人体血浆中[18F]FTHA 的新改进放射性代谢物分析方法:餐后和空腹状态下的重复测试研究。

IF 3.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Richard Aarnio, Anna Kirjavainen, Johan Rajander, Sarita Forsback, Kari Kalliokoski, Pirjo Nuutila, Zvonko Milicevic, Tamer Coskun, Axel Haupt, Iina Laitinen, Merja Haaparanta-Solin
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引用次数: 0

摘要

背景:脂肪酸摄取可通过 PET 和 14-(R,S)-[18F]氟-6-硫杂十七酸([18F]FTHA)来测量。然而,[18F]FTHA 的代谢速度相对较快,这严重影响了组织摄取的动力学建模。因此,需要精确的色谱法来分析未代谢的[18F]FTHA(母体部分)。在此,我们介绍了一种新的放射性代谢物分析(RMA)方法,并与之前的母体部分分析方法进行了比较,还介绍了该方法在空腹和餐后条件下的测试-复测临床研究中的应用。通过测试固定相和洗脱剂组合,我们开发了一种新的薄层色谱(TLC)RMA方法,用于分析血浆中的[18F]FTHA母体馏分及其放射性代谢物。接下来,我们分析了参与临床研究的受试者的[18F]FTHA、其放射性代谢物和血浆放射性。共对 17 名肥胖或超重的参与者进行了两次空腹和两次餐后注射[18F]FTHA,并在注射后 14 分钟(第一个样本的平均值)至 72 分钟(最后一个样本的平均值)之间采集血浆样本。使用这两种方法分析了 70 份血浆样本的等分量,以便进行正面比较。我们对母体馏分和血浆放射性进行了重复测试和分组比较:结果:新的 TLC 方法分离出 7 个 [18F]FTHA 放射性代谢物峰,而之前的方法分离出 3 个。新方法至少发现了一种以前无法从[18F]FTHA 中分离出来的放射性代谢物。在血浆样本中,与以前的方法相比,新方法的平均母体馏分值平均低 7.2 个百分点。对同一受试者重复进行的[18F]FTHA 检测显示,血浆 SUV 和母体馏分具有可重复性,但空腹和餐后状态下的动力学有所不同:新开发的改进型[18F]FTHA RMA 放射性-TLC 方法能够进行准确的母体分数校正,而这正是获得[18F]FTHA PET 数据建模所需的定量数据。我们在空腹和餐后条件下进行的重复测试研究显示了良好的可重复性,并揭示了不同研究环境下[18F]FTHA代谢率的明显差异:试验登记:EudraCT 编号:2020-005211-48,2021 年 2 月 4 日;临床试验登记 NCT05132335,2021 年 10 月 29 日,网址:https://classic.Clinicaltrials: gov/ct2/show/NCT05132335 。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
New improved radiometabolite analysis method for [18F]FTHA from human plasma: a test-retest study with postprandial and fasting state.

Background: Fatty acid uptake can be measured using PET and 14-(R,S)-[18F]fluoro-6-thia-heptadecanoic acid ([18F]FTHA). However, the relatively rapid rate of [18F]FTHA metabolism significantly affects kinetic modeling of tissue uptake. Thus, there is a need for accurate chromatographic methods to analyze the unmetabolized [18F]FTHA (parent fraction). Here we present a new radiometabolite analysis (RMA) method, with comparison to a previous method for parent fraction analysis, and its use in a test-retest clinical study under fasting and postprandial conditions. We developed a new thin-layer chromatography (TLC) RMA method for analysis of [18F]FTHA parent fraction and its radiometabolites from plasma, by testing stationary phases and eluent combinations. Next, we analyzed [18F]FTHA, its radiometabolites, and plasma radioactivity from subjects participating in a clinical study. A total of 17 obese or overweight participants were dosed with [18F]FTHA twice under fasting, and twice under postprandial conditions and plasma samples were obtained between 14 min (mean of first sample) and 72 min (mean of last sample) post-injection. Aliquots of 70 plasma samples were analyzed using both methods, enabling head-to-head comparisons. We performed test-retest and group comparisons of the parent fraction and plasma radioactivity.

Results: The new TLC method separated seven [18F]FTHA radiometabolite peaks, while the previous method separated three. The new method revealed at least one radiometabolite that was not previously separable from [18F]FTHA. From the plasma samples, the mean parent fraction value was on average 7.2 percentage points lower with the new method, compared to the previous method. Repeated [18F]FTHA investigations on the same subject revealed reproducible plasma SUV and parent fractions, with different kinetics between the fasted and postprandial conditions.

Conclusions: The newly developed improved radio-TLC method for [18F]FTHA RMA enables accurate parent fraction correction, which is required to obtain quantitative data for modelling [18F]FTHA PET data. Our test-retest study of fasted and postprandial conditions showed robust reproducibility, and revealed clear differences in the [18F]FTHA metabolic rate under different study settings.

Trial registration: EudraCT No: 2020-005211-48, 04Feb2021; and Clinical Trials registry NCT05132335, 29Oct2021, URL: https://classic.

Clinicaltrials: gov/ct2/show/NCT05132335 .

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来源期刊
EJNMMI Research
EJNMMI Research RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING&nb-
CiteScore
5.90
自引率
3.10%
发文量
72
审稿时长
13 weeks
期刊介绍: EJNMMI Research publishes new basic, translational and clinical research in the field of nuclear medicine and molecular imaging. Regular features include original research articles, rapid communication of preliminary data on innovative research, interesting case reports, editorials, and letters to the editor. Educational articles on basic sciences, fundamental aspects and controversy related to pre-clinical and clinical research or ethical aspects of research are also welcome. Timely reviews provide updates on current applications, issues in imaging research and translational aspects of nuclear medicine and molecular imaging technologies. The main emphasis is placed on the development of targeted imaging with radiopharmaceuticals within the broader context of molecular probes to enhance understanding and characterisation of the complex biological processes underlying disease and to develop, test and guide new treatment modalities, including radionuclide therapy.
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