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Characterization of Storage-Induced mRNA Modifications in (4S)-KEL12 LNP: Adduct Formation Kinetics, mRNA Decay, and Translational Competence. (4S)-KEL12 LNP中储存诱导的mRNA修饰的表征:加合物形成动力学、mRNA衰减和翻译能力。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-04 DOI: 10.1021/acs.molpharmaceut.5c00950
Hua Chen, Jiaqi Gong, Wei Wu, Yanqin Shi, Juan Li, Zhenlei Yu, Hui Bao, Xu Ye, Tingting Zhang, Yijie Dong, Shan Cen, Kai Lv, Weiguo Zhang

Lipid-mRNA adducts form during storage for several types of lipid nanoparticles (LNPs) and impair therapeutic efficacy, yet their structural drivers and functional consequences remain incompletely characterized, especially for novel lipids with distinct structures. Here, we investigated adduct formation between mRNA and several impurities derived from an immunotropic ionizable lipid (4S)-KEL12, which has been used to develop therapeutic mRNA cancer vaccines approved for human clinical studies. Elevated storage temperatures promoted both adduct accumulation and the loss of mRNA integrity with divergent kinetics at 25 °C, suggesting their independence. Mechanistically, degradation impurities of (4S)-KEL12, particularly its aldehyde derivative (Z4) and N-oxide derivative (Z1) dominated adduct generation, with Z4 exhibiting ∼4-fold higher activity than Z1. Moreover, mRNA adduction with Z4 did not reduce mRNA integrity by capillary electrophoresis, further supporting independent pathways. Mass spectrometry characterization unambiguously identified cytidines as the primary target on mRNA for Z4 adduction. Functionally, while adducted mRNAs exhibited poor capacity for protein expression in cultured human 293T cells, they did not stimulate significant gene expression involved in innate immunity for RNA sensing and downstream type I interferon pathway activation in human THP1 cells. These findings not only clarify important functional consequences of adducted mRNAs, but also establish impurity control and thermal management as actionable strategies for advancing mRNA therapeutics.

脂质- mrna加合物在几种脂质纳米颗粒(LNPs)的储存过程中形成,并损害治疗效果,但其结构驱动因素和功能后果尚未完全表征,特别是对于具有不同结构的新型脂质。在这里,我们研究了mRNA与来自免疫性电离脂质(4S)-KEL12的几种杂质之间的加合物形成,该杂质已被用于开发经批准用于人类临床研究的治疗性mRNA癌症疫苗。升高的储存温度促进了加合物的积累和mRNA完整性的丧失,在25°C下具有发散动力学,表明它们是独立的。机制上,(4S)-KEL12的降解杂质,特别是其醛衍生物(Z4)和n -氧化物衍生物(Z1)主导了加合物的生成,其中Z4的活性比Z1高4倍。此外,通过毛细管电泳,用Z4内聚并没有降低mRNA的完整性,进一步支持了独立的途径。质谱鉴定明确地确定胞苷是mRNA上Z4内聚的主要目标。在功能上,虽然内聚mrna在培养的人293T细胞中表现出较差的蛋白表达能力,但它们不会刺激人THP1细胞中参与先天免疫的RNA传感和下游I型干扰素途径激活的基因表达。这些发现不仅阐明了内合mRNA的重要功能后果,而且还确立了杂质控制和热管理作为推进mRNA治疗的可行策略。
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引用次数: 0
Effect of Low Glucose on mRNA Delivery Efficiency via Lipid Nanoparticles and Its Underlying Mechanisms. 低葡萄糖对脂质纳米颗粒mRNA传递效率的影响及其潜在机制。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.5c01780
Zuoyu Hu, Lin Shi, Xun Lin, Qiaoqiao Zhang, Yingshan Zhang, Feng You, Jingyu Chen, Han Wang, Yingyuan Ye, Jianwei Chen, Wenbin Deng, Guanjun Deng

