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Optical Imaging of Single Extracellular Vesicles: Recent Progress and Prospects 单个细胞外囊泡的光学成像:最新进展与前景
Pub Date : 2023-12-15 DOI: 10.1021/cbmi.3c00095
Bochen Ma, Li Li, Yuting Bao, Liang Yuan, Songlin Liu, Liqing Qi, Sihui Tong, Yating Xiao, Lubin Qi, Xiaohong Fang* and Yifei Jiang*, 

Extracellular vesicles (EVs) are small, membrane-bound structures released by various cell types into the extracellular environment, which play a crucial role in intercellular communication and the transfer of biomolecules between cells. Given their functional significance, there are intense research interests to use EVs as disease markers and drug carriers. However, EVs characterization is greatly hindered by the small size, the low biomolecule payload, and the high level of heterogeneity. To address these challenges, researchers have adopted sensitive microscopic methods such as single-molecule fluorescence imaging, single-particle dark-field imaging, surface-enhanced Raman scattering, and surface plasmon resonance imaging for single EV analysis. These techniques can detect signals from individual EVs, enabling a detailed study of the heterogeneity. Analysis of EVs cargo has provided insights into the protein/nucleic acid expression and enabled subgroup differentiation. Superresolution mapping has visualized EVs structures, and single EV tracking has offered insights into their release and uptake mechanisms. In this review, we will summarize the recent advances in optical imaging of single EVs, including the biomarkers used for EV labeling, the performance of the reported microscopic methods, and their biological findings. Finally, we will address the limitations of the existing methods and outline prospects for future development in this field.

细胞外囊泡(EVs)是由各种细胞释放到细胞外环境中的小型膜结合结构,在细胞间通信和细胞间生物分子转移中发挥着至关重要的作用。鉴于 EVs 的重要功能,将其用作疾病标志物和药物载体的研究兴趣十分浓厚。然而,EVs 体积小、生物大分子载量低、异质性强,这些因素极大地阻碍了对其进行表征。为了应对这些挑战,研究人员采用了敏感的显微方法,如单分子荧光成像、单颗粒暗场成像、表面增强拉曼散射和表面等离子体共振成像,来分析单个 EV。这些技术可以检测单个 EV 的信号,从而对其异质性进行详细研究。对 EVs 货物的分析有助于深入了解蛋白质/核酸的表达,并实现亚群分化。超分辨率制图可将EVs结构可视化,单个EVs追踪可深入了解其释放和吸收机制。在这篇综述中,我们将总结单个EV光学成像的最新进展,包括用于EV标记的生物标记物、已报道的显微方法的性能及其生物学发现。最后,我们将讨论现有方法的局限性,并概述该领域的未来发展前景。
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引用次数: 0
Development of Dual-Responsive Fluorescent Probe for Drug Screening of Diabetes Cardiomyopathy 开发用于糖尿病心肌病药物筛选的双反应荧光探针
Pub Date : 2023-12-11 DOI: 10.1021/cbmi.3c00112
Ping-Zhao Liang, Zhe Li, Xing-Xing Zhang, Fei-Yu Yang, Su-Lai Liu*, Tian-Bing Ren, Lin Yuan and Xiao-Bing Zhang*, 

For specific drug research and development, a drug-screening strategy (DSS) plays an indispensable role in the biomedical field. Unfortunately, traditional strategies are complicated and insufficiently accurate due to the widely used single-target screening method. Herein, a simple dual-target-based drug-screening strategy (dt-DSS) is proposed to screen highly effective drugs by fluorescence imaging. As a proof of concept, we utilized a dual-responsive fluorescence probe to screen drugs for diabetic cardiomyopathy (DCM). We first developed and took advantage of a dual-response probe HDB to detect reactive oxygen species (ROS) and mitophagy levels in cellular starvation and high glucose models. Based on this, HDB was utilized to study the effects of different drugs in the mitophagy process caused by the high-glucose cell model for DCM. Combined with Western blotting assays, we found that Drp-1 inhibitors could fundamentally reduce mitophagy caused by the high-glucose cells model. Compared with commercial single-target antioxidant drugs, the drugs with simultaneous antioxidant capacity and Drp-1 inhibition screened by dt-DSS, such as resveratrol and icariin, could treat DCM better. Therefore, HDB as an effective tool could accurately and quickly screen high-potency drugs for DCM. We believe that this work provides an attractive strategy to explore the pathogenesis of diabetic cardiomyopathy and precisely screen for highly effective drugs.

