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Early Clinical PET Imaging Results with the Novel PHF-Tau Radioligand [F-18]-T807
Abstract
Aggregates of hyperphosphorylated tau (PHF-tau), such as neurofibrillary tangles, are linked to the degree of cognitive impairment in Alzheimer's disease. We have developed a novel PHF-tau targeting positron emission tomography imaging agent, [F-18]-T807, which may be useful for imaging Alzheimer's disease and other tauopathies. Here in, we describe the first human brain images with [F-18]-T807.
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In the citing paper
“However, at least one first-generation ligand has emerged as a reliable biomarker of 3R/4R PHF tau deposits [28].”
From NIA‐AA Research Framework: Toward a biological definition of Alzheimer's disease (2018) · cites this paper as [28]
In the citing paper
“18F-AV-1451 was originally developed to bind to paired helical filament tau in Alzheimer’s disease (Zhang et al., 2012; Chien et al., 2013; Xia et al., 2013), and has been extensively used in Alzheimer’s and non-Alzheimer’s diseases.”
From Neuroinflammation and protein aggregation co-localize across the frontotemporal dementia spectrum (2020) · cites this paper as Chien et al., 2013
In the citing paper
“Imaging biomarkers for cortical tau have become available.19,20”
From Positron Emission Tomography Imaging With [ 18 F]flortaucipir and Postmortem Assessment of Alzheimer Disease Neuropathologic Changes (2020) · cites this paper as [19]
In the citing paper
“Flortaucipir is being developed as a PET tracer for detection of the aggregated tau of AD.19,21,22,23,24”
From Positron Emission Tomography Imaging With [ 18 F]flortaucipir and Postmortem Assessment of Alzheimer Disease Neuropathologic Changes (2020) · cites this paper as [19]
In the citing paper
“As expected, in vitro QC-01–175 and T807 displayed a significantly lower affinity for all recombinant immobilized tau forms than the reported KD of T807 for native, aggregated tau filaments from AD brain sections (KD15 nM)”
From Targeted degradation of aberrant tau in frontotemporal dementia patient-derived neuronal cell models (2019) · cites this paper as Chien et al., 2013
In the citing paper
“However, small-molecule probes against tau oligomeric species, such as 18F-T807, have been developed and are currently in use as clinical tau PET tracers190.”
From PROTAC targeted protein degraders: the past is prologue (2022) · cites this paper as [190]
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“In comparison of HC, MCI, and AD subjects, retention of (18)F–AV-1451 (T807) increased in medial and inferior temporal gyrus of temporal cortex in AD [47, 52, 54, 55, 59].”
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“These findings are surprising since the vast majority of SV PPA patients have underlying TDP-43 proteinopathy [5] and are not expected to show [(18)F]AV1451 binding in the anterior temporal lobe as the ligand has selectivity for tau over amyloid (29 fold) [7].”
BackgroundInfluentialDeep residual inception encoder‐decoder network for amyloid PET harmonization
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Human Radiation Dosimetry of [18F]AV-1451(T807) to Detect Tau Pathology
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“[ 18 F]PI2620 and [ 18 F] fl ortau-cipir were synthesized similarly to previously published methodologies ( 27,28 ).”
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Imaging tau pathology in Parkinsonisms
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“[(18)F]T807 was first tested clinically in 2 AD, 1 MCI, and three healthy controls.(56) All participants underwent a dynamic PET scan from 0–60min following the injection of [(18)F]T807 and a subsequent 80–100min static scan was also acquired.”
BackgroundMethodInfluentialAgoston, D. V., Arun, P., Bellgowan, P. S. F., Broglio, S. P., Cantu, R. C., Cook, D. G., da Silva, U. O., Dickstein, D. L., Elder, G. A., Fudge, E., et al. (2017) · Journal of Neurotrauma · doi:10.1089/neu.2017.5220 · Cited by 15
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“35,36 Regional values for tau PET were calculated based on FreeSurfer-defined cortical ROIs, usingcerebellargrayasareferenceforcalculatingstandardizeduptake value ratios (SUVRs).”
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“66,67).”
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“High T807 binding is present in both MCI and AD patients, and is especially marked in the inferior temporal gyrus where its uptake correlates with MMSE and Clinical Dementia Rating scale sum of boxes (CDR-SOB) [32, 33].”
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“is (18)F-AV-1451 (also known as flortaucipir) (Chien et al., 2013; Xia et al., 2013).”