mRNA therapy has shown great potential in vaccine development, cancer treatment, and the treatment of rare diseases. Lipid nanoparticles (LNPs) are key delivery carriers that are essential to the success of mRNA therapy. Here, we found that a low-glucose microenvironment affected the efficiency of LNP-mediated mRNA delivery. Two LNPs (ALC-0315@LNP and SM-102@LNP) were tested in three types of cells under different glucose conditions. The results showed that low-glucose levels significantly reduced the translation of LNP-delivered mRNA into protein, and this negative effect was reversible upon the restoration of glucose levels. A mouse tumor model further confirmed that hypoglycemia diminished the in vivo mRNA delivery efficiency of LNPs. Further mechanistic studies revealed that the reduced efficiency was not due to impaired cellular uptake or lysosomal escape of LNPs, but rather to disrupted glucose energy metabolism. Under low-glucose conditions, cellular ATP and GTP levels were reduced, directly inhibiting the mRNA translation process, which is dependent on these high-energy molecules. This study systematically revealed for the first time that low-glucose conditions reduced mRNA-LNP delivery efficiency by impairing cellular energy metabolism. These findings provide insights for designing metabolic-microenvironment-adapted mRNA therapies and offer strategies to improve mRNA therapy efficacy in treating ischemic stroke and cancer patients.

mRNA疗法在疫苗开发、癌症治疗和罕见病治疗方面显示出巨大的潜力。脂质纳米颗粒(LNPs)是mRNA治疗成功的关键载体。在这里,我们发现低糖微环境影响lnp介导的mRNA传递效率。两种LNPs (ALC-0315@LNP和SM-102@LNP)在不同葡萄糖条件下的三种细胞中进行检测。结果表明,低糖水平显著降低lnp传递的mRNA向蛋白质的翻译,这种负面影响在葡萄糖水平恢复后是可逆的。小鼠肿瘤模型进一步证实,低血糖降低了LNPs在体内的mRNA传递效率。进一步的机制研究表明,效率降低不是由于LNPs的细胞摄取受损或溶酶体逃逸,而是由于葡萄糖能量代谢被破坏。在低糖条件下,细胞ATP和GTP水平降低,直接抑制mRNA的翻译过程,而mRNA的翻译过程依赖于这些高能分子。该研究首次系统地揭示了低糖条件通过损害细胞能量代谢降低mRNA-LNP递送效率。这些发现为设计代谢微环境适应性mRNA疗法提供了见解,并为提高mRNA治疗缺血性卒中和癌症患者的疗效提供了策略。
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引用次数: 0
Surface Activity Changes after Photoirradiation of PS80 in Citrate Buffer Containing Iron and Disulfide. PS80在含铁二硫化物柠檬酸缓冲液中光照射后表面活性的变化。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.5c00967
Estephanie Laura Nottar Escobar, Ginny Ke, Yilue Zhang, Esraa Abdelsalam, Christian Schöneich, Prajnaparamita Dhar

Polysorbate 80 (PS80) is a commonly used surfactant for stabilizing biotherapeutics by preventing protein adsorption at the air-liquid interface. However, PS80 is susceptible to oxidative degradation during manufacturing and storage. We show here that light exposure combined with the presence of metals can result in byproduct formation and potentially decrease the surfactant's ability to prevent protein adsorption to the air-liquid interface. PS80 formulated in citrate buffer can undergo cis/trans isomerization of unsaturated fatty acids in the presence of disulfides and iron (Prajapati et al., 2022). This work investigates novel surface activity aspects of polysorbate formulations before and after exposure to UV-A light. Polysorbate samples of different grades were formulated in citrate buffer containing iron and glutathione disulfide (GSSG; as a surrogate for peptide and protein disulfides), and a Langmuir trough was used to monitor the surface pressure during adsorption to the air-solution interface. Our results showed significant changes in the polysorbate surface activity after photoirradiation: all-oleate PS80 exhibited a 3-fold increase in the apparent critical micelle concentration (CMC), and the presence of both cis and trans fatty acids was confirmed. Also, the impact of photoirradiation on surface pressure depended on the surfactant concentration during irradiation, suggesting that the presence of micelles can alter the degradation pathway and byproduct formation.

