Synthesis and bioevaluation of [(18)F]4-fluoro-m-hydroxyphenethylguanidine ([(18)F]4F-MHPG): a novel radiotracer for quantitative PET studies of cardiac sympathetic innervation.

Bioorg Med Chem Lett

Division of Nuclear Medicine, Department of Radiology, 2276 Medical Science I Building, 1301 Catherine Street, University of Michigan Medical School, Ann Arbor, MI 48109, United States.

Published: March 2013

AI Article Synopsis

  • A new cardiac imaging agent, [(18)F]4F-MHPG, was developed to assess sympathetic nerve activity in the heart.
  • Initial studies on rats showed that the uptake and retention of this agent in nerve cells were promising, similar to an earlier carbon-11 version.
  • PET imaging in nonhuman primates demonstrated excellent image quality and suggest that [(18)F]4F-MHPG could improve the quantification of cardiac sympathetic nerve density compared to current methods.

Article Abstract

A new cardiac sympathetic nerve imaging agent, [(18)F]4-fluoro-m-hydroxyphenethylguanidine ([(18)F]4F-MHPG), was synthesized and evaluated. The radiosynthetic intermediate [(18)F]4-fluoro-m-tyramine ([(18)F]4F-MTA) was prepared and then sequentially reacted with cyanogen bromide and NH4Br/NH4OH to afford [(18)F]4F-MHPG. Initial bioevaluations of [(18)F]4F-MHPG (biodistribution studies in rats and kinetic studies in the isolated rat heart) were similar to results previously reported for the carbon-11 labeled analog [(11)C]4F-MHPG. The neuronal uptake rate of [(18)F]4F-MHPG into the isolated rat heart was 0.68ml/min/g wet and its retention time in sympathetic neurons was very long (T1/2 >13h). A PET imaging study in a nonhuman primate with [(18)F]4F-MHPG provided high quality images of the heart, with heart-to-blood ratios at 80-90min after injection of 5-to-1. These initial kinetic and imaging studies of [(18)F]4F-MHPG suggest that this radiotracer may allow for more accurate quantification of regional cardiac sympathetic nerve density than is currently possible with existing neuronal imaging agents.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3594138PMC
http://dx.doi.org/10.1016/j.bmcl.2013.01.106DOI Listing

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