Monoclonal antibody-based molecular imaging strategies and theranostic opportunities
Open accessAbstract
Molecular imaging modalities hold great potential as less invasive techniques for diagnosis and management of various diseases.Molecular imaging combines imaging agents with targeting moieties to specifically image diseased sites in the body.Monoclonal antibodies (mAbs) have become increasingly popular as novel therapeutics against a variety of diseases due to their specificity, affinity and serum stability.Because of the same properties, mAbs are also exploited in molecular imaging to target imaging agents such as radionuclides to the cell of interest in vivo.Many studies investigated the use of mAb-targeted imaging for a variety of purposes, for instance to monitor disease progression and to predict response to a specific therapeutic agent.Herein, we highlighted the application of mAb-targeted imaging in three different types of pathologies: autoimmune diseases, oncology and cardiovascular diseases.We also described the potential of molecular imaging strategies in theranostics and precision medicine.Due to the nearly infinite repertoire of mAbs, molecular imaging can change the future of modern medicine by revolutionizing diagnostics and response prediction in practically any disease.
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Antibody fragments have tunable pharmacokinetic properties and the unique ability to detect biomarkers with high affinity and specificity in vitro and in vivo, making them excellent agents for tumor imaging.
“Their tunable pharmacokinetic properties together with the unique ability to detect with high-affinity and specificity biomarkers in vitro and in vivo, making them excellent agents for tumor imaging [184,185].”
From Evolution of Escherichia coli Expression System in Producing Antibody Recombinant Fragments (2020) · cites this paper as [185]
In “Use of antibody fragments for decreased background signal” (page not supplied), the review describes fragments with different in vivo kinetics and clearance rates and gives examples of their use in cancer imaging. It also describes high-affinity affibodies as useful for PET imaging, but does not establish the claimed high-affinity, specific biomarker detection both in vitro and in vivo; it cautions that the highest affinity may not be best for tumor imaging. (LLM, conf=0.83)
Experimental — accuracy not yet measuredIn recent years, antibody fragments have achieved encouraging successes as theranostic agents contributing to the development of new personalized and more effective medicine.
“In recent years, antibody fragments have also achieved encouraging successes as theranostic agents contributing to the development of new personalized and more effective medicine.”
From Evolution of Escherichia coli Expression System in Producing Antibody Recombinant Fragments (2020) · cites this paper as [185]
The section ‘Use of antibody fragments for decreased background signal’ gives examples of antibody fragments used in molecular imaging, and the Conclusion says theranostics holds promise for personalized treatment and precision medicine (page numbers unavailable). The paper does not establish that antibody fragments have already achieved successes as theranostic agents or made medicine more effective; it presents much of that benefit as future potential. (LLM, conf=0.85)
Experimental — accuracy not yet measured
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Cites
Tumor targeting via EPR: Strategies to enhance patient responses
Golombek, S. K., May, J.-N., Theek, B., Appold, L., Drude, N., Kiessling, F., & Lammers, T. (2018) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2018.07.007 · Cited by 1,262 · see citing works
Noninvasive detection of macrophages using a nanoparticulate contrast agent for computed tomography
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- Authors
- Dammes, N., & Peer, D.
- Affiliations
- Tel Aviv University (IL)
- Corresponding author
- Peer, Dan
- ORCID
- Peer, Dan
- Venue
- Theranostics
- Publisher
- Ivyspring International Publisher
- Published
- 2020
- Volume
- 10
- Issue
- 2
- Pages
- 938-955
- ISSN
- 1838-7640 (ISSN-L)
- PMC
- PMC6929980
- OpenAlex
- W2993405303
- Cited by
- 138
- References
- 2
- Citations by year
- 2026: 7 · 2025: 24 · 2024: 19 · 2023: 21 · 2022: 24 · 2021: 30 · 2020: 13
- FWCI
- 2.51
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Theranostics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- H2020 European Research Council (647410)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiopharmaceutical Chemistry and Applications
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Medical Imaging Techniques and Applications
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Monoclonal and Polyclonal Antibodies Research
- Keywords
- monoclonal antibodies, molecular imaging, radionuclide targeting, imaging agents, autoimmune disease, tumor imaging, cardiovascular imaging, precision medicine, treatment response prediction
- MeSH terms
- Antineoplastic Agents, Immunological, Animals, Antibodies, Monoclonal, Autoimmune Diseases, Cardiovascular Diseases, Humans, Neoplasms, Molecular Imaging, Precision Medicine
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