RT Journal Article SR Electronic T1 PET radioligand [11C]MePPEP binds with high specific signal to cannabinoid CB1 receptors in nonhuman primate brain JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 60P OP 60P VO 48 IS supplement 2 A1 Fumihiko Yasuno A1 Amira Brown A1 Sami Zoghbi A1 Joseph Krushinski A1 Eyassu Chernet A1 Johannes Tauscher A1 John Schaus A1 Lee Phebus A1 Amy Chesterfield A1 Christian Felder A1 Robert Gladding A1 Jinsoo Hong A1 Christer Halldin A1 Victor Pike A1 Robert Innis YR 2007 UL http://jnm.snmjournals.org/content/48/supplement_2/60P.3.abstract AB 201 Objectives: The cannabinoid CB1 receptor is one of the most abundant in brain and is the target of therapeutic drug development. [11C]MePPEP is a new PET radioligand, which has high CB1 affinity but also moderately high lipophilicity. We assessed the utility of [11C]MePPEP to image CB1 receptors in monkey brain. Methods: We used six male rhesus monkeys for these studies. PET scans of 120 min were acquired in all studies. Receptor pre-blocking studies were performed in two monkeys using rimonabant (3.0 mg/kg,i.v.) and ISPB (1.0 mg/kg,i.v.), both of which are selective for CB1 and have mixed inverse agonist and antagonist properties. A displacement study was also done for one monkey, in which nonradioactive ISPB (1.5 mg/kg i.v.) was injected 60 min after [11C]MePPEP. We compared the uptake of [11C]MePPEP in three studies with and without the administration of 8 mg/kg i.v P-gp inhibitor DCPQ. Results: Brain activity reached high levels of almost 600% SUV within 10-20 min. The regional uptake was consistent with the distribution of CB1 receptors, with highest radioactivity in cerebellum and striatum and lowest in thalamus and pons. Preblockade or displacement with two CB1 selective agents showed that the majority (> 85%) of brain uptake was specific and reversibly bound to CB1 receptors. Regional brain uptake could be quantified as distribution volume relative to the concentration of parent radiotracer in plasma. Approximately 90 min of scanning provided relatively stable measurements of distribution volume. The P-gp inhibitor DCPQ did not significantly increase brain uptake of [11C]MePPEP, suggesting it is not a substrate for this efflux transporter at the blood-brain barrier. Conclusions: [11C]MePPEP is a radioligand with high brain uptake, high specific signal to CB1 receptors, and adequately fast washout from brain that allows quantification with 11C. These promising results in monkey justify studying this radioligand in human subjects.