Kramer, V. | bioRxiv Science

bioRxiv2025

Preliminary First-in-Human Pharmacokinetic Evaluation, Dosimetry and Safety of 7--Fluorotryptophan as PET Imaging Agent to Visualize Serotonin Synthesis in the Brain

Tryptophan (Trp) is the precursor for serotonin synthesis and other biologically relevant metabolites. We evaluated the novel radiotracer 7-[18F]Fluorotryptophan (7-[18F]FTrp) to assess its biodistribution, dosimetry, and potential for imaging brain Trp metabolism in humans. Six healthy volunteers underwent whole-body PET/CT imaging over 5.5 hours following intravenous injection of 7-[18F]FTrp. An additional four subjects underwent dynamic brain PET imaging for 2 hours. Time-activity curves (TACs) were extracted for source organs using VOIs defined on co-registered CT and PET images, and dosimetry was calculated using OLINDA software. The radiotracer showed rapid uptake and distribution, with highest activity observed in the liver, pancreas, salivary glands, in combination with urinary excretion. Brain pharmacokinetic analyses with image-derived input function (IDIF) determined that Patlak analyses were the best fit for brain image analyses. Brain uptake was modest, with highest region-specific accumulation in the pineal gland, which is a known site for serotonin synthesis. The estimated effective dose was within the expected range for 18F-labeled compounds (14.1 {+/-} 0.2 Sv/MBq). Our findings indicate that 7-[18F]FTrp is safe for human use, demonstrates favorable kinetics for studying both brain and peripheral Trp metabolism, and warrants further exploration in patients with serotonin metabolism disorders.

neuroscience↗

bioRxiv2022

An alpaca-derived nanobody neutralizes the SARS-CoV-2 omicron variant

The SARS-CoV2 Omicron variant sub-lineages spread rapidly through the world, mostly due to their immune-evasive properties. This has put a significant part of the population at risk for severe disease and underscores the need for anti-SARS-CoV-2 agents that are effective against emergent strains in vulnerable patients. Camelid nanobodies are attractive therapeutic candidates due to their high stability, ease of large-scale production and potential for delivery via inhalation. Here, we characterize the RBD-specific nanobody W25, which we previously isolated from an alpaca, and show superior neutralization activity towards Omicron lineage BA.1 in comparison to all other SARS-CoV2 variants. Structure analysis of W25 in complex with the SARS-CoV2 spike surface glycoprotein shows that W25 engages an RBD epitope not covered by any of the antibodies previously approved for emergency use. Furthermore, we show that W25 also binds the spike protein from the emerging, more infectious Omicron BA.2 lineage with picomolar affinity. In vivo evaluation of W25 prophylactic and therapeutic treatments across multiple SARS-CoV-2 variant infection models, together with W25 biodistribution analysis in mice, demonstrates favorable pre-clinical properties. Together, these data endorse prioritization of W25 for further clinical development.

microbiology↗