Evaluating the Performance of Pathogen-Targeted Positron Emission Tomography Radiotracers in a Rat Model of Vertebral Discitis-Osteomyelitis

© The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved. For permissions, please e-mail: journals.permissionsoup.com..

BACKGROUND: Vertebral discitis-osteomyelitis (VDO) is a devastating infection of the spine that is challenging to distinguish from noninfectious mimics using computed tomography and magnetic resonance imaging. We and others have developed novel metabolism-targeted positron emission tomography (PET) radiotracers for detecting living Staphylococcus aureus and other bacteria in vivo, but their head-to-head performance in a well-validated VDO animal model has not been reported.

METHODS: We compared the performance of several PET radiotracers in a rat model of VDO. [11C]PABA and [18F]FDS were assessed for their ability to distinguish S aureus, the most common non-tuberculous pathogen VDO, from Escherichia coli.

RESULTS: In the rat S aureus VDO model, [11C]PABA could detect as few as 103 bacteria and exhibited the highest signal-to-background ratio, with a 20-fold increased signal in VDO compared to uninfected tissues. In a proof-of-concept experiment, detection of bacterial infection and discrimination between S aureus and E coli was possible using a combination of [11C]PABA and [18F]FDS.

CONCLUSIONS: Our work reveals that several bacteria-targeted PET radiotracers had sufficient signal to background in a rat model of S aureus VDO to be potentially clinically useful. [11C]PABA was the most promising tracer investigated and warrants further investigation in human VDO.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:228

Enthalten in:

The Journal of infectious diseases - 228(2023), Suppl 4 vom: 03. Okt., Seite S281-S290

Sprache:

Englisch

Beteiligte Personen:

Parker, Matthew F L [VerfasserIn]
López-Álvarez, Marina [VerfasserIn]
Alanizi, Aryn A [VerfasserIn]
Luu, Justin M [VerfasserIn]
Polvoy, Ilona [VerfasserIn]
Sorlin, Alexandre M [VerfasserIn]
Qin, Hecong [VerfasserIn]
Lee, Sanghee [VerfasserIn]
Rabbitt, Sarah J [VerfasserIn]
Pichardo-González, Priamo A [VerfasserIn]
Ordonez, Alvaro A [VerfasserIn]
Blecha, Joseph [VerfasserIn]
Rosenberg, Oren S [VerfasserIn]
Flavell, Robert R [VerfasserIn]
Engel, Joanne [VerfasserIn]
Jain, Sanjay K [VerfasserIn]
Ohliger, Michael A [VerfasserIn]
Wilson, David M [VerfasserIn]

Links:

Volltext

Themen:

4-Aminobenzoic Acid
Carbon-11
Infection imaging
Journal Article
Metabolism
Nuclear medicine
Positron emission tomography
Radiopharmaceuticals
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
S aureus
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Anmerkungen:

Date Completed 05.10.2023

Date Revised 25.04.2024

published: Print

Citation Status MEDLINE

doi:

10.1093/infdis/jiad159

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362822727