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使用碘-123 碘苯甲酰胺单光子发射断层扫描通过哌醋甲酯激发试验评估内源性多巴胺释放。

Assessment of endogenous dopamine release by methylphenidate challenge using iodine-123 iodobenzamide single-photon emission tomography.

作者信息

Booij J, Korn P, Linszen D H, van Royen E A

机构信息

Graduate School of Neurosciences, Department of Nuclear Medicine, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.

出版信息

Eur J Nucl Med. 1997 Jun;24(6):674-7. doi: 10.1007/BF00841408.

DOI:10.1007/BF00841408
PMID:9169577
Abstract

This double-blind, placebo-controlled study assessed pharmacologically induced endogenous dopamine (DA) release in healthy male volunteers (n=12). Changes in endogenous DA release after injection of the psychostimulant drug methylphenidate were evaluated by single-photon emission tomography (SPET) and constant infusion of iodine-123 iodobenzamide ([123I]IBZM), a D2 receptor radioligand that is sensitive to endogenous DA release. Methylphenidate induced displacement of striatal [123I]IBZM binding, resulting in a significantly decrease in the specific to non-specific [123I]IBZM uptake ratio (average: 8.6%) in comparison with placebo (average: -1.9%). Moreover, injection of methylphenidate induced significant behavioural responses on the following items: excitement, anxiety, tension, and mannerisms and posturing. The results of this study demonstrate the feasibility of using constant infusion of [123I]IBZM and SPET imaging to measure endogenous DA release after methylphenidate challenge and to investigate neurochemical aspects of behaviour.

摘要

这项双盲、安慰剂对照研究评估了健康男性志愿者(n = 12)体内药理学诱导的内源性多巴胺(DA)释放情况。通过单光子发射断层扫描(SPET)和持续输注碘-123 碘苄胺([123I]IBZM,一种对内源性 DA 释放敏感的 D2 受体放射性配体),评估了注射精神兴奋药物哌醋甲酯后内源性 DA 释放的变化。哌醋甲酯引起纹状体[123I]IBZM 结合的置换,导致与安慰剂相比,特异性与非特异性[123I]IBZM 摄取率显著降低(平均:8.6%),而安慰剂组平均为-1.9%。此外,注射哌醋甲酯在以下项目上引起了显著的行为反应:兴奋、焦虑、紧张以及习性动作和姿势。本研究结果证明了使用持续输注[123I]IBZM 和 SPET 成像来测量哌醋甲酯激发后内源性 DA 释放以及研究行为的神经化学方面的可行性。

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