In vivo characterisation of a therapeutically relevant self-assembling 18 F-labelled β-sheet forming peptide and its hydrogel using positron emission tomography

Positron emission tomography (PET) and fluorescence labelling have been used to assess the pharmacokinetics, biodistribution and eventual fate of a hydrogel‐forming nonapeptide, FEFKFEFKK (F9), in healthy mice, using ¹⁸F‐labelled and fluorescein isothiocyanate (FITC)‐labelled F9 analogues. F9 was site‐specifically radiolabelled with 2‐[¹⁸F]fluoro‐3‐pyridinecarboxaldehyde ([¹⁸F]FPCA) via oxime bond formation. [¹⁸F]FPCA‐F9 in vivo fate was evaluated both as a solution, following intravenous administration, and as a hydrogel when subcutaneously injected. The behaviour of FITC‐F9 hydrogel was assessed following subcutaneous injection. [¹⁸F]FPCA‐F9 demonstrated high plasma stability and primarily renal excretion; [¹⁸F]FPCA‐F9 when in solution and injected into the bloodstream displayed prompt bladder uptake (53.4 ± 16.6 SUV at 20 minutes postinjection) and rapid renal excretion, whereas [¹⁸F]FPCA‐F9 hydrogel, formed by co‐assembly of [¹⁸F]FPCA‐F9 monomer with unfunctionalised F9 peptide and injected subcutaneously, showed gradual bladder accumulation of hydrogel fragments (3.8 ± 0.4 SUV at 20 minutes postinjection), resulting in slower renal excretion. Gradual disaggregation of the F9 hydrogel from the site of injection was monitored using FITC‐F9 hydrogel in healthy mice (60 ± 3 over 96 hours), indicating a biological half‐life between 1 and 4 days. The in vivo characterisation of F9, both as a gel and a solution, highlights its potential as a biomaterial.

A new technique for the radiolabelling of mixed leukocytes with zirconium-89 for inflammation imaging with positron emission tomography

Mixed leukocyte (white blood cells [WBCs]) trafficking using positron emission tomography (PET) is receiving growing interest to diagnose and monitor inflammatory conditions. PET, a high sensitivity molecular imaging technique, allows precise quantification of the signal produced from radiolabelled moieties. We have evaluated a new method for radiolabelling WBCs with either zirconium-89 ((89) Zr) or copper-64 ((64) Cu) for PET imaging. Chitosan nanoparticles (CNs) were produced by a process of ionotropic gelation and used to deliver radiometals into WBCs. Experiments were carried out using mixed WBCs freshly isolated from whole human blood. WBCs radiolabelling efficiency was higher with [(89) Zr]-loaded CN (76.8 ± 9.6% (n = 12)) than with [(64) Cu]-loaded CN (26.3 ± 7.0 % (n = 7)). [(89) Zr]-WBCs showed an initial loss of 28.4 ± 5.8% (n = 2) of the radioactivity after 2 h. This loss was then followed by a plateau as (89) Zr remains stable in the cells. [(64) Cu]-WBCs showed a loss of 85 ± 6% (n = 3) of the radioactivity after 1 h, which increased to 96 ± 6% (n = 3) loss after 3 h. WBC labelling with [(89) Zr]-loaded CN showed a fast kinetic of leukocyte association, high labelling efficiency and a relatively good retention of the radioactivity. This method using (89) Zr has a potential application for PET imaging of inflammation.

A simulator for teaching visual field techniques on Goldmann or Goldmann-type perimeters

We developed a visual field simulator for teaching perimetry on a Goldmann-type perimeter. It can present reproducible normal and defective visual fields, is portable and can be used without being attached to the perimeter, and will provide an easier way to train individuals in the correct techniques of perimetry.

[Early defects in the visual field in glaucoma (author's transl)]

This study shows that the field defects in simple glaucoma can occur as paracentral scotoma (77%) as well as nasal skip defects (20%) in the central or peripheral field. Also a combination (54%) of both defects is already possible at the start. This points out that more than one nerve bundle can be affected either simultaneously or one shortly after the other. It was also remarkable that by Drance's modification of Armaly's method for two eyes a typical nasal skip and/or a paracentral scotoma with temporal visual field defect occurred as the first sign.

The importance of disc hemorrhage in the prognosis of chronic open angle glaucoma

The progression of field damage of 48 eyes with chronic simple glaucoma and a splinter hemorrhage on the disc was compared with that of 48 chronic simple glaucoma eyes without hemorrhage. The incidence of visual field progression was substantially higher among those with a hemorrhage. Similar visual field progression was substantially higher in 29 eyes with elevated introcular pressure and a disc hemorrhage when compared with 29 ocular hypertensive patients with no hemorrhage. The prognostic importance of a disc hemorrhage is discussed.