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Publication : Radiosynthesis and preclinical evaluation of [<sup>68</sup>Ga]Ga-NOTA-folate for PET imaging of folate receptor β-positive macrophages.

First Author  Moisio O Year  2020
Journal  Sci Rep Volume  10
Issue  1 Pages  13593
PubMed ID  32788595 Mgi Jnum  J:299281
Mgi Id  MGI:6457767 Doi  10.1038/s41598-020-70394-3
Citation  Moisio O, et al. (2020) Radiosynthesis and preclinical evaluation of [(68)Ga]Ga-NOTA-folate for PET imaging of folate receptor beta-positive macrophages. Sci Rep 10(1):13593
abstractText  Folate receptor beta (FR-beta), a marker expressed on macrophages, is a promising target for imaging of inflammation. Here, we report the radiosynthesis and preclinical evaluation of [(68)Ga]Ga-NOTA-folate ((68)Ga-FOL). After determining the affinity of (68)Ga-FOL using cells expressing FR-beta, we studied atherosclerotic mice with (68)Ga-FOL and (18)F-FDG PET/CT. In addition, we studied tracer distribution and co-localization with macrophages in aorta cryosections using autoradiography, histology, and immunostaining. The specificity of (68)Ga-FOL was assessed in a blocking study with folate glucosamine. As a final step, human radiation doses were extrapolated from rat PET data. We were able to produce (68)Ga-FOL with high radiochemical purity and moderate molar activity. Cell binding studies revealed that (68)Ga-FOL had 5.1 nM affinity for FR-beta. Myocardial uptake of (68)Ga-FOL was 20-fold lower than that of (18)F-FDG. Autoradiography and immunohistochemistry of the aorta revealed that (68)Ga-FOL radioactivity co-localized with Mac-3-positive macrophage-rich atherosclerotic plaques. The plaque-to-healthy vessel wall ratio of (68)Ga-FOL was significantly higher than that of (18)F-FDG. Blocking studies verified that (68)Ga-FOL was specific for FR. Based on estimations from rat data, the human effective dose was 0.0105 mSv/MBq. Together, these findings show that (68)Ga-FOL represents a promising new FR-beta-targeted tracer for imaging macrophage-associated inflammation.
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