Abstract | UNLABELLED: METHODS: The transport of flumazenil across the blood-brain barrier and the binding to the benzodiazepine site on the GABA(A) receptors in 5 different brain regions was studied and compared between controls and kainate-treated rats, a model of temporal lobe epilepsy, with and without tariquidar pretreatment. In total, 29 rats underwent 2 consecutive (11)C-flumazenil PET scans, each one lasting 30 min. The tracer was mixed with different amounts of isotopically unmodified flumazenil (4, 20, 100, or 400 μg) to cover a wide range of receptor occupancies during the scan. Before the second scan, the rats were pretreated with a 3 or 15 mg/kg dose of the P-gp inhibitor tariquidar. The second scan was then obtained according to the same protocol as the first scan. RESULTS:
GABA(A) receptor density, B(max), was estimated as 44 ± 2 ng x mL(-1) in the hippocampus and as 33 ± 2 ng x mL(-1) in the cerebellum, with intermediate values in the occipital cortex, parietal cortex, and caudate putamen. B(max) was decreased by 12% in kainate-treated rats, compared with controls. The radiotracer equilibrium dissociation constant, K(D), was similar in both rat groups and all brain regions and was estimated as 5.9 ± 0.9 ng x mL(-1). There was no difference in flumazenil transport across the blood-brain barrier between control and kainate-treated rats, and the effect of tariquidar treatment was similar in both rat groups. Tariquidar treatment also decreased flumazenil transport out of the brain by 73%, increased the volume of distribution in the brain by 24%, and did not influence B(max) or K(D), compared with baseline. CONCLUSION: B(max) was decreased in kainate-treated rats, compared with controls, but no alteration in the blood-brain barrier transport of flumazenil was observed. P-gp inhibition by tariquidar treatment increased brain concentrations of flumazenil in both groups, but B(max) estimates were not influenced, suggesting that (11)C-flumazenil scanning is not confounded by alterations in P-gp function.
|
Authors | Stina Syvänen, Maaike Labots, Yoshihiko Tagawa, Jonas Eriksson, Albert D Windhorst, Adriaan A Lammertsma, Elizabeth C de Lange, Rob A Voskuyl |
Journal | Journal of nuclear medicine : official publication, Society of Nuclear Medicine
(J Nucl Med)
Vol. 53
Issue 12
Pg. 1974-83
(Dec 2012)
ISSN: 1535-5667 [Electronic] United States |
PMID | 23143088
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
|
Chemical References |
- ATP Binding Cassette Transporter, Subfamily B, Member 1
- Carbon Radioisotopes
- Quinolines
- Receptors, GABA-A
- Flumazenil
- tariquidar
- Kainic Acid
|
Topics |
- ATP Binding Cassette Transporter, Subfamily B, Member 1
(antagonists & inhibitors)
- Animals
- Biological Transport
(drug effects)
- Blood-Brain Barrier
(drug effects, metabolism)
- Carbon Radioisotopes
- Epilepsy
(diagnostic imaging, metabolism)
- Flumazenil
(metabolism)
- Kainic Acid
(pharmacology)
- Male
- Positron-Emission Tomography
- Quinolines
(pharmacology)
- Rats
- Rats, Sprague-Dawley
- Receptors, GABA-A
(metabolism)
|