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Research ArticleFEATURED BASIC SCIENCE ARTICLE

Comparison Between Brain and Cerebellar Autoradiography Using [18F]Flortaucipir, [18F]MK6240, and [18F]PI2620 in Postmortem Human Brain Tissue

Antonio Aliaga, Joseph Therriault, Kely Monica Quispialaya, Arturo Aliaga, Robert Hopewell, Nesrine Rahmouni, Arthur C. Macedo, Peter Kunach, Jean-Paul Soucy, Gassan Massarweh, Aida Abreu Diaz, Tharick A. Pascoal, Andreia Rocha, Marie-Christine Guiot, Luiza S. Machado, Marco Antônio De Bastiani, Débora Guerini de Souza, Diogo O. Souza, Serge Gauthier, Eduardo R. Zimmer and Pedro Rosa-Neto
Journal of Nuclear Medicine January 2025, 66 (1) 123-129; DOI: https://doi.org/10.2967/jnumed.124.267539
Antonio Aliaga
1Translational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Douglas Hospital, McGill University, Montreal, Quebec, Canada;
2Graduate Program in Biological Sciences: Biochemistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil;
3Research Institute of McGill University Health Centre, Montreal, Quebec, Canada;
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Joseph Therriault
1Translational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Douglas Hospital, McGill University, Montreal, Quebec, Canada;
4Department of Neurology and Neurosurgery, McGill University, Montreal, Quebec, Canada;
5Montreal Neurological Institute, Montreal, Quebec, Canada;
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Kely Monica Quispialaya
1Translational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Douglas Hospital, McGill University, Montreal, Quebec, Canada;
3Research Institute of McGill University Health Centre, Montreal, Quebec, Canada;
5Montreal Neurological Institute, Montreal, Quebec, Canada;
6Department of Medicine, McGill University, Montreal, Quebec, Canada;
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Arturo Aliaga
1Translational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Douglas Hospital, McGill University, Montreal, Quebec, Canada;
5Montreal Neurological Institute, Montreal, Quebec, Canada;
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Robert Hopewell
5Montreal Neurological Institute, Montreal, Quebec, Canada;
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Nesrine Rahmouni
1Translational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Douglas Hospital, McGill University, Montreal, Quebec, Canada;
4Department of Neurology and Neurosurgery, McGill University, Montreal, Quebec, Canada;
5Montreal Neurological Institute, Montreal, Quebec, Canada;
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Arthur C. Macedo
1Translational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Douglas Hospital, McGill University, Montreal, Quebec, Canada;
4Department of Neurology and Neurosurgery, McGill University, Montreal, Quebec, Canada;
5Montreal Neurological Institute, Montreal, Quebec, Canada;
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Peter Kunach
1Translational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Douglas Hospital, McGill University, Montreal, Quebec, Canada;
4Department of Neurology and Neurosurgery, McGill University, Montreal, Quebec, Canada;
5Montreal Neurological Institute, Montreal, Quebec, Canada;
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Jean-Paul Soucy
5Montreal Neurological Institute, Montreal, Quebec, Canada;
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Gassan Massarweh
5Montreal Neurological Institute, Montreal, Quebec, Canada;
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Aida Abreu Diaz
7Department of Pharmacology and Physiology, University of Montreal, Montreal, Quebec, Canada;
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Tharick A. Pascoal
8Department of Psychiatry, Pittsburgh University, Pittsburgh, Pennsylvania; and
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Andreia Rocha
2Graduate Program in Biological Sciences: Biochemistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil;
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Marie-Christine Guiot
5Montreal Neurological Institute, Montreal, Quebec, Canada;
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Luiza S. Machado
2Graduate Program in Biological Sciences: Biochemistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil;
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Marco Antônio De Bastiani
2Graduate Program in Biological Sciences: Biochemistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil;
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Débora Guerini de Souza
2Graduate Program in Biological Sciences: Biochemistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil;
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Diogo O. Souza
2Graduate Program in Biological Sciences: Biochemistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil;
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Serge Gauthier
1Translational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Douglas Hospital, McGill University, Montreal, Quebec, Canada;
4Department of Neurology and Neurosurgery, McGill University, Montreal, Quebec, Canada;
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Eduardo R. Zimmer
1Translational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Douglas Hospital, McGill University, Montreal, Quebec, Canada;
2Graduate Program in Biological Sciences: Biochemistry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil;
9Department of Pharmacology, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
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Pedro Rosa-Neto
1Translational Neuroimaging Laboratory, McGill University Research Centre for Studies in Aging, Douglas Hospital, McGill University, Montreal, Quebec, Canada;
3Research Institute of McGill University Health Centre, Montreal, Quebec, Canada;
4Department of Neurology and Neurosurgery, McGill University, Montreal, Quebec, Canada;
5Montreal Neurological Institute, Montreal, Quebec, Canada;
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  • FIGURE 1.
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    FIGURE 1.

    Autoradiography images showing binding of [18F]flortaucipir, [18F]MK6240, and [18F]PI2620 in prefrontal cortex, hippocampus, and cerebellum (A) and in whole-brain hemisphere (B) of control and AD brains. CN = control.

  • FIGURE 2.
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    FIGURE 2.

