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Basic Science Investigations |
Center for Radiopharmaceutical Science, Paul Scherrer Institute, Villigen, Switzerland
| ABSTRACT |
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40 min. Voxel-wise modeling resulted in parametric maps of high quality. The values for the binding potential in the striatum reached approximately 14, consistent with striatum-to-cerebellum ratios extracted from regional time-activity curves. Comparison of in vivo PET imaging results with ex vivo postmortem tissue sampling analyses indicated discrepancies in signal intensity, possibly resulting from scatter and random background in the cerebellum region of interest and leading to an overestimation of cerebellar activity concentrations and degradation of striatum-to-cerebellum ratios in PET experiments. Intraperitoneal injection of the unlabeled D2 receptor antagonist haloperidol 30 min before intravenous injection of 18F-fallypride blocked tracer accumulation in the striatum by >95%. Conclusion: The quad-HIDAC camera represents a powerful tool for future dynamic neuroreceptor PET studies in mice and rats under numerous pharmacologic or pathophysiologic conditions.
Key Words: quad-HIDAC small animal PET 18F-fallypride mouse striatum tracer kinetic modeling
| INTRODUCTION |
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Imaging the mouse striatum represents a major application in biomedical research. The dopamine D2 receptor system, for example, is implicated in a wide range of neurologic and psychiatric disease states and forms the main target of antipsychotic drug treatment. Moreover, degeneration of dopaminergic nerve terminals in the striatum is a hallmark in animal models of Parkinsons disease. Therefore, the capability to resolve the mouse striatum by PET and to perform dynamic neuroreceptor imaging in small brain regions could have important impact on the noninvasive characterization of neurodegenerative diseases in animal models and on drug developmentfor example, for Parkinsons disease.
The dopamine receptor antagonist 18F-fallypride {(S)-N-[(1-allyl-2-pyrrolidinyl)methyl]-5-(3-18F-fluoropropyl)-2,3- dimethoxybenzamide} represents an ideal candidate for visualization of the striatum. This PET tracer was previously shown to be an extremely selective, high-affinity ligand (dissociation constant [Kd] = 30 pmol/L) for the dopamine D2 and D3 receptor subtypes (15,21). In nonhuman primate PET studies, 18F-fallypride proved to bind selectively to dopaminergic sites, providing high specific-to-nonspecific ratios (14,15). Binding of 18F-fallypride in vivo was specifically blocked in the presence of dopamine D2 receptor antagonists such as haloperidol (15,22).
In this study, we examined whether the resolution and sensitivity of the quad-HIDAC camera permits accurate dynamic measurements of D2 receptor binding sites in the mouse brain using the PET tracer 18F-fallypride.
| MATERIALS AND METHODS |
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Radioligand Preparation
The radiosynthesis of 18F-fallypride was performed according to the protocol of Mukherjee et al. (21). The radioligand was produced in batches of 2751,057 MBq, with activity concentrations of 30117 MBq/mL and specific activities of 27208 GBq/µmol at the end of synthesis. The injected masses were 2.54.4 nmol/kg body weight or 3076 ng.
PET Scanning
PET experiments were performed with the 16-module variant of the quad-HIDAC tomograph (Oxford Positron Systems). Briefly, the camera has 4 detector banks, each comprising 4 high-density avalanche chamber (HIDAC) modules. Each module consists of a multiwire proportional chamber between lead layers containing a matrix of holes of 0.4 mm in diameter and 0.5-mm pitch (4). The field of view is 280 mm axially and 170 mm in diameter, allowing the acquisition of whole-body images in a single bed position. Animals were anesthetized with isoflurane in an air/oxygen mixture, fixed with adhesive tape, and positioned in the camera such that the head was placed symmetrically in the center of the field of view. Depth of anesthesia was monitored by measuring respiratory frequency. Body temperature was controlled by a rectal probe and kept at 37.3°C by a thermocoupler and a heated air stream. The time point of radioligand injection into the animal constituted the reference time point for all further procedures and decay corrections. 18F-Fallypride (2.88.6 MBq; 2.54.4 nmol/kg body weight; maximum, 200 µL) was injected via a lateral tail vein. Acquisition of PET data was initiated 60 s later. PET data were acquired in list mode and reconstructed in user-defined time frames using the OPL-EM algorithm (23) with a bin size of 0.3 mm, a matrix size of 120 x 120 x 200, and resolution recovery with a width of 1.3 mm. Reconstruction did not include scatter, random, and attenuation correction. Scattering between modules, constituting 21% of the counting rate corrected for randoms and dead time in phantom studies, and random coincidences, constituting a maximum of 41% at the highest count rates, produced a uniform background and did not appear to distort the reconstructed images. Absorption and scattering in a mouse represent small corrections20% and 7%, respectivelyto the count rates.