聚山梨酯80 (PS80)是一种常用的表面活性剂,通过防止蛋白质在气液界面吸附来稳定生物治疗药物。然而,PS80在制造和储存过程中容易氧化降解。我们在这里表明,光暴露与金属的存在相结合会导致副产物的形成,并可能降低表面活性剂防止蛋白质吸附到气液界面的能力。在柠檬酸缓冲液中配制的PS80可以在二硫化物和铁的存在下进行不饱和脂肪酸的顺/反异构化(Prajapati et al., 2022)。这项工作研究了暴露于UV-A光之前和之后聚山梨酯配方的新表面活性方面。在含有铁和谷胱甘肽二硫化物(GSSG;肽和蛋白二硫化物的替代品)的柠檬酸缓冲液中配制不同等级的聚山酸酯样品,并使用Langmuir槽监测吸附到空气-溶液界面时的表面压力。我们的研究结果表明,光照射后聚山梨酸酯表面活性发生了显著变化:全油酸酯PS80的表观临界胶束浓度(CMC)增加了3倍,并且证实了顺式和反式脂肪酸的存在。此外,光辐射对表面压力的影响取决于辐照时表面活性剂的浓度,这表明胶束的存在可以改变降解途径和副产物的形成。
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引用次数: 0
Cascade Nanoreactor Based on Mo2C MXene for NIR-II-Activated Multimodal Therapy of Cancer. 基于Mo2C MXene的级联纳米反应器用于nir - ii激活的癌症多模式治疗。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.5c01663
Lu Zhao, Jianfeng Li, Xuehui Zhang, Yunfeng Bai, Feng Feng

The complexity and dynamic nature of the tumor microenvironment (TME) pose significant challenges to effective cancer therapy. Therefore, the development of nanocomposites capable of fully exploiting TME characteristics is crucial for achieving precise and efficient tumor treatment. Herein, the cascade nanoreactor PDA@Mo2C-MnO2-Au/Apt-M (PMMAA) was successfully constructed based on Mo2C MXene and nanozymes. This nanoreactor leveraged the TME to achieve NIR-II-triggered combined photothermal therapy and chemodynamic therapy (PTT/CDT) with active targeting capability. PMMAA exhibited a photothermal conversion efficiency of 41.89% under NIR-II laser irradiation, enabling efficient thermal ablation of tumor tissues. In the acidic TME, the loaded MnO2 NPs mediated Fenton-like reactions that selectively converted endogenous H2O2 into highly cytotoxic OH, realizing intelligent TME-responsive CDT. Notably, the embedded Au NPs in the nanoreactor exhibited glucose oxidase-like activity, catalyzing the conversion of glucose into H2O2 and gluconic acid, thereby simultaneously elevating both H2O2 levels and local acidity to establish a self-amplifying catalytic cascade. This nanozymes-based cascade amplification effect significantly enhanced CDT efficacy by promoting OH generation. Systematic evaluations demonstrated that the nanoreactor possessed dual enzyme-mimicking activities (POD-like and GOx-like), excellent biosafety, and remarkable tumor suppression effects. This study established a new paradigm for precision cancer therapy through the rational design of multifunctional nanozymes-enhanced CDT capable of dynamically modulating the TME.

肿瘤微环境(TME)的复杂性和动态性对有效的肿瘤治疗提出了重大挑战。因此,开发能够充分利用TME特性的纳米复合材料对于实现精确有效的肿瘤治疗至关重要。本文成功构建了基于Mo2C MXene和纳米酶的级联纳米反应器PDA@Mo2C-MnO2-Au/Apt-M (PMMAA)。该纳米反应器利用TME实现了具有主动靶向能力的nir - ii触发的联合光热治疗和化学动力治疗(PTT/CDT)。PMMAA在NIR-II激光照射下的光热转换效率为41.89%,能够对肿瘤组织进行有效的热消融。在酸性TME中,负载的MnO2 NPs介导fenton样反应,选择性地将内源性H2O2转化为高细胞毒性•OH,实现智能TME响应CDT。值得注意的是,纳米反应器中嵌入的Au NPs表现出类似葡萄糖氧化酶的活性,催化葡萄糖转化为H2O2和葡萄糖酸,从而同时提高H2O2水平和局部酸度,从而建立一个自放大的催化级联。这种基于纳米酶的级联扩增效应通过促进•OH的生成显著增强了CDT的功效。系统评价表明,该纳米反应器具有双酶模拟活性(pod样和gox样),具有良好的生物安全性和显著的肿瘤抑制作用。该研究通过合理设计能够动态调节TME的多功能纳米酶增强CDT,为精确癌症治疗建立了新的范例。
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引用次数: 0
Microbubbles for Acoustically Mediated Drug Delivery to the Inner Ear. 声学介导的内耳药物递送微泡。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.5c01397
Charlotte Jeanneau, Fabrice Micaletti, Damien Fouan, Valérie Schubnel, Cédric Chauvierre, John J Galvin, Jean-Michel Escoffre, David Bakhos