    (A–C) Total binding of [18F]flortaucipir, [18F]MK6240, and [18F]PI2620 in prefrontal cortex (A), hippocampus (B), and cerebellum gray matter (C). (D and E) Prefrontal cortex–to–cerebellum (D) and hippocampus-to-cerebellum (E) ratios. Significant differences between control and AD tissues were present for binding of [18F]flortaucipir (n = 12), [18F]MK6240 (n = 12), and [18F]PI2620 (n = 12) in prefrontal cortex and hippocampus, but no significant differences were found in cerebellar gray matter. Significant differences between control and AD tissue ratios (prefrontal cortex to cerebellum gray matter, hippocampus to cerebellum gray matter) were present for [18F]flortaucipir, [18F]MK6240, and [18F]PI2620. **P < 0.01. ***P < 0.001. ****P < 0.0001. CN = control; FT = [18F]flortaucipir; MK = [18F]MK6240; ns = not significant; PI = [18F]PI2620.

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    FIGURE 3.

    Relationship between [18F]flortaucipir and [18F]MK6240 binding. (Top) Linear relationship between [18F]flortaucipir and [18F]MK6240 in prefrontal cortex, hippocampus, and cerebellar gray matter. Circles and squares indicate measurements of AD and control tissues, respectively. For prefrontal cortex and hippocampus, linear relationship close to line of origin was observed. (Bottom) Bland–Altman analysis assessing bias between [18F]flortaucipir and [18F]MK6240 uptake. Dashed lines indicate limits of agreement. Cerebellum had largest difference between measurements.

  • FIGURE 4.
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    FIGURE 4.

    Relationship between [18F]flortaucipir and [18F]PI2620 binding. (Top) Linear relationship between [18F]flortaucipir and [18F]PI2620 in prefrontal cortex, hippocampus, and cerebellar gray matter. Circles and squares indicate measurements of AD and control tissues, respectively. For prefrontal cortex and hippocampus, linear relationship close to line of origin was observed. (Bottom) Bland–Altman analysis assessing bias between [18F]flortaucipir and [18F]PI2620 uptake. Dashed lines indicate limits of agreement. Cerebellum had largest difference between measurements.

  • FIGURE 5.
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    FIGURE 5.

    Relationship between [18F]MK6240 and [18F]PI2620 binding. (Top) Linear relationship between [18F]MK6240 and [18F]PI2620 in prefrontal cortex, hippocampus, and cerebellar gray matter. Circles and squares indicate measurements of AD and control tissues, respectively. For prefrontal cortex and hippocampus, linear relationship close to line of origin was observed. (Bottom) Bland–Altman analysis assessing bias between [18F]MK6240 and [18F]PI2620 uptake. Dashed lines indicate limits of agreement. Cerebellum had largest difference between measurements.

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    TABLE 1.

    Demographic Characteristics of Heathy Control and AD Brain Tissues

    Pathologic diagnosisSexAge at death (y)Postmortem delay (h)Brain weight (g)
    ControlF4843.75NA
    ControlF7819.75NA
    ControlF7717.251,150
    ControlF8232.50NA
    ControlM7620.501,320
    ControlM607.251,350
    ControlF74111,365
    ControlM71761,250
    ControlF9013.371,050
    ControlF81291,275
    ControlM916.751,070
    ControlM69121,225
    ADM63151,165
    Severe ADF779.25905
    Severe ADM768.51,240
    Severe ADF8411.75980
    ADF5515.25715
    ADM67961,010
    Severe ADM9213.251,200
    ADM668.51,075
    Severe ADM7912.751,135
    ADM7924.751,210
    Severe ADM76241,005
    ADM7326.251,120
    • NA = not available.

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Journal of Nuclear Medicine: 66 (1)
Journal of Nuclear Medicine
Vol. 66, Issue 1
January 1, 2025
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Comparison Between Brain and Cerebellar Autoradiography Using [18F]Flortaucipir, [18F]MK6240, and [18F]PI2620 in Postmortem Human Brain Tissue
Antonio Aliaga, Joseph Therriault, Kely Monica Quispialaya, Arturo Aliaga, Robert Hopewell, Nesrine Rahmouni, Arthur C. Macedo, Peter Kunach, Jean-Paul Soucy, Gassan Massarweh, Aida Abreu Diaz, Tharick A. Pascoal, Andreia Rocha, Marie-Christine Guiot, Luiza S. Machado, Marco Antônio De Bastiani, Débora Guerini de Souza, Diogo O. Souza, Serge Gauthier, Eduardo R. Zimmer, Pedro Rosa-Neto
Journal of Nuclear Medicine Jan 2025, 66 (1) 123-129; DOI: 10.2967/jnumed.124.267539

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Comparison Between Brain and Cerebellar Autoradiography Using [18F]Flortaucipir, [18F]MK6240, and [18F]PI2620 in Postmortem Human Brain Tissue
Antonio Aliaga, Joseph Therriault, Kely Monica Quispialaya, Arturo Aliaga, Robert Hopewell, Nesrine Rahmouni, Arthur C. Macedo, Peter Kunach, Jean-Paul Soucy, Gassan Massarweh, Aida Abreu Diaz, Tharick A. Pascoal, Andreia Rocha, Marie-Christine Guiot, Luiza S. Machado, Marco Antônio De Bastiani, Débora Guerini de Souza, Diogo O. Souza, Serge Gauthier, Eduardo R. Zimmer, Pedro Rosa-Neto
Journal of Nuclear Medicine Jan 2025, 66 (1) 123-129; DOI: 10.2967/jnumed.124.267539
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Keywords

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  • [18F]flortaucipir
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