2-deoxy-2[F-18]fluoro-D-mannose positron emission tomography imaging in atherosclerosis

Nobuhiro Tahara, Jogeshwar Mukherjee, Hans J de Haas, Artiom D Petrov, Ahmed Tawakol, Nezam Haider, Atsuko Tahara, Cristian C Constantinescu, Jun Zhou, Hendrikus H Boersma, Tsutomu Imaizumi, Masataka Nakano, Aloke Finn, Zahi Fayad, Renu Virmani, Valentin Fuster, Lisardo Bosca, Jagat Narula*

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    159 Citations (Scopus)

    Abstract

    Progressive inflammation in atherosclerotic plaques is associated with increasing risk of plaque rupture. Molecular imaging of activated macrophages with 2-deoxy-2[F-18]fluoro-D-glucose ([F-18]FDG) has been proposed for identification of patients at higher risk for acute vascular events. Because mannose is an isomer of glucose that is taken up by macrophages through glucose transporters and because mannose receptors are expressed on a subset of the macrophage population in high-risk plaques, we applied F-18-labeled mannose (2-deoxy-2[F-18]fluoro-D-mannose, [F-18]FDM) for targeting of plaque inflammation. Here, we describe comparable uptake of [F-18]FDM and [F-18]FDG in atherosclerotic lesions in a rabbit model; [F-18]FDM uptake was proportional to the plaque macrophage population. Our FDM competition studies in cultured cells with 2-deoxy-2-[C-14]carbon-D-glucose ([C-14]2DG) support at least 35% higher [F-18]FDM uptake by macrophages in cell experiments. We also demonstrate that FDM restricts binding of anti mannose receptor antibody to macrophages by approximately 35% and that mannose receptor targeting may provide an additional avenue for imaging of plaque inflammation.

    Original languageEnglish
    Pages (from-to)215-219
    Number of pages5
    JournalNature Medicine
    Volume20
    Issue number2
    DOIs
    Publication statusPublished - Feb-2014

    Keywords

    • NONINVASIVE DETECTION
    • GLUCOSE TRANSPORTERS
    • ADHESION MOLECULE-1
    • PLAQUE INFLAMMATION
    • VULNERABLE PLAQUES
    • DISEASE
    • FLUORODEOXYGLUCOSE
    • MACROPHAGES
    • MECHANISMS

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