P. Mishra et al., A NOVEL METHOD FOR LABELING HUMAN IMMUNOGLOBULIN-G WITH TC-99(M) SUITABLE FOR INFLAMMATION SCINTIGRAPHY, Nuclear medicine communications, 15(9), 1994, pp. 723-729
An amount of 1.0 mg human immunoglobulin G (hIgG) treated with ascorbi
c acid at a molar ratio of 1:5000 for 16 h at 4-7 degrees C was mixed
with 250 mu g GHA and 5 mu g stannous chloride dihydrate in normal sal
ine. Radiolabelling of hIgG (>98%) was achieved instantly when mixed w
ith Tc-99(m)-pertechnetate. The preparation was sufficiently stable in
serum at 37 degrees C. The competitive binding assay and gel electrop
horesis of the native and reduced hIgG did not show any measurable los
s in immunoreactivity and intactness due to its reduction. There was n
o significant decrease in the radiolabel of labelled hIgG when incubat
ed with diethylenetriaminepentaacetate (DTPA) (50-fold), in contrast w
ith about 9% loss of the radiolabel by treating it with a similar conc
entration of cysteine. Blood clearance of labelled hIgG in rabbits was
biphasic with about 78 min and 8 h as T-1/2 of the fast and slow phas
es. Biodistribution of the radiotracer in mice at 4 h showed its uptak
e by liver (10.2%), kidneys (5.39%), intestines (7.33%) and muscles (3
.9%), which altered to 5.63, 3.20, 4.03 and 6.73%, respectively, at 24
h. The radiotracer was excreted through both renal and hepatobiliary
routes. High accumulation of the radiolabelled hIgG in inflammatory le
sions of the patients confirmed the clinical usefulness of the method
developed.