The Peripheral Benzodiazepine Receptor Ligand ClINME can Delineate Microglial Activation Similarly well with either SPECT or PET
Objectives: Recently the PET ligand [11-C]ClINME was reported to demonstrate better than [11-C]PK11195 the Peripheral Benzodiazepine Receptor expression associated with microglial activation following an excitotoxic lesion (Glia, 55:1459). Here, we evaluated the efficacy of [123-I]ClINME for the measurement of this same lesion, using high-resolution Pinhole SPECT.
Methods: Microglial activation was induced in male, SD rats with a unilateral injection of 7.5 nmol [alpha]-amino-3-hydroxy-5-methylisoxazole-4-propionic acid into the striatum. After 8 days, SPECT and CT images were acquired (X-SPECT; GMI, Northridge, USA) and ROIs drawn over the lesion and the contralateral striatum using the co-registered images. Post-mortem studies included in vitro [125-I]ClINME autoradiography and immunohistochemistry (IHC).
Results: SPECT quantitation gave ratios of 1.9 – 3.0 between [123-I]ClINME uptake in the lesioned vs non-lesioned striatum. This range encompasses that reported for [11-C]ClINME (2.14) and that found here with [125-I]ClINME in vitro autoradiography (2.10), and is higher than that reported for [11-C]ClINME PET (1.62). IHC here confirmed profound neuronal loss and astrocytic and microglial activation on the lesioned sided.
Conclusions: Following previous work demonstrating the superior imaging qualities of [11-C]ClINME in PET, this study shows [123-I]ClINME to be similarly able to depict IHC-confirmed microglial activation. Radiolabelled ClINME thus has the potential, with either PET or SPECT, to be a clinically-useful marker of neurodegenerative diseases such as Alzheimer’s disease.