.​262426
158.
167.
Zurück zum Zitat HQ Xing JN Gong BX Chen XJ Guo YH Yang L Huo et al 2021 Comparison of (68)Ga-FAPI imaging and cardiac magnetic resonance in detection of myocardial fibrosis in a patient with chronic thromboembolic pulmonary hypertension J NuclCardiol https://doi.org/10.1007/s12350-020-02517-2 HQ Xing JN Gong BX Chen XJ Guo YH Yang L Huo et al 2021 Comparison of (68)Ga-FAPI imaging and cardiac magnetic resonance in detection of myocardial fibrosis in a patient with chronic thromboembolic pulmonary hypertension J NuclCardiol https://​doi.​org/​10.​1007/​s12350-020-02517-2
Metadaten
Titel
Clinical summary of fibroblast activation protein inhibitor-based radiopharmaceuticals: cancer and beyond
verfasst von
Mengting Li
Muhsin H. Younis
Yongxue Zhang
Weibo Cai
Xiaoli Lan
Publikationsdatum
31.01.2022
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Nuclear Medicine and Molecular Imaging / Ausgabe 8/2022
Print ISSN: 1619-7070
Elektronische ISSN: 1619-7089
DOI
https://doi.org/10.1007/s00259-022-05706-y

Weitere Artikel der Ausgabe 8/2022

European Journal of Nuclear Medicine and Molecular Imaging 8/2022 Zur Ausgabe