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“…in postmortem autopsies (Braak & Braak, 1991a, 1991b, 1995) as well as in positron emission tomography (PET) imaging studies (Barthel et al., 2011; Chien et al., 2013; Clark et al., 2011; Clark et al., 2012; Johnson et al., 2016; Klunk et al., 2004; Marquié et al., 2015; Pike et al., 2007;…”
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AD molecular: Imaging tau aggregates with positron emissions tomography
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“Assessing Binding Regions and Affinity of PET Tracers to TauPiD by Docking Current tau PET tracers such as [18F]AV-1451 ([18F]flortaucipir), [18F]THK5351, [11C]PBB3, [18F]PM-PBB3 and [18F]MK-6240 (Figure 1A) have been successful in the in vivo evaluation of tau pathology of AD brains [9,11,16,27,28].”
MethodImpact of spill-in counts from off-target regions on [18F]Flortaucipir PET quantification
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Monoamine oxidase binding not expected to significantly affect [18F]flortaucipir PET interpretation
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“[18F]Flortaucipir, which binds to paired helical filament (PHF) tau in NFTs with high affinity [14, 15], became the first PET tracer approved to estimate the density and distribution of tau NFTs.”
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“Another series of compounds includes the 18F-labelled T807 and T808 (Chien et al., 2013, 2014); these compounds both demonstrate tau binding to Alzheimer’s disease brain tissue without labelling amyloid-b.”
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“The diagnosis of AD can currently be confirmed post-mortem by immunohistochemistry specific for amyloid and tau, and more recently in living individuals using positron emission tomography (PET) scans with ligands for amyloid [22] and/or tau [23, 24].”
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“Two of the well-known, recently developed tau-selective PET tracers are [18F]T807 and [18F]T808 [173,182].”
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“18 F-flutemetamol and 18 F-florbetapir are amyloid tracers, while 18 F-AV1451 has nanomolar affinity for paired helical filament-tau [5].”
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“Radioactive tracer such as 18 F-flortaucipir (18F-AV-1451) is injected into the vein and binds to specific types of NFT in the brain (Chien et al. 2013; Xia et al. 2013).”
Thompson, E., Schroder, A., He, T., Shand, C., Soskic, S., Oxtoby, N. P., Barkhof, F., Alexander, D. C., & Initiative, A. D. N. (2024) · Imaging Neuroscience · doi:10.1162/imag_a_00089 · Cited by 14
“In the past decade, the development of tau PET tracers has facilitated the mapping of this pathology in vivo ( Chien et al., 2013).”
BackgroundDiagnosis of Alzheimer's disease: Towards accuracy and accessibility
Mu, Y., Chang, K., Chen, Y.-F., Yan, K., Wang, C.-X., & Hua, Q. (1970) · Journal of Biological Methods · doi:10.14440/jbm.2024.412 · Cited by 13
“Currently, 18F-AV-1451 is widely used, and has been shown to possess a high affinity for PHF-tau, but binds poorly with other biomarkers, such as Aβ, argyrophilic grains, and α-synuclein, so it can serve to differentiate AD and other non-AD degenerative diseases [44-45].”
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“The benzimidazole pyrimidine derivative 18F-flortaucipir exhibits high binding capacity and specificity to tau PHF (Chien et al. 2013).”
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Partial volume correction in longitudinal tau PET studies: is it really needed?
Costoya‐Sánchez, A., Moscoso, A., Sobrino, T., Ruibal, Á., Grothe, M. J., Schöll, M., Silva‐Rodríguez, J., & Aguiar, P. (2024) · NeuroImage · doi:10.1016/j.neuroimage.2024.120537 · Cited by 11
“Among the wide range of tau PET radiotracers available (Gogola et al., 2022; Lemoine et al., 2017), [ 18 F]flortaucipir (FTP) has been the most studied, demonstrating its ability for the in vivo detection and monitoring of AD-related 3R/4R tauopathy (Chien et al., 2013; Leuzy et al., 2019).”
PET Radioligands for Imaging of Tau Pathology: Current Status
Choe, Y. S., & Lee, K.-H. (2015) · Nuclear Medicine and Molecular Imaging · doi:10.1007/s13139-015-0374-9 · Cited by 11
“Furthermore, these radioligands were shown to bind to PHFs of tau in AD brains and their retention was associated with disease severity [59, 61].”
