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Head-to-head comparison of tau PET tracers [18F]PI-2620 and [18F]RO948 in non-demented individuals with brain amyloid deposition: the TAU-PET FACEHBI cohort

Title: Head-to-head comparison of tau PET tracers [18F]PI-2620 and [18F]RO948 in non-demented individuals with brain amyloid deposition: the TAU-PET FACEHBI cohort
Authors: Matteo Tonietto; Oscar Sotolongo-Grau; Núria Roé-Vellvé; Santiago Bullich; Juan Pablo Tartari; Ángela Sanabria; Ainhoa García-Sánchez; Edilio Borroni; Christopher Galli; Esther Pérez-Martínez; Joan Castell-Conesa; Isabel Roca; Lluís Tárraga; Agustín Ruiz; Andrew W. Stephens; Mercè Boada; Gregory Klein; Marta Marquié; on behalf of the FACEHBI study group; on behalf of the AMYPAD consortium
Source: Alzheimer’s Research & Therapy, Vol 16, Iss 1, Pp 1-13 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Neurosciences. Biological psychiatry. Neuropsychiatry; LCC:Neurology. Diseases of the nervous system
Subject Terms: Tau; Positron emission tomography; [18F]PI-2620; [18F]RO948; FACEHBI; Subjective cognitive decline; Neurosciences. Biological psychiatry. Neuropsychiatry; RC321-571; Neurology. Diseases of the nervous system; RC346-429
Description: Abstract Background Second-generation tau tracers for positron emission tomography (PET) show high affinity for paired helical filaments tau deposits characteristic of Alzheimer´s disease and low off-target binding. Differences in their chemical structure though may lead to variations in their regional tau uptake and off-target signal. In this work, we aimed to compare the in-vivo uptake of tau tracers [18F]PI-2620 and [18F]RO948 in the early stages of the AD continuum. Methods Data from the TAU-PET FACEHBI clinical trial (EUDRA-CT 2021–000473-83) were analyzed. All participants were non-demented and underwent tau imaging with [18F]PI-2620 and [18F]RO948 PET within 3 months, amyloid imaging with [18F]Florbetaben and brain magnetic resonance imaging. Tau PET standardized uptake values ratios (SUVR) were calculated in Braak and typical off-target regions using the inferior cerebellar cortex as a reference region. Results The cohort consisted of 18 individuals with subjective cognitive decline (n = 13) and mild cognitive impairment (n = 5), with centiloid values ranging from 17 to 159. Both tau tracers showed similar tau pathology distribution but presented a distinct off-target signal pattern on visual read. SUVR measurements for [18F]PI-2620 and [18F]RO948 were highly correlated in all Braak regions (R2 range [0.65–0.80]). Regarding off-target signal, [18F]PI-2620 had higher SUVRs in vascular structures, and [18F]RO948 had higher SUVRs in the skull/meninges. Conclusions In a cohort of individuals at early stages of the AD continuum, tau PET tracers [18F]PI-2620 and [18F]RO948 showed similar in-vivo uptake in all Braak regions and distinct off-target signal. These preliminary results support the development of standardized quantification scales for tau deposition that are tracer-independent. Trial registration AEMPS EudraCT 2021–000473-83. Registered 30 December 2021.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1758-9193
Relation: https://doaj.org/toc/1758-9193
DOI: 10.1186/s13195-024-01622-5
Access URL: https://doaj.org/article/a701a98f52f341ec8cfdb4e50416d2e5
Accession Number: edsdoj.701a98f52f341ec8cfdb4e50416d2e5
Database: Directory of Open Access Journals