Document Detail


Kinetic analysis of technetium-99m-labeled nitroimidazole (BMS-181321) as a tracer of myocardial hypoxia.
MedLine Citation:
PMID:  7648674     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Experimental data have indicated that [99mTc]-nitroimidazole (BMS-181321) is preferentially taken up in hypoxic tissue; its kinetics, however, has not been fully investigated. The purpose of this study was to address the relation between perfusate oxygen level and myocardial retention of [99mTc]nitroimidazole. METHODS AND RESULTS: Bolus injection and constant infusion experiments were performed in Langendorff buffer-perfused rat hearts in normoxic and hypoxic conditions. Data were acquired with a pair of NaI detectors. The initial clearance rate of [99mTc]nitroimidazole was approximately 20 seconds and independent of perfusate oxygen level. The slow clearance rate was greater than 3 hours in all perfusion conditions. The tissue retention of [99mTc]nitroimidazole varied from 0.61 +/- 0.14% in normoxic conditions to 5.94 +/- 1.16% in the most severe hypoxic conditions. In addition, tissue retention was inversely proportional to perfusate oxygen level in a sigmoidal manner. The constant infusion experiments established that the binding rate at 25% oxygen level (1.94 +/- 0.38 mL of perfusate/min-g dry wt) was twofold of that at 40% and sevenfold at 100%. The binding rate of [99mTc]nitroimidazole was independent of the perfusion sequence, suggesting irreversible binding. CONCLUSIONS: These data indicate that [99mTc]nitroimidazole may be a useful tracer for the identification of myocardial hypoxia. A sigmoidal relation was demonstrated for the uptake of the tracer, which suggests that a threshold level of hypoxia is necessary for the uptake of the tracer.
Authors:
C K Ng; A J Sinusas; B L Zaret; R Soufer
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Circulation     Volume:  92     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1995 Sep 
Date Detail:
Created Date:  1995-09-25     Completed Date:  1995-09-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1261-8     Citation Subset:  AIM; IM    
Affiliation:
Yale University-VA Positron Emission Tomography Center, West Haven, CT 06516, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Cell Hypoxia
Heart / radionuclide imaging*
Male
Myocardial Ischemia / metabolism,  radionuclide imaging*
Myocardium / metabolism
Nitroimidazoles / diagnostic use*,  pharmacokinetics
Organotechnetium Compounds / diagnostic use*,  pharmacokinetics
Oxygen Consumption / physiology
Perfusion
Rats
Rats, Sprague-Dawley
Sodium Pertechnetate Tc 99m / diagnostic use,  pharmacokinetics
Technetium Tc 99m Pentetate / diagnostic use,  pharmacokinetics
Time Factors
Chemical
Reg. No./Substance:
0/Nitroimidazoles; 0/Organotechnetium Compounds; 149447-21-2/BMS 181321; 23288-60-0/Sodium Pertechnetate Tc 99m; 65454-61-7/Technetium Tc 99m Pentetate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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