Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan.
J Nucl Med. 2011 Mar;52(3):478-84. doi: 10.2967/jnumed.110.083071. Epub 2011 Feb 14.
UNLABELLED: This study evaluated the pharmacokinetics of (99m)Tc-diethylenetriamine pentaacetate acid ((99m)Tc-DTPA) after intravenous administration in healthy and F98 glioma-bearing F344 rats in the presence of blood-brain barrier disruption (BBB-D) induced by focused ultrasound (FUS). The pharmacokinetics of the healthy and tumor-containing brains after BBB-D were compared to identify the optimal time period for combined treatment. METHODS: Healthy and F98 glioma-bearing rats were injected intravenously with Evans blue (EB) and (99m)Tc-DTPA; these treatments took place with or without BBB-D induced by transcranial FUS of 1 hemisphere of the brain. The permeability of the BBB was quantified by EB extravasation. Twelve rats were scanned for 2 h to estimate uptake of (99m)Tc radioactivity with respect to time for the pharmacokinetic analysis. Terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling (TUNEL) staining was performed to examine tissue damage. RESULTS: The accumulations of EB and (99m)Tc-DTPA in normal brains or brains with a tumor were significantly elevated after the intravenous injection when BBB-D was induced. The disruption-to-nondisruption ratio of the brains and the tumor-to-ipsilateral brain ratio of the tumors in terms of radioactivity reached a peak at 45 and 60 min, respectively. EB injection followed by sonication showed that there was an increase of about 2-fold in the tumor-to-ipsilateral brain EB ratio of the target tumors (7.36), compared with the control tumors (3.73). TUNEL staining showed no significant differences between the sonicated tumors and control tumors. CONCLUSION: This study demonstrates that (99m)Tc-DTPA micro-SPECT/CT can be used for the pharmacokinetic analysis of BBB-D induced by FUS. This method should be able to provide important information that will help with establishing an optimal treatment protocol for drug administration after FUS-induced BBB-D in clinical brain disease therapy.
目的:本研究评估了在血脑屏障破坏(BBB-D)存在的情况下,健康和 F98 神经胶质瘤荷瘤 F344 大鼠静脉注射(99m)Tc-二乙三胺五乙酸酸((99m)Tc-DTPA)后的药代动力学,该破坏由聚焦超声(FUS)诱导。比较了 BBB-D 后健康和肿瘤脑的药代动力学,以确定联合治疗的最佳时间段。
方法:健康和 F98 神经胶质瘤荷瘤大鼠静脉注射 Evans 蓝(EB)和(99m)Tc-DTPA;这些治疗要么与 FUS 诱导的 1 侧大脑 BBB-D 一起进行,要么不进行。BBB 的通透性通过 EB 漏出进行量化。对 12 只大鼠进行 2 小时扫描,以估算(99m)Tc 放射性摄取随时间的药代动力学分析。进行末端脱氧核苷酸转移酶介导的 dUTP 缺口末端标记(TUNEL)染色以检查组织损伤。
结果:当诱导 BBB-D 时,正常脑或脑肿瘤中 EB 和(99m)Tc-DTPA 的积累在静脉注射后显著增加。放射性的脑破坏与非破坏比值和肿瘤与对侧脑肿瘤比值在 45 和 60 分钟时分别达到峰值。EB 注射后超声处理显示,靶肿瘤的肿瘤与对侧脑 EB 比值增加了约 2 倍(7.36),而对照肿瘤的比值为 3.73。TUNEL 染色显示,超声处理的肿瘤与对照肿瘤之间无明显差异。
结论:本研究表明,(99m)Tc-DTPA 微 SPECT/CT 可用于 FUS 诱导的 BBB-D 的药代动力学分析。该方法应该能够提供重要信息,有助于为临床脑疾病治疗中 FUS 诱导的 BBB-D 后药物给药建立最佳治疗方案。
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