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前列腺特异性膜抗原PET/CT特异性分子显像在非前列腺癌诊断中的应用

Application of PSMA PET/CT Specific Molecular Imaging in Diagnosis of Non-prostate Cancer

  • 摘要: 前列腺特异性膜抗原(PSMA)是由前列腺上皮细胞分泌的一种Ⅱ型谷氨酸缩肽酶,特异性高表达于前列腺癌及其转移灶的细胞中,在多数实体瘤部位毛细血管内皮细胞中有较高程度的表达。目前,已有超过二十种PSMA靶向的分子探针用于前列腺癌的诊断与治疗。本文综述了PSMA在除前列腺癌以外的多种实体瘤中的表达情况及PSMA-PET/CT特异性探针在非前列腺癌诊断中的临床应用实例,以期拓展以PSMA为靶点的新型PET探针在肿瘤分子诊断中的临床应用。

     

    Abstract: Prostate specific membrane antigen(PSMA) is a glutamate carboxypeptidase Ⅱ secreted by the epithelial cells of prostate gland. PSMA is over-expressed in the cells of prostate cancer and metastases, and also positively expressed in the tumor-related neovascular endothelial cells. Therefore, more than twenty PSMA-targeted probes had been used for the diagnosis and therapy of prostate cancer. This article reviews the expression of PSMA in non-prostate cancer and the clinical application of PSMA-PET/CT specific probes in detecting non-prostate cancer, to expand the clinical application of novel PSMA-targeted PET probes in the diagnosis of tumors.

     

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