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靶向 CD70 的癌症诊疗一体化:进展与挑战

英文原题:CD70-targeted cancer theranostics: Progress and challenges.

PubMed 2025/04/17(内容时间) Med Q1 · IF 13.3(JCR 2025)

研究概要

CD70 是一种肿瘤相关抗原,在透明细胞肾细胞癌(ccRCC)、鼻咽癌和淋巴瘤等中表达升高,而在健康组织中极少存在。

中文摘要

CD70是一种肿瘤相关抗原,在透明细胞肾细胞癌(ccRCC)、鼻咽癌和淋巴瘤等多种肿瘤中表达升高,而在健康组织中表达极少。CD70已成为分子影像、靶向治疗和免疫治疗的有前景标志物。采用单域抗体来源示踪剂(如[18F]RCCB6和[68Ga]Ga-NOTA-RCCB6)的免疫PET成像具有出色的诊断精确度,可检测ccRCC常见及罕见转移灶,提高分期准确性并支持早期干预。除诊断外,CD70靶向成像还可依据CD70表达水平对患者分层,从而优化CAR-T细胞和抗体偶联药物等新兴疗法的患者选择。该技术还支持实时监测治疗应答,以便动态调整治疗。将这些成像工具纳入临床流程,可提高CD70表达型肿瘤个体化治疗的效果。放射诊疗一体化策略还可同时实现肿瘤诊断与治疗,为CD70阳性肿瘤的精准管理开辟新前景。

展开英文摘要原文

CD70, a tumor-associated antigen, exhibits elevated expression in clear cell renal cell carcinoma (ccRCC), nasopharyngeal carcinoma, and lymphoma, among others, with minimal presence in healthy tissues. CD70 has emerged as a promising biomarker for molecular imaging, targeted therapies, and immunotherapies. ImmunoPET imaging with single-domain antibody-derived tracers, such as [ 18 F]RCCB6 and [ 68 Ga]Ga-NOTA-RCCB6, demonstrates exceptional diagnostic precision, identifying both common and rare metastases from ccRCC. This capability enhances staging accuracy and further enables early intervention. Beyond diagnostics, CD70-targeted imaging optimizes patient selection for emerging therapies, such as CAR-T cells and antibody-drug conjugates, by stratifying candidates based on their CD70 expression levels. It also supports real-time monitoring of therapeutic responses, enabling dynamic adjustments to treatment. The integration of these imaging tools into clinical workflows enhances personalized treatment efficacy for CD70-expressing cancers. Radiotheranostic strategies can further allow the simultaneous diagnosis and treatment of malignancies, opening new horizons for the precise management of CD70 + tumors.

论文信息

作者
Wei W、Grünwald V、Herrmann K
第一作者单位
Department of Nuclear Medicine, Institute of Clinical Nuclear Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, 1630 Dongfang Road, Shanghai 200127, China. Electronic address: wwei@shsmu.edu.cn.China
通讯作者单位
German Cancer Consortium (DKTK), University Hospital Essen, Essen, Germany; Department of Nuclear Medicine, University of Duisburg-Essen, Essen, Germany. Electronic address: ken.herrmann@uk-essen.de.Germany
文献类型
综述 · 非美国政府资助研究
期刊
Med (New York, N.Y.)2025 Aug 8
原文标识
PubMed 40250430 · DOI 10.1016/j.medj.2025.100671