RT Journal Article SR Electronic T1 Preclinical Characterization of the Tau PET Tracer [18F]SNFT-1: Comparison of Tau PET Tracers JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 1495 OP 1501 DO 10.2967/jnumed.123.265593 VO 64 IS 9 A1 Harada, Ryuichi A1 Lerdsirisuk, Pradith A1 Shimizu, Yuki A1 Yokoyama, Yuka A1 Du, Yiqing A1 Kudo, Kaede A1 Ezura, Michinori A1 Ishikawa, Yoichi A1 Iwata, Ren A1 Shidahara, Miho A1 Ishiki, Aiko A1 Kikuchi, Akio A1 Hatano, Yuya A1 Ishihara, Tomohiko A1 Onodera, Osamu A1 Iwasaki, Yasushi A1 Yoshida, Mari A1 Taki, Yasuyuki A1 Arai, Hiroyuki A1 Kudo, Yukitsuka A1 Yanai, Kazuhiko A1 Furumoto, Shozo A1 Okamura, Nobuyuki YR 2023 UL http://jnm.snmjournals.org/content/64/9/1495.abstract AB Tau PET tracers are expected to be sufficiently sensitive to track the progression of age-related tau pathology in the medial temporal cortex. The tau PET tracer N-(4-[18F]fluoro-5-methylpyridin-2-yl)-7-aminoimidazo[1,2-a]pyridine ([18F]SNFT-1) has been successfully developed by optimizing imidazo[1,2-a]pyridine derivatives. We characterized the binding properties of [18F]SNFT-1 using a head-to-head comparison with other reported 18F-labeled tau tracers. Methods: The binding affinity of SNFT-1 to tau, amyloid, and monoamine oxidase A and B was compared with that of the second-generation tau tracers MK-6240, PM-PBB3, PI-2620, RO6958948, JNJ-64326067, and flortaucipir. In vitro binding properties of 18F-labeled tau tracers were evaluated through the autoradiography of frozen human brain tissues from patients with diverse neurodegenerative disease spectra. Pharmacokinetics, metabolism, and radiation dosimetry were assessed in normal mice after intravenous administration of [18F]SNFT-1. Results: In vitro binding assays demonstrated that [18F]SNFT-1 possesses high selectivity and high affinity for tau aggregates in Alzheimer disease (AD) brains. Autoradiographic analysis of tau deposits in medial temporal brain sections from patients with AD showed a higher signal-to-background ratio for [18F]SNFT-1 than for the other tau PET tracers and no significant binding with non-AD tau, α-synuclein, transactiviation response DNA-binding protein-43, and transmembrane protein 106B aggregates in human brain sections. Furthermore, [18F]SNFT-1 did not bind significantly to various receptors, ion channels, or transporters. [18F]SNFT-1 showed a high initial brain uptake and rapid washout from the brains of normal mice without radiolabeled metabolites. Conclusion: These preclinical data suggest that [18F]SNFT-1 is a promising and selective tau radiotracer candidate that allows the quantitative monitoring of age-related accumulation of tau aggregates in the human brain.