对于特定药物的研究和开发,药物筛选策略(DSS)在生物医学领域发挥着不可或缺的作用。遗憾的是,由于广泛采用单靶点筛选方法,传统策略复杂且不够准确。本文提出了一种简单的基于双靶点的药物筛选策略(dt-DSS),通过荧光成像筛选高效药物。作为概念验证,我们利用双响应荧光探针筛选糖尿病心肌病(DCM)药物。我们首先开发了双响应探针 HDB,并利用它在细胞饥饿和高糖模型中检测活性氧(ROS)和有丝分裂水平。在此基础上,利用 HDB 研究了不同药物对高糖细胞模型 DCM 有丝分裂过程的影响。结合 Western 印迹分析,我们发现 Drp-1 抑制剂能从根本上减少高糖细胞模型引起的有丝分裂。与商业单靶点抗氧化药物相比,通过dt-DSS筛选出的同时具有抗氧化能力和抑制Drp-1作用的药物,如白藜芦醇和冰片苷,能更好地治疗DCM。因此,HDB 作为一种有效的工具,可以准确、快速地筛选出治疗 DCM 的高效药物。我们相信,这项工作为探索糖尿病心肌病的发病机制和精确筛选高效药物提供了一种极具吸引力的策略。
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引用次数: 0
Self-Illuminating In Situ Hydrogel with Immune-Adjuvant Amplify Cerenkov Radiation-Induced Photodynamic Therapy 带有免疫佐剂的自发光原位水凝胶可放大塞伦科夫辐射诱导的光动力疗法
Pub Date : 2023-12-06 DOI: 10.1021/cbmi.3c00098
Xinmiao Zhang, Jingru Guo, Ziwei Zhou, Kai Feng, Huihui Liu, Yiling Ruan, Ruifang Chen, Zixuan Liu, Tao Zhang*, Lijun Tang* and Xiaolian Sun*, 

Cerenkov radiation-induced photodynamic therapy (CR-induced PDT) has shown the potential to overcome the light penetration limitation in conventional PDT. In addition, the tumor-associated antigens (TAAs) produced by PDT can initiate an antitumor immune process but only show a limited immunotherapeutic effect without the use of immunotherapeutic agents. Herein, a CR-induced PDT hydrogel (R837/89Zr-HG-PpIX) has been developed by in situ formation of a hyaluronic acid (HA)-based hydrogel integrated with internal light source 89Zr, photosensitizer protoporphyrin IX (PpIX), and immune adjuvant imiquimod (R837). The obtained R837/89Zr-HG-PpIX hydrogel with long-term tumor retention and low radiation leakage can provide long-lasting photodynamic therapy without phototoxicity in normal tissues. In addition, the loaded R837 improves the immunogenicity of TAAs released after PDT, resulting in considerably enhanced immune responses. At relatively low radioactivity, R837/89Zr-HG-PpIX shows significant inhibition in subcutaneous H22 tumor-bearing BALB/c mice and orthotopic VX2 liver tumor-bearing rabbits. Furthermore, the combination of such a CR-induced PDT hydrogel with anti-PD-L1 exhibits the abscopal effect to inhibit the growth of distant tumors. Therefore, the proposed in situ formed CR-induced PDT hydrogel with long-term photodynamic-immunotherapy provides an effective strategy for deep tumor therapy.

