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Dans la foulée des avancées en médecine nucléaire, l’imagerie moléculaire par résonance magnétique a pris son essor ces dernières années car elle constitue un enjeu contemporain en vue d’améliorer le diagnostic et le suivi thérapeutique de pathologies comme le cancer ou la maladie d’Alzheimer. Cependant, cette technique d’imagerie médicale souffre à la fois de la petite quantité de récepteurs disponibles in vivo et de la faible sensibilité de l’IRM pour la détection d’agents de contraste exogènes. De ce fait, la littérature montre un intérêt croissant pour le développement de nouveaux agents de contraste pouvant porter plusieurs milliers de contrastophores et de nouvelles techniques sont nécessaires pour évaluer l’efficacité de ces derniers. Ainsi, lorsqu’un agent de contraste fonctionnalisé est injecté in vivo, ce dernier va subir de nombreux processus biochimiques (extravasation, fixation spécifique sur les récepteurs, internalisation dans les cellules…) qui peuvent rendre les mécanismes de prise de contraste difficile à appréhender. De ce fait, nous avons développé une nouvelle méthode in vitro d’observation cellulaire permettant de caractériser les agents de contraste par IRM en modélisant expérimentalement certains des mécanismes ayant lieu in vivo, tout en s’affranchissant des problèmes liées à l’expérimentation sur petit animal (résolution, Rapport signal sur bruit, reproductibilité inter-animale,…). Notre approche a reposé sur la conception d’un dispositif de microhistologie par IRM qui permet de détecter une monocouche de cellules d’une dizaine de microns d’épaisseur dans un environnement microfluidique. Après avoir totalement caractérisé notre méthode avec des cellules ayant internalisé un agent de contraste commercial (Dotarem), nous l’avons utilisé pour évaluer la capture dynamique d’un nouvel agent de contraste développé à Guerbet : une émulsion paramagnétique fonctionnalisée avec des peptides RGD destinée à l’imagerie de l’angiogénèse tumorale. Dans un canal microfluidique, nous avons préparé une monocouche confluente de cellules endothéliales et appliqué un flux d’agent de contraste au-dessus de ces dernières. Par IRM, nous avons pu réaliser un suivi dynamique de la capture de l’agent de contraste par les récepteurs membranaires des cellules. En plus de démontrer la spécificité de l’agent de contraste comme le font les méthodes traditionnelles, notre technique nous a permis d’évaluer les constante cinétiques d’association et de dissociation et la constante d’affinité de l’agent de contraste pour les récepteurs dans des conditions physiologiques proches de celles existant in vivo, notamment en termes de disposition des cellules et de la vitesse et de la concentration de l’agent de contraste. / Following the recent advances in nuclear medicine, magnetic resonance imaging has rapidly become an emerging technique for molecular imaging since it constitutes a contemporary issue for the improvement of the diagnosis and the post-treatment follow-up of pathologies such as cancer and Alzheimer’s disease. However, this technique suffers from both the weak amount of in vivo receptors and the low sensitivity of MRI for the detection of exogenous contrast agents. Thus, the literature shows an increasing interest for the development of novel contrast agents which can carry several thousands of contrastophores and new techniques are needed to evaluate the efficiency of these contrast agents. Indeed, when a targeted contrast agent is injected intraveneously, many biochemical process can occur simultaneously (extravasation, specific binding on receptors, internalization inside cells, …), which can make the contrast uptake mechanisms difficult to investigate. Hence, we developed a new method of cellular observation allowing to characterize the contrast agent by MRI, by imitating some of the in vitro mechanisms that occur in vivo. Using this technique, we also avoided problems that are linked to the experimentation on small animal in terms of resolution, signal to noise ratio and inter-animal reproducibility.Our approach was based on the design and fabrication of a microhistological device that allows to detect a living cells’ monolayer - whose thickness is above 10 microns - in a microfluidic environment. After having fully characterized our method with cells that had internalized a commercial contrast agent (Dotarem), we used it to evaluate the dynamic uptake of a new contrast agent developed and synthetized in Guerbet : a paramagnetic nanoemulsion functionalized with RGD peptides to target the avb3 integrins that play a capital role in the tumor angiogenesis process. In a microfluidic channel, we prepared an endothelial cell monolayer and applied a flow of contrast agent over the cell layer. We were able to follow-up by MRI the uptake of the contrast agent by the cell surface receptors. Besides demonstrating the specificity of the contrast agent as well as traditional in vitro techniques, our technique provides an additional information level since it is able to evaluate the kinetic constants and the affinity of the contrast agents toward the receptors. These experiments were done under physiological conditions close to the ones existing in vivo in terms of cell arrangement, concentration and flow velocity of the contrast agent.

