The use of ¹⁸F-BCPP-EF as a PET probe for complex I activity in the brain.

Mitochondria are called "cellular power plants" because they exclusively contain a respiratory electron transfer chain consisting of five components (complexes I-V) to generate most of the ATP required to maintain cellular functions. Mitochondrial complex I (MC-I) is the first and the largest macrocomplex in the pathway for oxidative phosphorylation. We recently synthesized a series of novel PET probes for quantitative imaging of MC-I activity in the living brain. Several in vitro biological evaluations suggested that (18)F-BCPP-EF could be applicable for MC-I assessment in vivo, and the probe has been applied to several animal disease models of stroke, aging, and dementia. The data suggested that (18)F-BCPP-EF could be useful to detect ischemic neuronal damage at the subacute phase, 7 days, after ischemic insult, at which time unexpectedly higher (18)F-FDG uptake was observed in the damaged area than in the contralateral intact area. Our studies with the aged monkeys demonstrated that (18)F-BCPP-EF detected the age-related reduction of MC-I activity in the living monkey brain, and also that the monkeys with higher amyloid-β deposition showed lower MC-I activity. Since PET is a sophisticated medical modality for noninvasive assessment of real-time tissue function by using target-specific radiolabeled probes, the development of novel PET probes for MC-I should be useful for diagnostic, prognostic, and treatment monitoring of diseases related to impaired MC-I function.