In Vivo Monitoring for Regional Changes of Metabotropic Glutamate Receptor Subtype 1 (mGluR1) in Pilocarpine-Induced Epileptic Rat Brain by Small-Animal PET

Metabotropic glutamate receptor subtype 1 (mGluR1) is a crucial pharmacological target for several central nervous system disorders. In this study, we aimed to monitor in vivo regional changes of mGluR1 related to neuroinflammation in the brains of rats after pilocarpine-induced status epilepticus (PISE) using longitudinal positron emission tomography (PET). PISE was induced in rats by administering lithium chloride, followed by repeated pilocarpine hydrochloride treatments. PET assessments were conducted using N-[4-[6-(isopropylamino)-pyrimidin-4-yl]-1,3-thiazol-2-yl]-N-methyl-4-[11C]methylbenzamide ([11C]ITDM), a selective radioligand for mGluR1, and N-benzyl-N-[11C]methyl-2-(7-methyl-8-oxo-2-phenyl-7,8-dihydro-9H-purin-9-yl)acetamide ([11C]DAC), a selective translocator protein PET ligand for neuroinflammation monitoring. PET scans were conducted on PISE rats at 1 day (acute), 1 week (subacute) and 3 weeks (chronic) after repeated seizures. PET with [11C]ITDM showed significant decreases of mGluR1 availability (BPND) in the thalamus and hippocampus after PISE over the chronic period. Conversely, PET with [11C]DAC exhibited a significant increase of radioactive uptake in the forebrain after the acute period, especially in the thalamus. These conflicting changes in the thalamus indicated negative correlation. In conclusion, PET with [11C]ITDM could successfully visualize hippocampal and thalamic declines of mGluR1 related to neuroinflammation, which would help further understanding for mGluR1 functions in neuroexcitotoxicity.

Epilepsy is broadly characterized by aberrant neuronal excitability. Various studies have elucidated the role of glutamate in seizures and epilepsy. Seizures induce elevations in extracellular glutamate, which then contribute to neurotoxic damage by activating glutamate receptors. Moreover, repeated seizures can alter the expression of glutamate receptors in neurons, further contributing to epileptogenesis 5 . Thus, glutamate receptors are crucial imaging targets for further understanding of neuroexcitotoxicity mechanisms in epilepsy.
A recent pilot positron emission tomography (PET) imaging study has been performed using [ 11 C]ABP688, a widely used PET ligand for mGluR5 in preclinical and clinical studies 6,7 , in rats after pilocarpine-induced status epilepticus (PISE) 8 . This study demonstrated dynamic changes in [ 11 C]ABP688 availability for mGluR5 in the striatum and hippocampus. A PET study for mGluR1, another subtype of group I mGluRs, has never been performed in PISE rats because there was a lack of useful mGluR1 PET ligands allowing noninvasive quantification.

Results
PET studies for [ 11 C]ITDM with mGluR1. We estimated [ 11 C]ITDM availability (BP ND ) for mGluR1 in PISE rats (n = 6) on each experimental time points. Figure 1 shows representative parametric PET images based on the mGluR1-BP ND scale for each experimental time point and Table 1 exhibits detail results of PET studies. At the acute period (1 day after status epilepticus (SE); SE1D), there was a substantial decline (2.83 ± 0.18) in signal compared with the baseline (4.07 ± 0.56, n = 4) and the control (4.41 ± 0.20, n = 4) levels in the coronal (−9 mm from bregma) images of the anterior lobes of the cerebellum. This decrease subsequently recovered to a normal level (4.12 ± 0.46) over the subacute period (1 week after SE; SE1W). Conversely, signals in sagittal and coronal sections of the thalamus (−3 mm from bregma) and hippocampus (−5 mm from bregma) decreased gradually across the chronic period (3 weeks after SE; SE3W). In the thalamus, there was no acute change (2.28 ± 0.17) compared with baseline BP ND (2.30 ± 0.36). However, there was a subsequent significant decrease (p = 0.04) over the chronic period (1.78 ± 0.17).

