Toulouse NeuroImaging Center, ToNIC, UMR1214 Inserm, Toulouse, France.
Nuclear Medicine Department, Toulouse Purpan University Hospital, Toulouse, France.
Mol Imaging Biol. 2023 Aug;25(4):692-703. doi: 10.1007/s11307-023-01811-y. Epub 2023 Mar 21.
NMDA receptors (NMDARs) dysfunction plays a central role in the physiopathology of psychiatric and neurodegenerative disorders whose mechanisms are still poorly understood. The development of a PET (positron emission tomography) tracer able to selectively bind to the NMDARs intra-channel PCP site may make it possible to visualize NMDARs in an open and active state. We describe the in vitro pharmacological characterization of [F]-fluoroethylnormemantine ([F]-FNM) and evaluate its ability to localize activated NMDA receptors in a rat preclinical model of excitotoxicity.
The affinity of the non-radioactive analog for the intra-channel PCP site was determined in a radioligand competition assay using [H]TCP ([H]N-(1-[thienyl]cyclohexyl)piperidine) on rat brain homogenates. Selectivity was also investigated by the displacement of specific radioligands targeting various cerebral receptors. In vivo brain lesions were performed using stereotaxic quinolinic acid (QA) injections in the left motor area (M1) of seven Sprague Dawley rats. Each rat was imaged with a microPET/CT camera, 40 min after receiving a dose of 30 MBq + / - 20 of [F]-FNM, 24 and 72 h after injury. Nine non-injured rats were also imaged using the same protocol.
FNM displayed IC value of 13.0 ± 8.9 µM in rat forebrain homogenates but also showed significant bindings on opioid receptors. In the frontal and left somatosensory areas, [F]FNM PET detected a mean of 37% and 41% increase in [F]FNM uptake (p < 0,0001) 24 and 72 h after QA stereotaxic injection, respectively, compared to the control group.
In spite of FNM's poor affinity for NMDAR PCP site, this study supports the ability of this tracer to track massive activation of NMDARs in neurological diseases.
N-甲基-D-天冬氨酸受体(NMDAR)功能障碍在精神和神经退行性疾病的病理生理学中起着核心作用,但其机制仍知之甚少。开发一种能够选择性结合 NMDAR 通道内 PCP 位点的 PET(正电子发射断层扫描)示踪剂,可能使可视化开放和活跃状态的 NMDAR 成为可能。我们描述了 [F]-氟乙基-N-去甲氨茴酸酯 ([F]-FNM) 的体外药理学特征,并评估了其在兴奋性毒性大鼠临床前模型中定位激活的 NMDA 受体的能力。
使用 [H]TCP([H]N-(1-[噻吩]环己基)哌啶)在大鼠脑匀浆中进行放射性配体竞争测定,确定非放射性类似物对通道内 PCP 位点的亲和力。通过置换针对各种脑受体的特异性放射性配体,还研究了选择性。在 7 只 Sprague Dawley 大鼠左侧运动区(M1)立体定向注射喹啉酸(QA)后进行体内脑损伤。在受伤后 40 分钟,每只大鼠接受 30MBq±20 的 [F]-FNM 剂量后,使用 microPET/CT 相机进行成像,并在损伤后 24 和 72 小时进行成像。还使用相同的方案对 9 只未受伤的大鼠进行成像。
FNM 在大鼠前脑匀浆中的 IC 值为 13.0±8.9µM,但也显示出对阿片受体的显著结合。在额叶和左侧体感区,与对照组相比,[F]FNM PET 在 QA 立体定向注射后 24 和 72 小时分别检测到 [F]FNM 摄取增加 37%和 41%(p<0.0001)。
尽管 FNM 对 NMDAR PCP 位点的亲和力较差,但这项研究支持该示踪剂能够追踪神经退行性疾病中 NMDAR 的大量激活。