PMID- 26636036 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20151204 LR - 20220129 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 5 DP - 2015 TI - Stromal Targets for Fluorescent-Guided Oncologic Surgery. PG - 254 LID - 10.3389/fonc.2015.00254 [doi] LID - 254 AB - Pre-operative imaging techniques are essential for tumor detection and diagnosis, but offer limited help during surgery. Recently, the applicability of imaging during oncologic surgery has been recognized, using near-infrared fluorescent dyes conjugated to targeting antibodies, peptides, or other vehicles. Image-guided oncologic surgery (IGOS) assists the surgeFon to distinguish tumor from normal tissue during operation, and can aid in recognizing vital structures. IGOS relies on an optimized combination of a dedicated fluorescent camera system and specific probes for targeting. IGOS probes for clinical use are not widely available yet, but numerous pre-clinical studies have been published and clinical trials are being established or prepared. Most of the investigated probes are based on antibodies or peptides against proteins on the membranes of malignant cells, whereas others are directed against stromal cells. Targeting stroma cells for IGOS has several advantages. Besides the high stromal content in more aggressive tumor types, the stroma is often primarily located at the periphery/invasive front of the tumor, which makes stromal targets particularly suited for imaging purposes. Moreover, because stroma up-regulation is a physiological reaction, most proteins to be targeted on these cells are "universal" and not derived from a specific genetic variation, as is the case with many upregulated proteins on malignant cancer cells. FAU - Boonstra, Martin C AU - Boonstra MC AD - Department of Surgery, Leiden University Medical Center , Leiden , Netherlands. FAU - Prakash, Jai AU - Prakash J AD - Department of Biomaterial Science and Technology, Targeted Therapeutics, University of Twente , Enschede , Netherlands. FAU - Van De Velde, Cornelis J H AU - Van De Velde CJ AD - Department of Surgery, Leiden University Medical Center , Leiden , Netherlands. FAU - Mesker, Wilma E AU - Mesker WE AD - Department of Surgery, Leiden University Medical Center , Leiden , Netherlands. FAU - Kuppen, Peter J K AU - Kuppen PJ AD - Department of Surgery, Leiden University Medical Center , Leiden , Netherlands. FAU - Vahrmeijer, Alexander L AU - Vahrmeijer AL AD - Department of Surgery, Leiden University Medical Center , Leiden , Netherlands. FAU - Sier, Cornelis F M AU - Sier CF AD - Department of Surgery, Leiden University Medical Center , Leiden , Netherlands ; Antibodies for Research Applications BV , Gouda , Netherlands. LA - eng GR - 323105/ERC_/European Research Council/International PT - Journal Article PT - Review DEP - 20151120 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC4653299 OTO - NOTNLM OT - cancer OT - imaging OT - stroma OT - surgery OT - targeting OT - tumor-associated EDAT- 2015/12/05 06:00 MHDA- 2015/12/05 06:01 PMCR- 2015/01/01 CRDT- 2015/12/05 06:00 PHST- 2015/08/26 00:00 [received] PHST- 2015/11/05 00:00 [accepted] PHST- 2015/12/05 06:00 [entrez] PHST- 2015/12/05 06:00 [pubmed] PHST- 2015/12/05 06:01 [medline] PHST- 2015/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2015.00254 [doi] PST - epublish SO - Front Oncol. 2015 Nov 20;5:254. doi: 10.3389/fonc.2015.00254. eCollection 2015.