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Nguyen HTM, Das N, Ricks M, Zhong X, Takematsu E, Wang Y, Ruvalcaba C, Mehadji B, Roncali E, Chan CKF, Pratx G. Ultrasensitive and multiplexed tracking of single cells using whole-body PET/CT. SCIENCE ADVANCES 2024; 10:eadk5747. [PMID: 38875333 PMCID: PMC11177933 DOI: 10.1126/sciadv.adk5747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 05/13/2024] [Indexed: 06/16/2024]
Abstract
In vivo molecular imaging tools are crucially important for elucidating how cells move through complex biological systems; however, achieving single-cell sensitivity over the entire body remains challenging. Here, we report a highly sensitive and multiplexed approach for tracking upward of 20 single cells simultaneously in the same subject using positron emission tomography (PET). The method relies on a statistical tracking algorithm (PEPT-EM) to achieve a sensitivity of 4 becquerel per cell and a streamlined workflow to reliably label single cells with over 50 becquerel per cell of 18F-fluorodeoxyglucose (FDG). To demonstrate the potential of the method, we tracked the fate of more than 70 melanoma cells after intracardiac injection and found they primarily arrested in the small capillaries of the pulmonary, musculoskeletal, and digestive organ systems. This study bolsters the evolving potential of PET in offering unmatched insights into the earliest phases of cell trafficking in physiological and pathological processes and in cell-based therapies.
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Affiliation(s)
- Hieu T. M. Nguyen
- School of Medicine, Department of Radiation Oncology and Medical Physics, Stanford University, Stanford, CA 94305, USA
| | - Neeladrisingha Das
- School of Medicine, Department of Radiation Oncology and Medical Physics, Stanford University, Stanford, CA 94305, USA
| | - Matthew Ricks
- School of Medicine, Department of Radiological Sciences, Stanford University, Stanford, CA 94305, USA
| | - Xiaoxu Zhong
- School of Medicine, Department of Radiation Oncology and Medical Physics, Stanford University, Stanford, CA 94305, USA
| | - Eri Takematsu
- School of Medicine, Department of Surgery, Stanford University, Stanford, CA 94305, USA
| | - Yuting Wang
- School of Medicine, Department of Surgery, Stanford University, Stanford, CA 94305, USA
| | - Carlos Ruvalcaba
- Department of Biomedical Engineering, University of California, Davis, Davis, CA 95616, USA
| | - Brahim Mehadji
- Department of Radiology, University of California, Davis, Davis, CA 95616, USA
| | - Emilie Roncali
- Department of Biomedical Engineering, University of California, Davis, Davis, CA 95616, USA
- Department of Radiology, University of California, Davis, Davis, CA 95616, USA
| | - Charles K. F. Chan
- School of Medicine, Department of Surgery, Stanford University, Stanford, CA 94305, USA
| | - Guillem Pratx
- School of Medicine, Department of Radiation Oncology and Medical Physics, Stanford University, Stanford, CA 94305, USA
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Besson FL, Nocturne G, Noël N, Gheysens O, Slart RHJA, Glaudemans AWJM. PET/CT in Inflammatory and Auto-immune Disorders: Focus on Several Key Molecular Concepts, FDG, and Radiolabeled Probe Perspectives. Semin Nucl Med 2024; 54:379-393. [PMID: 37973447 DOI: 10.1053/j.semnuclmed.2023.10.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2023] [Revised: 10/19/2023] [Accepted: 10/23/2023] [Indexed: 11/19/2023]
Abstract
Chronic immune diseases mainly include autoimmune and inflammatory diseases. Managing chronic inflammatory and autoimmune diseases has become a significant public health concern, and therapeutic advancements over the past 50 years have been substantial. As therapeutic tools continue to multiply, the challenge now lies in providing each patient with personalized care tailored to the specifics of their condition, ushering in the era of personalized medicine. Precise and holistic imaging is essential in this context to comprehensively map the inflammatory processes in each patient, identify prognostic factors, and monitor treatment responses and complications. Imaging of patients with inflammatory and autoimmune diseases must provide a comprehensive view of the body, enabling the whole-body mapping of systemic involvement. It should identify key cellular players in the pathology, involving both innate immunity (dendritic cells, macrophages), adaptive immunity (lymphocytes), and microenvironmental cells (stromal cells, tissue cells). As a highly sensitive imaging tool with vectorized molecular probe capabilities, PET/CT can be of high relevance in the management of numerous inflammatory and autoimmune diseases. Relying on key molecular concepts of immunity, the clinical usefulness of FDG-PET/CT in several relevant inflammatory and immune-inflammatory conditions, validated or emerging, will be discussed in this review, together with radiolabeled probe perspectives.