科伦科夫辐射诱导光动力疗法(CR-induced PDT)有望克服传统光动力疗法的光穿透限制。此外,光动力疗法产生的肿瘤相关抗原(TAAs)可以启动抗肿瘤免疫过程,但在不使用免疫治疗药物的情况下只能显示出有限的免疫治疗效果。在此,我们开发了一种 CR 诱导的 PDT 水凝胶(R837/89Zr-HG-PpIX),它是由透明质酸(HA)水凝胶与内部光源 89Zr、光敏剂原卟啉 IX(PpIX)和免疫佐剂咪喹莫特(R837)在原位形成的。所获得的 R837/89Zr-HG-PpIX 水凝胶具有长期肿瘤保留和低辐射泄漏的特性,可提供持久的光动力疗法,且不会对正常组织产生光毒性。此外,负载的 R837 还能改善光动力疗法后释放的 TAAs 的免疫原性,从而大大增强免疫反应。在放射性相对较低的情况下,R837/89Zr-HG-PpIX 对皮下 H22 肿瘤 BALB/c 小鼠和正位 VX2 肝肿瘤兔子有显著的抑制作用。此外,这种 CR 诱导的 PDT 水凝胶与抗-PD-L1 的结合还显示出抑制远处肿瘤生长的脱落效应。因此,原位形成的CR诱导PDT水凝胶与长期光动力免疫疗法的结合为深部肿瘤治疗提供了一种有效的策略。
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引用次数: 0
Construction of Targeting-Peptide-Based Imaging Reagents and Their Application in Bioimaging 构建基于靶向肽的成像试剂及其在生物成像中的应用
Pub Date : 2023-12-04 DOI: 10.1021/cbmi.3c00104
Limin Zhang, Xin Wang, Jinge Zhao, Beilei Sun and Weizhi Wang*, 

Molecular imaging was developed from basic molecular recognition. It can visualize not only the expression levels of specific molecules in a living system but also specific biological processes, thus providing guidance for early detection and treatment of diseases. As a noninvasive method, imaging agents are one of the foundations of high spatial resolution imaging, and their sensitivity and specificity can be improved by coupling targeting ligands to imaging probes. Among the various targeting ligands (antibodies, aptamers, etc.), targeting peptides are widely used in various modalities of molecular imaging due to their high affinities toward the molecular target and their excellent physicochemical properties. In this review, we summarize the design concepts and methods of targeting peptides in molecular imaging, introduce the combination of targeting peptides and imaging probes in different imaging modalities (e.g., fluorescence imaging, radionuclide imaging), and provide examples of their applications in bioimaging. Finally, the challenges and strategies for clinical translation and practical application of targeting peptide-based imaging reagents are briefly discussed.

分子成像是从基本的分子识别发展而来的。它不仅可以观察到生命系统中特定分子的表达水平,还可以观察到特定的生物过程,从而为疾病的早期检测和治疗提供指导。作为一种非侵入性方法,成像剂是高空间分辨率成像的基础之一,其灵敏度和特异性可通过将靶向配体与成像探针耦合而得到提高。在各种靶向配体(抗体、适配体等)中,靶向肽因其对分子靶点的高亲和力和优异的理化特性,被广泛应用于各种模式的分子成像中。在这篇综述中,我们总结了分子成像中靶向肽的设计理念和方法,介绍了不同成像模式(如荧光成像、放射性核素成像)中靶向肽与成像探针的结合,并举例说明了它们在生物成像中的应用。最后,简要讨论了基于靶向肽的成像试剂在临床转化和实际应用中面临的挑战和策略。
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引用次数: 0
Macrophage-Targeting and Hydrogen-Peroxide-Responsive Fluorescent Probe for Imaging of Inflammation In Vivo 用于体内炎症成像的巨噬细胞靶向和过氧化氢响应型荧光探针
Pub Date : 2023-11-30 DOI: 10.1021/cbmi.3c00113
Menglin Tao, Minghui Wang, CuiCui Jiang, Wenbin Liu, Wujuan Zhu, Xiang Shi* and Zijuan Hai*, 

