PT - JOURNAL ARTICLE AU - T. Lee Collier AU - Yuying Hwang AU - Ravichandran Ramasamy AU - Robert R. Sciacca AU - Kathleen T. Hickey AU - Norman R. Simpson AU - Steven R. Bergmann TI - Synthesis and Initial Evaluation of 17-<sup>11</sup>C-Heptadecanoic Acid for Measurement of Myocardial Fatty Acid Metabolism DP - 2002 Dec 01 TA - Journal of Nuclear Medicine PG - 1707--1714 VI - 43 IP - 12 4099 - http://jnm.snmjournals.org/content/43/12/1707.short 4100 - http://jnm.snmjournals.org/content/43/12/1707.full SO - J Nucl Med2002 Dec 01; 43 AB - Fatty acid oxidation defects are being increasingly identified as causes of abnormal heart function and sudden death in children. Children with medium-chain acyl-coenzyme A (acyl-CoA) dehydrogenase defects can metabolize fatty acids labeled in the carboxylic acid end of the compound. Accordingly, our goal was to label a long-chain fatty acid in the ω-position and evaluate its myocardial kinetics. Methods: Heptadecanoic acid, a 17-carbon fatty acid, was labeled in the C-17 position with 11C by the general process of coupling 11C-methyliodide to t-butyl-15-hexadecanoate. Yield was ∼5%–10% end-of-bombardment. Subsequently, evaluation studies were performed on isolated perfused rat hearts and in intact, anesthetized dogs. The myocardial uptake and efflux of 17-11C-heptadecanoic acid were compared with those of 1-11C-palmitate. Results: With the exception of delayed efflux of tracer reflecting the temporal delay for β-oxidation, the washout of 17-11C-heptadecanoic acid from the heart mirrored that of 1-11C-palmitate in isolated rat hearts and in intact dogs with PET. Conclusion: 17-11C-Heptadecanoic acid may be a useful tracer for the identification of defects in fatty acid metabolism in subjects with medium- and short-chain fatty acid oxidation defects.