Kumar, AmitKoistinen, Niina A.Malarte, Mona-LisaNennesmo, IngerIngelsson, MartinGhetti, BernardinoLemoine, LaetitiaNordberg, Agneta2023-05-012023-05-012021Kumar A, Koistinen NA, Malarte ML, et al. Astroglial tracer BU99008 detects multiple binding sites in Alzheimer's disease brain. Mol Psychiatry. 2021;26(10):5833-5847. doi:10.1038/s41380-021-01101-5https://hdl.handle.net/1805/32713With reactive astrogliosis being established as one of the hallmarks of Alzheimer's disease (AD), there is high interest in developing novel positron emission tomography (PET) tracers to detect early astrocyte reactivity. BU99008, a novel astrocytic PET ligand targeting imidazoline-2 binding sites (I2BS) on astrocytes, might be a suitable candidate. Here we demonstrate for the first time that BU99008 could visualise reactive astrogliosis in postmortem AD brains and propose a multiple binding site [Super-high-affinity (SH), High-affinity (HA) and Low-affinity (LA)] model for BU99008, I2BS specific ligands (2-BFI and BU224) and deprenyl in AD and control (CN) brains. The proportion (%) and affinities of these sites varied significantly between the BU99008, 2-BFI, BU224 and deprenyl in AD and CN brains. Regional binding studies demonstrated significantly higher 3H-BU99008 binding in AD brain regions compared to CN. Comparative autoradiography studies reinforced these findings, showing higher specific binding for 3H-BU99008 than 3H-Deprenyl in sporadic AD brain compared to CN, implying that they might have different targets. The data clearly shows that BU99008 could detect I2BS expressing reactive astrocytes with good selectivity and specificity and hence be a potential attractive clinical astrocytic PET tracer for gaining further insight into the role of reactive astrogliosis in AD.en-USAttribution 4.0 InternationalNeuroscienceDiagnostic markersAlzheimer diseaseImidazolesPositron-emission tomographyArticle