Journal
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM
Volume 37, Issue 4, Pages 1286-1298Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0271678X16654493
Keywords
Blood-brain barrier; brain imaging; breast cancer resistance protein; kinetic modeling; positron emission tomography
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Funding
- Dutch Technology Foundation STW [11741]
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P-glycoprotein is a protective efflux transporter at the blood-brain barrier showing altered function in many neurological disorders. The purpose of this study was to validate [F-18]MC225 as a radiotracer for measuring P-glycoprotein function with positron emission tomography. Three groups of Sprague-Dawley rats were used to assess tracer uptake at baseline (group 1), after inhibition of P-glycoprotein (group 2), and after inhibition of both P-glycoprotein and breast cancer resistance protein (Bcrp, group 3). A two-tissue compartment model with a metabolite-corrected plasma input function provided the best fit to the positron emission tomography data, but parameter estimates were more reliable in a one-tissue compartment model, which was selected as the preferred model. Regional distribution volumes (V-T) in the control group ranged from 6 to 11, which is higher than for other radiotracers. [F-18]MC225 showed transporter selectivity, since inhibition of P-glycoprotein caused a two to fourfold increase in the cerebral V-T values, but additional inhibition of Bcrp did not cause any further increase. Metabolic stability of [F-18]MC225 was moderate (at 1h post-injection 15% of plasma radioactivity and 76% of brain radioactivity represented intact parent). Thus, [F-18]MC225 may be a useful radiotracer to measure especially increases of P-glycoprotein function at the blood-brain barrier.
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