TABLE 2

Recent Bacteria-Specific Radiotracers

TracerMechanismTarget bacterial pathogenPathogens tested in vivo (CFUsadministered)Maximum infection-to-inflammation ratioStage (published reports)
18F-FPTMPInhibition of bacterial dihydrofolate reductaseG+, G−E. coli (106–108)∼3 (108 E. coli CFU)Preclinical
S. aureus (108)
P. aeruginosa (107)
18F-FAGBacterial cell wallG+, G−E. coli (107)∼2Preclinical
18F-maltohexaoseMaltodextrin transporterG+, G−E. coli (105–109)7 (109 CFU)Preclinical
18F-fluoro-maltoseMaltodextrin transporterG+, G−E. coli (108)1.3Preclinical
18F-fluoro-maltotrioseMaltodextrin transporterG+, G−E. coli (106-108)3.4 (108 E. coli CFU)Preclinical
L. monocytogenes (2 × 105)
P. aeruginosa (106)
S. aureus
18F-FDSBacterial energy consumptionG−*E. coli (107)7.3 (E. coli)Clinical
S. aureus (107–108)
P. aeruginosa (106.5)
11C-PABAFolic acid biosynthesisG+, G−E. coli2.6Clinical
18F-PABAFolic acid biosynthesisG+, G−S. aureus (107–108)7.95 (108)Preclinical
11C-d-MetBacterial cell wallG+, G−E. coli2Clinical
S. aureus
11C-d-AlaBacterial cell wallG+, G−E. coli (5 × 106)3.5 (S. aureus)Preclinical
S. aureus (5 × 106)
P. aeruginosa (2 × 106)
  • * Enterobacteriaceae.

  • CFU = colony forming units; 18F-FPTMP = 18F-fluoropropyl-trimethoprim; G+ = Gram-positive bacteria; G− = Gram-negative bacteria; 18F-FAG = 2-deoxy-2-18F-fluoroacetamido-d-glucopyranose; 18F-FDS = 2-deoxy-2-18F-fluorosorbitol; 11C-d-Met = d-methyl-11C-methionine.