Theranostics with photodynamic therapy for personalized medicine: to see and to treat

Theranostics. 2023 Oct 9;13(15):5501-5544. doi: 10.7150/thno.87363. eCollection 2023.

Abstract

Photodynamic Therapy (PDT) is an approved treatment modality, which is presently receiving great attention due to its limited invasiveness, high selectivity and limited susceptibility to drug resistance. Another related research area currently expanding rapidly is the development of novel theranostic agents based on the combination of PDT with different imaging technologies, which allows for both therapy and diagnosis. This combination can help to address issues of suboptimal biodistribution and selectivity through regional imaging, while therapeutic agents enable an effective and personalized therapy. In this review, we describe compounds, whose structures combine PDT photosensitizers with different imaging probes - including examples for near-infrared optical imaging, magnetic resonance imaging (MRI) and nuclear imaging (PET or SPECT), generating novel theranostic drug candidates. We have intentionally focused our attention on novel compounds, which have already been investigated preclinically in vivo in order to demonstrate the potential of such theranostic agents for clinical applications.

Keywords: Magnetic Resonance Imaging (MRI); Nuclear Imaging (PET, SPECT); Optical Imaging; Photodynamic Therapy (PDT); Theranostics.

Publication types

  • Review

MeSH terms

  • Magnetic Resonance Imaging / methods
  • Photochemotherapy* / methods
  • Photosensitizing Agents / chemistry
  • Photosensitizing Agents / therapeutic use
  • Precision Medicine*
  • Theranostic Nanomedicine / methods
  • Tissue Distribution

Substances

  • Photosensitizing Agents