Dynamic Modeling
Image files were evaluated by region-of-interest (ROI) analysis using the dedicated software Pmod (24). Summed PET images were used to draw the ROIs. Time-activity curves were normalized to the injected dose per gram body weight and expressed as standardized uptake values (SUVs).
Receptor quantification relied on the cerebellum as a reference region devoid of dopamine D2 receptors. The following models were used to derive estimates for the BP of 18F-fallypride in the striatum:
Simplified Reference Tissue Model.
Lammertsma and Hume (25) describe the BP of a receptor radioligand in a specific region by the following equation:
![]() | (Eq. 1) |
Ichise Method.
In principle, this kinetic modeling method, first described by Ichise et al. (26), uses Logan plots (27) of the striatum and cerebellum that are combined into one equation and the arterial input curve can be eliminated algebraically, yielding the following multilinear expression:
![]() | (Eq. 2) |
The parameters A, B, and C are fitted to the PET measures of the radioactivity concentrations in the striatum (CRc(t)) and in the cerebellum (CRf(t)); the parameter A is related to DVR. Assuming that nonspecific binding in the striatum and the cerebellum are equal implies the relation:
![]() | (Eq. 3) |
Rv, the ratio of volumes of the tissue compartments 2 and 3, is related to the DVR of the striatum and the cerebellum in a standard receptor 3-compartment model as Rv = DVR - 1. Because little computational work is required for multilinear regression of Equation 2 and the fits are very robust, we performed a voxel analysis resulting in parametric Rv images.
Experimental Protocols
For the initial assessment of spatial and dynamic resolution, data were acquired in 2 mice for 150 min upon injection of 18F-fallypride. Static 18F-fallypride images were reconstructed from a single 40-min time frame (2060 min after scan start), whereas evaluation of dynamic acquisitions of 18F-fallypride PET imaging involved 24 time frames (5 x 2 min, 10 x 5 min, 9 x 10 min) for reconstruction.
For the determination of the minimal scan duration required to obtain a time-independent estimate of the BP, increasing numbers of time frames from the two 150-min PET scans were used.
To assess the feasibility of repeated dynamic neuroreceptor imaging in a single animal, 3 18F-fallypride PET scans each were performed on days 0, 30, and 60 with 2 mice. Acquisition of PET data lasted for 60 min. Fifteen time frames (5 x 2 min, 10 x 5 min) were used for reconstruction.
In haloperidol-blocking studies, 3 baseline animals received intraperitoneal injections of vehicle (ß-cyclodextrin; Fluka) 30 min before injection of the radioligand, whereas blocking conditions in 3 mice involved intraperitoneal injection of haloperidol (1 mg/kg body weight, dissolved in ß-cyclodextrin; Sigma-Aldrich) 30 min before radioligand injection. Data were acquired for 60 min after injection of 18F-fallypride and were reconstructed in 15 time frames (5 x 2 min, 10 x 5 min).
BPs obtained by application of the Lammertsma reference tissue model were compared with striatum-to-cerebellum ratios of postmortem dissection data. Three animals were killed by decapitation immediately after a 60-min PET scan, and 2 animals were decapitated after termination of a 150-min PET scan. To analyze the influence of anesthesia on signal sizes and ratios, 3 nonanesthetized animals were injected with the radiotracer and killed at 63 min after injection by decapitation. All mouse brains were removed on ice, and striatum and cerebellum were dissected. All samples were weighed and measured in a
-counter (Minaxi; Packard). A reference sample of the injected dose was prepared and quantified in a counter to convert counts/minute into becquerels. Data were decay corrected from the reference time and expressed as the percentage normalized injected dose per gram organ weight (% normalized ID/g organ).
| RESULTS |
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Voxel modeling of kinetic data using the Ichise method yielded functional images of the Rv value (Fig. 1C). The parametric Rv map represents the BP; it showed highest values in the right and left striatum (Rv = 14.2) and considerably lower Rv values in brain areas putatively representing the thalamus and olfactory bulb.
