RT Journal Article SR Electronic T1 Cyclooxygenases as Potential PET Imaging Biomarkers to Explore Neuroinflammation in Dementia JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 53S OP 59S DO 10.2967/jnumed.121.263199 VO 63 IS Supplement 1 A1 Bruny V. Kenou A1 Lester S. Manly A1 Sara B. Rubovits A1 Somachukwu A. Umeozulu A1 Maia G. Van Buskirk A1 Andrea S. Zhang A1 Victor W. Pike A1 Paolo Zanotti-Fregonara A1 Ioline D. Henter A1 Robert B. Innis YR 2022 UL http://jnm.snmjournals.org/content/63/Supplement_1/53S.abstract AB The most frequently studied target of neuroinflammation using PET is 18-kDa translocator protein, but its limitations have spurred the molecular imaging community to find more promising targets. This article reviews the development of PET radioligands for cyclooxygenase (COX) subtypes 1 and 2, enzymes that catalyze the production of inflammatory prostanoids in the periphery and brain. Although both isozymes produce the same precursor compound, prostaglandin H2, they have distinct functions based on their differential cellular localization in the periphery and brain. For example, COX-1 is located primarily in microglia, a resident inflammatory cell in the brain whose role in producing inflammatory cytokines is well documented. In contrast, COX-2 is located primarily in neurons and can be markedly upregulated by inflammatory and excitatory stimuli, but its functions are poorly understood. This article reviews these 2 isozymes as biomarkers of neuroinflammation, as well as the radioligands that have recently been developed to image them in animals and humans. To place this work into context, the properties of COX-1 and COX-2 are compared with 18-kDa translocator protein, with special consideration of their application in Alzheimer disease as a representative neurodegenerative disorder.