RT Journal Article SR Electronic T1 Noninvasive Diagnostic Method to Objectively Measure Olfaction and Diagnose Smell Disorders by a Molecularly Targeted Fluorescence Imaging Agent JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP jnumed.123.266123 DO 10.2967/jnumed.123.266123 A1 Adilbay, Dauren A1 Gonzales, Junior A1 Zazhytska, Marianna A1 Demetrio de Souza Franca, Paula A1 Roberts, Sheryl A1 Viray, Tara D. A1 Artschwager, Raik A1 Patel, Snehal A1 Kodra, Albana A1 Overdevest, Jonathan B. A1 Chow, Chun Yuen A1 King, Glenn F. A1 Jain, Sanjay K. A1 Ordonez, Alvaro A. A1 Carroll, Laurence S. A1 Lomvardas, Stavros A1 Reiner, Thomas A1 Pillarsetty, Nagavarakishore YR 2024 UL http://jnm.snmjournals.org/content/early/2024/07/03/jnumed.123.266123.abstract AB Despite the recent advances in understanding the mechanisms of olfaction, no tools are currently available to noninvasively identify loss of smell. Because of the substantial increase in patients presenting with coronavirus disease 2019–related loss of smell, the pandemic has highlighted the urgent need to develop quantitative methods. Methods: Our group investigated the use of a novel fluorescent probe named Tsp1a-IR800P as a tool to diagnose loss of smell. Tsp1a-IR800P targets sodium channel 1.7, which plays a critical role in olfaction by aiding the signal propagation to the olfactory bulb. Results: Intuitively, we have identified that conditions leading to loss of smell, including chronic inflammation and coronavirus disease 2019, correlate with the downregulation of sodium channel 1.7 expression in the olfactory epithelium, both at the transcript and at the protein levels. We demonstrated that lower Tsp1a-IR800P fluorescence emissions significantly correlate with loss of smell in live animals—thus representing a potential tool for its semiquantitative assessment. Currently available methods rely on delayed subjective behavioral studies. Conclusion: This method could aid in significantly improving preclinical and clinical studies by providing a way to objectively diagnose loss of smell and therefore aid the development of therapeutic interventions.