Toward Imaging of the GABA Transporter Type 1 In Vivo: Quantitative Evaluation of 4 Novel PET Radiotracers in...

The main inhibitory neurotransmitter in the central nervous system is γ-aminobutyric acid (GABA). GABA transporter type 1 (GAT-1) is the principal GABA transporter in the brain, and it plays a crucial role in modulating GABA signaling. Its potential role in several neuropsychiatric disorders makes it an important target to study. Although PET radiotracers exist for the GABA receptors, none have been successful for imaging GAT-1. The focus of this work was to evaluate the kinetic behavior of 4 novel ¹⁸F-labeled PET radiotracers (¹⁸F-GATT-31, ¹⁸F-GATT-34, ¹⁸F-GATT-39, and ¹⁸F-GATT-44) for imaging GAT-1 in nonhuman primates and to select the best radiotracer to progress to human studies. Methods: Twenty scans were acquired from 4 rhesus monkeys (Macaca mulatta). Each monkey received 0.5 mg/kg of tiagabine given approximately 20 min before radiotracer injection and underwent baseline and blocking scans with ¹⁸F-GATT-31, ¹⁸F-GATT-34, ¹⁸F-GATT-39, or ¹⁸F-GATT-44 on a small-animal PET scanner. During each scan, arterial blood was collected for measurement of the input function. Kinetic analysis was performed using a 1-tissue compartment model, 2-tissue reversible model (k ₄ > 0), and 2-tissue irreversible model (k ₄ = 0), including a blood volume fraction term and a time-delay term. Results: All radiotracers exhibited good, albeit slow, brain uptake within the cortical and subcortical gray matter regions and cerebellum. Peripheral metabolism was slow for ¹⁸F-GATT-34, ¹⁸F-GATT-39, and ¹⁸F-GATT-44, with greater than 75% remaining as the parent compound, but was somewhat faster for ¹⁸F-GATT-31 (63%) over the 3-h scans. The 1-tissue compartment model delivered a reliable performance on the basis of the overall lowest Akaike information criterion and an SE of less than 10% for the volume of distribution. ¹⁸F-GATT-39 and ¹⁸F-GATT-34 were eliminated from progressing to human studies because of low brain uptake or low specific binding. The 2 remaining radiotracers had similar characteristics, with ¹⁸F-GATT-44 showing slightly superior performance over ¹⁸F-GATT-31, with more consistent tiagabine blocking results (65%-71%) and with nondisplaceable binding potential (BP_ND) values ranging from 1.2 to 4.2 across gray matter structures. Conclusion: We successfully developed 4 GAT-1 selective radiotracers and evaluated them in nonhuman primates with kinetic analysis and blocking studies with tiagabine. Of these compounds, ¹⁸F-GATT-44 exhibited consistent results and reasonable BP_ND values and will progress to human studies.