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Joseph, Emanuel; Kunze, Lea H. ORCID logoORCID: https://orcid.org/0000-0003-4669-2113; Schaefer, Rebecca ORCID logoORCID: https://orcid.org/0009-0006-7218-0591; Palumbo, Giovanna ORCID logoORCID: https://orcid.org/0000-0001-9467-2761; Kugelmann, Benjamin; Wagner, Stephan; Lammich, Sven; Feederle, Regina ORCID logoORCID: https://orcid.org/0000-0002-3981-367X; Willem, Michael; Werner, Rudolf A.; Brendel, Matthias ORCID logoORCID: https://orcid.org/0000-0002-9247-2843 und Lindner, Simon ORCID logoORCID: https://orcid.org/0009-0007-4379-4436 (2025): Design, Synthesis and Preclinical Evaluation of a Brain-Permeable PET Tracer for P2Y12 Receptor Imaging in the Brain. In: Journal of Medicinal Chemistry, Bd. 68, Nr. 15: S. 15543-15562 [PDF, 12MB]

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Abstract

Microglia, the innate immune cells of the central nervous system (CNS), act as first responders to brain injury. Their ability to switch between different neuroprotective and neurotoxic phenotypes, plays a central role in maintaining brain homeostasis. Recently, the P2Y12 receptor (P2Y12R) has been identified as a promising molecular biomarker for microglia activity, as its expression level is dependent on microglia phenotype and function. P2Y12R positron emission tomography (PET) might be a valuable diagnostic tool, however, tracers with sufficient brain retention have not been reported so far. Herein, we report a brain-permeable P2Y12R PET tracer for in vivo imaging of P2Y12R-positive microglia. Nicotinate [18F]12 exhibited nanomolar affinity and specificity for the target receptor and showed a reduced uptake in microglia-depleted (PLX) mice, in comparison to WT and Trem2 knockout (Trem2–/–) mice. Ex vivo immunohistochemistry (IHC) and PET data revealed a strong correlation between microglia abundance, P2Y12R expression levels and tracer uptake.

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