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Affiliation(s)
- Florent L Besson
- Department of Nuclear Medicine-Molecular Imaging, Hôpitaux Universitaires Paris-Saclay, AP-HP, DMU SMART IMAGING, CHU Bicêtre, Paris, France; Université Paris-Saclay, School of Medicine, Le Kremlin-Bicêtre, France; Université Paris-Saclay, Commissariat à l'énergie Atomique et aux Énergies Alternatives (CEA), Centre National de la Recherche Scientifique (CNRS), INSERM, BioMaps, Le Kremlin-Bicêtre, France.
| | - Gaetane Nocturne
- Université Paris-Saclay, School of Medicine, Le Kremlin-Bicêtre, France; Department of Rheumatology, Hôpital Bicêtre Assistance Publique -Hôpitaux de Paris, Le Kremlin-Bicêtre, France; Center for Immunology of Viral Infections and Auto-Immune Diseases (IMVA), Université Paris-Saclay, Institut pour la Santé et la Recherche Médicale (INSERM) UMR 1184, Le Kremlin Bicêtre, Paris, France
| | - Nicolas Noël
- Université Paris-Saclay, School of Medicine, Le Kremlin-Bicêtre, France; Center for Immunology of Viral Infections and Auto-Immune Diseases (IMVA), Université Paris-Saclay, Institut pour la Santé et la Recherche Médicale (INSERM) UMR 1184, Le Kremlin Bicêtre, Paris, France; Department of Internal Medicine, Hôpital Bicêtre Assistance Publique -Hôpitaux de Paris, Le Kremlin-Bicêtre, Paris, France
| | - Olivier Gheysens
- Department of Nuclear Medicine, Cliniques Universitaires St-Luc and Institute for Experimental and Clinical Research (IREC), Université Catholique de Louvain, Brussels, Belgium
| | - Riemer H J A Slart
- Department of Nuclear Medicine and Molecular Imaging, University Medical Centre Groningen, Groningen, The Netherlands; Biomedical Photonic Imaging Group, Faculty of Science and Technology, University of Twente, Enschede, The Netherlands
| | - Andor W J M Glaudemans
- Department of Nuclear Medicine and Molecular Imaging, University Medical Centre Groningen, Groningen, The Netherlands
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Nguyen HT, Das N, Wang Y, Ruvalcaba C, Mehadji B, Roncali E, Chan CK, Pratx G. Efficient and multiplexed tracking of single cells using whole-body PET/CT. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.08.23.554536. [PMID: 37662335 PMCID: PMC10473747 DOI: 10.1101/2023.08.23.554536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/05/2023]
Abstract
In vivo molecular imaging tools are crucially important for elucidating how cells move through complex biological systems, however, achieving single-cell sensitivity over the entire body remains challenging. Here, we report a highly sensitive and multiplexed approach for tracking upwards of 20 single cells simultaneously in the same subject using positron emission tomography (PET). The method relies on a new tracking algorithm (PEPT-EM) to push the cellular detection threshold to below 4 Bq/cell, and a streamlined workflow to reliably label single cells with over 50 Bq/cell of 18F-fluorodeoxyglucose (FDG). To demonstrate the potential of method, we tracked the fate of over 70 melanoma cells after intracardiac injection and found they primarily arrested in the small capillaries of the pulmonary, musculoskeletal, and digestive organ systems. This study bolsters the evolving potential of PET in offering unmatched insights into the earliest phases of cell trafficking in physiological and pathological processes and in cell-based therapies.
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Affiliation(s)
- Hieu T.M. Nguyen
- Stanford University, School of Medicine, Department of Radiation Oncology and Medical Physics
| | - Neeladrisingha Das
- Stanford University, School of Medicine, Department of Radiation Oncology and Medical Physics
| | - Yuting Wang
- Stanford University, School of Medicine, Department of Surgery
| | - Carlos Ruvalcaba
- University of California, Davis, Department of Biomedical Engineering
| | - Brahim Mehadji
- University of California, Davis, Department of Radiology
| | - Emilie Roncali
- University of California, Davis, Department of Biomedical Engineering
- University of California, Davis, Department of Radiology
| | | | - Guillem Pratx
- Stanford University, School of Medicine, Department of Radiation Oncology and Medical Physics
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