1 Department of Radiology and Biomedical Imaging, Yale Positron Emission Tomography Center, Yale University, New Haven, CT, USA.
2 UCB Pharma, B-1420 Braine-l'Alleud, Belgium.
J Cereb Blood Flow Metab. 2018 Nov;38(11):2041-2052. doi: 10.1177/0271678X17724947. Epub 2017 Aug 9.
Synaptic vesicle glycoprotein 2A (SV2A) is ubiquitously present in presynaptic terminals. Here we report kinetic modeling and test-retest reproducibility assessment of the SV2A positron emission tomography (PET) radioligand [C]UCB-J in humans. Five volunteers were examined twice on the HRRT after bolus injection of [C]UCB-J. Arterial blood samples were collected for measurements of radiometabolites and free fraction. Regional time-activity curves were analyzed with 1-tissue (1T) and 2-tissue (2T) compartment models to estimate volumes of distribution ( V). Parametric maps were generated using the 1T model. [C]UCB-J metabolized fairly quickly, with parent fraction of 36 ± 13% at 15 min after injection. Plasma free fraction was 32 ± 1%. Regional time-activity curves displayed rapid kinetics and were well described by the 1T model, except for the cerebellum and hippocampus. V values estimated with the 2T model were similar to 1T values. Parametric maps were of high quality and V values correlated well with time activity curve (TAC)-based estimates. Shortening of acquisition time from 120 min to 60 min had a negligible effect on V values. The mean absolute test-retest reproducibility for V was 3-9% across regions. In conclusion, [C]UCB-J exhibited excellent PET tracer characteristics and has potential as a general purpose tool for measuring synaptic density in neurodegenerative disorders.
突触小泡糖蛋白 2A(SV2A)在突触前末梢中普遍存在。在这里,我们报告了 SV2A 正电子发射断层扫描(PET)配体 [C]UCB-J 在人类中的动力学建模和测试-再测试重现性评估。在 HRRT 上进行静脉注射 [C]UCB-J 后,有 5 名志愿者进行了两次检查。采集动脉血样以测量放射性代谢产物和游离分数。使用 1 组织(1T)和 2 组织(2T)室模型分析区域时间-活性曲线,以估计分布体积(V)。使用 1T 模型生成参数图。[C]UCB-J 代谢相当快,注射后 15 分钟时母体分数为 36±13%。血浆游离分数为 32±1%。除小脑和海马体外,区域时间-活性曲线显示出快速的动力学,并且可以很好地用 1T 模型来描述。使用 2T 模型估计的 V 值与 1T 值相似。参数图质量很高,V 值与基于时间活性曲线(TAC)的估计值相关性良好。将采集时间从 120 分钟缩短至 60 分钟对 V 值几乎没有影响。V 值的平均绝对测试-再测试重现性在各区域为 3-9%。总之,[C]UCB-J 表现出优异的 PET 示踪剂特性,有望成为测量神经退行性疾病中突触密度的通用工具。