Document Detail


Validation of (99m)Tc-labeled "4+1" fatty acids for myocardial metabolism and flow imaging: Part 1: myocardial extraction and biodistribution.
MedLine Citation:
PMID:  19720295     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: (13)C, (18)F and (123)I fatty acids (FA) are used for myocardial imaging. Recently, our group showed that [(99m)Tc]-labeled "4+1" FA are extracted into the rat and guinea pig myocardium. The present study evaluates determinants of myocardial uptake and whole body biodistribution of these FA derivatives. METHODS: Studies were performed with isolated perfused hearts of Wistar-Kyoto (WKY) and spontaneously hypertensive rats (SHR) with a FAT/CD36 deficiency, as well as with heart type FA binding protein knockout mice (H-FABP)(-/-) and H-FABP(+/+). Eight 4+1-(99m)Tc-FA were applied for 3 min followed by 1-min washout. A mathematical model was used to analyze FA dynamics and binding to proteins. Whole-body distribution was studied in rats with and without Tween 80. In vitro fractionation studies with [(99m)Tc]-FA assessed red blood cell uptake as well as association with plasma lipoproteins very low-density lipoprotein (VLDL), low-density lipoprotein (LDL) and high-density lipoprotein (HDL). RESULTS: Myocardial extraction was 19.0-33.0% of the infused dose in isolated WKY and 15.2-26.4% in SHR hearts. However, H-FABP(-/-) showed a marked reduction of tracer extraction [2.8+/-0.6%ID (percent injected dose) vs. 17+/-2%ID P<.001]. Uptake in red blood cells (<1.2%ID) and incorporation into lipoproteins were negligible. Incubation of (99m)Tc-FA with albumin reduced ventricular extraction (P<.001) into the range of established iodinated FA tracers. polyoxyethylene(20) sorbitan monooleate improved the heart-to-liver ratio in the biodistribution studies. CONCLUSIONS: Myocardial uptake of [(99m)Tc]-FA 4+1 derivatives is dependent on H-FABP. These substances may therefore provide a new tool to specifically assess regional myocardial changes of H-FABP.
Authors:
Peter Mirtschink; Sebastian N Stehr; Martin Walther; Jens Pietzsch; Ralf Bergmann; Hans-J??rgen Pietzsch; Johannes Weichsel; Annette Pexa; Peter Dieterich; Gerd Wunderlich; Bert Binas; Joachim Kropp; Andreas Deussen
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Publication Detail:
Type:  In Vitro; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Nuclear medicine and biology     Volume:  36     ISSN:  1872-9614     ISO Abbreviation:  Nucl. Med. Biol.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-01     Completed Date:  2009-12-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9304420     Medline TA:  Nucl Med Biol     Country:  England    
Other Details:
Languages:  eng     Pagination:  833-43     Citation Subset:  IM    
Affiliation:
Institute of Physiology, Technical University Dresden, 01307 Dresden, Germany. peter_mirtschink@web.de
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MeSH Terms
Descriptor/Qualifier:
Animals
Antigens, CD36 / metabolism
Biological Transport / drug effects
Cattle
Cytosol / metabolism
Erythrocytes / metabolism
Fatty Acid-Binding Proteins / metabolism
Fatty Acids / chemistry,  diagnostic use,  metabolism*,  pharmacokinetics*
Female
Heart / drug effects,  physiology,  radionuclide imaging
Heart Ventricles / metabolism
Hemodynamics
Humans
Intracellular Space / metabolism
Isotope Labeling
Lipid Metabolism
Male
Mice
Models, Biological
Myocardial Perfusion Imaging*
Myocardium / cytology,  metabolism*
Organotechnetium Compounds / chemistry*
Rats
Reproducibility of Results
Serum Albumin, Bovine / pharmacology
Tissue Distribution
Chemical
Reg. No./Substance:
0/Antigens, CD36; 0/Fabp3 protein, mouse; 0/Fatty Acid-Binding Proteins; 0/Fatty Acids; 0/Organotechnetium Compounds; 0/Serum Albumin, Bovine

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