Molecular imaging mechanisms relevant to reporter genes for indirect cell labeling. Cartoon showing the three main molecular imaging mechanism that are exploited for indirect cell labeling. (a) Transport (blue): these reporters are expressed at the plasma membrane of cells and each expressed reporter can transport several contrast agent molecules into the cell, which constitutes a signal amplification mechanism. The radionuclide transporters NIS and NET belong to this class of reporters. (b) Protein binding (red): these reporters are also normally expressed at the plasma membrane of cells and contrast agents bind directly to them; minor levels of signal amplification are theoretically possible if several contrast agents could bind to the reporter, or if several contrast agents could be fused to a reporter binding molecule; however, signal amplification is inferior compared to transporters. Examples for this reporter class are PSMA and SSTR2. (c) Contrast forming reporters (purple) can be sub-divided into two categories; enzymes that can generate contrast, and proteins that act as labels with intrinsic contrast. (ci) Enzymatic contrast formation: such reporters either entrap a molecular probe or generate a contrast agent from a precursor that needs to be either supplied externally or is available within the cell. Thymidine kinases such as HSV1-tk are examples for enzymes that entrap a radiotracer through its phosphorylation, and thereby generate contrast. Firefly luciferases are examples of reporters that convert an externally supplied substrate [shown: luciferin light (hν)]. Tyrosinase is an example of a reporter which converts cell-intrinsic precursors to the contrast agent melanin. (cii) Intrinsic contrast: these reporters produce a signal on their own, normally upon stimulation. Classical examples are all fluorescent proteins, which generate specific light emissions upon excitation with light matching their excitation spectra. For details and literature references to relevant reporter genes see Tables 1, 2. NIS, sodium/iodide symporter; NET, norepinephrine transporter; PSMA, prostate specific membrane antigen; SSTR2, somatostatin receptor 2.