RT Journal Article SR Electronic T1 Optimization of a Collagen-Targeted PET Probe for Molecular Imaging of Pulmonary Fibrosis JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 1991 OP 1996 DO 10.2967/jnumed.117.193532 VO 58 IS 12 A1 Désogère, Pauline A1 Tapias, Luis F. A1 Rietz, Tyson A. A1 Rotile, Nicholas A1 Blasi, Francesco A1 Day, Helen A1 Elliott, Justin A1 Fuchs, Bryan C. A1 Lanuti, Michael A1 Caravan, Peter YR 2017 UL http://jnm.snmjournals.org/content/58/12/1991.abstract AB There is a large unmet need for a simple, accurate, noninvasive, quantitative, and high-resolution imaging modality to detect lung fibrosis at early stage and to monitor disease progression. Overexpression of collagen is a hallmark of organ fibrosis. Here, we describe the optimization of a collagen-targeted PET probe for staging pulmonary fibrosis. Methods: Six peptides were synthesized, conjugated to a copper chelator, and radiolabeled with 64Cu. The collagen affinity of each probe was measured in a plate-based assay. The pharmacokinetics and metabolic stability of the probes were studied in healthy rats. The capacity of these probes to detect and stage pulmonary fibrosis in vivo was assessed in a mouse model of bleomycin-induced fibrosis using PET imaging. Results: All probes exhibited affinities in the low micromolar range (1.6 μM < Kd < 14.6 μM) and had rapid blood clearance. The probes showed 2- to 8-fold-greater uptake in the lungs of bleomycin-treated mice than sham-treated mice, whereas the distribution in other organs was similar between bleomycin-treated and sham mice. The probe 64Cu-CBP7 showed the highest uptake in fibrotic lungs and the highest target-to-background ratios. The superiority of 64Cu-CBP7 was traced to a much higher metabolic stability compared with the other probes. The specificity of 64Cu-CBP7 for collagen was confirmed by comparison with a nonbinding isomer. Conclusion: 64Cu-CBP7 is a promising candidate for in vivo imaging of pulmonary fibrosis.