The blood-labyrinth barrier (BLB) is a selective endothelial barrier that maintains the homeostasis of the inner ear and protects it against toxic molecules and pathogens. This highly selective barrier represents a significant challenge for the delivery of therapeutic agents to the inner ear. To overcome this issue, various drug delivery methods have been developed. Among these modalities, microbubble-assisted ultrasound is an innovative and promising method for the noninvasive, targeted and efficient delivery of therapeutic agents through the round window membrane. The safety and the efficacy of this physical modality is strongly dependent on physiological properties of the targeted tissue, the pharmacological properties of the therapeutic molecules, the ultrasound parameters but also microbubble-related properties. The present review focuses on the current state of MB formulations and their use for the acoustically mediated inner ear drug delivery.

血迷宫屏障(BLB)是一种选择性内皮屏障,维持内耳的稳态,保护内耳免受有毒分子和病原体的侵害。这种高度选择性的屏障对治疗药物进入内耳是一个重大的挑战。为了克服这个问题,已经开发了各种给药方法。在这些方法中,微泡辅助超声是一种创新的、有前途的方法,可以通过圆窗膜无创、靶向和有效地给药。这种物理方式的安全性和有效性在很大程度上取决于目标组织的生理特性、治疗分子的药理学特性、超声参数以及微泡相关特性。本文综述了MB制剂的现状及其在声学介导内耳给药中的应用。
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引用次数: 0
Ginseng-Derived Exosomes-Loaded Thermosensitive Hydrogel for the Treatment of Periodontitis. 人参衍生外泌体负载热敏水凝胶治疗牙周炎。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.5c01404
Xiaorong Wang, Yawen Yu, Xiaoning Li, Chang Liu, Zhishan Lu, Zhanzhou Wang

Periodontitis represents a persistent inflammatory condition marked by the irreversible destruction of the alveolar bone, eventually leading to tooth loss. The ideal treatment for periodontitis involves three key steps: antibacterial treatment, inflammation control, and periodontal regeneration, ultimately leading to the complete restoration of alveolar bone and the full recovery of periodontal function. However, current periodontitis treatments cannot comprehensively solve these issues. In this study, a ginseng-derived exosomes (GEXs)-loaded injectable hydrogel (GEXs@Gel) was designed. GEXs@Gel was thermosensitive with good fluidity, capable of conforming to the intricate contours of periodontal pockets, while withstanding the persistent wash of gingival crevicular fluid. In vitro studies showed that GEXs and GEXs@Gel can inhibit the growth of periodontal pathogenic bacteria, effectively remove biofilms, promote the polarization of macrophages to the anti-inflammatory (M2) phenotype, and alleviate cellular oxidative stress. In particular, GEXs@Gel had the functions of promoting bone/angiogenesis and regeneration. In vivo studies showed that GEXs@Gel effectively inhibited inflammation, promoted alveolar bone regeneration, and effectively reversed periodontitis. In summary, GEXs@Gel offers a promising strategy for the treatment of periodontitis.

牙周炎是一种以牙槽骨不可逆转的破坏为特征的持续性炎症,最终导致牙齿脱落。理想的牙周炎治疗包括三个关键步骤:抗菌治疗、炎症控制和牙周再生,最终导致牙槽骨的完全修复和牙周功能的完全恢复。然而,目前的牙周炎治疗还不能全面解决这些问题。在这项研究中,设计了一种人参源性外泌体(ges)负载的可注射水凝胶(GEXs@Gel)。GEXs@Gel具有热敏性和良好的流动性,能够符合牙周袋的复杂轮廓,同时承受牙龈沟液的持续洗涤。体外研究表明,GEXs和GEXs@Gel能抑制牙周致病菌生长,有效去除生物膜,促进巨噬细胞向抗炎(M2)表型极化,缓解细胞氧化应激。特别是GEXs@Gel具有促进骨/血管生成和再生的功能。体内研究表明GEXs@Gel有效抑制炎症,促进牙槽骨再生,有效逆转牙周炎。总之,GEXs@Gel为治疗牙周炎提供了一个有希望的策略。
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引用次数: 0
Developing Nanotechnology for Intratumoral Immunotherapy 发展纳米技术用于肿瘤内免疫治疗
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.6c00055
Anthony O. Omole, , , Hui Cai, , , Steven Fiering, , and , Nicole F. Steinmetz*, 
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引用次数: 0
Deciphering Copper Homeostasis and Cuproptosis: Biological Mechanisms, Disease Connections, and Cutting-Edge Copper-Based Nanomedicine. 破译铜稳态和铜退化:生物机制、疾病联系和前沿的铜基纳米医学。
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-02 DOI: 10.1021/acs.molpharmaceut.5c01708
Shu-Xin Zhang, Liu-Gen Li, Lu-Jin Wang, Nan-Nan Chen, Fan Leng, Hua-Zhen Xu, Tong-Fei Li

