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Specific Imaging of Bacterial Infection Using 6″-F-Fluoromaltotriose: A Second-Generation PET Tracer Targeting the Maltodextrin Transporter in Bacteria.

Authors:
Gayatri Gowrishankar Jonathan Hardy Mirwais Wardak Mohammad Namavari Robert E Reeves Evgenios Neofytou Ananth Srinivasan Joseph C Wu Christopher H Contag Sanjiv Sam Gambhir

J Nucl Med 2017 10 10;58(10):1679-1684. Epub 2017 May 10.

Department of Radiology, Stanford University School of Medicine, Stanford, California

6″-F-fluoromaltotriose is a PET tracer that can potentially be used to image and localize most bacterial infections, much like F-FDG has been used to image and localize most cancers. However, unlike F-FDG, 6″-F-fluoromaltotriose is not taken up by inflammatory lesions and appears to be specific to bacterial infections by targeting the maltodextrin transporter that is expressed in gram-positive and gram-negative strains of bacteria. 6″-F-fluoromaltotriose was synthesized with high radiochemical purity and evaluated in several clinically relevant bacterial strains in cultures and in living mice. 6″-F-fluoromaltotriose was taken up in both gram-positive and gram-negative bacterial strains. 6″-F-fluoromaltotriose was also able to detect in a clinically relevant mouse model of wound infection. The utility of 6″-F-fluoromaltotriose to help monitor antibiotic therapies was also evaluated in rats. 6″-F-fluoromaltotriose is a promising new tracer that has significant diagnostic utility, with the potential to change the clinical management of patients with infectious diseases of bacterial origin.

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Source
http://dx.doi.org/10.2967/jnumed.117.191452DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5632736PMC
October 2017

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