In vitro autoradiography for mGluR1 with [ 11 C]ITDM.
To validate the changes observed in mGluR1-BP ND during in vivo PET, we conducted in vitro autoradiography using brain sections from rats after PISE. Figure 2A shows representative in vitro [ 11 C]ITDM autoradiograms using coronal brain sections prepared at different distances from bregma (−3, −5 and −9 mm) in rats after PISE. There was a significant decline in radioactivity in the thalamus and hippocampus (CA3 and dentate gyrus) after the acute period, which corroborated the PET results. In particular, the largest decline in the thalamus was observed during the chronic period, with an approximately 30% decrease compared with control sections (Fig. 2B). There was no significant decrease in radioactive signals in the anterior lobes of cerebellum (−9 mm coronal section) in the acute period, conflicting with results from the corresponding PET images. There was also no significant difference between rats sacrificed at baseline and the acute time point in quantitative in vitro [ 11 C]ITDM binding values. Conversely, there was a gradual increase of radioactivity in the cerebellar lobes with time after PISE (Fig. 2B).
PET imaging for neuroinflammation. To estimate neuroinflammation in the PISE model, TSPO-PET imaging with [ 11 C]DAC was conducted on PISE rats (n = 4). Figure 3 shows representative averaged PET images of [ 11 C] DAC in the brains of control, acute, subacute and chronic subjects. At the acute period, radioactive uptake of [ 11 C] DAC was low across the whole brain, similar to that of control. The area under the curve (AUC) values (SUV × min) of control and acute animals were 17-23 and 16-23, respectively (Table 2). In contrast, an increase of radioactive uptake of [ 11 C]DAC was observed in the forebrain (cerebral cortex, striatum, thalamus, hippocampus and amygdala) of subacute and chronic animals. A substantial increase in the AUC value was observed in the amygdala for   Table 1. Regional changes of BP ND for [ 11 C]ITDM at the baseline, control, acute (SE1D), subacute (SE1W) and chronic (SE3W) time points. a n = 4; b n = 6. *P < 0.05, ***P < 0.001 (two-way analysis of variance with post hoc tests, compared with the baseline group). subacute (AUC 38) and chronic (AUC 39) animals. Significant differences (p < 0.001) compared with control animals were found in the cerebral cortex, striatum, thalamus and hippocampus for both subacute and chronic animals. Radioactive uptake of [ 11 C]DAC in the cerebellum and pons indicated no differences at any time points.

In vitro binding of [ 11 C]DAC and TSPO localization.
TSPO is expressed not only in activated microglial cells, but also in cerebral blood vessels 14 . To confirm whether brain uptake of [ 11 C]DAC in the PET analysis corresponds with TSPO expression in activated microglial cells, in vitro autoradiography with [ 11 C]DAC and immunohistochemical images for TSPO were compared. Furthermore, pathological evaluation for microglial activation was conducted using an anti-CD11b antibody. Figure 4 shows representative in vitro autoradiograms of [ 11 C]DAC and immunohistochemical images of brain sections removed from control and chronic animals. As shown in the PET result, the autoradiogram of chronic animals also exhibited highly radioactive accumulations of [ 11 C]DAC in the thalamus and around the amygdala (Fig. 4A). Immunohistochemistry for TSPO detected relatively high fluorescent signals on the cerebral cortex, thalamus and around the amygdala, which partly corresponded with distribution of radioactivity in autoradiograms, with the exception of the cerebral cortex (Fig. 4B).
Because the cerebral cortex of control sections exhibited high signals, cerebral neocortical signals in both groups   Table 2. Regional changes of area under the curve (AUC) values (SUV × min) for [ 11 C]DAC at the control, acute (SE1D), subacute (SE1W) and chronic (SE3W) time points. a n = 3; b n = 4. ***P < 0.001 (two-way analysis of variance with post hoc tests, compared with the control group).
likely indicate TSPO in the blood vessels. Immunohistochemical images for CD11b detected high signals in the thalamus and around the amygdala (Fig. 4C). Colocalization with CD11b was detected with half of the TSPO expression in the thalamus of chronic animals, whereas TSPO signals were not detected with glial fibrillary acidic protein (GFAP) signals indicating astrocyte localization (Fig. 4D). Taken together, [ 11 C]DAC may exhibit specific binding to TSPO on activated microglial cells but not vascular TSPO.

Comparison between [ 11 C]ITDM availabilities and [ 11 C]DAC accumulations.
To confirm the correlation between the decline of [ 11 C]ITDM with mGluR1 and microglial activation, a correlational plot analysis was performed. Figure 5 shows  These statistical results could support high correlation between the two parameters.

