Abstract

Inflammation is a pathophysiological hallmark of many diseases of the brain. Specific imaging of cells and molecules that contribute to cerebral inflammation is therefore highly desirable, both for research and in clinical application. The 18 kDa translocator protein (TSPO) has been established as a suitable target for the detection of activated microglia/macrophages. A number of novel TSPO ligands have been developed recently. Here, we evaluated the high affinity TSPO ligand DPA-714 as a marker of brain inflammation in two independent animal models. For the first time, the specificity of radiolabeled DPA-714 for activated microglia/macrophages was studied in a rat model of epilepsy (induced using Kainic acid) and in a mouse model of stroke (transient middle cerebral artery occlusion, tMCAO) using high-resolution autoradiography and immunohistochemistry. Additionally, cold-compound blocking experiments were performed and changes in blood-brain barrier (BBB) permeability were determined. Target-to-background ratios of 2 and 3 were achieved in lesioned vs. unaffected brain tissue in the epilepsy and tMCAO models, respectively. In both models, ligand uptake into the lesion corresponded well with the extent of Ox42- or Iba1-immunoreactive activated microglia/macrophages. In the epilepsy model, ligand uptake was almost completely blocked by pre-injection of DPA-714 and FEDAA1106, another high-affinity TSPO ligand. Ligand uptake was independent of the degree of BBB opening and lesion size in the stroke model. We provide further strong evidence that DPA-714 is a specific ligand to image activated microglia/macrophages in experimental models of brain inflammation.

Highlights

  • In diseases primarily characterized by neuroinflammation, such as multiple sclerosis, encephalitis, or meningitis, infiltration of immune cells into the brain is accompanied by breakdown of the blood-brain barrier (BBB) and substantial glial activation triggered by an autoimmune reaction and microbial infection, respectively [1,2]

  • They range from magnetic resonance imaging (MRI) to nuclear imaging techniques such as positron emission tomography (PET) and single-photon emission computed tomography (SPECT)

  • The objective of this study was to specify the cellular binding of high-affinity translocator protein (TSPO) ligand DPA-714 in a rat model of epilepsy and

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Summary

Introduction

In diseases primarily characterized by neuroinflammation, such as multiple sclerosis, encephalitis, or meningitis, infiltration of immune cells into the brain is accompanied by breakdown of the blood-brain barrier (BBB) and substantial glial activation triggered by an autoimmune reaction and microbial infection, respectively [1,2]. BBB impairment as a part of the inflammatory process can be visualized by systemic injection of imaging agents that, under physiological conditions, do not cross the intact BBB (e.g. gadolinium-based contrast agents for MRI or radiolabeled small molecules for PET or SPECT). Another approach is to target leukocytes of the blood stream, either by systemic application or re-injection after extracorporal labeling with paramagnetic or radioactive agents. The homing of these cells towards the brain lesion can be visualized [6,7,8]

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