BackgroundTau Positron Emission Tomography Imaging in Degenerative Parkinsonisms
Lyoo, C. H., Cho, H., Choi, J. Y., Ryu, Y. H., & Lee, M. S. (2018) · Journal of Movement Disorders · doi:10.14802/jmd.17071 · Cited by 12
Chen, C. D., Ponisio, M. R., Lang, J. A., Flores, S., Schindler, S. E., Fagan, A. M., Morris, J. C., & Benzinger, T. L. S. (2023) · Journal of Alzheimer’s Disease · doi:10.3233/jad-230032 · Cited by 10
Miller, B. L., Dickerson, B. C., Lucente, D. E., Larvie, M., & Frosch, M. P. (2015) · New England Journal of Medicine · doi:10.1056/nejmcpc1409839 · Cited by 10
Recent development in selective Tau tracers for PET imaging in the brain
Li, Y., Liu, T., & Cui, M. (2022) · Chinese Chemical Letters · doi:10.1016/j.cclet.2022.03.024 · Cited by 10
Functional Connectivity in Alzheimer’s Disease: Measurement and Meaning
Johnson, K. A., Sperling, R. A., & Sepulcre, J. (2013) · Biological Psychiatry · doi:10.1016/j.biopsych.2013.07.010 · Cited by 10
Coevolution of Atomic Resolution and Whole-Brain Imaging for Tau Neurofibrillary Tangles
Dalton, R. M., Krishnan, H. S., Parker, V. S., Catanese, M. C., & Hooker, J. M. (2020) · ACS Chemical Neuroscience · doi:10.1021/acschemneuro.0c00426 · Cited by 10
Neuroinflammation and protein aggregation co-localize across the frontotemporal dementia spectrumPreprint
Bevan-Jones, W. R., Cope, T., Jones, P. S., Passamonti, L., Hong, Y. T., Fryer, T., Arnold, R., Coles, J., Aigbirhio, F., Larner, A., et al. (2019) · bioRxiv · doi:10.1101/525642 · Cited by 30
Li, W., Sun, L., Yue, L., & Xiao, S. (2024) · Scientific Reports · doi:10.1038/s41598-024-66195-7 · Cited by 10
Small, S. L. (2024) · Ageing Research Reviews · doi:10.1016/j.arr.2024.102632 · Cited by 10
“Finally, the discovery and approval of the p-tau ligand 18 F-flortaucipir (Chien et al., 2013; Mattay et al., 2020; Schwarz et al., 2016) has significantly advanced in vivo diagnosis and treatment monitoring in AD (Tian et al., 2022; Wang et al., 2024), including staging via the Braak criteria…”
Smith, A. M., Stuart, M. J., Dodick, D. W., Roberts, W. O., Alford, P. W., Ashare, A. B., Aubrey, M., Benson, B. W., Burke, C. J., Dick, R. W., et al. (2015) · Current Sports Medicine Reports · doi:10.1249/jsr.0000000000000132 · Cited by 9
“Noninvasive diagnostic techniques include MRI, DTI, magnetic resonance spectroscopy, and positron emission tomography (PET) using ligands specific for paired helical filament tau (115,116).”
MethodNew advances in tau imaging in parkinsonism
Valli, M., & Strafella, A. P. (2017) · International Review of Psychiatry · doi:10.1080/09540261.2017.1396446 · Cited by 9
“This tracer has been used because of its selectivity towards tau over beta-amyloid plaques and its quick uptake and washout capability (Chien et al., 2013; Xia et al., 2013).”
BackgroundVisser, D., Tuncel, H., Ossenkoppele, R., Yaqub, M. M., Wolters, E. E., Timmers, T., Weltings, E., Coomans, E. M., den Hollander, M. E., van der Flier, W. M., et al. (2022) · Journal of Nuclear Medicine · doi:10.2967/jnumed.122.263926 · Cited by 9
“Several tau PET tracers are available for this purpose, of which (18)F-flortaucipir is the only tau PET tracer approved by the FDA(1-5).”