Minimal Scanning Time
Estimation of the BP as a function of scan duration resulted in stable fits for a scanning time of
40 min (Fig. 2). Both the Lammertsma and the Ichise method gave similar results for the BP, with values between 12.8 and 15.4 for both the right and left striatum (Table 1). Since estimates of the BP were stable for scan durations of
40 min, a scanning time of 60 min was used for subsequent dynamic 18F-fallypride PET imaging experiments.
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| DISCUSSION |
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The resolution of our PET camera permitted a clear-cut discrimination of the right and left striatum. Small activity concentrations were identified in extrastriatal regions, probably reflecting the thalamus and the olfactory bulb, which are known to contain low concentrations of D2 receptors (15). Uptake of activity above background was also identified in the skull, possibly owing to defluorination of the radioligand as also reported by Mukherjee et al. in a rat study (21).
The sensitivity of the tomograph permitted the generation of time-activity curves with initial time frames of 120 s. Visual inspection of striatal time-activity curves indicated relatively slow kinetics of 18F-fallypride binding to the mouse striatum, reaching a plateau at approximately 40 min after injection. The consistency of time-activity curves and measures of 18F-fallypride binding in several experimental designs suggested small inter- and intraanimal variations.
The course of the time-activity curve of 18F-fallypride binding to the mouse striatum resembled that measured in the monkey brain (22), indicating similar uptake and elimination rates in these 2 species. In addition, postmortem biodistribution studies of 18F-fallypride in the rat revealed the highest striatal activity concentrations at 60 min after injection and a slight decrease at later time points (21). Since we did not perform blood sampling during PET measurements, we used BPRf of the Lammertsma simplified reference tissue model (25) and Rv of the Ichise method (28) for quantification of specific binding of 18F-fallypride in the mouse striatum. Both BPRf and Rv values represent measures for the BP as originally defined by Mintun et al. (29). In this definition, the BP provides a measure of the ratio of specific-to-nonspecific radioligand binding at equilibriumfor example, the ratio of the radioactivity in striatum and the cerebellum in the case of 18F-fallypride. However, since this BP refers to a nonspecific tissue regionfor example, the cerebellumnonspecific binding in the cerebellum will affect the BP of the target region. For example, high nonspecific binding in the cerebellum will lead to lower values of the BP in the striatum. Obviously, this definition of the BP cannot be compared with in vitro measures of 18F-fallypride binding such as the ratio of Bmax/Kd (Bmax is the maximum number of binding sites). For the term Bmax/Kd to be determined by PET, the radioligand concentration in arterial plasma would have to be measured during PET scanning and corrections for the fraction bound to proteins and metabolites would have to be evaluated. Since we have not included such measurements in the present experiments, no conclusion can be drawn about the ratio of specific binding in the striatum and the radioligand concentration in plasma. However, both BPRf and Rv approximate the ratios of the radioactivity concentration in the striatum and the cerebellum at equilibrium. Since true equilibrium does not occur after a bolus injection, BPRf and Rv are more reliable measures than simple radioactivity ratios to estimate specific 18F-fallypride binding in the striatum, because they are nearly independent of the PET scan duration.
Application of the simplified reference tissue and Ichise models yielded comparable values for the BP (Fig. 2; Table 1). However, Rv was generally smaller than BPRf, pointing to a systematic difference between Rv and BPRf values. This may be due to the fact that, in contrast to the simplified reference tissue model of Lammertsma, the Ichise method is based on a linear least-squares algorithm. One of the drawbacks of linear least-squares approaches is that statistical noise in PET data may introduce significant bias in results. Determination of the BP in the left and right striatum also gave similar results (Fig. 2). High-quality parametric images of the parameter Rv (Fig. 1C) confirmed these results of the ROI analyses, while displaying the same distribution pattern as static 18F-fallypride images.
