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Radionuclide-based diagnostic imaging of HER2 expression in breast cancer
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Medicinal Chemistry.
2022 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Breast cancer that overexpresses human epidermal growth factor receptor 2 (HER2) is called "HER2 positive" breast cancer. The precise diagnosis of HER2 expression in breast cancer increases the chances of patients' survival. Therefore, the development of radionuclide-based diagnostic imaging targeting HER2 will have great potential for translational applications in breast cancer diagnosis and therapeutic evaluation. Aim: This thesis compares the radionuclide-based diagnostic imaging agents (radiotracers) based on positron emission tomography (PET) single photon emission computed tomography (SPECT) targeting HER2 which has promising translational clinical applications. Introduction: It outlines the critical role of HER2 in breast cancer diagnosis and then introduces corresponding imaging agents: molecular imaging probes targeting HER2, radionuclides, chelators, and exceptional diagnostic imaging: functional imaging/molecular imaging (MI).  Methods: This dissertation used literature research as the primary method. The information and data were collected, analyzed, evaluated, and summarized. Results: SPECT imaging is more cost-effective than PET imaging; The smaller the size of the molecular probes, the better the imaging contrast; Effective dose of 99mTc is lower than other radionuclides, which have a lower dose burden on patients. [99mTc]-ADAPT6 SPECT imaging has the best imaging properties. Moreover, [99mTc]-(HE)3-G3 SPECT imaging study also completed the Phase I study results and has relatively good imaging properties compared to other agents except [99mTc]-ADAPT6. Conclusion: Among all the radiotracers introduced, [99mTc]-ADAPT6 and [99mTc]-(HE)3-G3 are the most potential agents to enter the next stage of clinical application in the future. 

Place, publisher, year, edition, pages
2022. , p. 38
National Category
Medicinal Chemistry
Identifiers
URN: urn:nbn:se:uu:diva-480979ISRN: SwedenOAI: oai:DiVA.org:uu-480979DiVA, id: diva2:1684693
Educational program
Master Programme in Drug Discovery and Development
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Available from: 2022-08-03 Created: 2022-07-28 Last updated: 2022-08-03Bibliographically approved

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