Z-(R)-1-Azabicyclo[2.2.2]oct-3-yl (R)-alpha-hydroxy-alpha-(1-iodo-1-propen-3-yl)-alpha-phenylacetate (Z-
IQNP) has high affinity to the M(1 )and M(2)
muscarinic acetylcholine receptor (mAChR) subtypes according to previous in vitro and in vivo studies in rats. In the present study
iodine-123 labelled Z-
IQNP was prepared for in vivo single-photon emission tomography (SPET) studies in cynomolgus monkeys. SPET studies with Z-[(123)I]
IQNP demonstrated high accumulation in monkey brain (>5% of injected dose at 70 min p.i.) and marked accumulation in brain regions such as the thalamus, the neocortex, the striatum and the cerebellum. Pretreatment with the non-selective mAChR antagonist
scopolamine (0.2 mg/kg) inhibited Z-[(123)I]
IQNP binding in all these regions. The percentage of unchanged Z-[(123)I]
IQNP measured in plasma was less than 10%
at 10 min after injection, which may be due to rapid hydrolysis, as has been demonstrated previously with the E-isomer of
IQNP. Z-[(123)I]
IQNP showed higher uptake in M(2)-rich regions, compared with previously obtained results with E-[(123)I]
IQNP. In conclusion, the radioactivity distribution from Z-[(123)I]
IQNP in monkey brain indicates that Z-[(123)I]
IQNP binds to the M(1)- and M(2)-rich areas and provides a high signal for specific binding, and is thus a potential
ligand for mAChR imaging with SPET.