- Ordonez, Alvaro A;
- Parker, Matthew FL;
- Miller, Robert J;
- Plyku, Donika;
- Ruiz-Bedoya, Camilo A;
- Tucker, Elizabeth W;
- Luu, Justin M;
- Dikeman, Dustin A;
- Lesniak, Wojciech G;
- Holt, Daniel P;
- Dannals, Robert F;
- Miller, Lloyd S;
- Rowe, Steven P;
- Wilson, David M;
- Jain, Sanjay K
Tools for noninvasive detection of bacterial pathogens are needed but are not currently available for clinical use. We have previously shown that para-aminobenzoic acid (PABA) rapidly accumulates in a wide range of pathogenic bacteria, motivating the development of related PET radiotracers. In this study, 11C-PABA PET imaging was used to accurately detect and monitor infections due to pyogenic bacteria in multiple clinically relevant animal models. 11C-PABA PET imaging selectively detected infections in muscle, intervertebral discs, and methicillin-resistant Staphylococcus aureus-infected orthopedic implants. In what we believe to be first-in-human studies in healthy participants, 11C-PABA was safe, well-tolerated, and had a favorable biodistribution, with low background activity in the lungs, muscles, and brain. 11C-PABA has the potential for clinical translation to detect and localize a broad range of bacteria.