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Research ArticleBasic Science Investigations

64Cu-CTS: A Promising Radiopharmaceutical for the Identification of Low-Grade Cardiac Hypoxia by PET

Rodolfo A. Medina, Erika Mariotti, Davor Pavlovic, Karen P. Shaw, Thomas R. Eykyn, Philip J. Blower and Richard Southworth
Journal of Nuclear Medicine June 2015, 56 (6) 921-926; DOI: https://doi.org/10.2967/jnumed.114.148353
Rodolfo A. Medina
1Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom; and
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Erika Mariotti
1Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom; and
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Davor Pavlovic
2Centre for Cardiovascular Sciences, School of Clinical and Experimental Medicine, University of Birmingham, Birmingham, United Kingdom
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Karen P. Shaw
1Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom; and
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Thomas R. Eykyn
1Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom; and
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Philip J. Blower
1Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom; and
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Richard Southworth
1Division of Imaging Sciences and Biomedical Engineering, King’s College London, London, United Kingdom; and
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  • FIGURE 1.
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    FIGURE 1.

    General structure of bis(thiosemicarbazones). 64Cu-ATS: R1 = R2 = CH3, R3 = R4 = H; 64Cu-ATSM = R1 = R2 = R3 = CH3, R4 = H; 64Cu-CTS = R1 = C2H5, R2 = CH3, R3 = R4 = H; 64Cu-ATSE: R1 = R2 = R3 = R4 = CH3.

  • FIGURE 2.
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    FIGURE 2.

    Relationship between hypoxic buffer perfusion and 64Cu radiotracer uptake. Data (mean n = 6 ± SD) represent cardiac 64Cu retention from 64Cu-CTS, 64Cu-ATS, 64Cu-ATSE, and 64Cu-ATSM as %ID 10 min after injection after 5 min of hypoxia (A) and after 25 min of hypoxia (B). *Significantly different from prehypoxic control values (P < 0.05).

  • FIGURE 3.
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    FIGURE 3.

    Relationship between hypoxic buffer perfusion and cardiac contractility and hemodynamics. Data (mean n = 6 ± SD) represent changes in left ventricular developed pressure, left ventricular end-diastolic pressure, and perfusion pressure (PP) after 5 min of hypoxia (A) and after 25 min of hypoxia (B). *Significantly different from prehypoxic values (P < 0.05).

  • FIGURE 4.
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    FIGURE 4.

    (A) Representative 31P nuclear MR spectra showing changes in cardiac energetics during perfusion with 0% O2 buffer. (B and C) Relationship between hypoxic buffer perfusion and cardiac energetics. Data mean (n = 6 ± SD) represents changes in phosphocreatine (PCr), ATP, inorganic phosphate (Pi), and sugar phosphates after 5 min and 25 min of hypoxia. *Significantly different from prehypoxic values (P < 0.05).

  • FIGURE 5.
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    FIGURE 5.

    (A) Relationship between hypoxic buffer perfusion and lactate washout after 5 min and 25 min of hypoxia. (B) HIF-1α expression at end of each perfusion protocol. Data are mean values (n = 6) ± SD. *Significantly different from prehypoxic values (P < 0.05).

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Journal of Nuclear Medicine: 56 (6)
Journal of Nuclear Medicine
Vol. 56, Issue 6
June 1, 2015
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64Cu-CTS: A Promising Radiopharmaceutical for the Identification of Low-Grade Cardiac Hypoxia by PET
Rodolfo A. Medina, Erika Mariotti, Davor Pavlovic, Karen P. Shaw, Thomas R. Eykyn, Philip J. Blower, Richard Southworth
Journal of Nuclear Medicine Jun 2015, 56 (6) 921-926; DOI: 10.2967/jnumed.114.148353

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64Cu-CTS: A Promising Radiopharmaceutical for the Identification of Low-Grade Cardiac Hypoxia by PET
Rodolfo A. Medina, Erika Mariotti, Davor Pavlovic, Karen P. Shaw, Thomas R. Eykyn, Philip J. Blower, Richard Southworth
Journal of Nuclear Medicine Jun 2015, 56 (6) 921-926; DOI: 10.2967/jnumed.114.148353
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Keywords

  • cardiac hypoxia
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