Copper (Cu), as an essential trace element, participates in various physiological processes through strict homeostatic regulation. Abnormal intracellular copper accumulation can cause multiple forms of copper-dependent cell death (including apoptosis, autophagy, ferroptosis, and the recently identified cuproptosis) and disrupt cellular functions, which emphasizes the importance of maintaining copper homeostasis. This review aims to outline the connections between the copper homeostatic regulatory network and different copper-dependent cell death pathways, exploring their potential for understanding disease mechanisms and developing targeted therapies. Therefore, this review systematically discusses copper homeostasis, copper-related diseases, copper-dependent cell death, and the associated mitochondria-dependent mechanisms. Additionally, we highlight the implications of various copper-dependent cell death processes in diseases (such as Menkes disease, Wilson disease, neurodegenerative disorders, and cancer), as well as the potential role of copper-induced cellular proliferation (cuproplasia) in tumor progression. As our understanding of copper metabolism regulation deepens, strategies targeting copper-associated cell death, including copper-based nanobiomaterials and targeted drug delivery, show promise as emerging therapeutic approaches for multiple diseases. Future research should further elucidate the links between copper-dependent cell death and disease, not only to understand the underlying mechanisms but also to develop nanomedicine-based interventions, alongside assessments of the feasibility and safety of restoring copper homeostasis in clinical practice.

铜(Cu)作为人体必需的微量元素,通过严格的体内平衡调节参与各种生理过程。异常的细胞内铜积累可导致多种形式的铜依赖性细胞死亡(包括凋亡、自噬、铁凋亡和最近发现的铜增生)并破坏细胞功能,这强调了维持铜稳态的重要性。本文旨在概述铜稳态调节网络与不同铜依赖性细胞死亡途径之间的联系,探索其在理解疾病机制和开发靶向治疗方面的潜力。因此,本文系统地讨论了铜稳态、铜相关疾病、铜依赖性细胞死亡以及相关的线粒体依赖机制。此外,我们强调了各种铜依赖性细胞死亡过程在疾病(如Menkes病、Wilson病、神经退行性疾病和癌症)中的意义,以及铜诱导的细胞增殖(铜增生)在肿瘤进展中的潜在作用。随着我们对铜代谢调控的理解不断加深,针对铜相关细胞死亡的策略,包括铜基纳米生物材料和靶向药物递送,有望成为多种疾病的新兴治疗方法。未来的研究应进一步阐明依赖铜的细胞死亡与疾病之间的联系,不仅要了解潜在的机制,而且要开发基于纳米医学的干预措施,同时在临床实践中评估恢复铜稳态的可行性和安全性。
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引用次数: 0
Liver-on-a-Chip (LoC) Models: Case Studies of Academic Platforms and Commercial Products. 肝脏芯片(LoC)模型:学术平台和商业产品的案例研究
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1021/acs.molpharmaceut.5c01122
Zineb Benzait, Özlem Tomsuk, Aliakbar Ebrahimi, Hamed Ghorbanpoor, Ceren Özel, Reza Didarian, Bahar Demir Cevizlidere, Murat Kaya, Tamer Gur, Nigar Gasimzade, Fulya Büge Ergen, Ahmet Emin Topal, Shadab Dabagh, Roshan Javanifar, Nuran Abdullayeva, Onur Uysal, Ayla Eker Sarıboyacı, Fatma Doğan Güzel, Shabir Hassan, Huseyin Avci

Pharmaceutical companies place significant importance on the liver due to its crucial role in numerous biochemical processes, specifically in drug metabolism. This focus has led to significant progress in liver-on-a-chip (LoC) technology, which has proven useful not only in drug development but also in more advanced applications. As a result, elaboration and incorporation of advanced LoC models into preclinical workflows have great potential to decrease R&D expenses and reduce or even replace animal testing, while improving the safety and efficacy of new therapies. To explore this potential, the present review provides an overview of recent academic and commercial LoC models, examines their different designs and cellular compositions, and evaluates the advantages and disadvantages of their complexity. A systematic comparison of these models is then performed, along with a discussion of their current challenges and future perspectives. Ultimately, we hope this review will assist scientists and industry professionals in selecting optimal models and in contributing to future advancements in LoC technology.