En vue de contourner les phénomènes de chimiorésistance et l’apparition d’effets secondaires sévères engendrés par les traitements à base de platine, nous avons développé des agents thérapeutiques à base d’autre métaux.Mon premier projet repose sur l’élaboration de complexes d’or(I) traçables possédant des propriétés anticancéreuses et anti-inflammatoires. Afin d’apporter des informations préliminaires sur leur mécanisme d’action, deux sondes imageantes ont été introduites : soit une coumarine, soit un BODIPY. Ainsi, deux séries de complexes d’or(I) ont été synthétisées. Trois d’entre eux présentent cette double activité thérapeutique dont deux pouvant être traçables in vitro.Mon deuxième projet est axé sur le développement de complexes de titane stables et solubles en milieu auqueux. Afin d’améliorer la cytotoxicité de ces titanocènes, notre stratégie a consisté à introduire un second métal thérapeutique au sein de ces structures. Cette étude a mené à deux nouveaux titanocènes possédant une activité anti-proliférative submicromolaire sur différentes lignées de cellules cancéreuses ainsi qu’une activité antitumorale in vivo, sans induire de signe de toxicité chez la souris saine. Afin d’étudier leur mécanisme d’action, l’introduction de deux modalités d’imageries a été envisagée sur ces complexes : l’imagerie optique ou l’imagerie TEP. Un complexe présentant une sonde fluorescente a été synthétisé et une voie de radiomarquage a été développée. / We have developed non-platinum therapeutic agents in order to avoid chemoresistance phenomena and severe side effects caused by treatments based on this metal.My first project relies on the development of trackable gold(I)-complexes displaying both anticancer and anti-inflammatory properties. An imaging probe was introduced on these complexes – either a coumarin or a BODIPY – in order to give preliminary information on their mechanism of action. Thus, two series of gold(I) complexes were synthesized. Three of these compounds presents this double therapeutic activity, two of them can be trackable in vitro.My second project is focused on the development of stable and soluble titanium complexes in water. We decided to introduce a second therapeutic metal into these structures in order to improve the cytotoxicity of these titanocenes. This study led to two new titanocenes displaying submicromolar anti-proliferative activity on different cancer cell lines along with an antitumoral activity in vivo, without inducing any sign of toxicity on healthy mice. We decided to introduce two imaging modalities – optical or PET imaging – into these complexes for investigating their mechanism of action. A complex bearing a fluorescent probe was synthesized and a radiolabeling method was developed.

