将 S-(3-[18F]氟丙基)-D-高半胱氨酸和 O-(2-[18F]氟乙基)-D-酪氨酸作为细菌特异性放射性同位素用于 PET 感染成像的试点评估。

IF 3 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Molecular Imaging and Biology Pub Date : 2024-08-01 Epub Date: 2024-06-28 DOI:10.1007/s11307-024-01929-7
Helen M Betts, Jeni C Luckett, Philip J Hill
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引用次数: 0

摘要

目的:目前还没有理想的放射性示踪剂用于细菌感染成像。放射性标记的 D-氨基酸是很有希望的候选物质,因为它们能主动结合到细菌细胞壁的肽聚糖中,而人类细胞不具备这种结构特征。这项工作描述了氟-18 标记的 D-酪氨酸和 D-蛋氨酸类似物 O-(2-[18F]氟乙基)-D-酪氨酸(D-[18F]FET)和 S-(3-[18F]氟丙基)-D-高半胱氨酸(D-[18F]FPHCys),以及对它们作为潜在的放射性痕量进行的试验性评估研究,以对细菌感染进行成像:步骤:通过经典的氟化-保护反应制备 D-[18F]FET 和 D-[18F]FPHCys,并在 2 小时内评估它们在金黄色葡萄球菌和铜绿假单胞菌中的吸收情况。在 Balb/c 小鼠体内建立了与临床相关的金黄色葡萄球菌感染异物模型,以及模拟炎症的无菌异物模型。1小时后,通过解剖和伽马计数评估了D-[18F]FPHCys在感染和炎症小鼠体内的生物分布。结果:结果:D-[18F]FET 和 D-[18F]FPHCys 的体外摄取对活细菌具有特异性。两种放射性核素在金黄色葡萄球菌中的吸收率均高于铜绿假单胞菌,其中 D-[18F]FPHCys 的吸收率高于 D-[18F]FET。用非放射性 D-[19F]FPHCys 进行的阻断实验证实了摄取的特异性。在体内,与无菌炎症相比,D-[18F]FPHCys 在金黄色葡萄球菌感染中的蓄积量更大,这在统计学上有显著意义。正如预期的那样,[18F]FDG在感染和炎症之间的摄取量没有明显差异:D-[18F]FPHCys在感染组织中的摄取量高于炎症组织,是一种氟-18标记的D-AA,具有检测体内金黄色葡萄球菌参考菌株(Xen29)的潜力。还需要进行更多的研究来评估这种放射性示踪剂在临床分离物中的吸收情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Pilot Evaluation of S-(3-[<sup>18</sup>F]Fluoropropyl)-D-Homocysteine and O-(2-[<sup>18</sup>F]Fluoroethyl)-D-Tyrosine as Bacteria-Specific Radiotracers for PET Imaging of Infection.

Pilot Evaluation of S-(3-[18F]Fluoropropyl)-D-Homocysteine and O-(2-[18F]Fluoroethyl)-D-Tyrosine as Bacteria-Specific Radiotracers for PET Imaging of Infection.

Purpose: There is currently no ideal radiotracer for imaging bacterial infections. Radiolabelled D-amino acids are promising candidates because they are actively incorporated into the peptidoglycan of the bacterial cell wall, a structural feature which is absent in human cells. This work describes fluorine-18 labelled analogues of D-tyrosine and D-methionine, O-(2-[18F]fluoroethyl)-D-tyrosine (D-[18F]FET) and S-(3-[18F]fluoropropyl)-D-homocysteine (D-[18F]FPHCys), and their pilot evaluation studies as potential radiotracers for imaging bacterial infection.

Procedures: D-[18F]FET and D-[18F]FPHCys were prepared in classical fluorination-deprotection reactions, and their uptake in Staphylococcus aureus and Pseudomonas aeruginosa was evaluated over 2 h. Heat killed bacteria were used as controls. A clinically-relevant foreign body model of S. aureus infection was established in Balb/c mice, as well as a sterile foreign body to mimic inflammation. The ex vivo biodistribution of D-[18F]FPHCys in the infected and inflamed mice was evaluated after 1 h, by dissection and gamma counting. The uptake was compared to that of [18F]FDG.

Results: In vitro uptake of both D-[18F]FET and D-[18F]FPHCys was specific to live bacteria. Uptake was higher in S. aureus than in P. aeruginosa for both radiotracers, and of the two, higher for D-[18F]FPHCys than D-[18F]FET. Blocking experiments with non-radioactive D-[19F]FPHCys confirmed specificity of uptake. In vivo, D-[18F]FPHCys had greater accumulation in S. aureus infection compared with sterile inflammation, which was statistically significant. As anticipated, [18F]FDG showed no significant difference in uptake between infection and inflammation.

Conclusions: D-[18F]FPHCys uptake was higher in infected tissues than inflammation, and represents a fluorine-18 labelled D-AA with potential to detect a S. aureus reference strain (Xen29) in vivo. Additional studies are needed to evaluate uptake of this radiotracer in clinical isolates.

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来源期刊
CiteScore
6.90
自引率
3.20%
发文量
95
审稿时长
3 months
期刊介绍: Molecular Imaging and Biology (MIB) invites original contributions (research articles, review articles, commentaries, etc.) on the utilization of molecular imaging (i.e., nuclear imaging, optical imaging, autoradiography and pathology, MRI, MPI, ultrasound imaging, radiomics/genomics etc.) to investigate questions related to biology and health. The objective of MIB is to provide a forum to the discovery of molecular mechanisms of disease through the use of imaging techniques. We aim to investigate the biological nature of disease in patients and establish new molecular imaging diagnostic and therapy procedures. Some areas that are covered are: Preclinical and clinical imaging of macromolecular targets (e.g., genes, receptors, enzymes) involved in significant biological processes. The design, characterization, and study of new molecular imaging probes and contrast agents for the functional interrogation of macromolecular targets. Development and evaluation of imaging systems including instrumentation, image reconstruction algorithms, image analysis, and display. Development of molecular assay approaches leading to quantification of the biological information obtained in molecular imaging. Study of in vivo animal models of disease for the development of new molecular diagnostics and therapeutics. Extension of in vitro and in vivo discoveries using disease models, into well designed clinical research investigations. Clinical molecular imaging involving clinical investigations, clinical trials and medical management or cost-effectiveness studies.
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