Detection and Delineation of Oral Cancer With a PARP1-Targeted Optical Imaging Agent

More sensitive and specific methods for early detection are imperative to improve survival rates in oral cancer. However, oral cancer detection is still largely based on visual examination and histopathology of biopsy material, offering no molecular selectivity or spatial resolution. Intuitively, th...

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Main Authors: Susanne Kossatz, Wolfgang Weber, Thomas Reiner
Format: Article
Language:English
Published: SAGE Publishing 2017-08-01
Series:Molecular Imaging
Online Access:https://doi.org/10.1177/1536012117723786
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author Susanne Kossatz
Wolfgang Weber
Thomas Reiner
author_facet Susanne Kossatz
Wolfgang Weber
Thomas Reiner
author_sort Susanne Kossatz
collection DOAJ
description More sensitive and specific methods for early detection are imperative to improve survival rates in oral cancer. However, oral cancer detection is still largely based on visual examination and histopathology of biopsy material, offering no molecular selectivity or spatial resolution. Intuitively, the addition of optical contrast could improve oral cancer detection and delineation, but so far no molecularly targeted approach has been translated. Our fluorescently labeled small-molecule inhibitor PARPi-FL binds to the DNA repair enzyme poly(ADP-ribose)polymerase 1 (PARP1) and is a potential diagnostic aid for oral cancer delineation. Based on our preclinical work, a clinical phase I/II trial opened in March 2017 to evaluate PARPi-FL as a contrast agent for oral cancer imaging. In this commentary, we discuss why we chose PARP1 as a biomarker for tumor detection and which particular characteristics make PARPi-FL an excellent candidate to image PARP1 in optically guided applications. We also comment on the potential benefits of our molecularly targeted PARPi-FL-guided imaging approach in comparison to existing oral cancer screening adjuncts and mention the adaptability of PARPi-FL imaging to other environments and tumor types.
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spelling doaj-art-9ebab40c1fc94492a698394c1c39e4722025-01-02T23:12:07ZengSAGE PublishingMolecular Imaging1536-01212017-08-011610.1177/1536012117723786Detection and Delineation of Oral Cancer With a PARP1-Targeted Optical Imaging AgentSusanne Kossatz0Wolfgang Weber1Thomas Reiner2 Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA Department of Radiology, Weill Cornell Medical College, New York, NY, USA Department of Radiology, Weill Cornell Medical College, New York, NY, USAMore sensitive and specific methods for early detection are imperative to improve survival rates in oral cancer. However, oral cancer detection is still largely based on visual examination and histopathology of biopsy material, offering no molecular selectivity or spatial resolution. Intuitively, the addition of optical contrast could improve oral cancer detection and delineation, but so far no molecularly targeted approach has been translated. Our fluorescently labeled small-molecule inhibitor PARPi-FL binds to the DNA repair enzyme poly(ADP-ribose)polymerase 1 (PARP1) and is a potential diagnostic aid for oral cancer delineation. Based on our preclinical work, a clinical phase I/II trial opened in March 2017 to evaluate PARPi-FL as a contrast agent for oral cancer imaging. In this commentary, we discuss why we chose PARP1 as a biomarker for tumor detection and which particular characteristics make PARPi-FL an excellent candidate to image PARP1 in optically guided applications. We also comment on the potential benefits of our molecularly targeted PARPi-FL-guided imaging approach in comparison to existing oral cancer screening adjuncts and mention the adaptability of PARPi-FL imaging to other environments and tumor types.https://doi.org/10.1177/1536012117723786
spellingShingle Susanne Kossatz
Wolfgang Weber
Thomas Reiner
Detection and Delineation of Oral Cancer With a PARP1-Targeted Optical Imaging Agent
Molecular Imaging
title Detection and Delineation of Oral Cancer With a PARP1-Targeted Optical Imaging Agent
title_full Detection and Delineation of Oral Cancer With a PARP1-Targeted Optical Imaging Agent
title_fullStr Detection and Delineation of Oral Cancer With a PARP1-Targeted Optical Imaging Agent
title_full_unstemmed Detection and Delineation of Oral Cancer With a PARP1-Targeted Optical Imaging Agent
title_short Detection and Delineation of Oral Cancer With a PARP1-Targeted Optical Imaging Agent
title_sort detection and delineation of oral cancer with a parp1 targeted optical imaging agent
url https://doi.org/10.1177/1536012117723786
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