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正电子发射断层显像实现人脑AMPA受体可视化
作者:小柯机器人 发布时间:2020/1/25 10:48:40

近日,日本横滨市立大学Takuya Takahashi及其团队利用正电子发射断层显像在活人脑中实现AMPA受体可视化。这一研究成果2020年1月20日在线发表于国际学术期刊《自然—医学》。

研究人员开发了用于AMPA(α-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid)受体的正电子发射断层扫描(PET)示踪剂。放射性标记11C的4- [2-(苯磺酰基氨基)乙硫基] -2,6-二氟苯氧基乙酰胺衍生物([11C] K-2)显示与AMPA受体特异性结合。根据Logan图形分析,研究人员对健康人类受试者的临床试验证实了[11C] K-2在大脑中的可逆结合(UMIN000020975;研究设计:非随机,单臂;主要结果:脑中[11C] K-2的动力学和分布量);次要结果:给药后4天10天内[11C] K-2的不良事件;该试验符合预定的终点)。在一项包括癫痫患者的探索性临床研究中,研究人员在中颞叶癫痫患者的癫痫病灶中检测到[11C] K-2摄取增加,这与来自同一个体的手术标本中的局部AMPA受体蛋白分布密切相关(UMIN000025090;研究设计:非随机,单臂;主要结果:术前用PET测量的[11C] K-2摄取与术后生化研究检查的AMPA受体蛋白密度之间的相关性;次要结果:7天期间内在PET扫描后的不良事件;该试验符合预定的终点)。因此,[11C] K-2是AMPA受体的有效PET示踪剂,可能为检查AMPA受体在神经精神疾病中的作用提供一种工具。
 
据悉,尽管人们认为谷氨酸AMPA受体的数量和功能异常是神经精神疾病的基础,但目前尚无可用于在人脑中可视化AMPA受体的方法。
 
附:英文原文

Title: Visualization of AMPA receptors in living human brain with positron emission tomography

Author: Tomoyuki Miyazaki, Waki Nakajima, Mai Hatano, Yusuke Shibata, Yoko Kuroki, Tetsu Arisawa, Asami Serizawa, Akane Sano, Sayaka Kogami, Tomomi Yamanoue, Kimito Kimura, Yushi Hirata, Yuuki Takada, Yoshinobu Ishiwata, Masaki Sonoda, Masaki Tokunaga, Chie Seki, Yuji Nagai, Takafumi Minamimoto, Kazunori Kawamura, Ming-Rong Zhang, Naoki Ikegaya, Masaki Iwasaki, Naoto Kunii, Yuichi Kimura, Fumio Yamashita, Masataka Taguri, Hideaki Tani, Nobuhiro Nagai, Teruki Koizumi, Shinichiro Nakajima, Masaru Mimura, Michisuke Yuzaki, Hiroki Kato, Makoto Higuchi, Hiroyuki Uchida, Takuya Takahashi

Issue&Volume: 2020-01-20

Abstract: Although aberrations in the number and function of glutamate AMPA (α-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid) receptors are thought to underlie neuropsychiatric disorders, no methods are currently available for visualizing AMPA receptors in the living human brain. Here we developed a positron emission tomography (PET) tracer for AMPA receptors. A derivative of 4-[2-(phenylsulfonylamino)ethylthio]-2,6-difluoro-phenoxyacetamide radiolabeled with 11C ([11C]K-2) showed specific binding to AMPA receptors. Our clinical trial with healthy human participants confirmed reversible binding of [11C]K-2 in the brain according to Logan graphical analysis (UMIN000020975; study design: non-randomized, single arm; primary outcome: dynamics and distribution volumes of [11C]K-2 in the brain; secondary outcome: adverse events of [11C]K-2 during the 4–10d following dosing; this trial met prespecified endpoints). In an exploratory clinical study including patients with epilepsy, we detected increased [11C]K-2 uptake in the epileptogenic focus of patients with mesial temporal lobe epilepsy, which was closely correlated with the local AMPA receptor protein distribution in surgical specimens from the same individuals (UMIN000025090; study design: non-randomized, single arm; primary outcome: correlation between [11C]K-2 uptake measured with PET before surgery and AMPA receptor protein density examined by biochemical study after surgery; secondary outcome: adverse events during the 7d following PET scan; this trial met prespecified endpoints). Thus, [11C]K-2 is a potent PET tracer for AMPA receptors, potentially providing a tool to examine the involvement of AMPA receptors in neuropsychiatric disorders.

DOI: 10.1038/s41591-019-0723-9

Source: https://www.nature.com/articles/s41591-019-0723-9

期刊信息

Nature Medicine:《自然—医学》,创刊于1995年。隶属于施普林格·自然出版集团,最新IF:30.641
官方网址:https://www.nature.com/nm/
投稿链接:https://mts-nmed.nature.com/cgi-bin/main.plex