Strategies for treating Alzheimer's disease (AD) include therapies designed
to decrease senile plaque (SP) formation and/or promote clearance of SPs.
but clinical trials of these treatments are limited by the lack of effectiv
e methods to monitor changes in plaque burden in the brains of living AD pa
tients. However. because SPs are extracellular deposits of amyloid-beta pep
tides (A beta), it may be possible to eventually develop radioligands that
cross the blood-brain barrier (BBB) and label SPs so they can be visualized
by current imaging methods. As a first step toward the generation of such
a radioligand, we developed a probe, [(trans,trans)-1-bromo-2,5-bis-(3-hydr
oxycarbonyl-4-hydroxy)styrylbenzene(BSB)], and we report here that BSB has
the following properties essential for a probe that can detect SPs in vivo,
First, BSB sensitively labels SPs in AD brain sections. Second. BSB permea
tes living cells in culture and binds specifically to intracellular A beta
aggregates. Third, after intracerebral injection in living transgenic mouse
models of AD amyloidosis. BSB labels SPs composed of human A beta with hig
h sensitivity and specificity. fourth, BSB crosses the BBB and labels numer
ous AD-like SPs throughout the brain of the transgenic mice after i.v. inje
ction. Thus, we conclude that BSB is an appropriate starting point for futu
re efforts to generate an antemortem diagnostic for AD.