Metabotropic glutamate receptor 5 (mGluR5) represents a potential therapeutic target for Huntington disease. Using C-ABP688 (3-(6-methyl-pyridin-2-ylethynyl)-cyclohex-2-enone--C-methyl-oxime), a noncompetitive and highly selective antagonist for mGluR5, we aimed to longitudinally characterize in vivo changes in mGluR5 by means of PET imaging in the Q175 mouse model of Huntington disease. C-ABP688 PET imaging, followed by a CT scan, was performed on 18 heterozygous mice and 18 wild-type (WT) littermates at 3 different time points (6, 9, and 13 mo old).C-ABP688 nondisplaceable binding potential (BP) was calculated for each time point in striatum and cortex using the cerebellum as the reference region. In addition, voxel-based statistical parametric mapping (SPM) analysis was performed on BP images. Postmortem validation of mGluR5 level and neuronal density was performed on the mice at 6 mo old. TheC-ABP688 BP of heterozygous animals was significantly reduced at all time points in the striatum (-13.1%, -13.5%, and -14.2% at 6, 9, and 13 mo, respectively; < 0.001 for all) and in the cortex (-9.8%, -10.2%, and -10.6%, respectively; < 0.01 for all), when compared with WT animals. Longitudinal changes in C-ABP688 BP were also found in heterozygous mice, showing a reduction at 13 mo compared with 6 mo (-10.4%, < 0.05). SPM analysis confirmed reduced BP in heterozygous compared with WT mice, as well as a time-related decline in C-ABP688 binding in the striatum of heterozygous mice. Postmortem analysis confirmed a mGluR5 decrease in both striatum (-36.6%; < 0.01) and cortex (-16.6%; < 0.05) in heterozygous mice, whereas no difference in neuronal density was found. In vivo imaging of mGluR5 usingC-ABP688 PET/CT revealed a marked reduction in ligand binding in the striatum and cortex of heterozygous mice, compared with WT mice, as well as a temporal decline. This study suggests that C-ABP688 PET imaging is a potential biomarker to monitor the progression of, and therapeutic strategies for, Huntington disease.