Watanabe Hiroyuki
Graduate School of Pharmaceutical Sciences, Kyoto University.
Yakugaku Zasshi. 2017;137(11):1361-1365. doi: 10.1248/yakushi.17-00156.
Alzheimer's disease (AD) is the most common form of irreversible dementia among elderly people. In the postmortem brains of AD patients, the deposition of senile plaques composed of β-amyloid (Aβ) peptides and neurofibrillary tangles composed of highly phosphorylated tau proteins are two neuropathological hallmarks. Therefore, the in vivo imaging of Aβ and tau aggregates with positron-emission tomography (PET) or single-photon emission computed tomography (SPECT) would promote drug development, early diagnosis, and monitoring of the disease status in AD patients. In this study, we designed and synthesized novel Aβ and tau imaging probes for SPECT. [I]PBOX-3, developed as an Aβ imaging probe, showed high affinity for Aβ aggregates in vitro. A SPECT/CT study with [I]PBOX-3 revealed a higher level of radioactivity in a Tg2576 mouse, which is the AD model mouse, than in a wild-type mouse. In addition, ex vivo autoradiograms of brain sections from a Tg2576 mouse after the injection of [I]PBOX-3 showed the selective binding of Aβ plaques. BIP-NMe, developed as a tau imaging probe, showed high and selective affinity for tau aggregates in AD brain sections. In addition, [I]BIP-NMe displayed high initial uptake into, and fast washout from, the normal mouse brain, suggesting that [I]BIP-NMe has favorable pharmacokinetics for the in vivo imaging of tau aggregates. Taken together, we successfully developed an Aβ imaging probe, PBOX-3, and a tau imaging probe, BIP-NMe. These probes may be used to develop novel methods for the diagnosis, treatment and monitoring of AD progression.
阿尔茨海默病(AD)是老年人中最常见的不可逆性痴呆形式。在AD患者的尸检大脑中,由β-淀粉样蛋白(Aβ)肽组成的老年斑沉积和由高度磷酸化的tau蛋白组成的神经原纤维缠结是两个神经病理学特征。因此,利用正电子发射断层扫描(PET)或单光子发射计算机断层扫描(SPECT)对Aβ和tau聚集体进行体内成像将促进AD患者的药物开发、早期诊断和疾病状态监测。在本研究中,我们设计并合成了用于SPECT的新型Aβ和tau成像探针。作为Aβ成像探针开发的[I]PBOX-3在体外对Aβ聚集体表现出高亲和力。用[I]PBOX-3进行的SPECT/CT研究显示,AD模型小鼠Tg2576中的放射性水平高于野生型小鼠。此外,注射[I]PBOX-3后Tg2576小鼠脑切片的离体放射自显影片显示了Aβ斑块的选择性结合。作为tau成像探针开发的BIP-NMe对AD脑切片中的tau聚集体表现出高选择性亲和力。此外,[I]BIP-NMe在正常小鼠脑中显示出高初始摄取和快速清除,这表明[I]BIP-NMe对于tau聚集体的体内成像具有良好的药代动力学。综上所述,我们成功开发了一种Aβ成像探针PBOX-3和一种tau成像探针BIP-NMe。这些探针可用于开发诊断、治疗和监测AD进展的新方法。