L’imagerie moléculaire est aujourd’hui un outil non-invasif essentiel pour le diagnostic de nombreuses pathologies. Les traceurs technétiés sont actuellement les plus répandus car le 99mTc est facilement disponible, abordable et présente des caractéristiques idéales pour l’imagerie. Néanmoins, le développement de traceurs efficaces nécessite un long et coûteux processus d’optimisation souvent empirique. Dans ce contexte, nous avons entrepris le développement d’une plateforme technétiée conçue pour présenter au sein de sa structure de nombreux sites potentiels de fonctionnalisation et compatible avec une approche combinatoire.Dans un premier temps, un ensemble de 12 ligands N3X (X = N, O, S) a été préparé. Chacun d’entre eux présente dans sa structure un motif triazole introduit par chimie-click et intervenant dans la complexation du métal par un de ses atomes d’azote. Nous avons ensuite évalué l’aptitude de ces ligands à chélater le cœur oxotechnétium dans des conditions douces (5 min, température ambiante) compatible avec une utilisation en milieu hospitalier. Le complexe TriaS-99mTc a été formé quantitativement et sa stabilité en plasma murin a été étudiée. Il s’est révélé stable à plus de 90% dans le plasma murin après 6h d’incubation. L’étude in vivo de ce complexe a par la suite révélé une élimination efficace du milieu circulant par la voie urinaire avec une dégradation minoritaire.A titre d’illustration, nous avons ensuite engagé la structure TriaS dans deux approches distinctes pour le développement de traceurs de la néoangiogenèse tumorale en ciblant l’intégrine αvβ3. D’une part, dans le cadre d’une approche intégrée, plusieurs complexes fonctionnalisés, mimes de RGD, ont été obtenus. Dans chaque cas, l’adjonction de groupements fonctionnels n’a pas affecté l’efficacité de la chélation. En outre la stabilité en plasma est maintenue à un niveau très correct. D’autre part, nous avons développé une approche bifonctionnelle dans laquelle le motif c(RGDfK) joue le rôle de molécule ciblante. Dans ce cas, un motif variable (ici un PEG) peut être introduit par chimie combinatoire pour moduler la solubilité, la biodistribution, et l’excrétion des traceurs. / Molecular imaging is an essential non-invasive tool usable for diagnosis and characterisation of many diseases. Technetium-based tracers are the most popular ones due to disponibility, cost and radiochemical properties of 99mTc. Nevertheless, effective tracers development requires a long, expensive, and mainly empirical optimisation process. This context prompted us tu carry on the development of a new technetium structure which exhibits lots of potential functionalisation spots compatible with a combinatorial approach. We synthesised 12 N3X (X = N, O, S) different ligands. Each of them includes a triazole moiety, (formed via a click-chemistry reaction), which is involved in the metal complexation that implies one of its nitrogen atoms. Then we evaluated their ability to readily form oxotechnetium complexes in conditions that are compatible with medical use in hospital. One complex was formed in quantitative yields and its stability in mice plasma was investigated. A complex called TriaS-99mTc, stable to more than 90% after 6h incubation, was selected. In vivo study of TriaS-99mTc revealed an efficient blood clearance via the urinary excretion pathway with very low degradation. As an application, we used this structure for the development of tracers that target integrin αvβ3, a known biomarker of tumor neoangiogenesis. First, we synthesised functionnalised TriaS-based integrated complexes. Fonctionnal modification of TriaS by addition of side chains and substituents did not affect its ability to chelate oxotechnetium quantitatively. In addition, its stability in mice plasma was satisfactory. We also developped a bifonctionnal approach using c(RGDfK) peptide as the targeting biomolecule. In this way, a variable moiety (herein a PEG moiety) can be inserted in the structure through click-chemistry in order to modulate tracers solubility, biodistribution and excretion.