An uncontrolled immune response leads to many diseases; therefore, monitoring inflammation is crucial for the diagnosis of subsequent diseases, drug screening, and targeted therapy. Since the inflammatory response mainly occurs in macrophages, there is a need to develop more inflammatory probes with macrophage-targeting ability. Herein, we designed a macrophage-targeted and hydrogen-peroxide-activated fluorescent probe BOH-HCy-Man for real-time imaging of inflammation in vivo and a control probe BOH-HCy without the macrophage-targeting part. The larger rate constant toward H2O2 led to the higher sensitivity of BOH-HCy-Man (19.1-fold) than BOH-HCy (10.2-fold) in vitro. With the help of its macrophage-targeting ability, BOH-HCy-Man possessed an additional 1.6-fold fluorescent enhancement in inflamed RAW 264.7 cells or 1.3-fold fluorescent enhancement in vivo than BOH-HCy. We expected that BOH-HCy-Man will be a powerful tool for early diagnosis of inflammation related diseases.

不受控制的免疫反应会导致许多疾病;因此,监测炎症对于后续疾病的诊断、药物筛选和靶向治疗至关重要。由于炎症反应主要发生在巨噬细胞中,因此需要开发更多具有巨噬细胞靶向能力的炎症探针。在此,我们设计了一种巨噬细胞靶向和过氧化氢激活的荧光探针 BOH-HCy-Man,用于体内炎症的实时成像,同时还设计了一种不含巨噬细胞靶向部分的对照探针 BOH-HCy。BOH-HCy-Man对H2O2的速率常数较大,因此其体外灵敏度(19.1倍)高于BOH-HCy(10.2倍)。借助其巨噬细胞靶向能力,BOH-HCy-Man 在发炎的 RAW 264.7 细胞中的荧光增强比 BOH-HCy 多 1.6 倍,在体内的荧光增强比 BOH-HCy 多 1.3 倍。我们预计,BOH-HCy-Man 将成为炎症相关疾病早期诊断的有力工具。
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引用次数: 0
A Patching and Coding Lipid Raft-Localized Universal Imaging Platform 修补和编码脂质筏定位通用成像平台
Pub Date : 2023-11-29 DOI: 10.1021/cbmi.3c00109
Tong Zhong, Younan Chen, Xiaomin Yan, Yiran Li, Haiqi Wang, Yihong Zhong, Ke Li, Ran Xie, Haifeng Dong, Lin Ding* and Huangxian Ju, 

Lipid rafts (LRs) are relatively well-ordered functional microdomains in cell membranes and play an irreplaceable role in physiological processes as a transduction platform for multiple signaling pathways. Due to their small size and high spatiotemporal dynamics, it is difficult to perform lipid raft-localized biomolecule imaging on the surface of living cells. Here, we report a DNA nanotechnology-based platform for reversible manipulation and localized analysis of lipid rafts, which consists of two modules: “patching and coding probe pair” and “fishing probe”. The probe pair is generated by modifying two different sets of connectable DNA structures on a lipid raft-specific protein. After recognizing lipid rafts, the two probes in close proximity are linked by a DNA ligase reaction to form a lipid raft identity (LR-ID) code. The LR-ID strand patches and stabilizes the lipid raft structure. Interestingly, the raft patches formed can be depatched by restriction endonucleases, providing the first reversible manipulation of the lipid raft structure in living cells. We also designed a “fishing probe” with a DNA hairpin structure using an aptamer that can specifically bind to the target. The probe can cascade the reaction to two input signals “LR-ID” and “target protein” to generate an “off–on” fluorescence switch, allowing imaging and dynamic monitoring of target proteins localized in lipid rafts. By encoding arbitrary targets (in the case of glycans) in lipid rafts, we have created a universal lipid raft-localized imaging platform. This work provides an integrated analytical and manipulative platform to reveal lipid rafts and associated signaling pathways at the molecular level.

