Imaging tau pathology in Parkinsonisms

Abstract The recent development of positron emission tomography radiotracers targeting pathological tau in vivo has led to numerous human trials. While investigations have primarily focused on the most common tauopathy, Alzheimer’s disease, it is imperative that testing also be performed in parkinso...

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Autores principales: Sarah Coakeley, Antonio P. Strafella
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Publicado: Nature Portfolio 2017
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Acceso en línea:https://doaj.org/article/6afea461ad4e4fbcb28d678c014008db
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spelling oai:doaj.org-article:6afea461ad4e4fbcb28d678c014008db2021-12-02T12:33:37ZImaging tau pathology in Parkinsonisms10.1038/s41531-017-0023-32373-8057https://doaj.org/article/6afea461ad4e4fbcb28d678c014008db2017-06-01T00:00:00Zhttps://doi.org/10.1038/s41531-017-0023-3https://doaj.org/toc/2373-8057Abstract The recent development of positron emission tomography radiotracers targeting pathological tau in vivo has led to numerous human trials. While investigations have primarily focused on the most common tauopathy, Alzheimer’s disease, it is imperative that testing also be performed in parkinsonian tauopathies, such as progressive supranuclear palsy, corticobasal degeneration, and frontotemporal dementia and parkinsonism linked to chromosome 17. Tau aggregates differ in isoforms and conformations across disorders, and as a result one radiotracer may not be appropriate for all tauopathies. In this review, we evaluate the preclinical and clinical reports of current tau radiotracers in parkinsonian disorders. These radiotracers include [18F]FDDNP, [11C]PBB3, [18F]THK-5317, [18F]THK-5351, and [18F]AV-1451 ([18F]T807). There are concerns of off-target binding with [18F]FDDNP and [11C]PBB3, which may increase the signal to noise ratio and thereby decrease the efficacy of these radiotracers. Testing in [18F]THK-5317, [18F]THK-5351, and [18F]AV-1451 has been performed in progressive supranuclear palsy, while [18F]THK-5317 and [18F]AV-1451 have also been tested in corticobasal degeneration patients. [18F]THK-5317 and [18F]THK-5351 have demonstrated binding in brain regions known to be afflicted with pathological tau; however, due to small sample sizes these studies should be replicated before concluding their appropriateness in parkinsonian tauopathies. [18F]AV-1451 has demonstrated mixed results in progressive supranuclear palsy patients and post-mortem analysis shows minimal to no binding to non-Alzheimer’s disease tauopathies brain slices.Sarah CoakeleyAntonio P. StrafellaNature PortfolioarticleNeurology. Diseases of the nervous systemRC346-429ENnpj Parkinson's Disease, Vol 3, Iss 1, Pp 1-9 (2017)
institution DOAJ
collection DOAJ
language EN
topic Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurology. Diseases of the nervous system
RC346-429
Sarah Coakeley
Antonio P. Strafella
Imaging tau pathology in Parkinsonisms
description Abstract The recent development of positron emission tomography radiotracers targeting pathological tau in vivo has led to numerous human trials. While investigations have primarily focused on the most common tauopathy, Alzheimer’s disease, it is imperative that testing also be performed in parkinsonian tauopathies, such as progressive supranuclear palsy, corticobasal degeneration, and frontotemporal dementia and parkinsonism linked to chromosome 17. Tau aggregates differ in isoforms and conformations across disorders, and as a result one radiotracer may not be appropriate for all tauopathies. In this review, we evaluate the preclinical and clinical reports of current tau radiotracers in parkinsonian disorders. These radiotracers include [18F]FDDNP, [11C]PBB3, [18F]THK-5317, [18F]THK-5351, and [18F]AV-1451 ([18F]T807). There are concerns of off-target binding with [18F]FDDNP and [11C]PBB3, which may increase the signal to noise ratio and thereby decrease the efficacy of these radiotracers. Testing in [18F]THK-5317, [18F]THK-5351, and [18F]AV-1451 has been performed in progressive supranuclear palsy, while [18F]THK-5317 and [18F]AV-1451 have also been tested in corticobasal degeneration patients. [18F]THK-5317 and [18F]THK-5351 have demonstrated binding in brain regions known to be afflicted with pathological tau; however, due to small sample sizes these studies should be replicated before concluding their appropriateness in parkinsonian tauopathies. [18F]AV-1451 has demonstrated mixed results in progressive supranuclear palsy patients and post-mortem analysis shows minimal to no binding to non-Alzheimer’s disease tauopathies brain slices.
format article
author Sarah Coakeley
Antonio P. Strafella
author_facet Sarah Coakeley
Antonio P. Strafella
author_sort Sarah Coakeley
title Imaging tau pathology in Parkinsonisms
title_short Imaging tau pathology in Parkinsonisms
title_full Imaging tau pathology in Parkinsonisms
title_fullStr Imaging tau pathology in Parkinsonisms
title_full_unstemmed Imaging tau pathology in Parkinsonisms
title_sort imaging tau pathology in parkinsonisms
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/6afea461ad4e4fbcb28d678c014008db
work_keys_str_mv AT sarahcoakeley imagingtaupathologyinparkinsonisms
AT antoniopstrafella imagingtaupathologyinparkinsonisms
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