%0 Journal Article %T Imaging α-synuclein pathologies in animal models and patients with Parkinson's and related diseases. %A Endo H %A Ono M %A Takado Y %A Matsuoka K %A Takahashi M %A Tagai K %A Kataoka Y %A Hirata K %A Takahata K %A Seki C %A Kokubo N %A Fujinaga M %A Mori W %A Nagai Y %A Mimura K %A Kumata K %A Kikuchi T %A Shimozawa A %A Mishra SK %A Yamaguchi Y %A Shimizu H %A Kakita A %A Takuwa H %A Shinotoh H %A Shimada H %A Kimura Y %A Ichise M %A Suhara T %A Minamimoto T %A Sahara N %A Kawamura K %A Zhang MR %A Hasegawa M %A Higuchi M %J Neuron %V 112 %N 15 %D 2024 Aug 7 %M 38843838 %F 18.688 %R 10.1016/j.neuron.2024.05.006 %X Deposition of α-synuclein fibrils is implicated in Parkinson's disease (PD) and dementia with Lewy bodies (DLB), while in vivo detection of α-synuclein pathologies in these illnesses has been challenging. Here, we have developed a small-molecule ligand, C05-05, for visualizing α-synuclein deposits in the brains of living subjects. In vivo optical and positron emission tomography (PET) imaging of mouse and marmoset models demonstrated that C05-05 captured a dynamic propagation of fibrillogenesis along neural pathways, followed by disruptions of these structures. High-affinity binding of 18F-C05-05 to α-synuclein aggregates in human brain tissues was also proven by in vitro assays. Notably, PET-detectable 18F-C05-05 signals were intensified in the midbrains of PD and DLB patients as compared with healthy controls, providing the first demonstration of visualizing α-synuclein pathologies in these illnesses. Collectively, we propose a new imaging technology offering neuropathology-based translational assessments of PD and allied disorders toward diagnostic and therapeutic research and development.