脂质筏(LRs)是细胞膜中相对有序的功能微域,作为多种信号通路的传导平台,在生理过程中发挥着不可替代的作用。由于脂质筏体积小、时空动态性高,因此很难在活细胞表面进行脂质筏定位生物大分子成像。在此,我们报告了一种基于 DNA 纳米技术的脂质筏可逆操作和定位分析平台,该平台由两个模块组成:该平台由两个模块组成:"修补和编码探针对 "和 "钓鱼探针"。探针对是通过修改脂筏特异性蛋白质上两组不同的可连接 DNA 结构生成的。在识别脂质筏后,靠近的两个探针通过 DNA 连接酶反应连接起来,形成脂质筏识别(LR-ID)代码。LR-ID 链修补并稳定脂质筏结构。有趣的是,形成的脂筏补丁可被限制性内切酶剥离,从而首次在活细胞中对脂筏结构进行可逆操作。我们还设计了一种具有 DNA 发夹结构的 "钓鱼探针",它使用了一种能与目标特异性结合的适配体。该探针可对两个输入信号 "LR-ID "和 "目标蛋白 "进行级联反应,产生 "关-开 "荧光开关,从而对定位在脂筏中的目标蛋白进行成像和动态监测。通过对脂质筏中的任意目标(以聚糖为例)进行编码,我们创建了一个通用的脂质筏定位成像平台。这项工作提供了一个综合分析和操作平台,在分子水平上揭示脂质筏和相关信号通路。
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引用次数: 0
Cancer Brachytherapy at the Nanoscale: An Emerging Paradigm 纳米级癌症近距离治疗:新兴范例
Pub Date : 2023-11-21 DOI: 10.1021/cbmi.3c00092
Sanchita Ghosh, Sophia J. Lee, Jessica C. Hsu, Sudipta Chakraborty, Rubel Chakravarty* and Weibo Cai*, 

Brachytherapy is an established treatment modality that has been globally utilized for the therapy of malignant solid tumors. However, classic therapeutic sealed sources used in brachytherapy must be surgically implanted directly into the tumor site and removed after the requisite period of treatment. In order to avoid the trauma involved in the surgical procedures and prevent undesirable radioactive distribution at the cancerous site, well-dispersed radiolabeled nanomaterials are now being explored for brachytherapy applications. This emerging field has been coined “nanoscale brachytherapy”. Despite present-day advancements, an ongoing challenge is obtaining an advanced, functional nanomaterial that concurrently incorporates features of high radiolabeling yield, short labeling time, good radiolabeling stability, and long tumor retention time without leakage of radioactivity to the nontargeted organs. Further, attachment of suitable targeting ligands to the nanoplatforms would widen the nanoscale brachytherapy approach to tumors expressing various phenotypes. Molecular imaging using radiolabeled nanoplatforms enables noninvasive visualization of cellular functions and biological processes in vivo. In vivo imaging also aids in visualizing the localization and retention of the radiolabeled nanoplatforms at the tumor site for the requisite time period to render safe and effective therapy. Herein, we review the advancements over the last several years in the synthesis and use of functionalized radiolabeled nanoplatforms as a noninvasive substitute to standard brachytherapy sources. The limitations of present-day brachytherapy sealed sources are analyzed, while highlighting the advantages of using radiolabeled nanoparticles (NPs) for this purpose. The recent progress in the development of different radiolabeling methods, delivery techniques and nanoparticle internalization mechanisms are discussed. The preclinical studies performed to date are summarized with an emphasis on the current challenges toward the future translation of nanoscale brachytherapy in routine clinical practices.

