Abstract
Well-designed radiotracers for molecular imaging are powerful tools for the investigation of neurodegenerative disorders and for providing new means for disease treatment and diagnosis. This chapter provides an overview of prominent radiotracers now in clinical use for imaging in neurodegenerative disorders. Emphasis is placed on the burgeoning arsenal of radiotracers for imaging with positron emission tomography, although important radiotracers for single-photon emission computerized tomography are also considered. They are discussed from a chemical and radiochemical perspective with respect to their design, synthesis, and production. Radiotracers are discussed in two categories, those acting through brain metabolic pathways and those acting by binding to specific proteins. The former category is illustrated with [18F]FDG and [18F]FDOPA and the latter category with radiotracers for various targets, including TSPO as a biomarker of neuroinflammation, radiotracers for β-amyloid and tau in Alzheimer’s disease, and radiotracers for synaptic vessel glycoprotein 2A (SV2A) as a biomarker of synaptic density.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Sokoloff L. Circulation and energy metabolism of the brain. In: Siegel GJ, Albers RW, Katzman R, Agranoff BW, editors. Brain Neurochemistry. 2nd ed. Boston: Little Brown; 1976. p. 388–413.
Sokoloff L, Reivich M, Kenendy C, Des Rosiers MH, Patlak CS, Pettigrew KD, Sakurada O, Shinohara M. The [14C]deoxyglucose method for the measurement of local cerebral glucose utilization: theory, procedure, and normal values in the conscious and anesthetized albino rat. J Neurochem. 1977;28:897–916.
Gallagher BM, Fowler JS, Gutterson NI, MacGregor RR, Wan C-N, Wolf AP. Metabolic trapping as a principle of radiopharmaceutical design: some factors responsible for the biodistribution of [ F]2-deoxy 2-fluoro-D-glucose. J Nucl Med. 1978;10:1154–61.
Fowler JS, Ido T. Initial and subsequent approach for the synthesis of 18FDG. Semin Nucl Med. 2002;32:6–12. https://doi.org/10.1053/snuc.2002.29270.
Hamacher K, Coenen HH, Stöcklin G. Efficient stereospecific synthesis of NCA 2-[18F]fluoro-2-deoxy-2-glucose. J Nucl Med. 1986;27:235–8.
Sowa AR, Jackson IM, Desmond TJ, Alicea J, Mufarreh AJ, Pham JM, Stauff J, Winton WP, Fawaz MV, Henderson BD, Hockley BG, Rogers VE, Koeppe RA, Scott PJH. Futureproofing [18F]fludeoxyglucose manufacture at an academic medical center. EJNMMI Radiopharm Chem. 2018;3:12. https://doi.org/10.1186/s41181-018-0048-x.
Neves ACB, Hrynchak I, Fonseca I, Alves VHP, Pereira MM, Falcão A, Abrunhosa AJ. Advances in the automated synthesis of 6-[18F]fluoro-L-DOPA. EJNMMI Radiopharm Chem. 2021;6:11. https://doi.org/10.1186/s41181-021-00126-z.
Luurtsema G, Boersma HH, Schepers M, de Vries AMT, Maas B, Zijlma R, de Vries EFJ, Elsinga PH. Improved GMP-compliant multi-dose production and quality control of 6-[18F]fluoro-L-DOPA. EJNMMI Radiopharm Chem. 2016;1:7. https://doi.org/10.1186/s41181-016-0009-1.
Libert LC, Franci X, Plenevaux AR, Oui T, Maruoka K, Luxen AJ. Production at the Curie level of no-carrier-added 6-18F-fluoro-L-dopa. J Nucl Med. 2013;54:1154–61.
Andersen VL, Soerensen MA, Dam JH, Langkjaer N, Petersen H, Bender DA, Fugloe D, Huynh THV. GMP production of 6-[18F]fluoro-DOPA for PET/CT imaging by different synthetic routes: a three center experience. EJNMMI Radiopharm Chem. 2021;6:21. https://doi.org/10.1186/s41181-021-00135-y.
Mossine AV, Tanzey SS, Brooks AF, Makaravage KJ, Ichiishi N, Miller JM, Henderson BD, Erhard T, Bruetting C, Skaddan MB, Sanford MS, Scott PJH. Synthesis of high-molar-activity [18F]6-fluoro-L-DOPA suitable for human use via Cu-mediated fluorination of a BPin precursor. Nat Protoc. 2020;15:1742–59. https://doi.org/10.1038/s41596-020-0305-9.
Pike VW. Considerations in the development of reversibly binding PET radioligands for brain imaging. Curr Med Chem. 2016;23:1818–69. https://doi.org/10.2174/0929867323666160418114826.
Pike VW. PET radiotracers: crossing the blood–brain barrier and surviving metabolism. Trends Pharmacol Sci. 2009;30:431–40.
Tiepolt S, Patt M, Aghakhanyan G, Meyer PM, Hesse S, Barthel H, Sabri O. Current radiotracers to image neurodegenerative diseases. EJNMMI Radiopharm Chem. 2019;4:17. https://doi.org/10.1186/s41181-019-0070-7.
Young PNE, Estarallas M, Coomans E, Srikrishna M, Beaumont H, Maass A, Venkataraman AV, Lissaman R, Jiménez D, Betts MJ, McGlinchey E, Berron D, O’Connor A, Fox NC, Pereira JB, Jagust W, Carter SF, Paterson RW, Schöll M. Imaging biomarkers in neurodegeneration: current and future practices. Alzheimers Res Therapy. 2020;12:49. https://doi.org/10.1186/s13195-020-00612-7.
Chauveau F, Becker G, Boutin H. Have (R)-[11C]PK11195 challengers fulfilled the promise? A scoping review of clinical TSPO PET studies. Eur J Nucl Med Mol Imaging. 2021;49:201–20. https://doi.org/10.1007/s00259-021-05425-w.
