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In vivo detection of microglial activation in frontotemporal dementia
Open accessAbstract
Using positron emission tomography and [(11)C](R)-PK11195, a marker of "peripheral benzodiazepine sites" that is upregulated on activated microglia during progressive tissue pathology, we show increased binding of [(11)C](R)-PK11195 in frontotemporal lobar degeneration in the typically affected frontotemporal brain regions. This implies the presence of an active glial response reflecting progressive neuronal degeneration. It also suggests that increased [(11)C](R)-PK11195 binding, previously demonstrated for Alzheimer's disease, may occur independently from increased amyloid plaque formation, given that it is not a characteristic feature of frontotemporal lobar degeneration.
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“In vivo PET studies320,321 and immunohistochemistry studies322–324 have found increased microglial activation in the frontal and temporal cortices of patients with FTD.”
From Microglia in neurodegenerative diseases: mechanism and potential therapeutic targets (2023) · cites this paper as [320]
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“− PET scanning: TSPO binding in cortical frontal, mesial temporal, subcortical regions, prefrontal cortex, hippocampal, and parahippocampal regions (Cagnin et al., 2004; Turner et al., 2004; Miyoshi et al., 2010; Chew and Atassi, 2019).”
BackgroundCannabidiol (CBD) treatment improves spatial memory in 14-month-old female TAU58/2 transgenic mice
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“Since the early studies in FTD, the topographical distribution of microglia activation visualized using [11C]PK11195, the first and most widely used TSPO-PET tracer, colocalize with the distribution of neuronal damage and pathology, thus including frontal, prefrontal, and temporal cortices [148,149].”
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“In contrast to a previous study using (11)C-(R)-PK11195 that found increased TSPO binding mainly in medial temporal, subcortical, and some frontal cortical regions,(5) the present (11)C-PBR28 study found that the highest increases in binding were observed in neocortical regions – including frontal, lateral temporal, p…”
ResultNew Molecular Targets for PET and SPECT Imaging in Neurodegenerative Diseases
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“of [(11)C] (R)-PK11195 in the typically affected frontotemporal brain regions, which implied the presence of activated microglia response reflecting progressive neuronal degeneration [118].”
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“Patients with FTD show overexpression of tumor necrosis factor (TNF) and transforming growth factor (TGF-b1) in CSF, as well as microglia activation in atrophic areas of the brain (190, 191).”
BackgroundPerani, D., Iaccarino, L., Lammertsma, A. A., Windhorst, A. D., Edison, P., Boellaard, R., Hansson, O., Nordberg, A. K., Jacobs, A. H., & IMBI Project (2019) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2019.02.004 · Cited by 25
“A PET study in FTD using (R)-[(11)C]PK11195 has shown increased uptake in frontotemporal regions and basal ganglia [51], in keeping with neuropathological findings [204].”
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“, 2014), and in dorsolateral prefrontal cortex and hippocampus (Cagnin et al., 2004).”
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BackgroundSelf-citationGalectin‐3 is upregulated in frontotemporal dementia patients with subtype specificity
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“dementia, like frontotemporal dementia [50].”
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“In FTD patients, microglial activation can be assessed with imaging biomarkers utilizing the 11 C-PK11195 positron emission tomography (PET) ligand [73], where increased frontotemporal microglial activation has been described in sporadic and genetic forms of FTD [74–76].”
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“with behavioral-variant frontotemporal dementia) in regions such as the left dorsolateral prefrontal cortex, right hippocampus, and parahippocampus.(83)”
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“11,12 13-16 Emerging evidence from study of other neurodegenerative diseases suggests that inflammation is not simply a passive response to neuronal death, but that it directly contributes to disease pathogenesis.”
BackgroundFluid Biomarkers of Frontotemporal Lobar Degeneration
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“…et al., 2014), recent FTD studies demonstrated microglial activation in the cortical and subcortical regions of the frontal and temporal lobes (Cagnin et al., 2004; Lant et al., 2014), an increased prevalence of autoimmune diseases (Miller et al., 2013; Rosso et al., 2003), and risk…”
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“For example, [(11)C]-PK 11195 reliably monitors increases in TSPO expression in brain tumors (including malignant astrocytomas), as well as in the activated microglia found in patients with multiple sclerosis, stroke, epilepsy, Alzheimer’s disease, Huntington’s disease and AIDS [2,3,4,5,6,7,8,9,10].”
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“[11C]PK11195 PET could also demonstrate microglia activation in other forms of dementia, like frontotemporal dementia (Cagnin et al., 2004).”
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“In a small pilot study (Cagnin et al., 2004), 11C-PK11195 PET showed increased binding in the typically affected frontotemporal brain regions.”