近距离放射治疗是一种成熟的治疗方式,已在全球范围内用于治疗恶性实体瘤。然而,近距离放射治疗中使用的传统治疗密封源必须通过手术直接植入肿瘤部位,并在必要的治疗期后取出。为了避免手术过程中的创伤,并防止放射性物质在肿瘤部位的不良分布,目前正在探索将分散良好的放射性标记纳米材料用于近距离放射治疗。这一新兴领域被称为 "纳米近距离放射治疗"。尽管目前的研究取得了进展,但持续存在的挑战是如何获得一种先进的功能性纳米材料,同时兼具放射性标记产量高、标记时间短、放射性标记稳定性好和肿瘤保留时间长等特点,且不会向非靶器官泄漏放射性。此外,将合适的靶向配体附着到纳米平台上还能拓宽纳米近距离放射治疗方法的应用范围,使其适用于各种表型的肿瘤。利用放射性标记的纳米平台进行分子成像,可对体内的细胞功能和生物过程进行非侵入性观察。体内成像还有助于观察放射性标记纳米平台在肿瘤部位的定位和保留时间,以提供安全有效的治疗。在此,我们回顾了过去几年在合成和使用功能化放射性标记纳米平台作为标准近距离放射源的无创替代品方面取得的进展。文章分析了当今近距离治疗密封源的局限性,同时强调了为此目的使用放射性标记纳米粒子(NPs)的优势。文章讨论了近期在开发不同放射性标记方法、传输技术和纳米粒子内化机制方面取得的进展。总结了迄今为止所进行的临床前研究,重点讨论了纳米近距离放射治疗在未来常规临床实践中所面临的挑战。
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引用次数: 0
An Image Processing Algorithm for Facile and Reproducible Quantification of Vomocytosis 一种用于对呕吐物进行便捷、可重复定量的图像处理算法
Pub Date : 2023-11-20 DOI: 10.1021/cbmi.3c00102
Neeraj Senthil, Noah Pacifici, Melissa Cruz-Acuña, Agustina Diener, Hyunsoo Han and Jamal S. Lewis*, 

Vomocytosis is a process that occurs when internalized fungal pathogens escape from phagocytes without compromising the viability of the pathogen and the host cell. Manual quantification of time-lapse microscopy videos is currently used as the standard to study pathogen behavior and vomocytosis incidence. However, human-driven quantification of vomocytosis (and the closely related phenomenon, exocytosis) is incredibly burdensome, especially when a large volume of cells and interactions needs to be analyzed. In this study, we designed a MATLAB algorithm that measures the extent of colocalization between the phagocyte and fungal cell (Cryptococcus neoformans; CN) and rapidly reports the occurrence of vomocytosis in a high throughput manner. Our code processes multichannel, time-lapse microscopy videos of cocultured CN and immune cells that have each been fluorescently stained with unique dyes and provides quantitative readouts of the spatiotemporally dynamic process that is vomocytosis. This study also explored metrics, such as the rate of change of pathogen colocalization with the host cell, that could potentially be used to predict vomocytosis occurrence based on the quantitative data collected. Ultimately, the algorithm quantifies vomocytosis events and reduces the time for video analysis from over 1 h to just 10 min, a reduction in labor of 83%, while simultaneously minimizing human error. This tool significantly minimizes the vomocytosis analysis pipeline, accelerates our ability to elucidate unstudied aspects of this phenomenon, and expedites our ability to characterize CN strains for the study of their epidemiology and virulence.

