NCIt definition : A radioconjugate composed of the selective sigma-1 receptor (S1R) ligand FTC-146 labeled
with the radionuclide fluorine F 18, with potential use as an imaging agent for S1R-expressing
tumor cells upon positron emission tomography (PET)/computed tomography (CT). Upon
administration, fluorine F 18 FTC-146 targets and selectively binds to S1R expressed
on tumor cells. The S1R-expressing tumor cells can then be visualized using PET/CT.
S1R, widely distributed in the central nervous system (CNS) and peripheral tissues,
plays a key role in the modulation of ion channels and other neurotransmitter systems,
and in restoring neuronal function. It is upregulated in inflammatory diseases and
in a variety of cancers. 18F-FTC-146 shows excellent selectivity for the S1R over
the sigma-2 receptor and vesicular acetylcholine transporter (VAChT).;