The stability and reactivity of mixed-ligand Tc-99m complexes of the genera
l formula [(TcOLL2)-Tc-99m-L-1], where (LH2)-H-1 is either an N-substituted
bis-(2-mercaptoethyl)amine [SNMeS] or 3-thiapentane-1,5-dithiol [SSS] and
(LH)-H-2 is a monodentate thiol [RS], were investigated. The complexes unde
rgo transchelation reactions with glutathione and other SH-group containing
blood constituents. The reactions are reversible and can be inhibited by a
ddition of diethylmaleate. Challenge experiments were performed with a broa
d set of Tc-99m mixed-ligand complexes to investigate the influence of both
the tridentate ligand and the monodentate ligand on the stability of this
type of complex. The occurrence of ligand exchange reactions with glutathio
ne depends on the donor set of the tridentate ligands as well as the struct
ure of the monodentate ligands. Especially the stability of complexes conta
ining a monodentate ligand with an amine nitrogen in the side chain can be
increased by lengthening the carbon chain between the sulfhydryl group and
the nitrogen. Thus, it might be possible to improve their in vivo performan
ce.