The diagnostic hallmarks of amyotrophic lateral sclerosis (ALS) are degener
ation of upper and lower motor neurons and of corticospinal tracts. Here, w
e demonstrate the suitability of the gliosis marker [H-3]PK11195 for quanti
tative evaluation of tract degeneration in ALS in vitro. Binding of [H-3]PK
11195 was increased in lateral and ventral white matter of ALS spinal cords
but not in the anterior horn, in spite of a dramatic loss in muscarinic bi
nding sites and a high level of oxidatively modified protein. Labeling of a
ctivated microglia with [C-11]PK11195 may also allow tract degeneration in
ALS to be visualized in vivo.