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Research ArticleBrief Communications

Imaging Changes in Synaptic Acetylcholine Availability in Living Human Subjects

Irina Esterlis, Jonas O. Hannestad, Frederic Bois, R. Andrew Sewell, Rachel F. Tyndale, John P. Seibyl, Marina R. Picciotto, Marc Laruelle, Richard E. Carson and Kelly P. Cosgrove
Journal of Nuclear Medicine January 2013, 54 (1) 78-82; DOI: https://doi.org/10.2967/jnumed.112.111922
Irina Esterlis
1Department of Psychiatry, Yale University, New Haven, Connecticut
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Jonas O. Hannestad
1Department of Psychiatry, Yale University, New Haven, Connecticut
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Frederic Bois
1Department of Psychiatry, Yale University, New Haven, Connecticut
2Department of Radiology, Yale University, New Haven, Connecticut
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R. Andrew Sewell
1Department of Psychiatry, Yale University, New Haven, Connecticut
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Rachel F. Tyndale
3Department of Pharmacology and Toxicology and Department of Psychiatry, CAMH and University of Toronto, Toronto, Ontario, Canada; and
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John P. Seibyl
4Institute for Neurodegenerative Disorders, New Haven, Connecticut
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Marina R. Picciotto
1Department of Psychiatry, Yale University, New Haven, Connecticut
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Marc Laruelle
1Department of Psychiatry, Yale University, New Haven, Connecticut
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Richard E. Carson
2Department of Radiology, Yale University, New Haven, Connecticut
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Kelly P. Cosgrove
1Department of Psychiatry, Yale University, New Haven, Connecticut
2Department of Radiology, Yale University, New Haven, Connecticut
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  • FIGURE 1.
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    FIGURE 1.

    First point in each graph represents baseline data obtained starting 6 h after beginning of tracer infusion, when state of equilibrium was achieved, and provided baseline specific binding. After completion of baseline scans, physostigmine was administered intravenously (1.0–1.5 mg over 1 h). At onset of physostigmine infusion, scanning was resumed for up to 9 h. Bars represent SEM. (A) Plasma 123I-5-IA concentration (kBq/mL) (total parent) measured during 123I-5-IA constant infusion in healthy volunteers. After physostigmine administration, there was significant 9% increase in mean plasma 123I-5-IA concentration as compared with before physostigmine administration. (B) Tissue 123I-5-IA concentration (kBq/cm3) in thalamus, striatum, cortex, and cerebellum measured during 123I-5-IA constant infusion. We observed 7%–16% region-specific decrease in 123I-5-IA tissue concentration after physostigmine challenge. (C) 123I-5-IA VT/fp in thalamus, striatum, cortex, and cerebellum measured during 123I-5-IA constant infusion. VT/fp values measured after physostigmine infusion were significantly reduced (14%–18% region-specific), compared with baseline values. (D) 123I-5-IA BPf in thalamus, striatum, cortex, and cerebellum measured during 123I-5-IA constant infusion. BPf values measured after physostigmine infusion were significantly reduced (19%–36% region-specific), compared with baseline values.

  • FIGURE 2.
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    FIGURE 2.

    (A–D) β2*-nAChR availability (VT/fP) before (hatched bars) and after (black bars) physostigmine injection for each subject. For thalamus (A), percentage displacement of 5-IA for subjects 1–6 was −7%, −22%, −14%, −22%, −35%, and −0%. For striatum (B), percentage displacement was −8%, −20%, −18%, −20%, −25%, and −4%. For cortex (C), percentage displacement was −9%, −25%, −18%, −26%, −30%, and −2%. For cerebellum (D), percentage displacement was −12%, −20%, −18%, −23%, −28%, and 0%. (E–H) BPf before (hatched bars) and after (black bars) physostigmine injection for each subject. For thalamus (E), percentage displacement of 5-IA for subjects 1–6 was −8%, −25%, −17%, −25%, −41%, and 0%. For striatum (F), percentage displacement was −10%, −27%, −24%, −26%, −34%, and +5%. For cortex (G), percentage displacement was −13%, −40%, −29%, −36%, −50%, and −6%. For cerebellum (H), percentage displacement was −17%, −90%, −35%, −32%, −40%, and −1%.

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    TABLE 1

    Outcome Values for Each Subject at Baseline and 2–4 Hours After Physostigmine Injection

    fp at baselinefp before physostigminefp after physostigmine*fp at end of studyVT/fp at baselineVT/fp after physostigmine*BPf at baselineBPf after physostigmine*
    Subject no.ThalCBCortStrThalCBCortStrThalCBCortStrThalCBCortStr
    132.6%37.0%36.4%39.2%151.073.954.077.8140.964.749.471.9131.654.534.658.4121.545.330.052.5
    237.0%36.1%36.5%37.5%131.425.251.370.9102.920.038.456.9112.05.831.951.583.50.619.037.5
    335.9%34.7%32.9%28.6%129.940.351.369.0111.533.042.056.9110.520.931.949.692.113.622.637.5
    425.8%25.0%25.9%34.2%180.575.864.993.1140.258.048.174.1161.156.445.573.7120.838.628.754.7
    533.7%37.4%44.3%47.3%125.469.449.468.581.549.634.451.7106.050.030.049.162.130.215.032.3
    636.6%35.4%39.3%111.155.640.965.1111.055.440.067.891.736.221.545.791.636.020.648.4
    Mean33.6%34.3%35.9%37.4%138.256.752.074.1114.746.842.063.2118.837.332.654.795.327.422.643.8
    SD4.17%4.65%6.19%6.87%24.420.47.810.2222.817.05.89.224.420.47.810.222.817.05.89.2
    • ↵* Value at 2–4 h after physostigmine administration, at time of greatest displacement of radioligand by acetylcholine.

    • CB = cerebellum; Cort = mean cortex; Str = striatum; Thal = thalamus.

    • Final blood sample could not be drawn for subject 6.

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Journal of Nuclear Medicine: 54 (1)
Journal of Nuclear Medicine
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January 1, 2013
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Imaging Changes in Synaptic Acetylcholine Availability in Living Human Subjects
Irina Esterlis, Jonas O. Hannestad, Frederic Bois, R. Andrew Sewell, Rachel F. Tyndale, John P. Seibyl, Marina R. Picciotto, Marc Laruelle, Richard E. Carson, Kelly P. Cosgrove
Journal of Nuclear Medicine Jan 2013, 54 (1) 78-82; DOI: 10.2967/jnumed.112.111922

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Imaging Changes in Synaptic Acetylcholine Availability in Living Human Subjects
Irina Esterlis, Jonas O. Hannestad, Frederic Bois, R. Andrew Sewell, Rachel F. Tyndale, John P. Seibyl, Marina R. Picciotto, Marc Laruelle, Richard E. Carson, Kelly P. Cosgrove
Journal of Nuclear Medicine Jan 2013, 54 (1) 78-82; DOI: 10.2967/jnumed.112.111922
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Keywords

  • brain β2*-nAChRs
  • 123I-5-IA SPECT
  • physostigmine
  • extracellular acetylcholine
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