Abstract
Purpose
The β-adrenoceptor (β-AR) plays an important role in heart failure. Recently, the new tracer (S)-[11C]CGP12388 has been developed. It displays excellent properties for investigation of the cardiac β-ARs in vivo with positron emission tomography (PET). Furthermore, the simple production method allows its use in a routine clinical setting. The aim of this study was to investigate whether decreased myocardial β-AR density in patients with idiopathic dilated cardiomyopathy (IDC) can be estimated using (S)-[11C]CGP12388 PET.
Methods
Myocardial β-AR density was investigated in six patients with IDC and six age-matched healthy controls, using (S)-[11C]CGP12388 PET.
Results
β-AR densities of 5.4±1.3 pmol/g (mean ± SD) were observed in patients; these values were significantly lower than those observed in healthy controls (8.4±1.5 pmol/g, p<0.005).
Conclusion
This study indicates that PET with (S)-[11C]CGP12388 is applicable for the measurement of myocardial β-AR density in patients. A highly significant reduction in β-AR density was found in patients with IDC compared with healthy controls.
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References
Port JD, Bristow MR. Altered beta-adrenergic receptor gene regulation and signaling in chronic heart failure. J Mol Cell Cardiol 2001;33:887–905.
Brodde OE. β1- and β2-adrenoceptors in the human heart: properties, function and alterations in chronic heart failure. Pharmacol Rev 1991;43:203–42.
De Jong RM, Rhodes CG, Anthonio RL, Willemsen AT, Blanksma PK, Lammertsma AA, et al. Parametric polar maps of regional myocardial beta-adrenoceptor density. J Nucl Med 1999;40:507–12.
Qing F, Rahman SU, Hayes MJ, Rhodes CG, Ind PW, Jones T, et al. Effect of long-term β2-agonist dosing on human cardiac β-adrenoceptor expression in vivo: comparison with changes in lung and mononuclear leukocyte β-receptors. J Nucl Cardiol 1997;4:532–8.
De Jong RM, Blanksma PK, Van Waarde A, van Veldhuisen DJ. Measurement of myocardial β-adrenoceptor density in clinical studies: a role for positron emission tomography? Eur J Nucl Med Mol Imaging 2002;29:88–97.
Van Waarde A, Elsinga PH, Doze P, Heldoorn M, Jaeggi KA, Vaalburg W. A novel β-adrenoceptor ligand for positron emission tomography: evaluation in experimental animals. Eur J Pharmacol 1998;343:289–96.
Doze P, Elsinga PH, Van Waarde A, Pieterman RM, Pruim J, Vaalburg W, et al. Quantification of beta-adrenoceptor density in the human heart with (S)-[11C]CGP 12388 and a tracer kinetic model. Eur J Nucl Med Mol Imaging 2002;29:295–304.
Elsinga PH, Van Waarde A, Jaeggi KA, Schreiber G, Heldoorn M, Vaalburg W. Synthesis and evaluation of (S)-4-(3-(2′-[11C]isopropylamino)-2- hydroxypropoxy)-2H-benzimidazol-2-one ((S)-[11C]CGP 12388) and (S)-4- (3-((1′-[18F]-fluoroisopropyl)amino)-2-hydroxypropoxy)-2H-benzimidazol-2-one ((S)-[18F]fluoro-CGP 12388) for visualization of β-adrenoceptors with positron emission tomography. J Med Chem 1997;40:3829–35.
Elsinga PH, Doze P, Van Waarde A, Pieterman RM, Blanksma PK, Willemsen AT, et al. Imaging of β-adrenoceptors in the human thorax using (S)-[11C]CGP12388 and positron emission tomography. Eur J Pharmacol 2001;433:173–6.
Delforge J, Syrota A, Mazoyer BM. Experimental design optimisation: theory and application to estimation of receptor model parameters using dynamic positron emission tomography. Phys Med Biol 1989;34:419–35.
Delforge J, Syrota A, Mazoyer BM. Identifiability analysis and parameter identification of an in vivo ligand-receptor model from PET data. IEEE Trans Biomed Eng 1990;37:653–61.
Delforge J, Syrota A, Lancon JP, Nakajima K, Loc’h C, Janier M, et al. Cardiac beta-adrenergic receptor density measured in vivo using PET, CGP 12177, and a new graphical method. J Nucl Med 1991;32:739–48.
Bristow MR, Ginsburg R, Minobe W, Cubicciotti RS, Sageman WS, Lurie K, et al. Decreased catecholamine sensitivity and β-adrenergic-receptor density in failing human hearts. N Engl J Med 1982;307:205–11.
Merlet P, Delforge J, Syrota A, Angevin E, Maziere B, Crouzel C, et al. Positron emission tomography with 11C CGP-12177 to assess β-adrenergic receptor concentration in idiopathic dilated cardiomyopathy. Circulation 1993;87:1169–78.
Brown L, Deighton NM, Bals S, Sohlmann W, Zerkowski HR, Michel MC, et al. Spare receptors for beta-adrenoceptor-mediated positive inotropic effects of catecholamines in the human heart. J Cardiovasc Pharmacol 1992;19:222–32.
Schafers M, Dutka D, Rhodes CG, Lammertsma AA, Hermansen F, Schober O, et al. Myocardial presynaptic and postsynaptic autonomic dysfunction in hypertrophic cardiomyopathy. Circ Res 1998;82:57–62.
Choudhury L, Rosen SD, Lefroy DC, Nihoyannopoulos P, Oakley CM, Camici PG. Myocardial beta adrenoceptor density in primary and secondary left ventricular hypertrophy. Eur Heart J 1996;17:1703–9.
Rosen SD, Boyd H, Rhodes CG, Kaski JC, Camici PG. Myocardial beta adrenoceptor density and plasma catecholamines in syndrome X. Am J Cardiol 1996;78:37–42.
Senior R, Lahiri A. Enhanced detection of myocardial ischemia by stress dobutamine echocardiography utilizing the “biphasic” response of wall thickening during low and high dose dobutamine infusion. J Am Coll Cardiol 1995;26:26–32.
De Jong RM, Cornel JH, Crijns HJGM,van Veldhuisen DJ. Abnormal contractile responses during dobutamine stress echocardiography in patients with idiopathic dilated cardiomyopathy. Eur J Heart Fail 2001;3:429–36.
Bristow MR. Beta-adrenergic receptor blockade in chronic heart failure. Circulation 2000;101:558–69.
Gilbert EM, Sandoval A, Larrabee P, Renlund DG, O’Connell JB, Bristow MR. Lisinopril lowers cardiac adrenergic drive and increases beta-receptor density in the failing human heart. Circulation 1993;88:472–80.
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de Jong, R.M., Willemsen, A.T.M., Slart, R.H.J.A. et al. Myocardial β-adrenoceptor downregulation in idiopathic dilated cardiomyopathy measured in vivo with PET using the new radioligand (S)-[11C]CGP12388. Eur J Nucl Med Mol Imaging 32, 443–447 (2005). https://doi.org/10.1007/s00259-004-1701-z
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DOI: https://doi.org/10.1007/s00259-004-1701-z