Abstract
Background
We aimed to explore how the severity of myocardial ischemia affects myocardial sigma-1 receptor (Sig-1R) expression using 125I-labeled 2-[4-(2-iodophenyl)piperidino]cyclopentanol (125I-OI5V) imaging.
Methods and results
The left coronary artery was occluded for 30, 20, and 10 minute, to vary the severity of myocardial ischemia, followed by reperfusion. Dual-tracer autoradiography of the left ventricular short-axis slices was performed 3 and 7 days after reperfusion. 125I-OI5V was injected 30 minute before sacrifice and the area at risk (AAR) was evaluated by 99mTc-MIBI. Intense 125I-OI5V uptake was observed in the AAR and was significantly increased with increasing ischemia duration. To evaluate salvaged and nonsalvaged areas (preserved and decreased perfusion areas), triple-tracer autoradiography was performed 3 days after reperfusion. After dual-tracer autoradiography, 201Tl was injected 20 minute post 125I-OI5V injection. On triple-tracer autoradiography, the AAR/normally perfused area 125I-OI5V uptake ratio was positively correlated with the nonsalvaged area/whole left ventricular (LV) area ratio (P < .05). The AAR/normally perfused area 125I-OI5V uptake ratio was negatively correlated with the 201Tl uptake ratio of the AAR to normally perfused areas (P < .05). The comparison of the immunostaining distribution of 125I-OI5V and the macrophage marker CD68 revealed that 125I-OI5V was present mainly in, and immediately adjacent to the macrophage infiltration area.
Conclusions
Significant 125I-OI5V uptake in the AAR depends on the duration of ischemia and reduced 201Tl uptake; furthermore, 125I-OI5V was found in and around the macrophage infiltrate area. These results indicate that iodine-labeled OI5V is a promising tool for visualizing Sig-1R expression according to the ischemic burden.
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Abbreviations
- AAR:
-
Area at risk
- CD68:
-
Cluster of differentiation 68
- DAPI:
-
4′,6-Diamidino-2-phenylindole
- ER:
-
Endoplasmic reticulum
- LCA:
-
Left coronary artery
- LV:
-
Left ventricular
- OI5V:
-
2-[4-(2-Iodophenyl)piperidino]cyclopentanol
- ROI:
-
Region of interest
- Sig-1R:
-
Sigma-1 receptor
- 99mTc-MIBI:
-
99mTc-hexakis 2-methoxyisobutyl isonitrile
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The authors declare that they have no conflict of interest.
Ethical approval
All experiments were approved by the Institute for Animal Studies of Kanazawa University (AP-173846). All applicable Japanese and institutional guidelines for the care and use of animals were followed.
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This work has been supported by the Japan Society for the Promotion of Science (JSPS) KAKENHI Grant Number JP20K08047.
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Wakabayashi, H., Mori, H., Hiromasa, T. et al. 125I-labeled 2-[4-(2-iodophenyl)piperidino]cyclopentanol (125I-OI5V) imaging visualized augmented sigma-1 receptor expression according to the severity of myocardial ischemia. J. Nucl. Cardiol. 30, 653–661 (2023). https://doi.org/10.1007/s12350-022-03064-8
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DOI: https://doi.org/10.1007/s12350-022-03064-8