Table 6.
Potential targets and promising radiotracers for cardio-oncology in the future
Target | Involved processes | Tracers | Potential applications | Ref |
---|---|---|---|---|
Somatostatin receptors (SSTR) | Overexpression on macrophages | [68Ga]Ga-DOTATOC, [68Ga]Ga-DOTATATE, [68Ga]Ga-DOTANOC | Inflammatory processes (e.g., myocarditis, pericarditis, vasculitis) | [102, 103] |
αvβ3 integrin receptor | Cell adhesion, neoangiogenesis, overexpressed on macrophages | [18F]F-galacto-RGD, [68Ga]Ga-PRGD2, [18F]F-fluciclatide | Neoangiogenesis, inflammatory processes | [104] |
Fibroblast activation protein (FAP) | Activation of fibroblasts | Various 68Ga-labeled inhibitors of FAP (e.g., [68Ga]Ga-FAPI-04, [68Ga]Ga-FAPI-46) | Myocardial damage | [73] |
Norepinephrine transporter (NET) | Sympathetic innervation of the heart | [18F]F-flubrobenguane | Denervation as early sign of damage to the heart | [101] |
Mitochondrial membrane potential | Dysfunction of mitochondrial membrane | [18F]F-MitoPhos, [68Ga]Ga-Galmydar | Mitochondrial dysfunction as early sign of cardiotoxicity | [105, 106] |
Reactive oxygen species (ROS) | Superoxide production in processes such as myocardial apoptosis or necrosis | [18F]F-DHMT | ROS generation as early sign of cardiotoxicity | (107) |