Radiolabelling and PET brain imaging of the ¦Á1-adrenoceptor antagonist Lu AE43936
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文摘
Cerebral ¦Á1-adrenoceptors are a common target for many antipsychotic drugs. Thus, access to positron emission tomography (PET) brain imaging of ¦Á1-adrenoceptors could make important contributions to the understanding of psychotic disorders as well as to the pharmacokinetics and occupancy of drugs targeting the ¦Á1-adrenoceptors. However, so far no suitable PET radioligand has been developed for brain imaging of ¦Á1-adrenoceptors. Here, we report the synthesis of both enantiomers of the desmethyl precursors of the high affinity ¦Á1-adrenoceptor ligand (). The two enantiomers of were subsequently [11C] radiolabelled and evaluated for brain uptake and binding by PET imaging in Danish Landrace pigs. (S)-[11C]- and (R)-[11C]- showed very limited brain uptake. Pre-treatment with cyclosporine A (CsA) resulted in a large increase in brain uptake, indicating that (R)-[11C]- is a substrate for active efflux-transporters. This was confirmed in Madin Darby canine kidney (MDCK) cells overexpressing permeability glycoprotein (Pgp). In conclusion, the limited brain uptake of both (S)-[11C]- and (R)-[11C]- in the pig brain necessitates the search for alternative radioligands for in vivo PET brain imaging of ¦Á1-adrenoceptors.

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