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NOREPINEPHRINE TRANSPORTER OCCUPANCY BY ANTIDEPRESSANT IN HUMAN BRAIN MEASURED USING POSITRON EMISSION TOMOGRAPHY WITH (S,S)-[18F]FMENER-D2

https://repo.qst.go.jp/records/63838
https://repo.qst.go.jp/records/63838
396bf7c3-8da5-4dbb-95ad-cff0a37763ab
Item type 会議発表用資料 / Presentation(1)
公開日 2010-03-15
タイトル
タイトル NOREPINEPHRINE TRANSPORTER OCCUPANCY BY ANTIDEPRESSANT IN HUMAN BRAIN MEASURED USING POSITRON EMISSION TOMOGRAPHY WITH (S,S)-[18F]FMENER-D2
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_c94f
資源タイプ conference object
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Sekine, Mizuho

× Sekine, Mizuho

WEKO 629765

Sekine, Mizuho

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Ito, Hiroshi

× Ito, Hiroshi

WEKO 629766

Ito, Hiroshi

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Arakawa, Ryosuke

× Arakawa, Ryosuke

WEKO 629767

Arakawa, Ryosuke

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Okumura, Masaki

× Okumura, Masaki

WEKO 629768

Okumura, Masaki

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Sasaki, Takeshi

× Sasaki, Takeshi

WEKO 629769

Sasaki, Takeshi

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Takahashi, Hidehiko

× Takahashi, Hidehiko

WEKO 629770

Takahashi, Hidehiko

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Takano, Harumasa

× Takano, Harumasa

WEKO 629771

Takano, Harumasa

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Okubo, Yoshiro

× Okubo, Yoshiro

WEKO 629772

Okubo, Yoshiro

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Suhara, Tetsuya

× Suhara, Tetsuya

WEKO 629773

Suhara, Tetsuya

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関根 瑞保

× 関根 瑞保

WEKO 629774

en 関根 瑞保

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伊藤 浩

× 伊藤 浩

WEKO 629775

en 伊藤 浩

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荒川 亮介

× 荒川 亮介

WEKO 629776

en 荒川 亮介

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奥村 正紀

× 奥村 正紀

WEKO 629777

en 奥村 正紀

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佐々木 健至

× 佐々木 健至

WEKO 629778

en 佐々木 健至

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高橋 英彦

× 高橋 英彦

WEKO 629779

en 高橋 英彦

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高野 晴成

× 高野 晴成

WEKO 629780

en 高野 晴成

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大久保 善朗

× 大久保 善朗

WEKO 629781

en 大久保 善朗

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須原 哲也

× 須原 哲也

WEKO 629782

en 須原 哲也

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抄録
内容記述タイプ Abstract
内容記述 Objectives: Norepinephrine transporter (NET) is one of the main targets of antidepressants. Although serotonin transporter occupancy was reported to be over 80% at clinical doses of serotonin reuptake inhibitors (SSRIs) during the treatment of depression [1], NET occupancy by antidepressants in human brain has not been reported because of a lack of suitable radioligands for NET. (S,S)-[18F]FMeNER-D2 was recently developed as a radioligand for the measurement of NET binding with positron emission tomography (PET) [2,3]. In this study, we investigated the degree of NET occupancy by different doses of an antidepressant, nortriptyline, using PET and (S,S)-[18F]FMeNER-D2.
Methods: Six healthy males (age 22 - 39 yrs; mean +- SD, 30.5 +- 6.3 yrs) participated in this study. PET scans with (S,S)-[18F]FMeNER-D2 were performed before and after oral administration of a single dose of nortriptyline on separate days. The nortriptyline doses were 10 mg, 25 mg, and 75 mg in two subjects each. After a bolus i.v. injection of 188.9 +- 4.2 MBq of (S,S)-[18F]FMeNER-D2, scanning was performed for 0 - 90 min (1 min*10, 2 min*15, 5 min*10), followed by scanning for 120 - 180 min (10 min*6). Regions of interests were drawn on the thalamus and caudate in each PET image. The thalamus was used as target region, and the caudate as reference region. Areas under the curve (AUCs) of radioactivity in the target and reference regions were calculated for 120 - 180 min. The ratio of the thalamus-to-caudate AUCs minus 1 was used as the binding potential (BPND) for NET. NET occupancy was defined as the percentage reduction of BPND. Venous blood samples were obtained to measure the concentrations of nortriptyline just before injection of the tracer and at 180 min after. This study was approved by the Ethics and Radiation Safety Committee of the National Institute of Radiological Sciences, Chiba, Japan. After complete description of this study, written informed consent was obtained from all subjects.
Results: The mean NET occupancies by nortriptyline doses were 16.4 % at 10 mg, 33.2 % at 25 mg, and 41.1% at 75 mg, respectively. The mean plasma concentration of nortriptyline was 0 ng/ml at 10 mg, 23.7 ng/ml at 25 mg, and 50.5 ng/ml at 75 mg. Estimated ED50 (50% effective dose) was 76.8 mg of administration dose and 59.8 ng/ml of plasma concentration.
Conclusions: NET occupancy by nortriptyline corresponding to the administration dose and plasma concentration was observed. To determine the optimal administration dose of nortriptyline for patients with depression, the relation between therapeutic effects and NET occupancy needs to be investigated in further studies.
References:
[1] Meyer JH et al. Am J Psychiatry 2004; 161: 826-35.
[2] Takano A et al. Eur J Nucl Med Mol Imaging 2008; 35: 153-7.
[3] Arakawa R et al. J Nucl Med 2008; 49: 1270-6.
会議概要(会議名, 開催地, 会期, 主催者等)
内容記述タイプ Other
内容記述 Brain '09 & Brain PET '09
発表年月日
日付 2009-07-03
日付タイプ Issued
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