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Departments of Nuclear Medicine and Cardiology and Metabolic Laboratory, Free University Hospital, Amsterdam
Department of Physiology, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, The Netherlands
Nuclear Medicine Group, Oak Ridge National Laboratory, Oak Ridge, Tennessee
Correspondence: For correspondence or reprints contact: Gerrit W. Sloof, MD, PhD, Academic Medical Center, Department of Nuclear Medicine, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
ABSTRACT
Myocardial metabolism of 17-[123I]-iodoheptadecanoic acid (IHDA), 15-(p-[131I]-iodophenyl)pentadecanoic acid (pIPPA) and 15-(p-[125I]-iodophenyl)-3,3-dimethylpentadecanoic acid (DMIPP) was assessed during ischemia and hypoxia. The simultaneous investigation allowed us to evaluate differences in metabolic handling of these three fatty acids. Methods: In 17 open-chest dogs, the left ascending coronary artery was cannulated and extracorporeal bypass (ECB) perfused. In 3 dogs, ECB flow was kept normal, and these control experiments showed that kinetics of the radioiodinated fatty acids were not affected by the ECB technique itself. In 9 dogs, ECB flow was reduced to one third (ischemia), and in 5 dogs, the ECB area was perfused with venous blood and was kept at control values (hypoxia). After simultaneous intraveneous injection of IHDA, pIPPA and DMIPP, seven paired biopsy specimens from the native and ECB-perfused myocardium were taken over an assay period of 35 min. Total activity and the distribution in the aqueous phase and lipid fractions were determined, and time-activity curves were constructed. Results: In ischemic (Is) but not in hypoxic (Hy) myocardium, peak total activity of IHDA, pIPPA and DMIPP decreased significantly versus normal (N) myocardium (IHDA: N = 700 ± 267 versus Is = 335 ± 158 dpm/mg/mCi; pIPPA: N = 988 ± 318 versus Is = 438 ± 180 dpm/mg/mCi; DMIPP: N = 352 ± 146 versus Is = 179 ± 82 dpm/mg/mCi; all P values < 0.001). The relative decrease was similar for IHDA, pIPPA or DMIPP. Half-time values of total activity were prolonged for IHDA and pIPPA but were shortened for DMIPP in ischemic and hypoxic myocardium (IHDA: N = 22, Is = 44 and Hy = 50 min; pIPPA: N = 24, Is = 95 and Hy = 169 min; DMIPP: N = 528, Is = 409 and Hy = 115 min). The aqueous phase activity for IHDA, pIPPA and DMIPP decreased significantly versus normal myocardium in both ischemic (IHDA: N = 71% ± 9% versus Is = 36% ± 9%, P < 0.001; pIPPA: N = 62% ± 10% versus Is = 25% ± 8%, P < 0.001; DMIPP: N = 26% ± 11% versus Is = 18% ± 3%, P < 0.05) and hypoxic (IHDA: N = 76% ± 8% versus Hy = 62% ± 8%, P < 0.05; pIPPA: N = 66% ± 8% versus Hy = 46% ± 10%, P < 0.05; DMIPP: N = 32% ± 6% versus Hy = 24% ± 4%, P < 0.05) myocardium. The relative decrease was significantly highest for pIPPA and lowest for DMIPP. Incorporation into triacylglycerols increased significantly for IHDA, pIPPA and DMIPP in both ischemic and hypoxic myocardium. In normal myocardium, DMIPP was already mainly incorporated into triacylglycerols. Activity of IHDA and pIPPA in acylcarnitine increased significantly in ischemic and hypoxic myocardium. Conclusion: Kinetics of the radioiodinated fatty acid analogs in myocardium are altered during oxygen deprivation in a similar fashion as documented in literature for natural fatty acids. However, the changes were different between IHDA, pIPPA and DMIPP, suggesting different metabolic handling and thus reflecting different aspects of myocardial fatty acid metabolism.
Key Words: fatty acids • myocardial ischemia
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| JOURNAL OF NUCLEAR MEDICINE TECHNOLOGY | THE JOURNAL OF NUCLEAR MEDICINE |
