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First published online August 14, 2008, 10.2967/jnumed.107.043919
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Molecular Imaging of Neurovascular Cell Death in Experimental Cerebral Stroke by PET

Ayelet Reshef1, Anat Shirvan1, Rikki N. Waterhouse2, Hagit Grimberg1, Galit Levin1, Avi Cohen1, Luckner G. Ulysse3, Gad Friedman1, Gunnar Antoni4 and Ilan Ziv1

1 NST NeuroSurvival Technologies Ltd., Petach Tikva, Israel; 2 Neurobiology and Imaging Program, Department of Biological Psychiatry, New York State Psychiatric Institute and Columbia University, New York, New York; 3 Albany Molecular Research, Albany, New York; and 4 Imanet, Uppsala, Sweden


Figure 1
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FIGURE 1.  Structure of ML-10 (molecular weight, 206).

 

Figure 2
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FIGURE 2.  Scheme for radiolabeling of ML-10 with 18F radioisotope. AcCN = acetonitrile; O-Ms = O-mesyl; Ot-Bu and t-BuO = -O-tert-butyl.

 

Figure 3
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FIGURE 3.  Assessment of metabolism of 18F-ML-10 in vivo by HPLC analysis. Chromatograms of samples of plasma (A) and brain tissue homogenate (B) were obtained at 90 min after intravenous administration of 50 MBq of 18F-ML-10. Only one peak, representing intact tracer (>97% of total activity), was observed.

 

Figure 4
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FIGURE 4.  Small-animal PET with 18F-ML-10 of cell death in vivo. Permanent occlusion of MCA was performed to induce cerebral ischemia in mouse, and PET was performed 24 h later. Selective uptake in region of cerebral ischemia was observed. Uptake was parenchymal and multifocal, and various intensities were observed in infarct region. (A and B) Small-animal PET image and corresponding top view of mouse, respectively (arrow indicates site of surgery). (C and D) Small-animal PET image and corresponding side view of mouse, respectively. (E) Transaxial section and quantitative color scale for PET images.

 

Figure 5
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FIGURE 5.  Phosphorimaging of brain sections 60 min after intravenous administration of 18F-ML-10. (A) Exposure of brain section to {gamma}-radiation–sensitive phosphorimaging plate revealed accumulation of 18F-ML-10 signal in brain area corresponding to ischemic MCA territory. Graded intensities were observed, with highest uptake at infarct core and gradually less uptake at periphery. (B and C) TUNEL staining of transitional zone between ischemic and healthy brain tissues (enlargements of inset in A; magnifications, x100 [B] and x200 [C]). 18F-ML-10 uptake was found to correlate with apoptosis, as indicated by TUNEL staining in corresponding region.

 

Figure 6
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FIGURE 6.  Distinction of ML-10 uptake in infarct region from blood activity (A) and BBB disruption (B). (A) Kinetic profile of clearance of tracer from damaged hemisphere (DH) vs. blood (30–90 min after administration; activity at 30 min was defined as 100%). (B) Fluorescence microscopy showing transitional zone between healthy brain tissue (area A) and infarct (areas B and C). Animal was subjected to MCA occlusion; 24 h later, concomitant administration of fluorescent probe dansyl-ML-10 and EB (marker of BBB disruption) was performed. Area A contained intact brain tissue; therefore, it lacked EB or dansyl-ML-10 binding and manifested pale bluish autofluorescence. Area B contained cells at portion of infarct with BBB disruption, as indicated by EB extravasation to extracellular space, giving rise to red haze. Area C contained EB-negative cells, manifesting green fluorescence of dansyl-ML-10 and therefore indicating tracer uptake without concomitant BBB disruption. Uptake was cellular, into individual cells, creating starry-sky appearance of slide; this pattern is characteristic of apoptosis (magnification, x200).

 





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