The estimated BPs of 18F-fallypride in the striatum, with values between 9.6 and 14.2 at the end of 60-min PET scans (Table 1), agreed with the striatum-to-cerebellum ratios obtained in an ROI analysis of regional time-activity curves (Fig. 3). However, discrepancies between in vivo BPs and in vitro striatum-to-cerebellum ratios were identified when activity concentrations in the striatum and cerebellum were determined postmortem, immediately after termination of the scan (Table 1). This phenomenon has been previously observed and explained by a reduction of the PET signal due to partial-volume loss and spillover from neighboring structures (11,19). Due to the excellent resolution of the quad-HIDAC tomograph, and the consequent possibility to delineate ROIs in the striatum and cerebellum with high precision, partial-volume loss from the striatum and spillover of extracerebral activity into the cerebellum may contribute only in part to the reduced in vivo ratios. Rather, the uniform scatter and random background mentioned earlier produces an overestimation of the activity concentration in the cerebellum ROI, which could compromise in vivo ratios and BPs. Using 11C-raclopride as radiotracer and the microPET R4 system, Thanos et al. found a striatum-to-cerebellum ratio of 1.3 in wild-type C57BL/6J mice at the end of a 60-min PET scan (6). The significantly higher ratio and image contrast observed in our study may be explained by the higher resolution of the quad-HIDAC system and the use of 18F-fallypride instead of 11C-raclopride.
Specific blocking of 18F-fallypride binding by haloperidol attained 95% at late time points in the ROI analysis of striatal time-activity curves. Postmortem analysis of striatal activities in baseline and haloperidol-treated animals confirmed this 95% reduction (data not shown). The magnitude of the blocking effect, and the ability to precisely measure it with PET, indicates the use of 18F-fallypride imaging in mice for the determination of in vivo parameters such as BPmax and receptor occupancy in the preclinical development of new D2 receptor ligands.
Binding of PET ligands to cerebral target sites may be influenced by the use of anesthesics during the scans. Isoflurane, for example, was shown to provoke alterations in the dopaminergic system in nonhuman primates, probably by modulating presynaptic dopamine transporter availability (3032). However, the BP of the D2 receptor tracer 11C-raclopride was unaffected by isoflurane anesthesia in monkeys (30). In our 18F-fallypride study in mice, comparisons of postmortem striatal activity concentrations and striatum-to-cerebellum ratios in anesthetized and nonanesthetized mice excluded a substantial influence of isoflurane anesthesia on signal and activity ratios. Postmortem activity concentrations in the striatum of anesthetized and nonanesthetized animals differed significantly by 20.2% at 63 min after injection (P < 0.05). The increase in striatal accumulation of 18F-fallypride in anesthetized animals may be explained by reduced pharmacokinetics (e.g., metabolism) of the radiotracer.
An important limitation regarding PET imaging experiments in mice concerns the mass of the injected tracer. To achieve sufficient count statistics for the reconstruction of small volumes such as the mouse striatum, high doses of radioactivity are required. Preliminary 18F-fallypride experiments with mice and phantoms containing various amounts of radioactivity indicated that the minimum injected activity required for an appropriate quantification in our experimental setting is approximately 2.5 MBq. Depending on the specific activity of the radiotracer, this activity may lead to the injection of considerable masses of unlabeled compound and, to some degree, of receptor occupancy. Tracer kinetic modeling assumes receptor occupancies of <5% (11,33). Given the high affinity of 18F-fallypride (Kd = 33 pmol/L) (34), the masses injected into the mice in this study (2.54.4 nmol/kg body weight) might have produced receptor occupancies that are >5% (8,35). However, many factors influencing receptor occupancy are difficult to estimatefor example, the availability of endogenous ligand competing with the radiotracer for the binding site. Despite these potential limitations, our initial neurobiologic application of the quad-HIDAC camera proves the feasibility of dynamic neuroreceptor imaging in mice.
| CONCLUSION |
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| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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For correspondence or reprints contact: Michael Honer, PhD, Center for Radiopharmaceutical Science, Paul Scherrer Institute, CH-5232 Villigen PSI, Switzerland.
E-mail: michael.honer{at}psi.ch
| REFERENCES |
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