Department of Nuclear Medicine and PET Center, Aarhus University Hospital, Aarhus, Denmark.
J Nucl Med. 2014 Apr;55(4):635-9. doi: 10.2967/jnumed.113.125351. Epub 2014 Mar 10.
Neuropeptide Y2 (NPY2) receptors are implicated in diverse brain disorders, but no suitable PET radiotracers are currently available for studying NPY2 receptors in the living brain. We developed a novel positron-emitting radioligand based on the NPY2 receptor antagonist JNJ-31020028 (N-(4-(4-[2-(diethylamino)-2-oxo-1-phenylethyl]piperazin-1-yl)-3-fluorophenyl)-2-pyridin-3-ylbenzamide) and used the radiotracer for PET brain imaging in pigs.
In vitro receptor autoradiography studies were performed to establish the anatomic distribution of NPY2 receptors in the pig brain. In vivo, baseline 90-min PET recordings of N-(11)C-methyl-JNJ-31020028 were conducted in anesthetized Yorkshire x Landrace pigs, concurrent with arterial blood sampling. Postchallenge scans were conducted after injection of unlabeled JNJ-31020028 as a pharmacologic intervention. Cyclosporine A was used to enhance levels of the PET radiotracer in the brain. The PET images were manually coregistered to a MR imaging atlas of the pig brain. Maps of the N-(11)C-methyl-JNJ-31020028 volume of distribution in the brain were prepared, and regional binding potentials of NPY2 receptors toward the radioligand were calculated using the simplified reference tissue method.
In autoradiography studies, N-(11)C-methyl-JNJ-31020028 receptor binding sites were observed primarily in the hippocampus and were inhibited by unlabeled JNJ-31020028. In PET studies, N-(11)C-methyl-JNJ-31020028 was metabolized slowly in the bloodstream, with 25% of the (11)C-labeled parent compound remaining 30 min after injection. PET imaging showed baseline binding potentials of 0.64 ± 0.07 in the thalamus, 0.55 ± 0.02 in the caudate, and 0.49 ± 0.03 in the hippocampus. Graphical reference region analyses demonstrated that N-(11)C-methyl-JNJ-31020028 binding was reversible; infusion of unlabeled JNJ-31020028 markedly displaced the PET radioligand from binding sites in the hippocampus, thalamus, caudate nucleus, and cerebellum but not in the corpus callosum, which served as reference region for nonspecific binding.
N-(11)C-methyl-JNJ-31020028 has several suitable properties for PET neuroimaging of NPY2 receptors. First, it is metabolized slowly in the bloodstream of pigs. Second, using cyclosporine, the target-to-background ratio of N-(11)C-methyl-JNJ-31020028 is sufficient for estimating pharmacokinetic parameters. Third, N-(11)C-methyl-JNJ-31020028 binds reversibly and competitively to cerebral sites known to contain relatively high numbers of NPY2 receptors, such as the hippocampus, thalamus, caudate nucleus, and cerebellum. Fourth, white matter such as corpus callosum, known to contain negligible numbers of NPY2 receptors, can serve as a reference region for estimating binding potentials in brain regions. To our knowledge, there is no other radioligand with these favorable properties and with this specificity for NPY2 receptors, which makes N-(11)C-methyl-JNJ-31020028 the first candidate radioligand for PET investigations of NPY2 receptors in the living brain.
神经肽 Y2 (NPY2) 受体与多种脑部疾病有关,但目前尚无合适的正电子发射断层扫描 (PET) 示踪剂可用于研究活体大脑中的 NPY2 受体。我们基于 NPY2 受体拮抗剂 JNJ-31020028(N-(4-(4-[2-(二乙氨基)-2-氧代-1-苯乙基]哌嗪-1-基)-3-氟苯基)-2-吡啶-3-基苯甲酰胺)开发了一种新型正电子发射放射性配体,并将该示踪剂用于猪的 PET 脑成像研究。
进行体外受体放射自显影研究,以确定 NPY2 受体在猪脑中的解剖分布。在体内,对麻醉的约克夏-兰德瑞斯猪进行 90 分钟的基线 N-(11)C-甲基-JNJ-31020028 PET 记录,同时进行动脉采血。在注射未标记的 JNJ-31020028 作为药理干预后进行后挑战扫描。环孢菌素 A 用于增强脑内 PET 示踪剂的水平。PET 图像手动与猪脑的磁共振成像图谱配准。制备 N-(11)C-甲基-JNJ-31020028 脑分布容积图,并使用简化参考组织法计算 NPY2 受体对放射性配体的结合势。
在放射自显影研究中,观察到 N-(11)C-甲基-JNJ-31020028 受体结合位点主要位于海马体,并用未标记的 JNJ-31020028 抑制。在 PET 研究中,N-(11)C-甲基-JNJ-31020028 在血液中缓慢代谢,注射后 30 分钟仍有 25%的(11)C 标记母体化合物存在。PET 成像显示,在丘脑、尾状核和海马体的基线结合势分别为 0.64±0.07、0.55±0.02 和 0.49±0.03。图形参考区域分析表明,N-(11)C-甲基-JNJ-31020028 结合是可逆的;未标记的 JNJ-31020028 输注可显著从海马体、丘脑、尾状核和小脑的结合部位置换 PET 放射性配体,但不在胼胝体,胼胝体作为非特异性结合的参考区。
N-(11)C-甲基-JNJ-31020028 具有用于 NPY2 受体 PET 神经成像的几个合适的特性。首先,它在猪的血液中缓慢代谢。其次,使用环孢菌素可以使 N-(11)C-甲基-JNJ-31020028 的靶标与背景的比值足以估计药代动力学参数。第三,N-(11)C-甲基-JNJ-31020028 与已知含有相对较高数量 NPY2 受体的脑区(如海马体、丘脑、尾状核和小脑)结合具有可逆和竞争性。第四,白质(如胼胝体),已知含有可忽略不计的 NPY2 受体,可以作为估计脑区结合势的参考区。据我们所知,没有其他具有这些有利特性和对 NPY2 受体具有这种特异性的放射性配体,这使得 N-(11)C-甲基-JNJ-31020028 成为活体大脑中 NPY2 受体的 PET 研究的第一个候选放射性配体。