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HIV Theranostics Based on Intrinsic CEST Contrasts of Antiretroviral Drugs
Aditya Bade1, Howard Gendelman1, and Yutong Liu2
1Pharmacology and Exp Neuroscience, University of Nebraska Medical Center, Omaha, NE, United States, 2Radiology, University of Nebraska Medical Center, Omaha, NE, United States

1) The CEST effects of  antiretroviral drugs 3TC (lamivudine) and FTC (emtricitabine) were detected at 1 and 2 ppm. 2) In mice administered with 3TC, MRI data was analyzed using Lorentzian functions, and  CEST signal of amino protons of 3TC was detected at ~ 2 ppm on thalamus region.

Figure 1. CEST signals of 3TC. (A) Chemical structure of 3TC. The hydroxyl group is in red circle, and the amino group in blue circle. (B) MTR plots of 3TC in PBS at 37oC. MTR increases at 2 ppm with the 3TC concentration. (C) MTR@2ppm increases linearly with 3TC concentration (R2 = 0.95). (D) Pixel-by-pixel color maps of 3TC samples.
Figure 3. (A) Lorentzian functions of CEST signals of amino protons on thalamus from a mouse scanned before 3TC administration (baseline), 6 hours after 1st drug administration and after 5 days of daily administration. (B) CEST signal integrals of 3TC on thalamus. (C) Color maps of CEST signal integrals of 3TC superimposed on anatomical images of the mouse brain.