Riemann B, Law M P, Kopka K, Wagner St, Luthra S, Pike V W, Neumann J, Kirchhefer U, Schmitz W, Schober O, Schäfers M
Department of Nuclear Medicine, Münster University, Germany.
Nuklearmedizin. 2003 Aug;42(4):173-80.
As results of cardiac biopsies suggest, myocardial beta(1) -adrenoceptor density is reduced in patients with chronic heart failure. However, changes in cardiac beta(2)-adrenoceptors vary. With suitable radiopharmaceuticals single photon emission computed tomography (SPECT) and positron emission tomography (PET) offer the opportunity to assess beta-adrenoceptors non-invasively. Among the novel racemic analogues of the established beta(1)-selective adrenoceptor antagonist ICI 89.406 the iodinated 2-I-ICI-H showed high affinity and selectivity to beta(1)-adrenoceptors in murine ventricular membranes. The aim of this study was its evaluation as a putative sub-type selective beta(1)-adrenergic radioligand in cardiac imaging.
Competition studies in vitro and in vivo were used to investigate the kinetics of 2-I-ICI-H binding to cardiac beta-adrenoceptors in mice and rats. In addition, the radiosynthesis of 2-(125)I-ICI-H from the silylated precursor 2-SiMe(3)-ICI-H was established. The specific activity was 80 GBq/ micro mol, the radiochemical yield ranged from 70 to 80%.
The unlabelled compound 2-I-ICI-H showed high beta(1)-selectivity and -affinity in the in vitro competition studies. In vivo biodistribution studies apparently showed low affinity to cardiac beta-adrenoceptors. The radiolabelled counterpart 2-(125)I-ICI-H showed a high degree of non-specific binding in vitro and no specific binding to cardiac beta(1)-adrenoceptors in vivo.
Because of its high non-specific binding 2-(125)I-ICI-H is no suitable radiotracer for imaging in vivo.
正如心脏活检结果所示,慢性心力衰竭患者的心肌β(1)-肾上腺素能受体密度降低。然而,心脏β(2)-肾上腺素能受体的变化各不相同。使用合适的放射性药物,单光子发射计算机断层扫描(SPECT)和正电子发射断层扫描(PET)提供了非侵入性评估β-肾上腺素能受体的机会。在已有的β(1)-选择性肾上腺素能受体拮抗剂ICI 89.406的新型外消旋类似物中,碘化的2-I-ICI-H在鼠心室膜中对β(1)-肾上腺素能受体表现出高亲和力和选择性。本研究的目的是评估其作为心脏成像中一种假定的亚型选择性β(1)-肾上腺素能放射性配体的性能。
采用体外和体内竞争研究来探究2-I-ICI-H与小鼠和大鼠心脏β-肾上腺素能受体结合的动力学。此外,还建立了从硅烷化前体2-SiMe(3)-ICI-H合成2-(125)I-ICI-H的方法。比活度为80 GBq/微摩尔,放射化学产率在70%至80%之间。
在体外竞争研究中,未标记的化合物2-I-ICI-H表现出高β(1)-选择性和亲和力。体内生物分布研究明显显示其对心脏β-肾上腺素能受体的亲和力较低。放射性标记的对应物2-(125)I-ICI-H在体外表现出高度非特异性结合,在体内对心脏β(1)-肾上腺素能受体无特异性结合。
由于其高度非特异性结合,2-(125)I-ICI-H不是适合体内成像的放射性示踪剂。