Cette thèse de doctorat traite de la conception et de l’évaluation de sondes magnétogènes et fluorogènes pour la détection in vivo d’activités enzymatiques.Des molécules capables d’acquérir un moment magnétique à partir d’un état diamagnétique et en réponse à l’action d’une enzyme seraient d’un grand intérêt pour l’imagerie moléculaire par résonance magnétique. Deux exemples de telles sondes magnétogéniques avaient été mis au point précédemment, l’un pouvant opérer en conditions physiologiques, l’autre nécessitant une acidification du milieu pour devenir paramagnétique. En préparant de nouveaux analogues du premier exemple, j’ai pu trouver une molécule dont la fragmentation a lieu trois fois plus rapidement que la molécule originale. J’ai ensuite travaillé à la conception de sondes dérivées du deuxième exemple et répondant à des activités enzymatiques ; de telles molécules permettraient de réaliser la quantification in vitro d’une activité enzymatique à des fins diagnostiques. À ce titre, j’ai participé à l’élaboration de deux preuves de concept de dispositifs dédiés à la mesure du temps de relaxation longitudinale de micro-volumes. J’ai enfin entamé le développement de nouveaux complexes s’inspirant du second exemple mais capables de fonctionner dans le milieu biologique.Le deuxième volet de mes travaux porte sur la réalisation de sondes fluorogènes précipitantes pour des activités glycosidases. Une sonde pour la leucine aminopeptidase profitant des propriétés exceptionnelles de stabilité, de luminescence et de solubilité du fluorophore ELF®-97 avaient démontré une grande efficacité pour marquer rapidement des cellules HeLa. J’ai mis au point une nouvelle architecture de sondes qui permet le ciblage de glycosidases via l’utilisation d’un tandem d’espaceurs cyclisants. Deux sondes ont été préparées, l’une pour la beta-galactosidase, l’autre pour la cellulase. La première a prouvé son bon fonctionnement pour marquer les cellules exprimant l’enzyme en bénéficiant d’une grande sensibilité. La seconde a pu être utilisée pour quantifier l’activité cellulase sécrétée par des levures, avec l’objectif d’obtenir un moyen économiquement intéressant de produire du bioéthanol à partir des déchets végétaux. / This PhD thesis deals with the design and evaluation of magnetogenic and fluorogenic probes for the in vivo detection of enzyme activities.Molecules capable of switching from a diamagnetic to a paramagnetic state in response to an enzyme stimulus would be of great interest for molecular magnetic resonance imaging. Two examples of such magnetogenic probes had been designed in a previous work : one can operate in physiological conditions, whereas the other needs an acidification of the water medium to become paramagnetic. I prepared new analogues of the first probe ; one molecule displayed fragmentation three times faster than the original compound. Then I designed and synthesized probes derived from the second example and responsive to enzyme activities ; such molecules are suitable for the in vitro quantification of enzyme biomarkers for diagnosis purposes. I participated to the conception of two proofs of concept of devices dedicated to the measurement of longitudinal relaxation times in micro-volumes. Finally, I started the development of a new family of molecules inspired by the second example but able to work at the physiological pH.I also worked on precipitating fluorogenic probes for the detection of glycosidase activities. A former probe for leucine aminopeptidase, based on the exceptional characteristics of the fluorophore ELF-97 in terms of solubility, luminescence and stability, had demonstrated great efficiency to label live HeLa cells. I designed a new architecture of probes responding to glycosidases via an original tandem of selfimmolative spacers. Two probes have been prepared, one targets beta-galactosidase and the second detects cellulase. The first probe performed a fast and sensitive labelling of beta-galactosidase-expressing cells. The second molecule was employed successfully to quantify the cellulase activity secreted by yeasts, which will be useful for the high-throughput screening of yeasts capable of producing bioethanol from vegetal waste.

