RT Journal Article SR Electronic T1 L-[5-11C]glutamine PET monitors dynamic responses of glutaminolysis to interventions targeting glutaminase 1 in non-alcoholic steatohepatitis JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 241367 OP 241367 VO 65 IS supplement 2 A1 Xie, Lin A1 Zhang, Yiding A1 Fujinaga, Masayuki A1 Kurihara, Yusuke A1 Ogawa, Masanao A1 Kumata, Katsushi A1 Wakana, Mori A1 Kokufuta, Tomomi A1 Nengaki, Nobuki A1 Wakizaka, Hidekatsu A1 Luo, Rui A1 Zhang, Ming-Rong YR 2024 UL http://jnm.snmjournals.org/content/65/supplement_2/241367.abstract AB 241367 Introduction: Interventions targeting glutaminolysis has been proposed as a potential treatment strategy for non-alcoholic steatohepatitis (NASH).1,2 However, effective methods for assessing dynamic metabolic responses during interventions targeting glutaminolysis have not yet emerged. In this study, we developed a positron emission tomography (PET) imaging platform using L-[5-11C]glutamine ([11C]Gln) and evaluated its efficacy in NASH mice, as well as during metabolic therapy with bis-2-(5-phenylacetamido-1,3,4-thiadiazol-2-yl)ethyl sulfide (BPTES) (Fig. 1).Methods: Utilising [11C]Gln PET, we tracked the dynamic response of glutaminolysis under normal physiological conditions, in murine models of NASH induced by methionine and choline deficient (MCD) diet,3 and following therapeutic interventions with BPTES, a glutaminase 1 (GLS1) inhibitor that intervenes in the first and rate-limiting step of glutaminolysis.1,2 Histopathological and genetic analyses were performed to evaluate and quantify hepatic GLS1 levels and liver pathologies.Results: PET imaging with [11C]Gln effectively delineated the pharmacokinetics of L-glutamine, capturing its temporal-spatial pattern of action within the body. Furthermore, [11C]Gln PET imaging revealed a significant increase in hepatic uptake in NASH mice, whereas systemic therapeutic interventions with BPTES reduced the hepatic avidity of [11C]Gln in MCD diet-fed mice(Fig. 1A-B). This reduction in [11C]Gln uptake correlated with a decrease in the GLS1 burden and improvements in liver damage, suggesting the efficacy of BPTES in mitigating NASH-related metabolic abnormalities(Fig. 1C).Conclusions: These results suggest that [11C]Gln PET imaging can serve as a noninvasive diagnostic platform for whole-body, real-time tracking of responses of glutaminolysis to GLS1 manipulation in NASH, and it may be a valuable tool for the clinical management of patients with NASH undergoing glutaminolysis-based metabolic therapy. References• Johmura Y, Yamanaka T, Omori S, et al. Science 2021;371:265-270.• Simon J, Nuñez-García M, Fernández-Tussy P, et al. T Cell Metab 2020;31:605-622.e610.• Xie L, Yui J, Hatori A, et al. J Hepatol 2012;57:1076-1082.