Pharmacokinetic Analysis of ¹¹C-PBR28 in the Rat Model of Herpes Encephalitis: Comparison with (R)-¹¹C-PK11195

Abstract

¹¹C-PBR28 is a second-generation translocator protein (TSPO) tracer with characteristics supposedly superior to the most commonly used tracer for neuroinflammation, (R)-¹¹C-PK11195. Despite its use in clinical research, no studies on the imaging properties and pharmacokinetic analysis of ¹¹C-PBR28 in rodent models of neuroinflammation have been published yet. Therefore, this study aimed to evaluate ¹¹C-PBR28 as a tool for detection and quantification of neuroinflammation in preclinical research and to compare its imaging properties with (R)-¹¹C-PK11195. The herpes simplex encephalitis (HSE) model was used for induction of neuroinflammation in male Wistar rats. Six or 7 d after virus inoculation, a dynamic ¹¹C-PBR28 or (R)-¹¹C-PK11195 PET scan with arterial blood sampling was obtained. Pharmacokinetic modeling was performed on the PET data and analyzed using volumes of interest and a voxel-based approach. Volume-of-interest– and voxel-based analysis of ¹¹C-PBR28 images showed overexpression of TSPO in brain regions known to be affected in the HSE rat model. ¹¹C-PBR28 was metabolized faster than (R)-¹¹C-PK11195, with a metabolic half-life in plasma of 5 and 21 min, respectively. Overall, ¹¹C-PBR28 was more sensitive than (R)-¹¹C-PK11195 in detecting neuroinflammation. The binding potential (BP_ND) of ¹¹C-PBR28 was significantly higher (P < 0.05) in the medulla (176%), pons (146%), midbrain (101%), hippocampus (85%), thalamus (73%), cerebellum (54%), and hypothalamus (49%) in HSE rats than in control rats, whereas (R)-¹¹C-PK11195 showed a higher BP_ND only in the medulla (32%). The BP_ND in control animals was not significantly different between tracers, suggesting that the nonspecific binding of both tracers is similar. ¹¹C-PBR28 was more sensitive than (R)-¹¹C-PK11195 in the detection of TSPO overexpression in the HSE rat model, because more brain regions with significantly increased tracer uptake could be found, irrespective of the data analysis method used. These results suggest that ¹¹C-PBR28 should be able to detect more subtle changes in microglial activation in preclinical models of neuroinflammation.