Journal of Nuclear Cardiology

, Volume 25, Issue 2, pp 483–491 | Cite as

Sympathetic cardiac function in early sepsis: Noninvasive evaluation with [123I]-meta-iodobenzylguanidine (123I-MIBG) in vivo SPECT imaging

  • Romain Clerc
  • Sophia Doll
  • Laurent M. Riou
  • Pascale Perret
  • Alexis Broisat
  • Audrey Soubies
  • Marie-Dominique Desruet
  • Daniel Fagret
  • Carole Schwebel
  • Catherine Ghezzi
Original Article



Sympathetic system abnormalities have been reported in sepsis-related cardiac dysfunction. The present study aimed at evaluating the potential of the norepinephrine radiolabeled analogue [123I]-meta-iodobenzylguanidine (123I-MIBG) for the noninvasive assessment of modifications in cardiac sympathetic activity occurring in lipopolysaccharide (LPS)-induced experimental acute sepsis by single-photon emission computed tomographic imaging (SPECT).

Methods and Results

Sepsis was induced in male Wistar rats by intraperitoneal injection of 10 mg·kg−1 lipopolysaccharide (n = 16), whereas control animals (n = 7) were injected with vehicle (NaCl 0.9%). Echocardiography in LPS-injected animals (n = 8) demonstrated systolic and diastolic cardiac dysfunction. 123I-MIBG was injected 1 hour after LPS or vehicle administration (n = 8 and 7, respectively), and in vivo SPECT imaging was performed early and late (20 and 180 minutes) after tracer injection prior to animal euthanasia and ex vivo assessment of 123I-MIBG biodistribution. Global and 17-segment SPECT image analysis indicated that early 123I-MIBG activity was not affected by LPS treatment, whereas late cardiac tracer activity was significantly decreased in LPS-treated animals. Consequently, the cardiac washout of 123I-MIBG was significantly higher in LPS-treated (63.3% ± 4.0%) than that in control animals (56.7% ± 5.8%) (P < .05).


Sepsis-induced modifications in cardiac sympathetic nervous system activity were evidenced by noninvasive in vivo 123I-MIBG SPECT imaging.


Basic science MIBG imaging experimental sepsis microSPECT imaging 





Single-photon emission computed tomography




Norepinephrine transporter


Vesicular monoamine transporters




Heart rate


Left ventricular


Analysis of variance


Soluble N-ethylmaleimide-sensitive-factor attachment protein receptor



This work was partly funded by the French program “Investissements d’Avenir” run by the “Agence Nationale pour la Recherche”; Grant “Infrastructure d’avenir en Biologie et Santé – ANR –11-INBS- 0006”.

Author contributions

Data acquisition & analysis: RC, SD, PP, AB, AS; data analysis & interpretation: LMR, MDD, DF, CS, CG; Manuscript drafting: RC, SD, LMR; critical revision: PP, AB, AS, MDD, DF, CS, CG; final approval: all authors.


RC, SD, LMR, PP, AB, AS, MDD, DF, CS, and CG have no conflict of interest to disclose.

Supplementary material

12350_2016_619_MOESM1_ESM.docx (18 kb)
Supplementary material 1 (DOCX 17 kb)
12350_2016_619_MOESM2_ESM.pptx (418 kb)
Supplementary material 2 (PPTX 418 kb)


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Copyright information

© American Society of Nuclear Cardiology 2016

Authors and Affiliations

  • Romain Clerc
    • 1
    • 2
  • Sophia Doll
    • 1
    • 2
  • Laurent M. Riou
    • 1
    • 2
    • 5
  • Pascale Perret
    • 1
    • 2
  • Alexis Broisat
    • 1
    • 2
  • Audrey Soubies
    • 1
    • 2
  • Marie-Dominique Desruet
    • 1
    • 3
  • Daniel Fagret
    • 1
    • 3
  • Carole Schwebel
    • 1
    • 2
    • 4
  • Catherine Ghezzi
    • 1
    • 2
  1. 1.INSERM U1039Radiopharmaceutiques BiocliniquesGrenobleFrance
  2. 2.Université Grenoble AlpesGrenobleFrance
  3. 3.Nuclear Medicine DepartmentGrenoble University HospitalGrenobleFrance
  4. 4.Intensive Care UnitGrenoble University HospitalGrenobleFrance
  5. 5.INSERM U1039Faculté de Médecine de GrenobleLa TroncheFrance

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