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Publication : [(18)F]Flotaza for Aβ Plaque Diagnostic Imaging: Evaluation in Postmortem Human Alzheimer's Disease Brain Hippocampus and PET/CT Imaging in 5xFAD Transgenic Mice.

First Author  Sandhu YK Year  2024
Journal  Int J Mol Sci Volume  25
Issue  14 PubMed ID  39063132
Mgi Jnum  J:353039 Mgi Id  MGI:7706766
Doi  10.3390/ijms25147890 Citation  Sandhu YK, et al. (2024) [(18)F]Flotaza for Abeta Plaque Diagnostic Imaging: Evaluation in Postmortem Human Alzheimer's Disease Brain Hippocampus and PET/CT Imaging in 5xFAD Transgenic Mice. Int J Mol Sci 25(14)
abstractText  The diagnostic value of imaging Abeta plaques in Alzheimer's disease (AD) has accelerated the development of fluorine-18 labeled radiotracers with a longer half-life for easier translation to clinical use. We have developed [(18)F]flotaza, which shows high binding to Abeta plaques in postmortem human AD brain slices with low white matter binding. We report the binding of [(18)F]flotaza in postmortem AD hippocampus compared to cognitively normal (CN) brains and the evaluation of [(18)F]flotaza in transgenic 5xFAD mice expressing Abeta plaques. [(18)F]Flotaza binding was assessed in well-characterized human postmortem brain tissue sections consisting of HP CA1-subiculum (HP CA1-SUB) regions in AD (n = 28; 13 male and 15 female) and CN subjects (n = 32; 16 male and 16 female). Adjacent slices were immunostained with anti-Abeta and analyzed using QuPath. In vitro and in vivo [(18)F]flotaza PET/CT studies were carried out in 5xFAD mice. Post-mortem human brain slices from all AD subjects were positively IHC stained with anti-Abeta. High [(18)F]flotaza binding was measured in the HP CA1-SUB grey matter (GM) regions compared to white matter (WM) of AD subjects with GM/WM > 100 in some subjects. The majority of CN subjects had no decipherable binding. Male AD exhibited greater WM than AD females (AD WMmale symbol/WMfemale symbol > 5; p < 0.001) but no difference amongst CN WM. In vitro studies in 5xFAD mice brain slices exhibited high binding [(18)F]flotaza ratios (>50 versus cerebellum) in the cortex, HP, and thalamus. In vivo, PET [(18)F]flotaza exhibited binding to Abeta plaques in 5xFAD mice with SUVR~1.4. [(18)F]Flotaza is a new Abeta plaque PET imaging agent that exhibited high binding to Abeta plaques in postmortem human AD. Along with the promising results in 5xFAD mice, the translation of [(18)F]flotaza to human PET studies may be worthwhile.
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