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可逆性损伤心肌中2-C-14-D-脱氧葡萄糖摄取增加。

Augmented uptake of 2-C-14-D-deoxyglucose in reversibly-injured myocardium.

作者信息

Bianco J A, Bakanauskas J, Carlson M, Jones S, Moring A, Alpert J S, Klassen V

机构信息

Department of Nuclear Medicine, University of Massachusetts Medical Center, Worcester 01605.

出版信息

Eur J Nucl Med. 1988;13(11):557-62. doi: 10.1007/BF02574767.

DOI:10.1007/BF02574767
PMID:3258239
Abstract

We studied the cardiac uptake of 2-14C-D-deoxyglucose (14C-DG) in 6 dogs subjected to a 15 min left anterior descending coronary artery (LAD) occlusion followed by 30 min reflow. Coronary arterial flows during occlusion were determined with 46Sc microspheres. After 30 min reflow, 50 microCi 14C-DG were given intravenously to determine cardiac uptake. The animal was killed 45 min later and 46Sc counts/min were determined in gamma and beta counters. Quenching was determined with non radioactive blood for both isotopes in the beta counter. Contribution of 46Sc counts/min to the 14C channel was subtracted. 14C uptake was in DPM/g and was higher in the cardiac ischemic regions of four of the six dogs. In three of the six animals there was an inverse curvilinear relation between 14C-DG cardiac uptake and occlusion flow. This observation was further confirmed by high resolution autoradiography, indicating that enhanced cardiac uptake of radiolabeled DG may be a useful positron emission tomographic marker for reversible myocardial ischemia.

摘要

我们研究了6只犬在左前降支冠状动脉(LAD)闭塞15分钟后再灌注30分钟过程中2-¹⁴C-D-脱氧葡萄糖(¹⁴C-DG)的心脏摄取情况。用⁴⁶Sc微球测定闭塞期间的冠状动脉血流。再灌注30分钟后,静脉注射50微居里的¹⁴C-DG以测定心脏摄取。45分钟后处死动物,在γ和β计数器中测定⁴⁶Sc计数/分钟。在β计数器中用非放射性血液测定两种同位素的淬灭情况。减去⁴⁶Sc计数/分钟对¹⁴C通道的贡献。¹⁴C摄取以每分钟衰变数/克表示,在6只犬中的4只的心脏缺血区域较高。在6只动物中的3只,¹⁴C-DG心脏摄取与闭塞血流之间存在反向曲线关系。高分辨率放射自显影进一步证实了这一观察结果,表明放射性标记的DG心脏摄取增强可能是可逆性心肌缺血的一种有用的正电子发射断层扫描标志物。

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本文引用的文献

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Prolonged depletion of ATP and of the adenine nucleotide pool due to delayed resynthesis of adenine nucleotides following reversible myocardial ischemic injury in dogs.在犬可逆性心肌缺血损伤后,由于腺嘌呤核苷酸再合成延迟,导致ATP和腺嘌呤核苷酸池长期耗竭。
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Studies of systolic mechanics and diastolic behavior of the left ventricle in the trained racing greyhound.训练有素的赛犬左心室收缩力学和舒张行为的研究。
Basic Res Cardiol. 1982 Nov-Dec;77(6):619-44. doi: 10.1007/BF01908315.
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Estimation of rabbit myocardial metabolic rate for glucose using fluorodeoxyglucose.
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Alterations of carbohydrate and lipid metabolism in the acutely ischemic heart.急性缺血性心脏中碳水化合物和脂质代谢的改变。
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Energy metabolism during reperfusion following ischemia.缺血后再灌注期间的能量代谢
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Positron tomography with deoxyglucose for estimating local myocardial glucose metabolism.用脱氧葡萄糖进行正电子断层扫描以评估局部心肌葡萄糖代谢。
J Nucl Med. 1982 Jul;23(7):577-86.
7
Prolonged derangements of canine myocardial purine metabolism after a brief coronary artery occlusion not associated with anatomic evidence of necrosis.短暂冠状动脉闭塞后犬心肌嘌呤代谢的长期紊乱,且无坏死的解剖学证据。
Proc Natl Acad Sci U S A. 1980 Sep;77(9):5471-5. doi: 10.1073/pnas.77.9.5471.
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Nonsurgical reperfusion in evolving myocardial infarction.
J Am Coll Cardiol. 1983 May;1(5):1247-53. doi: 10.1016/s0735-1097(83)80136-3.
9
The stunned myocardium: prolonged, postischemic ventricular dysfunction.心肌顿抑:缺血后心室功能的长期障碍。
Circulation. 1982 Dec;66(6):1146-9. doi: 10.1161/01.cir.66.6.1146.
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Accumulation of radioiodinated 15-(p-iodophenyl)-6-tellurapentadecanoic acid in ischemic myocardium during acute coronary occlusion and reperfusion.急性冠状动脉闭塞和再灌注期间放射性碘化的15-(对碘苯基)-6-碲十五烷酸在缺血心肌中的蓄积。
J Am Coll Cardiol. 1984 Jul;4(1):80-7. doi: 10.1016/s0735-1097(84)80322-8.