BackgroundLiu, T., Li, Y., Wang, Y., Yan, X., Dai, J., & Cui, M. (2022) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2022.114991 · Cited by 10
Uptake of AV-1451 in meningiomas
Bruinsma, T. J., Johnson, D. R., Fang, P., Senjem, M. L., Josephs, K. A., Whitwell, J. L., Boeve, B. F., Pandey, M. K., Kantarci, K., Jones, D. T., et al. (2017) · Annals of Nuclear Medicine · doi:10.1007/s12149-017-1205-0 · Cited by 11
Tau Imaging with 18 F-MK6240 across the Alzheimer’s Disease spectrumPreprint
Rowe, C. C., Doré, V., Krishnadas, N., Burnham, S. C., Lamb, F., Mulligan, R. S., Bozinovski, S., Laws, S. M., Tyrrell, R., Huang, K., et al. (2022) · medRxiv · doi:10.1101/2022.02.13.22270894 · Cited by 9
Davies‐Jenkins, C. W., Workman, C. I., Hupfeld, K. E., Zöllner, H. J., Leoutsakos, J., Kraut, M. A., Barker, P. B., Smith, G. S., & Oeltzschner, G. (2024) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2024.06.003 · Cited by 8
Targeting tau in Alzheimer’s Disease: rationale, approach and challenges
Aslanyan, A., Foiani, M. S., Giovannucci, T. A., McDade, E., Duff, K., Mummery, C. J., Schöll, M., Wildsmith, K. R., & Paterson, R. W. (2026) · Molecular Neurodegeneration · doi:10.1186/s13024-026-00925-5 · Cited by 10
Recent advances in Alzheimer’s disease: From molecular mechanisms to therapeutic strategies
Rudman, M. D., Ulrich, J. D., & Holtzman, D. M. (2026) · Cell · doi:10.1016/j.cell.2026.06.006 · Cited by 12
Zhang, W., Xu, S., Yu, H., Li, X., Jin, Z., Li, Y., & He, Z. (2021) · Annals of Nuclear Medicine · doi:10.1007/s12149-020-01566-4 · Cited by 8
Preclinical Evaluation of Novel PET Probes for Dementia
Cools, R., Kerkhofs, K., Leitao, R. C. F., & Bormans, G. M. (2023) · Seminars in Nuclear Medicine · doi:10.1053/j.semnuclmed.2023.03.004 · Cited by 9
Massachusetts Alzheimer's Disease Research Center: Progress and challenges
Hyman, B. T., Growdon, J. H., Albers, M. W., Buckner, R. L., Chhatwal, J. P., Gómez‐Isla, T., Haass, C., Hudry, E., Jack, C. R., Johnson, K. A., et al. (2015) · Alzheimer s & Dementia · doi:10.1016/j.jalz.2015.06.1887 · Cited by 8
“described a work using a newly developed tauPET ligand [(18)F]-T807 [2,3].”
MethodXie, F., & Peng, F. (2017) · Journal of Alzheimer s Disease · doi:10.3233/jad-170280 · Cited by 8
Wang, X., Dong, F., Miao, C., Li, W., Wang, M., Gao, M., Zheng, Q., & Xu, Z. (2018) · Bioorganic & Medicinal Chemistry Letters · doi:10.1016/j.bmcl.2018.04.014 · Cited by 8
Molecular Imaging of Extrapyramidal Movement Disorders With Dementia: The 4R Tauopathies
Frey, K. A. (2021) · Seminars in Nuclear Medicine · doi:10.1053/j.semnuclmed.2020.12.003 · Cited by 8
Cognitive Impairment and Dementias.
Khosravi, M., Newberg, A., & Alavi, A. (2018) · Seminars in nuclear medicine · doi:10.1053/j.semnuclmed.2018.07.005 · Cited by 8
Matsubara, K., Ibaraki, M., Shidahara, M., Kinoshita, T., & Initiative, A. D. N. (2020) · Radiological Physics and Technology · doi:10.1007/s12194-020-00591-2 · Cited by 8
Mittal, P., Singh, N., Chaturvedi, S., Jyoti, A., Mishra, A. K., & Hazari, P. P. (2021) · Clinical and Translational Imaging · doi:10.1007/s40336-021-00410-7 · Cited by 9
“Kinetic analysis revealed the separation of cerebellum TAC from the elevated cortical regions starting at 30 min post-injection of AD patients [64, 75].”
Background
Metadata
- Authors
- Chien, D. T., Bahri, S., Szardenings, A. K., Walsh, J. C., Mu, F., Su, M.-Y., Shankle, W. R., Elizarov, A., & Kolb, H. C.
- Affiliations
- Siemens Molecular Imaging, Inc., Culver City, CA, USA
- University of California, Irvine (US)
- Hoag Memorial Hospital Presbyterian (US)
- Venue
- Journal of Alzheimer's Disease
- Publisher
- SAGE Publications
- Published
- 2013-06-20
- Volume
- 34
- Issue
- 2
- Pages
- 457-468
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- OpenAlex
- W4235092975
- Cited by
- 651
- References
- 0
- Citations by year
- 2026: 14 · 2025: 26 · 2024: 19 · 2023: 31 · 2022: 40 · 2021: 51 · 2020: 49 · 2019: 49 · 2018: 57 · 2017: 88 · 2016: 87 · 2015: 62 · 2014: 54 · 2013: 23
- FWCI
- 52.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Alzheimer s Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Medical Imaging Techniques and Applications
- Keywords
- PHF-tau
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Carbolines, Female, Fluorine Radioisotopes, Frontal Lobe, Humans, Male, Middle Aged, Phosphorylation, tau Proteins, Early Diagnosis, Positron-Emission Tomography
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