Imaging disease activity of rheumatoid arthritis by macrophage targeting using second generation translocator protein positron emission tomography tracers

Positron emission tomography (PET) imaging of macrophages using the translocator protein (TSPO) tracer (R)-[11C]PK11195 has shown the promise to image rheumatoid arthritis (RA). To further improve TSPO PET for RA imaging, second generation TSPO tracers [11C]DPA-713 and [18F]DPA-714 have recently bee...

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Veröffentlicht in:PloS one 2019-09, Vol.14 (9), p.e0222844-e0222844
Hauptverfasser: Bruijnen, S T G, Verweij, N J F, Gent, Y Y J, Huisman, M C, Windhorst, A D, Kassiou, M, van de Ven, P M, Lammertsma, A A, Hoekstra, O S, Voskuyl, A E, van der Laken, C J
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container_issue 9
container_start_page e0222844
container_title PloS one
container_volume 14
creator Bruijnen, S T G
Verweij, N J F
Gent, Y Y J
Huisman, M C
Windhorst, A D
Kassiou, M
van de Ven, P M
Lammertsma, A A
Hoekstra, O S
Voskuyl, A E
van der Laken, C J
description Positron emission tomography (PET) imaging of macrophages using the translocator protein (TSPO) tracer (R)-[11C]PK11195 has shown the promise to image rheumatoid arthritis (RA). To further improve TSPO PET for RA imaging, second generation TSPO tracers [11C]DPA-713 and [18F]DPA-714 have recently been evaluated pre-clinically showing better imaging characteristics. A clinical proof of concept study to evaluate [11C]DPA-713 and [18F]DPA-714 to visualize arthritis in RA patients. RA patients (n = 13) with at least two active hand joints were included. PET/CT scans of the hands were obtained after injection of [18F]DPA-714, [11C]DPA-713 and/or (R)-[11C]PK11195 (max. 2 tracers pp). Standardized uptake values (SUVs) and target-to-background (T/B) ratios were determined. Imaging data of the 3 different tracers were compared by pooled post-hoc testing, and by a head to head comparison. Clinically active arthritis was present in 110 hand joints (2-17 pp). Arthritic joints were visualized with both [11C]DPA-713 and [18F]DPA-714. Visual tracer uptake corresponded with clinical signs of arthritis in 80% of the joints. Mean absolute uptake in PET-positive joints was significantly higher for [11C]DPA-713 than for [18F]DPA-714, the latter being not significantly different from (R)-[11C]PK11195 uptake. Background uptake was lower for both DPA tracers compared with that of (R)-[11C]PK11195. Higher absolute uptake and lower background resulted in two-fold higher T/B ratios for [11C]DPA-713. [11C]DPA-713 and [18F]DPA-714 visualize arthritic joints in active RA patients and most optimal arthritis imaging results were obtained for [11C]DPA-713. Second generation TSPO macrophage PET provides new opportunities for both early diagnosis and therapy monitoring of RA.
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To further improve TSPO PET for RA imaging, second generation TSPO tracers [11C]DPA-713 and [18F]DPA-714 have recently been evaluated pre-clinically showing better imaging characteristics. A clinical proof of concept study to evaluate [11C]DPA-713 and [18F]DPA-714 to visualize arthritis in RA patients. RA patients (n = 13) with at least two active hand joints were included. PET/CT scans of the hands were obtained after injection of [18F]DPA-714, [11C]DPA-713 and/or (R)-[11C]PK11195 (max. 2 tracers pp). Standardized uptake values (SUVs) and target-to-background (T/B) ratios were determined. Imaging data of the 3 different tracers were compared by pooled post-hoc testing, and by a head to head comparison. Clinically active arthritis was present in 110 hand joints (2-17 pp). Arthritic joints were visualized with both [11C]DPA-713 and [18F]DPA-714. Visual tracer uptake corresponded with clinical signs of arthritis in 80% of the joints. Mean absolute uptake in PET-positive joints was significantly higher for [11C]DPA-713 than for [18F]DPA-714, the latter being not significantly different from (R)-[11C]PK11195 uptake. Background uptake was lower for both DPA tracers compared with that of (R)-[11C]PK11195. Higher absolute uptake and lower background resulted in two-fold higher T/B ratios for [11C]DPA-713. [11C]DPA-713 and [18F]DPA-714 visualize arthritic joints in active RA patients and most optimal arthritis imaging results were obtained for [11C]DPA-713. 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This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Mean absolute uptake in PET-positive joints was significantly higher for [11C]DPA-713 than for [18F]DPA-714, the latter being not significantly different from (R)-[11C]PK11195 uptake. Background uptake was lower for both DPA tracers compared with that of (R)-[11C]PK11195. Higher absolute uptake and lower background resulted in two-fold higher T/B ratios for [11C]DPA-713. [11C]DPA-713 and [18F]DPA-714 visualize arthritic joints in active RA patients and most optimal arthritis imaging results were obtained for [11C]DPA-713. Second generation TSPO macrophage PET provides new opportunities for both early diagnosis and therapy monitoring of RA.