iScience (Apr 2022)

Computed tomography and [18F]-FDG PET imaging provide additional readouts for COVID-19 pathogenesis and therapies evaluation in non-human primates

  • Thibaut Naninck,
  • Nidhal Kahlaoui,
  • Julien Lemaitre,
  • Pauline Maisonnasse,
  • Antoine De Mori,
  • Quentin Pascal,
  • Vanessa Contreras,
  • Romain Marlin,
  • Francis Relouzat,
  • Benoît Delache,
  • Cécile Hérate,
  • Yoann Aldon,
  • Marit van Gils,
  • Nerea Zabaleta,
  • Raphaël Ho Tsong Fang,
  • Nathalie Bosquet,
  • Rogier W. Sanders,
  • Luk H. Vandenberghe,
  • Catherine Chapon,
  • Roger Le Grand

Journal volume & issue
Vol. 25, no. 4
p. 104101

Abstract

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Summary: Non-human primates (NHPs) are particularly relevant as preclinical models for SARS-CoV-2 infection and nuclear imaging may represent a valuable tool for monitoring infection in this species. We investigated the benefit of computed X-ray tomography (CT) and [18F]-FDG positron emission tomography (PET) to monitor the early phase of the disease in a large cohort (n = 76) of SARS-CoV-2 infected macaques.Following infection, animals showed mild COVID-19 symptoms including typical lung lesions. CT scores at the acute phase reflect the heterogeneity of lung burden following infection. Moreover, [18F]-FDG PET revealed that FDG uptake was significantly higher in the lungs, nasal cavities, lung-draining lymph nodes, and spleen of NHPs by 5 days postinfection compared to pre-infection levels, indicating early local inflammation. The comparison of CT and PET data from previous COVID-19 treatments or vaccines we tested in NHP, to this large cohort of untreated animals demonstrated the value of in vivo imaging in preclinical trials.

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