呕吐是内化的真菌病原体从吞噬细胞中逃逸而不损害病原体和宿主细胞活力的过程。目前,手动量化延时显微镜视频是研究病原体行为和呕吐发生率的标准。然而,人为量化呕吐(以及与之密切相关的外吞现象)是非常繁琐的,尤其是需要分析大量细胞和相互作用时。在本研究中,我们设计了一种 MATLAB 算法,它能测量吞噬细胞与真菌细胞(新生隐球菌;CN)之间的共聚焦程度,并以高通量的方式快速报告呕吐现象的发生。我们的代码可处理用独特染料进行荧光染色的共培养 CN 和免疫细胞的多通道、延时显微镜视频,并提供呕吐这一时空动态过程的定量读数。这项研究还探索了一些指标,如病原体与宿主细胞共定位的变化率,这些指标有可能用于根据收集到的定量数据预测呕吐现象的发生。最终,该算法量化了呕吐事件,并将视频分析时间从 1 个多小时缩短到 10 分钟,减少了 83% 的人力,同时将人为错误降至最低。该工具大大缩短了呕吐分析流程,加快了我们阐明这一现象的未研究方面的能力,并加快了我们鉴定 CN 菌株以研究其流行病学和毒力的能力。
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引用次数: 0
Seeing Deeper via Radio Afterglow Imaging 通过无线电余辉成像看更深的世界
Pub Date : 2023-11-18 DOI: 10.1021/cbmi.3c00118
Shaohai Liu, Yuyang Tian and Deju Ye*, 
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引用次数: 0
Molecular Eye: A System for Precise Diagnosis and Treatment of Major Clinical Diseases Based on Molecular Probe Technology 分子之眼基于分子探针技术的重大临床疾病精准诊断和治疗系统
Pub Date : 2023-11-15 DOI: 10.1021/cbmi.3c00093
Xin Ji, Xin Chen, Kexin Li, Zhihao Zhang, Lijun Tang, Tiannv Li, Feng Han, Hao Hong* and Tao Zhang*, 

With the flourishing development of precision medicine, theranostics, generally recognized as the integration of diagnosis and treatment, has emerged as a prominent trend in clinical research. However, theranostics primarily emphasizes the end result of integration, without providing sufficient details on how precise diagnosis and synergetic individualized treatment could be achieved and what clinical challenges could be effectively addressed in clinical practice. Molecular probe technology provides a robust method to bridge the gap between theory and practice. Through meticulous design of the chemical structure, imaging labels or drugs were conjugated to tumor-targeting peptides, antibodies, or inducers to form molecular probes, which allow a seamless switch between targeted intervention and targeted imaging with consistency in time, space, and biodistribution. Thus, this review proposes a concept called “molecular eye”, which refers to a comprehensive system for precise diagnosis and treatment of major clinical diseases based on molecular probe technology. This medical system emphasizes the chemical basis of probe development and optimization, which can provide precise actionable information for clinical decision making, allow molecular-targeted therapy, expand the indications of old therapy, and accelerate the regulatory approval of molecular drugs. “Molecular eye” resembles the piercing eye of the Monkey King, which can detect previously “invisible” diseases and facilitate disease diagnosis, treatment, real-time evaluation, and pathology research, guiding drug development. The emergence of the “molecular eyes” will provide opportunities and challenges in the fields of clinical practice and medical research and propel the progression of contemporary medicine toward precision medicine.

随着精准医学的蓬勃发展,被普遍认为是诊断与治疗一体化的治疗学(theranostics)已成为临床研究的一个突出趋势。然而,治疗学主要强调的是整合的最终结果,对于如何实现精确诊断和协同个体化治疗,以及在临床实践中如何有效解决临床难题,却没有提供足够的细节。分子探针技术为弥合理论与实践之间的差距提供了强有力的方法。通过对化学结构的精心设计,成像标签或药物与肿瘤靶向肽、抗体或诱导剂共轭形成分子探针,从而实现靶向干预和靶向成像的无缝切换,并在时间、空间和生物分布上保持一致。因此,本综述提出了 "分子眼 "的概念,即基于分子探针技术的重大临床疾病精准诊断和治疗的综合体系。这一医学体系强调探针开发和优化的化学基础,可为临床决策提供精确的可操作信息,实现分子靶向治疗,扩大旧疗法的适应症,加速分子药物的监管审批。"分子眼 "就像孙悟空的火眼金睛,能发现以前 "看不见 "的疾病,便于疾病诊断、治疗、实时评估和病理研究,指导药物研发。分子眼 "的出现将为临床实践和医学研究领域带来机遇和挑战,推动当代医学向精准医学迈进。
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引用次数: 0
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Chemical & Biomedical Imaging
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