Nothing but NET: A Review of Norepinephrine Transporter Expression and Efficacy of 131I-mIBG Therapy

被引:55
作者
Streby, Keri A. [1 ,2 ]
Shah, Nilay [1 ,2 ]
Ranalli, Mark A. [1 ,2 ]
Kunkler, Anne [2 ]
Cripe, Timothy P. [1 ,2 ]
机构
[1] Ohio State Univ, Div Hematol Oncol Blood & Marrow Transplant, Columbus, OH 43210 USA
[2] Ohio State Univ, Nationwide Childrens Hosp, Ctr Childhood Canc & Blood Dis, Columbus, OH 43210 USA
关键词
meta-iodobenzylguanidine; neuroblastoma; norepinephrine transporter; SK-N-SH; HUMAN NEUROBLASTOMA-CELLS; POLYMERASE-CHAIN-REACTION; RADIATION-INDUCED BYSTANDER; I DOSE-ESCALATION; REFRACTORY NEUROBLASTOMA; NORADRENALINE TRANSPORTER; METAIODOBENZYLGUANIDINE UPTAKE; TARGETED RADIOTHERAPY; PHASE-I;
D O I
10.1002/pbc.25200
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Neuroblastoma is unique amongst common pediatric cancers for its expression of the norepinephrine transporter (NET), enabling tumor-selective imaging and therapy with radioactive analogues of norepinephrine. The majority of neuroblastoma tumors are avid for I-123-metaiodobenzaguanidine (mIBG) on imaging, yet the therapeutic response to I-131-mIBG is only 30% in clinical trials, and off-target effects cause short- and long-term morbidity. We review the contemporary understanding of the tumor-selective uptake, retention, and efflux of meta-iodobenzylguanidine (mIBG) and strategies currently in development for improving its efficacy. Combination treatment strategies aimed at enhancing NET are likely necessary to reach the full potential of I-131-mIBG therapy. Pediatr Blood Cancer 2015;62:5-11 (c) 2014 The Authors. Pediatric Blood & Cancer published by Wiley Periodicals, Inc.
引用
收藏
页码:5 / 11
页数:7
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