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The Journal of Nuclear Medicine Vol. 32 No. 9 1730-1737
© 1991 by Society of Nuclear Medicine
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Positron-Labeled Angiotensin-Converting Enzyme (ACE) Inhibitor: Fluorine-18-Fluorocaptopril. Probing the ACE Activity In Vivo by Positron Emission Tomography

D.-R. Hwang, W.C. Eckelman, C.J. Mathias, E.W. Petrillo, Jr., J. Lloyd and M.J. Welch

Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri
Bristol-Myers-Squibb Pharmaceutical Research Institute, Princeton, New Jersey

Correspondence: For reprints contact: Michael J. Welch. PhD, Mallinckrodt Institute of Radiology, Washington University Medical School, Division of Radiation Sciences, 510 South Kingshighway Blvd., Box 8131, St. Louis, MO 63110.

ABSTRACT

To evaluate the feasibility of probing the distribution of angiotensin-converting enzyme (ACE) in vivo using positron emission tomography (PET), 4-cis-[18F]fluorocaptopril (18FCAP) was prepared by the reaction of the triflate 2 with K18F/Kryptofix 222 in MeCN followed by hydrolysis (2 N NaOH). The synthesis time was 1 hr with an average radiochemical yield (EOS) of 12% and a specific activity of >300 Ci/mmol. In vivo biodistribution in rats at 30 min after administration showed high uptakes into organs known to have high ACE concentration (lung, kidney and aorta) and faster clearance of 18FCAP for lung and kidney, compared to the clearance from the aorta. When different amounts of unlabeled 4-cis-fluoro-captopril (SQ 25750) were coinjected in rats, a dose of > 5 µg/kg decreased the lung uptake by one-half while only 1 µg/kg decreased the kidney uptake by one-half. In general, the binding in the four tissues studied was saturable with the expected capacity. 18FCAP was administered to a human and displaceable uptake observed in the lung and kidney. The results demonstrate the feasibility of probing ACE in vivo using PET.




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Copyright © 1991 by the Society of Nuclear Medicine.