Viviano M, Barresi E, Siméon FG, Costa B, Taliani S, Da Settimo F, Pike VW, Castellano S. Essential principles and recent progress in the development of TSPO PET ligands for neuroinflammation imaging. Curr Med Chem. 2022;29:4862. https://doi.org/10.2174/0929867329666220329204054.
Uzuegbunam BC, Librizzi D, Yousefi BH. PET radiopharmaceuticals for Alzheimer’s disease and Parkinson’s disease, the current and future landscape. Molecules. 2020;25:977. https://doi.org/10.3390/molecules25040977.
Becker G, Dammico S, Bahri MA, Salmon E. The rise of synaptic density PET imaging. Molecules. 2020;25:2303. https://doi.org/10.3390/molecules25102303.
Kenou BV, Manly LS, Rubovits SB, Umeozulu SA, Van Buskirk MG, Zhang AS, Pike VW, Zanotti-Fregonara P, Henter ID, Innis RB. Cyclooxygenases as potential PET imaging biomarkers to explore neuroinflammation in dementia. J Nucl Med. 2022;63:53S.
Kilbourn MR. 11C- and 18F-radiotracers for in vivo imaging of the dopamine system: past, present and future. Biomedicine. 2021;9:108. https://doi.org/10.3390/biomedicines9020108.
Bohnen NI, Kanel P, Müller MLTM. Molecular imaging of the cholinergic system in Parkinson’s disease. Int Rev Neurol. 2018;141:211–50. https://doi.org/10.1016/bs.irn.2018.07.027.
Hong J, Telu S, Zhang Y, Miller WH, Shetty HU, Morse CL, Pike VW. Translation of 11C-labeled tracer synthesis to a CGMP environment as exemplified by [11C]ER176 for PET imaging of human TSPO. Nat Protoc. 2021;16:4419–45. https://doi.org/10.1038/s41596-021-00584-4.
Mathis CA, Wang Y, Holt DP, Huang G-F, Debnath ML, Klunk WE. Synthesis and evaluation of 11C-labeled 6-substituted 2-aryl benzothiazoles as amyloid imaging agents. J Med Chem. 2003;46:2740–54.
Klunk WE, Engle H, Nordberg A, Wang Y, Blomqvist G, Holt DP, Bergström M, Savitcheva I, Huang GF, Estrada S, Ausén B, Debnath ML, Barletta J, Price JC, Sandell J, Lopresti BJ, Wall A, Koivisto P, Antoni G, Mathis CA, Långström B. Imaging brain amyloid in Alzheimer’s disease with Pittsburgh compound-B. Ann Neurol. 2004;55:306–19.
Lu S, Haskali MB, Ruley KM, Dreyfus NJF, DuBois SL, Paul S, Liow J-S, Morse CL, Kowalski A, Gladding RL, Gilmore J, Mogg AJ, Michelle Morin SM, Lindsay-Scott PJ, Ruble JC, Kant NA, Shcherbinin S, Barth VN, Johnson MP, Cuadrado M, Jambrina E, Mannes AJ, Nuthall HN, Zoghbi SS, Jesudason CD, Innis RB, Pike VW. PET ligands [18F]LSN3316612 and [11C]LSN3316612 quantify O-linked-β-N-acetyl-glucosamine hydrolase in the brain. Sci Transl Med. 2020;12:eaau2939. https://doi.org/10.1126/scitranslmed.aau2939.
Nabulsi NB, Mercier J, Holden D, Carré S, Najafzadeh S, Vandergeten M-C, Lin S, Deo A, Price N, Wood M, Lara-Jaime T, Montel F, Laruelle M, Carson RE, Hannestad J, Huang Y. Synthesis and preclinical evaluation of 11C-UCB-J as a PET tracer for imaging the synaptic vesicle glycoprotein 2A in the brain. J Nucl Med. 2016;5:777–84.
Rokka J, Schlein E, Eriksson J. Improved synthesis of SV2A targeting radiotracer [11C]UCB-J. EJNMMI Radiopharm Chem. 2019;4:30. https://doi.org/10.1186/s41181-019-0080-5.
Sephton SM, Miklovicz T, Russell JJ, Doke A, Li L, Boros I, Aigbirhio FI. Automated radiosynthesis of [11C]UCB-J for imaging synaptic density by positron emission tomography. J Label Compd Radiopharm. 2020;63:151–6. https://doi.org/10.1002/jlcr.3828.
Warnier C, Lemaire C, Becker G, Zaragoza G, Giacomelli F, Aerts J, Otabashi M, Bahri MA, Mercier J, Plenevaux A, Luxen A. Enabling efficient positron emission tomography (PET) imaging of synaptic vesicle glycoprotein 2A (SV2A) with a robust and one-step radiosynthesis of a highly potent 18F-labeled ligand ([18F]UCB-H). J Med Chem. 2016;59:8955–66.
Acknowledgments
VWP was supported by the Intramural Research Program of the National Institutes of Health (National Institute of Mental Health, Project ZIA-MH002793). VWP thanks Dr. Shuiyu Lu (NIMH) for reading and checking the manuscript.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Pike, V.W. (2023). Overview of Clinically Available Radiotracers for Imaging in Neurodegenerative Disorders. In: Cross, D.J., Mosci, K., Minoshima, S. (eds) Molecular Imaging of Neurodegenerative Disorders. Springer, Cham. https://doi.org/10.1007/978-3-031-35098-6_3
Download citation
DOI: https://doi.org/10.1007/978-3-031-35098-6_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-35097-9
Online ISBN: 978-3-031-35098-6
eBook Packages: MedicineMedicine (R0)