Df. Wong et al., IN-VIVO IMAGING OF BABOON AND HUMAN DOPAMINE TRANSPORTERS BY POSITRONEMISSION TOMOGRAPHY USING [C-11] WIN-35,428, Synapse, 15(2), 1993, pp. 130-142
[C-11]WIN 35,428 was evaluated as a specific in vivo radioligand for t
he dopamine transporter site by PET scanning in nonhuman primates and
humans. In studies with a baboon (Papio anubis), [C-11]WIN 35,428 accu
mulated in brain regions containing dopamine transporters, i.e., the s
triata. This accumulation was partially blocked by prior administratio
n of (-)cocaine (4 mg/kg, i.v.). Placement of a unilateral lesion of d
opamine-containing nerve terminals with MPTP resulted in a unilateral
reduction in [C-11]WIN 35,428 accumulation in the striatum on the side
of the lesion. Imaging of D2 dopamine receptors with [C-11]NMSP in th
e same MPTP-treated animals showed much less reduction in the postsyna
ptic D2 dopamine receptors as compared to the much larger reduction in
the dopamine transporters labeled with [C-11]WIN 35,428. A total of t
en normal human volunteers (five males and five females) with ages ran
ging from 19 to 81 years were studied. The caudate/cerebellar and puta
men/cerebellar ratios ranged from 4.4 to 5.7 90 min after injection of
the tracer. Preliminary kinetic modeling with arterial plasma samplin
g resulted in an average binding potential (k3/k4) of 4.98 in the caud
ate nucleus and 5.13 in putamen. To demonstrate in vivo blockade with
dopamine reuptake inhibitors, two subjects received prior oral doses o
f 6 mg mazindol. Subject 5 had significant reductions of 29% in the ca
udate/cerebellar ratio at 90 min, 35% in the putamen/cerebellar ratio
at 90 min, 45% in the caudate k3/k4 ratio from 6.7 to 3.7, and 46% in
the putamen k3/k4 from 4.7 to 2.5. Subject 8 had significant reduction
s of 20% in both the caudate/cerebellar ratio and the putamen/cerebell
ar ratio at 90 min. During the human PET studies, a number of neuropsy
chological tests and physiological measurements were performed. No sig
nificant changes were found after administration of the [C-11]WIN 35,4
28 alone. Taken together, these data indicate that [C-11]WIN 35,428 is
a promising radioligand for future studies of neuropsychiatric disord
ers that involve the dopamine transporter site. (C) 1993 Wiley-Liss, I
nc.