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“Expression of TSPO has been studied as a marker of microglia activation and inflammation in various disorders, including Alzheimer’s disease, multiple sclerosis, front-temporal dementia and schizophrenia (Debruyne et al. 2002; Cagnin et al. 2004; Edison et al. 2008; Kreisl et al. 2012) using a variety of TSPO radiolig…”
BackgroundAmyloid imaging in Alzheimer´s disease and mild cognitive impairment by Positron Emission Tomography
Forsberg, A. (2008) · Figshare
Constable, C. (2013) · The Sydney eScholarship Repository (The University of Sydney)
PET Imaging in Neuroinflammation
Brooks, D. J. (2014) · Springer eBooks · doi:10.1007/978-3-319-08046-8_9
Activated Microglia After Traumatic Brain Injury. The Neuroinflammatory Mastermind
Folkersma, I. H. (2015) · Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam)
Imagingof frontotemporal dementia
Rohrer, J. D. (2015) · Cambridge University Press eBooks · doi:10.1017/cbo9781316091586.013
Neural Substrates of Parkinson's Disease
Koshimori, Y. (2016) · TSpace (University of Toronto)
Graf, I., Willeit, M., Kasper, S. F., & Praschak-Rieder, N. (2020) · Springer eBooks · doi:10.1007/978-3-030-53176-8_6 · Cited by 1
Ghosh, S., Shaftel, S. S., Kyrkanides, S., Olschowka, J. A., & O’Banion, M. K. (2021) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2021.02.10.430570
“Along those lines prominent microglial activation is present in the FTD brain as detected by PET (Cagnin et al. 2004), and parallels disease pathogenesis in PSP and CBD brains (Ishizawa and Dickson 2001).”
BackgroundRevista Brasileira de Psiquiatria
Benadiba, M., Luurtsema, G., Wichert‐Ana, L., Buchpiguel, C. A., & Busatto, G. F. (2012)
(2023) · Advances in magnetic resonance technology and applications · doi:10.1016/b978-0-323-91771-1.00026-5
Immune dysregulation and neurodegenerative diseases
Cipollini, V., Troili, F., & Giubilei, F. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-85841-0.00015-8
Su, Y. R., Chu, M. K., Wang, H., Wu, L., & Gao, Y. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.11.25.625321
Fluid and Imaging Markers of Glial Reactivity
Suárez‐Calvet, M. (2025) · Springer eBooks · doi:10.1007/978-3-031-80849-4_6
Woollacott, I., Toomey, C. E., Strand, C., Courtney, R. J., Benson, B. C., Rohrer, J. D., & Lashley, T. (2020) · Figshare · doi:10.6084/m9.figshare.12788931
Woollacott, I., Toomey, C. E., Strand, C., Courtney, R. J., Benson, B. C., Rohrer, J. D., & Lashley, T. (2020) · Figshare · doi:10.6084/m9.figshare.12788937
Chu, M., Wen, L., Jiang, D., Liu, L., Nan, H., Yue, A., Wang, Y., Wang, Y., Qu, M., Wang, N., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22621133
Arlicot, N. (2009) · doi:10.70675/8c4fde33z9347z4619z9a5fz312d47055e8b
“…d’Alzheimer 5 37 20 MCI (Cagnin et al 2001a) (Tomasi et al 2008) (Edison et al 2008) (Wiley et al 2009) (Okello et al 2009) Démence fronto-temporale 1 5 (Cagnin et al 2004) Sclérose latérale amyotrophique 1 10 (Turner et al 2004) Schizophrénie 1 10 (van Berckel et al 2008) Chorée de…”
Étude de la composante neuroinflammatoire dans les DFT/SLA
Smeyers, J. (2020) · theses.fr (ABES) · doi:10.70675/219cfa6fz5b3az4198z9deczdfaad3cd784c
Russell, K. A., Shahrabi, A. A., Akerman, S. C., Byrne, M. D., Rothstein, J. D., Trotti, D., Jensen, B. K., & Haeusler, A. R. (2026) · Acta Neuropathologica Communications · doi:10.1186/s40478-026-02341-8
BindingDB (2012) · UC San Diego · doi:10.7270/q2222vp0
Metadata
- Authors
- Cagnin, A., Rossor, M., Sampson, E. L., MacKinnon, T., & Banati, R. B.
- Affiliations
- University of Padua (IT)
- National Hospital for Neurology and Neurosurgery (GB)
- Hammersmith Hospital (GB)
- The University of Sydney (AU)
- Corresponding author
- Banati, Richard B.
- Venue
- Annals of Neurology
- Publisher
- Wiley
- Published
- 2004-11-23
- Volume
- 56
- Issue
- 6
- Pages
- 894-897
- ISSN
- 0364-5134 (ISSN-L)
- 1531-8249
- OpenAlex
- W2067897311
- Cited by
- 187
- References
- 10
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 8 · 2023: 14 · 2022: 7 · 2021: 11 · 2020: 22 · 2019: 13 · 2018: 7 · 2017: 16 · 2016: 8 · 2015: 9 · 2014: 9 · 2013: 7 · 2012: 7
- FWCI
- 3.53
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Annals of Neurology (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Padua Research Archive (University of Padova) (submittedVersion, other-oa)
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Keywords
- microglial activation, frontotemporal lobar degeneration, frontotemporal dementia, [11C]PK11195, translocator protein (TSPO), positron emission tomography, glial response, neurodegeneration, amyloid plaques
- MeSH terms
- Aged, Dementia, Follow-Up Studies, Humans, Isoquinolines, Middle Aged, Protein Binding, Chi-Square Distribution, Microglia
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