制药公司非常重视肝脏,因为它在许多生化过程中起着至关重要的作用,特别是在药物代谢中。这种关注导致肝脏芯片(LoC)技术取得了重大进展,该技术不仅在药物开发中很有用,而且在更高级的应用中也很有用。因此,在临床前工作流程中细化和纳入先进的LoC模型具有很大的潜力,可以减少研发费用,减少甚至取代动物试验,同时提高新疗法的安全性和有效性。为了探索这种潜力,本文综述了最近的学术和商业LoC模型,研究了它们不同的设计和细胞组成,并评估了它们复杂性的优点和缺点。然后对这些模型进行系统的比较,并讨论它们当前的挑战和未来的前景。最后,我们希望这篇综述将帮助科学家和行业专业人士选择最佳模型,并为LoC技术的未来发展做出贡献。
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引用次数: 0
Preclinical Evaluation and First-in-Human Imaging with 18F-NOTA-R49: A Comparative Analysis versus 18F-FDG PET/CT in Various Cancer Patients. 18F-NOTA-R49的临床前评估和首次人体成像:与18F-FDG PET/CT在不同癌症患者中的比较分析
IF 4.5 2区 医学 Q2 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2026-02-01 DOI: 10.1021/acs.molpharmaceut.5c01742
Guanyun Wang, Xin Wen, Lingling Zheng, Xinyue Ge, Keyu Zhang, Ying Kan, Mengyi Zhang, Wei Wang, Mingyu Zhang, Feihu Guo, Jigang Yang

Our study aims to develop a novel 18F-labeled fibroblast activation protein inhibitor (FAPI) probe, 18F-NOTA-R49, and validate its diagnostic performance across multiple cancers in both preclinical and clinical studies. 18F-NOTA-R49 was synthesized through chemical methods, and its in vitro affinity, internalization characteristics, and specificity were evaluated in FAP-overexpressing cells HEK-293-hFAP and U-87 MG. Tumor-bearing mouse models were established to assess in vivo targeting and pharmacokinetics via small-animal PET/CT imaging and biodistribution studies. Ten patients with various cancers were enrolled in a clinical study comparing lesion-detection capabilities of 18F-NOTA-R49 and 18F-FDG PET/CT. In vivo studies showed significant early uptake in FAP-positive tumors (29.36 ± 1.49%ID/g at 0.5 h), which was effectively blocked by unlabeled NOTA-R49. Clinically, 18F-NOTA-R49 exhibited superior lesion contrast compared to 18F-FDG in gastric cancer, mesenchymal tumors, prostate cancer, seminoma, and pancreatic cancer, particularly in peritoneal and lymph node metastases. 18F-NOTA-R49 demonstrates high affinity and specificity and excellent tumor-targeting properties. It shows better diagnostic efficacy than 18F-FDG in various malignant tumors, indicating a significant clinical translation potential.

我们的研究旨在开发一种新的18f标记的成纤维细胞活化蛋白抑制剂(FAPI)探针18F-NOTA-R49,并在临床前和临床研究中验证其对多种癌症的诊断性能。通过化学方法合成18F-NOTA-R49,并在过表达fap的细胞HEK-293-hFAP和U-87 MG中评价其体外亲和力、内化特性和特异性。建立荷瘤小鼠模型,通过小动物PET/CT成像和生物分布研究来评估体内靶向性和药代动力学。10名不同癌症患者参加了一项临床研究,比较了18F-NOTA-R49和18F-FDG PET/CT的病变检测能力。体内研究显示,fap阳性肿瘤的早期摄取显著(0.5 h时为29.36±1.49%ID/g),未标记的NOTA-R49可有效阻断。在临床上,18F-NOTA-R49在胃癌、间质肿瘤、前列腺癌、精原细胞瘤和胰腺癌中表现出优于18F-FDG的病变对比,尤其是在腹膜和淋巴结转移中。18F-NOTA-R49具有高亲和力和特异性,具有良好的肿瘤靶向性。对多种恶性肿瘤的诊断效果优于18F-FDG,具有重要的临床翻译潜力。
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引用次数: 0
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Molecular Pharmaceutics
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