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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Acta Naturae</journal-id><journal-title-group><journal-title xml:lang="en">Acta Naturae</journal-title><trans-title-group xml:lang="ru"><trans-title>Acta Naturae</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2075-8251</issn><publisher><publisher-name xml:lang="en">Acta Naturae Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">27677</article-id><article-id pub-id-type="doi">10.32607/actanaturae.27677</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Reviews</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Обзоры</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Targeted radionuclide detection of malignant tumors using affibody</article-title><trans-title-group xml:lang="ru"><trans-title>Таргетная радионуклидная детекция злокачественных опухолей с использованием аффибоди</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5281-7758</contrib-id><contrib-id contrib-id-type="scopus">57190936256</contrib-id><contrib-id contrib-id-type="researcherid">E-9732-2017</contrib-id><contrib-id contrib-id-type="spin">7961-5918</contrib-id><name-alternatives><name xml:lang="en"><surname>Bragina</surname><given-names>Olga D.</given-names></name><name xml:lang="ru"><surname>Брагина</surname><given-names>Ольга Дмитриевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>rungis@mail.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-1661-7396</contrib-id><name-alternatives><name xml:lang="en"><surname>Nesynov</surname><given-names>Alexander A.</given-names></name><name xml:lang="ru"><surname>Несынов</surname><given-names>Александр Александрович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>nesynov.alex@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Sitnikova</surname><given-names>Ekaterina Yu.</given-names></name><name xml:lang="ru"><surname>Ситникова</surname><given-names>Екатерина Юрьевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>sitnikova_katerina00@mail.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9468-1980</contrib-id><contrib-id contrib-id-type="scopus">56324415300</contrib-id><contrib-id contrib-id-type="researcherid">D-2358-2012</contrib-id><contrib-id contrib-id-type="spin">8497-1750</contrib-id><name-alternatives><name xml:lang="en"><surname>Patalyak</surname><given-names>Stanislav V.</given-names></name><name xml:lang="ru"><surname>Паталяк</surname><given-names>Станислав Викторович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>patalyak@gmail.com</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3952-0631</contrib-id><contrib-id contrib-id-type="scopus">6603799895</contrib-id><contrib-id contrib-id-type="researcherid">F-8191-2014</contrib-id><contrib-id contrib-id-type="spin">2562-1845</contrib-id><name-alternatives><name xml:lang="en"><surname>Deyev</surname><given-names>Sergey M.</given-names></name><name xml:lang="ru"><surname>Деев</surname><given-names>Сергей Михайлович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><email>biomem@mail.ru</email><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff4"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Tomsk Cancer Research Institute</institution></aff><aff><institution xml:lang="ru">Федеральное государственное бюджетное научное учреждение «Томский национальный исследовательский медицинский центр Российской академии наук»</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">National Research Tomsk Polytechnic University</institution></aff><aff><institution xml:lang="ru">Федеральное государственное автономное образовательное учреждение высшего образования «Национальный исследовательский Томский политехнический университет»</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Siberian State Medical University</institution></aff><aff><institution xml:lang="ru">Федеральное государственное бюджетное образовательное учреждение высшего образования «Сибирский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">Shemyakin-Ovchinnikov Institute of Biorganic Chemistry of the Russian Academy of Sciences</institution></aff><aff><institution xml:lang="ru">Федеральное государственное бюджетное научное учреждение науки Государственный научный центр Институт биоорганической химии им. академиков М.М. Шемякина и Ю.А. Овчинникова Российской академии наук</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-12-04" publication-format="electronic"><day>04</day><month>12</month><year>2025</year></pub-date><volume>17</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>4</fpage><lpage>16</lpage><history><date date-type="received" iso-8601-date="2025-04-22"><day>22</day><month>04</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-08-06"><day>06</day><month>08</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Bragina O.D., Nesynov A.A., Sitnikova E.Y., Patalyak S.V., Deyev S.M.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, Брагина О.Д., Несынов А.А., Ситникова Е.Ю., Паталяк С.В., Деев С.М.</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Bragina O.D., Nesynov A.A., Sitnikova E.Y., Patalyak S.V., Deyev S.M.</copyright-holder><copyright-holder xml:lang="ru">Брагина О.Д., Несынов А.А., Ситникова Е.Ю., Паталяк С.В., Деев С.М.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://actanaturae.ru/2075-8251/article/view/27677">https://actanaturae.ru/2075-8251/article/view/27677</self-uri><abstract xml:lang="en"><p>This review examines the potential applications of affibody molecules in various fields of biotechnology and clinical medicine. Consideration is given to the high affinity and specificity of affibody molecules for selected molecular targets, as well as their potential for the <italic>in vivo</italic> visualization of various malignant tumors. Significant attention is paid to preclinical and clinical studies of affibody conjugates with various radioisotopes for targeted radionuclide tumor imaging, which is particularly relevant in addressing challenges encountered during the diagnosis and treatment of these patients. Clinical trials demonstrate that radiopharmaceuticals are well-tolerated and effective for the assessment of tumor process prevalence and the determination of HER2/neu status in breast cancer patients, supporting further research.</p></abstract><trans-abstract xml:lang="ru"><p>В представленном обзоре рассмотрены возможности использования молекул аффибоди в различных областях биотехнологии и клинической медицины. Показана высокая аффинность и специ­фичность молекул аффибоди к выбранным молекулярным мишеням, а также возможность визуализации различных злокачественных опухолей <italic>in </italic><italic>vivo.</italic> Большее внимание уделено доклиническим и клиническим исследованиям конъюгатов аффибоди с различными радиоизотопами для проведения таргетной радионуклидной визуализации опухолей, что представляет особую актуальность в рамках проблем, возникающих на этапах диагностики и лечения данной категории пациентов. В клинических испытаниях показана хорошая переносимость радиофармацевтических препаратов и эффективность их использования для оценки распространенности опухолевого процесса и определения статуса HER2/neu у больных раком молочной железы, что обуславливает перспективность проведения дальнейших исследований.</p></trans-abstract><kwd-group xml:lang="en"><kwd>Malignant tumors</kwd><kwd>theranostics</kwd><kwd>targeted radionuclide diagnostics</kwd><kwd>alternative scaffold proteins</kwd><kwd>affibodies</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>злокачественные образования</kwd><kwd>тераностика</kwd><kwd>таргетная радионуклидная диагностика</kwd><kwd>альтернативные каркасные белки</kwd><kwd>аффибоди</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Министерство науки и высшего образования РФ</institution></institution-wrap><institution-wrap><institution xml:lang="en">Ministry of Science and Higher Education of Russian Federation</institution></institution-wrap></funding-source><award-id>075-15-2024-536</award-id></award-group></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Bray F, Laversanne M, Sung H, et al. 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