A aterosclerose é caracterizada como uma doença imune-inflamatória crônica das artérias devido ao grande acúmulo de lipídios na íntima. Um dos fatores envolvidos na progressão da aterosclerose é a presença de uma subfração de partículas de lipoproteína de baixa densidade (LDL) com um grau mínimo de modificação, denominada LDL eletronegativa [LDL(-)], que possui propriedades pró-inflamatórias, apresenta maior retenção na íntima das artérias e maior tempo de permanência na circulação sanguínea, gerando respostas imuno-inflamatórias. Epítopos de anticorpos monoclonais importantes no reconhecimento das partículas de LDL(-) foram mapeados por phage display, gerando peptídeos mimotopos (P1A3 e P2C7) com potencial para acompanhamento da progressão da aterosclerose, sendo excelentes candidatos como radiotraçadores marcados com emissores de pósitrons para obtenção de imagens moleculares por tomografia por emissão de pósitrons (PET) associada à tomografia computadorizada (PET/CT). O peptídeo P1A3 foi radiomarcado com 64Cu através da complexação com o quelante DOTA, obtendo-se imagens por PET/CT da captação do peptídeo na região do arco aórtico de camundongos knockout para a apolipoproteína E (Apoe-/-) comparados com animais controle sem lesões ateroscleróticas. Antes da obtenção das imagens PET/CT, os peptídeos radiomarcados foram validados através de estudos de estabilidade e biodistribuição, acumulando-se rapidamente nos rins. Também foi sintetizado um nanocluster de ouro, marcado com 64Cu e funcionalizado com P1A3 em sua superfície, observando-se o maior direcionamento dos nanoclusters de ouro ligados ao P1A3 para a região das lesões ateroscleróticas do arco aórtico de camundongos Apoe-/-, comparado ao nanocluster controle. Os peptídeos P1A3 e P2C7 radiomarcados com 68Ga, foram também avaliados por imagens PET/CT em camundongos knockout para o gene do receptor da LDL (LDLr-/-) tratados ou não com dieta hipercolesterolêmica. As imagens PET/CT mostraram que os peptídeos marcados com 68Ga tiveram um aumento de captação na região do arco aórtico de camundongos LDLr-/- hipercolesterolêmicos em relação ao controle. Além disso, P2C7 foi radiomarcado com 99mTc e sua biodistribuição demonstrou uma relação maior de % atividade injetada (AI)/órgão da aorta/coração nos camundongos hipercolesterolêmicos, em concordância com a imagem obtida por SPECT (tomografia computadorizada por emissão de fóton único) que revelou maior captação no arco aórtico. / Atherosclerosis is characterized as a chronic immune-inflammatory disease of the large arteries due to the accumulation of lipids in the intima. One of the factors involved in the progression of atherosclerosis is the presence of a subfraction of low-density lipoprotein (LDL) particles with a minimum degree of modification, called electronegative LDL [LDL (-)], which has proinflammatory properties, retention in the intima of the arteries and longer residence time in the blood circulation, generating immune-inflammatory responses. Epitopes of monoclonal antibodies important for the recognition of LDL(-) particles were mapped by phage display, generating mimotope peptides (P1A3 and P2C7) with potential to monitor the progression of atherosclerosis. These peptides are excellent candidates as radiotracers labeled with positron emitters to obtain molecular images by positron emission tomography (PET) associated with computed tomography (PET/CT). The P1A3 peptide was radiolabeled with 64Cu by complexation with the DOTA chelator to obtain PET/CT images of the peptide uptake in the aortic arch of apoliprotein E knockout mice (Apoe-/-) compared to control animals without atherosclerotic lesions. Prior to PET/CT imaging, radiolabeled peptides were validated by stability and biodistribution studies that indicated rapid accumulation in the kidneys. It was also synthesized a gold nanocluster, labeled with 64Cu and functionalized with P1A3 on its surface, observing the greater targeting of gold nanoclusters bound to P1A3 in the region of the atherosclerotic lesions of the aortic arch of Apoe-/- mice, compared to control nanocluster. The P1A3 and P2C7 peptides radiolabeled with 68Ga were also evaluated by PET imaging in LDL receptor gene knockout mice (LDLr-/-) treated or not with a hypercholesterolemic diet. PET/CT images showed that the 68Ga-labeled peptides had increased uptake in aortic arch of LDLr-/- hypercholesterolemic mice in relation to the control. Furthermore, the biodistribution of 99mTc-radiolabeled P2C7 showed a higher %ID (injected dose)/organ ratio of aorta/heart in hypercholesterolemic mice that was in accordance to SPECT (single photon emission computed tomography) imaging showing its higher uptake in the aortic arch.