Discussion
Previously, it has been reported that immunoreactivity for hippocampal mGluR1α, which is one of three mGluR1 splice variants, shows a marked decrease 1 day after PISE, and that mGluR1α-immunoreactive dendrites and cell bodies gradually reappear between 3 and 31 days after PISE 15 . However, in this study, PET and autoradiography using [ 11 C]ITDM did not detect a hippocampal decline of specific binding with mGluR1 at the acute period after PISE. In contrast, in vitro and in vivo specific binding of [ 11 C]ITDM with mGluR1 showed a gradual decline between 1 and 3 weeks after PISE (Figs 1 and 2). The mGluR1β variant has a different carboxy-terminal from mGluR1α, and is strongly identified in principal cells of CA3 and dentate granule cells, but is absent in CA1 16 . In vitro autoradiography with [ 11 C]ITDM showed high radioactive accumulations in the CA3 and dentate gyrus areas but not in the CA1 area (Fig. 2). Therefore, [ 11 C]ITDM availability may reflect specific binding with mGluR1β but not mGluR1α. In another report, astrocytes expressing several types of protein kinase C related to gliosis have been identified in all parts of the hippocampus at 7 to 31 days after PISE 17 . Thus, we further evaluated microglial activation using a longitudinal PET study with [ 11 C]DAC, a second generation TSPO PET ligand. TSPO is a biomarker for activated microglia 18 . In the present PET analysis with [ 11 C]DAC, high radioactive uptake was detected in the forebrain of rats at the subacute period, maintaining a high level until the chronic period. Taken together, these results suggest that gradual decline of [ 11 C]ITDM availability in the hippocampus may reflect disappearance of mGluR1β on neuronal cells caused by gliosis, though there has been no pathological evidence for mGluR1β until now.
Remarkable levels of radioactive uptake of [ 11 C]DAC were observed around the amygdala and in the thalamus, which corresponds with localization of glutamatergic principal neurons. Additionally, pathological evaluation showed TSPO/CD11b colocalization in the ventral posterolateral thalamic nuclei (Fig. 4E). These deposits corresponded with the region demonstrating a remarkable decline of [ 11 C]ITDM availability, which further indicates a negative correlation with accumulation of [ 11 C]DAC (Fig. 5). These findings indicate that neuroexcitotoxicity induced by repeated seizures stimulates microglial activation, subsequently inducing injury to glutamatergic principal neurons.
In present study, the most severe decline in [ 11 C]ITDM availability with mGluR1 was found in the anterior lobes of the cerebellum over the acute period of PISE (Fig. 1). Surprisingly, results from quantitative autoradiography using [ 11 C]ITDM showed no change in the in vitro binding in the anterior lobes of the cerebellum between pre-and post-SE. Inconsistencies between in vitro autoradiography and in vivo PET results may be caused by regional differences in blood flow. In a previous report using [ 11 C]verapamil-PET in a PISE model, it was demonstrated that cerebral blood flow in the cerebellum significantly decreased in the acute period 19 . Actually, parameter R1, the ratio (K1/K1') of tracer delivery in simplified reference tissue model (SRTM) 20 , in the cerebellum showed a transient reduction in the anterior lobes at acute period (see Supplementary Fig. S1). As such, large decreases in availability of [ 11 C]ITDM in the anterior lobes of rats after PISE in the acute period may be caused by cerebral blood flow decreases, which then recover over the subacute period. The mechanisms by which this might occur are unknown.
A pilot PET study using [ 11 C]ABP688 has demonstrated a temporal decrease of availability for mGluR5 in the striatum and hippocampus at the acute period of the PISE model and subsequent recovery over the chronic period 8 . Interestingly, the present PET study with [ 11 C]ITDM exhibited unchanged availability in the striatum and a gradual decline of availability in the thalamus and hippocampus across the chronic period. Based on these findings, we hypothesize that in acute period of PISE, striatal and hippocampal mGluR5 and mGluR1α, which may not bind with [ 11 C]ITDM, may be downregulated to protect against acute neuroexcitotoxicity, but not [ 11 C] ITDM with mGluR1. Subsequently, their temporal downregulations gradually recover. In contrast, neuroinflammation gradually occurs in the forebrain after the acute period of PISE. Incidentally, [ 11 C]ITDM with mGluR1 may gradually disappear in CA3, dentate gyrus and ventral posterolateral thalamic nuclei. Taken together, these findings suggest that repeated seizures stimulate glutamatergic neurons and subsequently induce different genetic regulation of mGluRs belonging to group I, and result in neuroinflammation caused by gliosis.
In conclusion, we visualized heterogeneous changes in [ 11 C]ITDM availability with mGluR1 in rat brains after PISE via longitudinal PET studies. In particular, we observed a gradual decrease of [ 11 C]ITDM availability in the thalamus and hippocampus. Moreover, we showed that their reductions were involved in neuronal injury caused by microglial activation. Thus, molecular imaging with [ 11 C]ITDM will be a useful tool for gaining further understanding of the mechanisms leading to neurotransmitter dysfunction and aid the development of new pharmaceuticals for CNS disorders.

Materials and Methods
Generals. We purchased all chemicals used in this study from commercial companies, including Sigma-Aldrich (St. Louis, MO, USA), Wako Pure Chemicals Industries (Osaka, Japan) and Tokyo Chemical Industries (Tokyo, Japan). We prepared diazepam hydrochloride in-house from diazepam (sourced from Wako Pure Chemicals Industries).
Male Sprague-Dawley rats were purchased from Japan SLC and kept in a temperature-controlled environment with a 12-h light/dark cycle. They were given a standard diet (MB-1, Funabashi Farm) and water containing hyper diluted hydrochloric acid.
Ethics statement. The rats were treated and handled according to the Recommendations for Handling of Laboratory Animals for Biomedical Research, compiled by the Committee on the Safety and Ethical Handling Regulations for Laboratory Animal Experiments of the National Institutes for Quantum and Radiological Science and Technology, and this study was approved by the committee.

