Cancer-associated fibroblast activation protein in Appalachian women with uterine cervix cancer - Summary - MDSpire

Cancer-associated fibroblast activation protein in Appalachian women with uterine cervix cancer

  • By

  • Denise Fabian

  • Morgan S. Levy

  • Dava W. Piecoro

  • Dana Napier

  • Rachel W. Miller

  • Charles A. Kunos

  • June 1, 2026

  • 0 min

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Objective:

To evaluate the expression of fibroblast activation protein (FAP) in uterine cervix cancer tumors and its potential as a biomarker for the radiopharmaceutical [212Pb]Pb-PSV-359, particularly in relation to treatment outcomes.

Key Findings:
  • 82% of evaluable tumors (28 of 34) had cancer-associated fibroblasts expressing FAP.
  • 59% of tumors scored an IRS of six or higher.
  • Stage IVB and metastatic tumors showed the highest FAP expression (76%).
Interpretation:

The presence of FAP in a significant proportion of uterine cervix cancer tumors suggests that [212Pb]Pb-PSV-359 may be a viable treatment option for women with advanced disease, warranting further clinical investigation.

Limitations:
  • The study's sample size is small and primarily descriptive, which may limit the generalizability of the findings.
  • Assumptions made regarding FAP status in metastases based on primary tumor scores may not hold true, necessitating further validation.
Conclusion:

The findings support further investigation of FAP as a biomarker for targeting therapy in cervical cancer patients, particularly in advanced stages.

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