Aromatase is an enzyme that facilitates the conversion of androgens to estrogens and may play a role in mood and mental status. The main theme of this thesis is the imaging of brain aromatase by use of the PET technique. The PET tracer for aromatase, 11C-labeled vorozole (VOZ) was developed and evaluated by with in vitro and in vivo methods. In vitro experiments using rat brain showed that VOZ was distributed in the medial amygdala, bed nucleus of the stria terminalis and medial preoptic area, regions of the brain known to be rich in aromatase and the KD value was determined to be 0.60 nM. The in vivo PET study in rhesus monkey brain revealed that VOZ penetrated the blood-brain barrier and accumulated in the amygdala and hypothalamus. Taken together, VOZ is a good PET tracer for in vivo aromatase imaging with high affinity and high sensitivity. This technique was applied to an investigation of brain aromatase under the physiological conditions simulating anabolic-androgenic steroid abuse. A significant increase in VOZ binding by anabolic-androgenic steroids was observed in the bed nucleus of stria terminalis and medial preoptic area in the rat brain. In contrast, no significant change in binding was observed in the medial amygdala. These results indicate that the manner of regulation of aromatase expression might be different in the bed nucleus of stria terminalis and medial preoptic area compared with that in the medial amygdala. The aromatase expression was suggested to be regulated through androgen receptors, as indicated in a study with flutamide treatment. The increased aromatase expression was seen in neurons. The PET study with anabolic steroid-treated rhesus monkeys also showed increased VOZ binding in the hypothalamus but not in the amygdala. The alteration of density of aromatase binding in the hypothalamic area could explain some psychological features of anabolic-androgenic steroid abusers. Novel PET tracers for aromatase were developed and examined. The two newly synthesized 18F-labeled vorozole analogs, [18F]FVOZ and [18F]FVOO, displayed different characteristics. Both tracers showed similar binding pattern as VOZ; however, [18F]FVOO was metabolized very quickly, meaning that this tracer is not suitable as a PET tracer. On the other hand, [18F]FVOZ can be an appropriate PET tracer. The role of aromatase in the human brain has not been clarified yet. To approach this problem by in vivo methods, we have just started PET studies to explore aromatase expression in humans.

At the heart of high harmonic generation lies a combination of optical and collision physics entwined by a strong laser field. An electron, initially tunnel-ionized by the field, driven away then back in the continuum, finally recombines back to rest in its initial ground state via a radiative transition. The emitted attosecond (atto=10^-18) XUV light pulse carries all the information (polarization, amplitude and phase) about the photorecombination continuum-to-ground transition dipolar field. Photorecombination is related to the time-reversed photoionization process. In this perspective, high-harmonic spectroscopy extends well-established photoelectron spectroscopy, based on charged particle detection, to a fully coherent one, based on light characterization. The main achievement presented in this thesis is to use high harmonic generation to probe femtosecond (femto=10^-15) chemical dynamics for the first time. Thanks to the coherence imposed by the strong driving laser field, homodyne detection of attosecond pulses from excited molecules undergoing dynamics is achieved, the signal from unexcited molecules acting as the reference local oscillator. First, applying time-resolved high-harmonic spectroscopy to the photodissociation of a diatomic molecule, Br2 to Br + Br, allows us to follow the break of a chemical bond occurring in a few hundreds of femtoseconds. Second, extending it to a triatomic (NO2) lets us observe both the previously unseen (but predicted) early femtosecond conical intersection dynamics followed by the late picosecond statistical photodissociation taking place in the reaction NO2 to NO + O. Another important realization of this thesis is the development of a complementary technique to time-resolved high-harmonic spectroscopy called LAPIN, for Linked Attosecond Phase INterferometry. When combined together, time-resolved high-harmonic spectroscopy and LAPIN give access to the complex photorecombination dipole of aligned excited molecules. These achievements lay the basis for electron recollision tomographic imaging of a chemical reaction with unprecedented angstrom (1 angstrom= 0.1 nanometer) spatial resolution. Other contributions dedicated to the development of attosecond science and the generalization of high-harmonic spectroscopy as a novel, fully coherent molecular spectroscopy will also be presented in this thesis.