Radiochemistry. [ 11 C]ITDM was synthesized via the reaction of a stannyl precursor with [ 11 C]methyl iodide
in the presence of triphenylphosphine and copper chloride as described previously 9 . At the end of synthesis, [ 11 C] ITDM was obtained with >99% radiochemical purity and 167-370 GBq/µmol (n = 10) specific activity.
[ 11 C]DAC was synthesized by reacting desmethyl precursor with [ 11 C]methyl iodide in the presence of sodium hydroxide as described previously 12 . At the end of synthesis, [ 11 C]DAC was obtained with >98% radiochemical purity and 30-111 GBq/µmol (n = 10) specific activity. Production of PISE model. Rats with PISE were produced as described previously 8 . Briefly, male rats (n = 32) were intraperitoneally injected with lithium chloride (127 mg/kg) and were then intraperitoneally administered methylscopolamine bromide (1 mg/kg) after 20-24 h. After another 30 min, pilocarpine hydrochloride (30 mg/kg) was intraperitoneally injected to trigger SE. Pilocarpine hydrochloride (10 mg/kg) was then repeatedly administered (2-4 times) every 30 min until the appearance of stage 4 seizures (according to the Racine scale) 21 . The rats expressing repeated seizures (n = 28) were intraperitoneally administered diazepam hydrochloride (10 mg/kg) 60 min after the onset of SE to terminate seizure activity. Diazepam hydrochloride (5 mg/kg) was repeatedly administered until SE was terminated to reduce mortality (1-3 times). Control rats were administered the same drugs except pilocarpine.
Small-animal PET procedure. PET scans using the same PISE rat were conducted at 1 day (SE1D), 1 week (SE1W) and 3 weeks (SE3W) after PISE and categorized as acute, subacute and chronic periods, respectively. Each rat was anesthetized with 1.5% (v/v) isoflurane and a 24-gauge intravenous catheter (Terumo Medical Products, Tokyo, Japan) was inserted into the tail vein. The rat was subsequently maintained under anaesthesia and secured in a custom-designed chamber placed in the centre of a small-animal PET scanner (Inveon; Siemens Medical Solutions, Knoxville, TN, USA). After adjustment to ensure target positioning for brain scanning, the dynamic emission scans (in three-dimensional list mode) were performed for 90 min (10 s × 12 frames, 20 s × 3 frames, 30 s × 3 frames, 1 min × 3 frames, 2.5 min × 3 frames and 5 min × 15 frames) during which [ 11 C]ITDM was administered (48-60 MBq, 0.1-0.3 nmol) via the tail vein catheter. For [ 11 C]DAC (25-60 MBq, 0.1-0.4 nmol), dynamic emission scans were carried out for 60 min (10 s × 12 frames, 20 s × 3 frames, 30 s × 3 frames, 1 min × 3 frames, 2.5 min × 3 frames and 5 min × 9 frames). Throughout the scan, the rat's body temperature was maintained at 37 °C using a heated (40 °C) water circulation system (T/Pump TP401; Gaymar Industries, Orchard Park, NY, USA). After the PET experiments, rats were allowed to recover from anaesthesia and were returned to the animal breeding facility. Note: [ 11 C]ITDM-and [ 11 C]DAC-PET studies were conducted using different PISE rats. Data analysis. The tissue time-activity curve (tTAC) was acquired from the volume of interest (VOI). VOIs for [ 11 C]ITDM were anatomically mapped onto the cingulate cortex, cerebral cortex, striatum, hippocampus, thalamus, anterior and posterior lobes of the cerebellum and the pons. VOIs for [ 11 C]DAC were located in the cerebral cortex, striatum, thalamus, hippocampus, amygdala, cerebellum and pons. The radioactivity was expressed as the standardized uptake value (SUV), which was normalized to the injected radioactivity and bodyweight. The SUV was calculated according to the following formula: SUV = (radioactivity per milliliter tissue/injected radioactivity) × bodyweight (g). To obtain the availability (BP ND ) of [ 11 C]ITDM, kinetic analyses were performed using the Logan reference method 22 . In accordance with our previous reports 10,23 , Logan reference analysis was performed by linear regression, with t* = 15 min and using tTACs obtained from the pons as a reference region. For [ 11 C]DAC-PET, the quantitative value for TSPO was expressed as the AUC (SUV × min) during 2-60 min after the injection, because there was a lack of reference region for TSPO.