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Abstract
Background
Platelet-derived growth factor receptor beta (PDGFRβ) is a receptor overexpressed on activated hepatic stellate cells (aHSCs). Positron emission tomography (PET) imaging of PDGFRβ could potentially allow the quantification of fibrogenesis in fibrotic livers. This study aims to evaluate a fluorine-18 radiolabeled Affibody molecule ([18F]TZ-Z09591) as a PET tracer for imaging liver fibrogenesis.
Results
In vitro specificity studies demonstrated that the trans-Cyclooctenes (TCO) conjugated Z09591 Affibody molecule had a picomolar affinity for human PDGFRβ. Biodistribution performed on healthy rats showed rapid clearance of [18F]TZ-Z09591 through the kidneys and low liver background uptake. Autoradiography (ARG) studies on fibrotic livers from mice or humans correlated with histopathology results. Ex vivo biodistribution and ARG revealed that [18F]TZ-Z09591 binding in the liver was increased in fibrotic livers (p = 0.02) and corresponded to binding in fibrotic scars.
Conclusions
Our study highlights [18F]TZ-Z09591 as a specific tracer for fibrogenic cells in the fibrotic liver, thus offering the potential to assess fibrogenesis clearly.
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Details

1 Uppsala University, Science for Life Laboratory, Department of Medicinal Chemistry, Uppsala, Sweden (GRID:grid.8993.b) (ISNI:0000 0004 1936 9457)
2 Uppsala University, Department of Immunology, Genetics and Pathology, Uppsala, Sweden (GRID:grid.8993.b) (ISNI:0000 0004 1936 9457)
3 Uppsala University, Science for Life Laboratory, Department of Medicinal Chemistry, Uppsala, Sweden (GRID:grid.8993.b) (ISNI:0000 0004 1936 9457); Antaros Medical AB, Uppsala, Sweden (GRID:grid.511796.d)
4 Uppsala University, Science for Life Laboratory, Department of Medicinal Chemistry, Uppsala, Sweden (GRID:grid.8993.b) (ISNI:0000 0004 1936 9457); KTH Royal Institute of Technology, Department of Protein Science, Division of Protein Engineering, Stockholm, Sweden (GRID:grid.5037.1) (ISNI:0000 0001 2158 1746)
5 Uppsala University, Science for Life Laboratory, Drug Discovery and Development Platform, Department of Chemistry-BMC, Uppsala, Sweden (GRID:grid.8993.b) (ISNI:0000 0004 1936 9457)
6 KTH Royal Institute of Technology, Department of Protein Science, Division of Protein Engineering, Stockholm, Sweden (GRID:grid.5037.1) (ISNI:0000 0001 2158 1746)
7 Uppsala University, Department of Immunology, Genetics and Pathology, Uppsala, Sweden (GRID:grid.8993.b) (ISNI:0000 0004 1936 9457); Affibody AB, Solna, Sweden (GRID:grid.451532.4) (ISNI:0000 0004 0467 9487)
8 Uppsala University, Science for Life Laboratory, Department of Medicinal Chemistry, Uppsala, Sweden (GRID:grid.8993.b) (ISNI:0000 0004 1936 9457); Uppsala University Hospital PET Center, Uppsala, Sweden (GRID:grid.412354.5) (ISNI:0000 0001 2351 3333)