Nanoparticles possess unique characteristics that make them well suited for molecular imaging. Particles can be synthesized in a systematic fashion with tight control over diameter and surface chemistry. Contrary to existing gadolinium-based MRI contrast agents, nanoparticle MRI contrast agents circulate in the blood for long periods of time, offer higher sensitivity, and exhibit little known toxicity. The qualities of nanoparticles are also well suited to the design of PET probes. Because of their large surface area nanoparticles can be radiolabeled at high specific activity, increasing the sensitivity of detection as well as the payload of therapeutic isotopes. The work presented here focuses on the development and biological application of novel radiolabeled magnetic nanoparticles for multimodal PET/MRI imaging. The nanoparticle probes contained crystalline iron oxide cores capable of producing strong MRI contrast. Cores were coated with either a micelle composed of functionalized PEGylated lipids, or a cross-linked dextran shell modified with heterobifuntional PEG polymers. For PET imaging, magnetic nanoparticles were labeled with the radionuclide 64Cu. Copper‐64 is a cyclotron produced positron emitter used for PET imaging. With a 12.7 hour half-life, 64Cu can be used to image particles in vivo for up to 48 hr and can be used to evaluate ex vivo biodistribution for 72 hours. 64Cu nuclides also undergo β‐ decay, making it a useful isotope for radiotherapy. Nanoparticles were labeled with 64Cu and PET and MRI contrast and evaluated using phantoms. Pharmacokinetic information was measured using in vivo small animal PET/CT and ex vivo biodistribution at multiple time points. Particles were targeted to the angiogenesis marker αvβ3 integrin using a cyclized arginine-glycine-aspartic acid (RGD) peptide with high affinity for αvβ3 and tested in two tumor models. A unilateral tumor model was constructed using the αvβ3-positive U87MG glioblastoma line, and a bilateral model was constructed using the M21 (αvβ3 positive) and M21L (αvβ3 negative) melanoma lines. In vivo PET/CT and MRI showed that targeted nanoparticles produced both PET and MRI contrast in tumors. In conclusion, we report the development of magnetic nanoparticles for dual‐PET/MR imaging. These findings provide insight into the design and development of future multimodality PET/MRI probes.

Fluorescence tomography (FT) is an emerging non-invasive in vivo molecular imaging modality that aims at quantification and three-dimensional (3D) localization of fluorescent tagged inclusions, such as cancer lesions and drug molecules, buried deep in human and animal subjects. Depth-resolved 3D reconstruction of fluorescent inclusions distributed over the volume of optically turbid biological tissue using the diffuse fluorescent photons detected on the skin poses a highly ill-conditioned problem, as depth information must be extracted from boundary data. Due to this ill-posed nature of FT reconstructions, noise and errors in the data can severely impair the accuracy of the 3D reconstructions. Consequently, improvements in the signal-to-noise ratio (SNR) of the data significantly enhance the quality of the FT reconstructions. Furthermore, enhancing the SNR of the FT data can greatly contribute to the speed of FT scans. The pivotal factor in the SNR of the FT data is the power of the radiation illuminating the subject and exciting the administered fluorescent agents. In existing single-point illumination FT systems, the illumination power level is limited by the skin maximum radiation exposure levels. In this research, a multiplexed architecture governed by the Hadamard transform was conceptualized, developed, and experimentally implemented for orders-of-magnitude enhancement of the SNR and the robustness of FT reconstructions. The multiplexed FT system allows for Hadamard-coded multi-point illumination of the subject while maintaining the maximal information content of the FT data. The significant improvements offered by the multiplexed FT system were validated by numerical and experimental studies carried out using a custom-built multiplexed FT system developed exclusively in this work. The studies indicate that Hadamard multiplexing offers significantly enhanced robustness in reconstructing deep fluorescent inclusions from low-SNR FT data.