</description><subject>Aged</subject><subject>Amides</subject><subject>Arthritis</subject><subject>Arthritis, Rheumatoid - blood</subject><subject>Arthritis, Rheumatoid - diagnosis</subject><subject>Autoimmune diseases</subject><subject>Biology and Life Sciences</subject><subject>Care and treatment</subject><subject>Computed tomography</subject><subject>Diagnosis</subject><subject>Early Diagnosis</subject><subject>Emissions</subject><subject>Female</subject><subject>Fluorine isotopes</subject><subject>Genetic aspects</subject><subject>Good Manufacturing Practice</subject><subject>Hand Joints - cytology</subject><subject>Hand Joints - diagnostic imaging</subject><subject>Humans</subject><subject>Immunology</subject><subject>Isoquinolines</subject><subject>Joint diseases</subject><subject>Joints (anatomy)</subject><subject>Ligands</subject><subject>Macrophages</subject><subject>Macrophages - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bruijnen, S T G</au><au>Verweij, N J F</au><au>Gent, Y Y J</au><au>Huisman, M C</au><au>Windhorst, A D</au><au>Kassiou, M</au><au>van de Ven, P M</au><au>Lammertsma, A A</au><au>Hoekstra, O S</au><au>Voskuyl, A E</au><au>van der Laken, C J</au><au>Woloschak, Gayle E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Imaging disease activity of rheumatoid arthritis by macrophage targeting using second generation translocator protein positron emission tomography tracers</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2019-09-25</date><risdate>2019</risdate><volume>14</volume><issue>9</issue><spage>e0222844</spage><epage>e0222844</epage><pages>e0222844-e0222844</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Positron emission tomography (PET) imaging of macrophages using the translocator protein (TSPO) tracer (R)-[11C]PK11195 has shown the promise to image rheumatoid arthritis (RA). To further improve TSPO PET for RA imaging, second generation TSPO tracers [11C]DPA-713 and [18F]DPA-714 have recently been evaluated pre-clinically showing better imaging characteristics. A clinical proof of concept study to evaluate [11C]DPA-713 and [18F]DPA-714 to visualize arthritis in RA patients. RA patients (n = 13) with at least two active hand joints were included. PET/CT scans of the hands were obtained after injection of [18F]DPA-714, [11C]DPA-713 and/or (R)-[11C]PK11195 (max. 2 tracers pp). Standardized uptake values (SUVs) and target-to-background (T/B) ratios were determined. Imaging data of the 3 different tracers were compared by pooled post-hoc testing, and by a head to head comparison. Clinically active arthritis was present in 110 hand joints (2-17 pp). Arthritic joints were visualized with both [11C]DPA-713 and [18F]DPA-714. Visual tracer uptake corresponded with clinical signs of arthritis in 80% of the joints. Mean absolute uptake in PET-positive joints was significantly higher for [11C]DPA-713 than for [18F]DPA-714, the latter being not significantly different from (R)-[11C]PK11195 uptake. Background uptake was lower for both DPA tracers compared with that of (R)-[11C]PK11195. Higher absolute uptake and lower background resulted in two-fold higher T/B ratios for [11C]DPA-713. [11C]DPA-713 and [18F]DPA-714 visualize arthritic joints in active RA patients and most optimal arthritis imaging results were obtained for [11C]DPA-713. Second generation TSPO macrophage PET provides new opportunities for both early diagnosis and therapy monitoring of RA.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31553762</pmid><doi>10.1371/journal.pone.0222844</doi><tpages>e0222844</tpages><orcidid>https://orcid.org/0000-0003-2155-4929</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Amides
Arthritis
Arthritis, Rheumatoid - blood
Arthritis, Rheumatoid - diagnosis
Autoimmune diseases
Biology and Life Sciences
Care and treatment
Computed tomography
Diagnosis
Early Diagnosis
Emissions
Female
Fluorine isotopes
Genetic aspects
Good Manufacturing Practice
Hand Joints - cytology
Hand Joints - diagnostic imaging
Humans
Immunology
Isoquinolines
Joint diseases
Joints (anatomy)
Ligands
Macrophages
Macrophages - metabolism
Male
Medical imaging
Medicine and Health Sciences
Middle Aged
Molecular Imaging - methods
Nuclear medicine
Patients
Polymorphism
Positron emission
Positron emission tomography
Positron Emission Tomography Computed Tomography - methods
Proof of Concept Study
Proteins
Pyrazoles - pharmacology
Pyrimidines - pharmacology
Radiopharmaceuticals - pharmacology
Receptors, GABA - metabolism
Research and Analysis Methods
Rheumatoid arthritis
Rheumatoid factor
Rheumatology
Sport utility vehicles
Studies
Tomography
Tracers
Tracers (Biology)
Translocations (Genetics)
title Imaging disease activity of rheumatoid arthritis by macrophage targeting using second generation translocator protein positron emission tomography tracers
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