Human
gliomas were imaged in vivo using
ligands for the peripheral-type
benzodiazepine binding site (or omega 3 binding site) and positron emission tomography (PET). Although
gliomas have a high density of the peripheral-type
benzodiazepine binding site, PET scans with a selective
ligand for this site, [11C]
Ro5-4864, failed to demonstrate higher radioactivity levels in human
gliomas than in brain. In vitro studies of surgically removed specimens of human
glioma demonstrated little binding of
Ro5-4864 but high levels of binding of another selective
ligand,
PK 11195. Scans with [11C]
PK 11195 demonstrated increased radioactivity in
glioma compared to brain in 8 of 10 patients. Radioactivity in
tumor and the ratios of radioactivity in
tumor to that in remote gray and in white matter correlated significantly with the specific activity of [11C]
PK 11195, suggesting that accumulation represents saturable high-affinity binding. We conclude that the
PK 11195 manifests greater binding than
Ro5-4864 to the peripheral-type
benzodiazepine binding site on human
gliomas and that human
gliomas can be successfully imaged using [11C]
PK 11195 and PET.