[123/131I]Iodometomidate as a radioligand for functional diagnosis of adrenal disease: synthesis, structural requirements and biodistribution

Verfasser / Beitragende:
[A. Schirbel, I. Zolle, F. Hammerschmidt, M. L. Berger, D. Schiller, H. Kvaternik, Chr. Reiners]
Ort, Verlag, Jahr:
2004
Enthalten in:
Radiochimica Acta/International journal for chemical aspects of nuclear science and technology, 92/4-6/2004(2004-04-01), 297-303
Format:
Artikel (online)
ID: 378907166
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024 7 0 |a 10.1524/ract.92.4.297.35598  |2 doi 
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245 0 0 |a [123/131I]Iodometomidate as a radioligand for functional diagnosis of adrenal disease: synthesis, structural requirements and biodistribution  |h [Elektronische Daten]  |c [A. Schirbel, I. Zolle, F. Hammerschmidt, M. L. Berger, D. Schiller, H. Kvaternik, Chr. Reiners] 
520 3 |a Metomidate [(R)-1-(1-phenylethyl)-1H-imidazole-5-carboxylic acid methyl ester] (MTO, 1, Fig.1) is a potent and selective inhibitor of the cytochrome P-450 enzyme system in the adrenal cortex. Labelled in the 4-position with radioiodine, (R)-4-[131I]iodometomidate, 2, [131I]IMTO has been evaluated by in-vitro studies and also ex-vivo in rats. [131I]IMTO was synthesized by oxidative radioiododestannylation using a suitable precursor which was prepared by a new stereoselective synthesis. Optimization of the labelling reaction was performed by systematic variation of the most important reaction parameters. Under optimum reaction conditions, a labelling yield of 95% was obtained. In-vitro-stability of the tracer was studied over 8days, indicating slow deiodination (0.27%/h). Displacement studies using [131I]IMTO and rat adrenal membranes revealed the structural requirements for high affinity binding, namely an intact ester group and (R)-configuration of the radioligand. Pharmacokinetic studies in rats showed fast accumulation of [131I]IMTO in the adrenals (approx. 10% ID/g tissue) with an activity plateau for 2hours. Metabolic degradation was indicated by a steady increase of renal activity up to 4hours post injection. Based on target to non-target ratios the highest contrast for imaging of the adrenals was observed between 30 and 60min post injection of [131I]IMTO. We conclude that SPECT using [123I]IMTO will be a promising method for the characterization of adrenal incidentalomas. 
540 |a © 2004 Oldenbourg Wissenschaftsverlag GmbH 
690 7 |a Laboratory techniques, experiments  |2 nationallicence 
690 7 |a Analytical chemistry  |2 nationallicence 
690 7 |a Inorganic chemistry  |2 nationallicence 
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700 1 |a Zolle  |D I.  |4 aut 
700 1 |a Hammerschmidt  |D F.  |4 aut 
700 1 |a Berger  |D M. L.  |4 aut 
700 1 |a Schiller  |D D.  |4 aut 
700 1 |a Kvaternik  |D H.  |4 aut 
700 1 |a Reiners  |D Chr  |4 aut 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Schiller  |D D.  |4 aut 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Reiners  |D Chr  |4 aut 
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