Pharmacology

© Neuroscience-Net
Volume 1, Article #00010
Received July 6, 1996
Accepted for Publication September 18, 1996
Published October 22, 1996

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SPECT IMAGING OF THE DOPAMINE TRANSPORTER WITH [123I]-2b-CARBOMETHOXY-3b-(4-FLUOROPHENYL)-N-(1-IODOPROP-1-EN-3-YL) NORTROPANE ([123I] IACFT): INITIAL EXPERIENCE IN HUMANS


Alan J. Fischman1, Ali. A. Bonab1, John W. Babich1, Nathaniel M. Alpert1, David R. Elmaleh1, Sandra A. Barrow1, Wendy Graham1, Peter Meltzer2, Robert N. Hanson3, Bertha K. Madras4

1Division of Nuclear Medicine of the Department of Radiology, Massachusetts General Hospital, and the Department of Radiology, Harvard Medical School, Boston MA. 2Organix Inc., Boston MA. 3Department of Chemistry, Northeastern University, Boston MA. 4Harvard Medical School, Boston MA and The New England Regional Primate Center, Southborough, MA.

Reprint requests should be addressed to:Correspondence should be addressed to:
Dr. Alan J. Fischman
Division of Nuclear Medicine
Department of Radiology
Massachusetts General Hospital
32 Fruit Street
Boston, MA 02114
(617) 726-8353
Dr. Bertha K. Madras
Division of Neurochemistry
New England Regional Primate Research Ctr.
Harvard Medical School
1 Pine Hill Drive
Southborough, MA 01772-9102
email: bmadras@warren.med.harvard.edu


ABSTRACT
(Neuroscience-Net, Volume 1, Article #10010; August 14, 1996)

The cocaine analog 2b-carbomethoxy-3b-(4-fluorophenyl)-n-(1-iodoprop-1-en-3-yl) nortropane ([123I] IACFT) labeled dopamine transporters in brain striatum. Preliminary single photon emission computed tomography (SPECT) studies with [123I] IACFT were performed in two healthy volunteers. Serial SPECT images were acquired over 2 hrs. Arterial blood samples were collected in parallel with imaging, and plasma radioactivity was analyzed chromatographically to derive metabolite corrected arterial input functions. Binding potential (BP, B'max / KD) for striatal (Str) dopamine transporter (DAT) sites was measured by 2 methods using the occipital cortex (Occ) as reference. In the first method, the time-activity data was analyzed by the linear graphical method developed for reversible receptor ligands by Logan et al. For the second method, the expression (StrTAC - OccTAC) was fitted to a gamma variate function and the maximum was used to estimate BP (Farde, et al.). Plasma analysis indicated that [123I]-IACFT is rapidly converted to polar metabolites. The imaging results showed that [123I]-IACFT accumulates rapidly and selectively in the striatum and yields excellent quality images within one hour after injection. DAT selectivity of [123I]-IACFT was indicated by absence of tracer accumulation in 5-HT transporter rich regions of the hypothalamus and mid-brain. Binding potential measured by the 2 methods were remarkably similar; subject 1: method 1- 1.81, method 2-1.88, subject 2: method 1 - 3.00, method 2 - 3.04. These results demonstrate that [123I]-IACFT is a promising SPECT ligand for imaging and quantification of DAT sites in the human brain.

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