The gastrin-releasing peptide receptor in oncology: a comprehensive review of recent advances in targeted radionuclide theranostics - Scorecard - MDSpire

The gastrin-releasing peptide receptor in oncology: a comprehensive review of recent advances in targeted radionuclide theranostics

  • By

  • YunLong Yang

  • Jiang Fu

  • ShengJie Tang

  • Tao Liu

  • HaiYang Hu

  • HaiYang Guo

  • Long Wen

  • Yang Yang

  • ChengKuan Liu

  • GuiYan Yi

  • Li Yu

  • HaiNing Zhou

  • June 8, 2026

  • 0 min

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Clinical Scorecard: Targeting the Gastrin-Releasing Peptide Receptor in Cancer: An In-Depth Review of Recent Developments in Radionuclide Theranostics

At a Glance

CategoryDetail
Condition
Key MechanismsAberrant expression of gastrin-releasing peptide receptor (GRPR) in various malignancies.
Target Population
Care Setting

Key Highlights

  • GRPR is overexpressed in multiple solid tumors, making it a target for imaging and therapy.
  • Recent advances in radioligand design and radionuclide selection enhance GRPR-targeted applications.
  • GRPR-targeted imaging shows diagnostic value in prostate cancer and selected tumors.
  • Challenges include receptor heterogeneity and optimization of pharmacokinetics.

Guideline-Based Recommendations

Diagnosis

  • GRPR-targeted imaging can complement traditional imaging modalities for tumor detection.

Management

  • GRPR-directed radioligand therapy (RLT) supports visualization and treatment of tumors.

Monitoring & Follow-up

  • Integration of imaging-based treatment assessment into a closed-loop precision theranostic framework.

Risks

  • Physiologic uptake in normal tissues and receptor heterogeneity pose challenges.

Patient & Prescribing Data

Patients with malignancies expressing GRPR, including prostate and breast cancer.

High-stability antagonists and novel therapeutic radionuclides are being developed to improve therapeutic index.

Clinical Best Practices

  • Utilize GRPR-targeted imaging for biologically relevant information at the receptor level.
  • Consider dual-targeted constructs.

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