PET in neurotherapeutic discovery and development

Positron emission tomography (PET) is a highly sensitive, quantitative imaging technique that can track sub-nanomolar quantities of positron-emitting radionuclides throughout the body. By incorporating such radionuclides into molecules of interest, we can directly assess their pharmacokinetic and ph...

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Main Authors: Melissa Chassé, Neil Vasdev
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Neurotherapeutics
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Online Access:http://www.sciencedirect.com/science/article/pii/S1878747924001855
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author Melissa Chassé
Neil Vasdev
author_facet Melissa Chassé
Neil Vasdev
author_sort Melissa Chassé
collection DOAJ
description Positron emission tomography (PET) is a highly sensitive, quantitative imaging technique that can track sub-nanomolar quantities of positron-emitting radionuclides throughout the body. By incorporating such radionuclides into molecules of interest, we can directly assess their pharmacokinetic and pharmacodynamic (PK/PD) characteristics in vivo without changing their physicochemical characteristics or eliciting a pharmacological response. As such, PET imaging has long been used as a tool to aid drug discovery programs from preclinical biomarker validation all the way through to clinical trials. In this perspective we discuss the use of PET radioligands in central nervous system (CNS) drug discovery and development, with a focus on recent applications in psychiatry (e.g. 5-HT2A, 11β-HSD1), neuro-oncology (e.g. KRASG12C, ATM, ALK2), and neurodegeneration (e.g. amyloid beta plaques, MAPK p38), while exploring the intricacies associated with developing novel radiotracers for CNS targets. Examples highlight the preclinical and clinical uses of PET for studying biomarker function, drug candidate PK/PD, target occupancy/engagement, dosing regimen determination, clinical trial patient selection, and quantifying biomarker changes in response to treatments.
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spelling doaj-art-38241035d421484a89f7523f5164c3ee2025-02-01T04:11:53ZengElsevierNeurotherapeutics1878-74792025-01-01221e00498PET in neurotherapeutic discovery and developmentMelissa Chassé0Neil Vasdev1Azrieli Centre for Neuro-Radiochemistry, Brain Health Imaging Centre, Centre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, Canada; Institute of Medical Science, Temerty Faculty of Medicine, University of Toronto, CanadaAzrieli Centre for Neuro-Radiochemistry, Brain Health Imaging Centre, Centre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, Canada; Institute of Medical Science, Temerty Faculty of Medicine, University of Toronto, Canada; Corresponding author.Positron emission tomography (PET) is a highly sensitive, quantitative imaging technique that can track sub-nanomolar quantities of positron-emitting radionuclides throughout the body. By incorporating such radionuclides into molecules of interest, we can directly assess their pharmacokinetic and pharmacodynamic (PK/PD) characteristics in vivo without changing their physicochemical characteristics or eliciting a pharmacological response. As such, PET imaging has long been used as a tool to aid drug discovery programs from preclinical biomarker validation all the way through to clinical trials. In this perspective we discuss the use of PET radioligands in central nervous system (CNS) drug discovery and development, with a focus on recent applications in psychiatry (e.g. 5-HT2A, 11β-HSD1), neuro-oncology (e.g. KRASG12C, ATM, ALK2), and neurodegeneration (e.g. amyloid beta plaques, MAPK p38), while exploring the intricacies associated with developing novel radiotracers for CNS targets. Examples highlight the preclinical and clinical uses of PET for studying biomarker function, drug candidate PK/PD, target occupancy/engagement, dosing regimen determination, clinical trial patient selection, and quantifying biomarker changes in response to treatments.http://www.sciencedirect.com/science/article/pii/S1878747924001855Positron emission tomographyNeuroimagingRadiochemistrySmall molecule drug developmentCarbon-11Fluorine-18
spellingShingle Melissa Chassé
Neil Vasdev
PET in neurotherapeutic discovery and development
Neurotherapeutics
Positron emission tomography
Neuroimaging
Radiochemistry
Small molecule drug development
Carbon-11
Fluorine-18
title PET in neurotherapeutic discovery and development
title_full PET in neurotherapeutic discovery and development
title_fullStr PET in neurotherapeutic discovery and development
title_full_unstemmed PET in neurotherapeutic discovery and development
title_short PET in neurotherapeutic discovery and development
title_sort pet in neurotherapeutic discovery and development
topic Positron emission tomography
Neuroimaging
Radiochemistry
Small molecule drug development
Carbon-11
Fluorine-18
url http://www.sciencedirect.com/science/article/pii/S1878747924001855
work_keys_str_mv AT melissachasse petinneurotherapeuticdiscoveryanddevelopment
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