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Metaiodobenzylguanidine as an index of the adrenergic nervous system integrity and function

Journal Article · · J. Nucl. Med.; (United States)
OSTI ID:5628200

The radiopharmaceutical, metaiodobenzylguanidine (MIBG) acts as an analog of norepinephrine (NE). Experiments in rats were carried out to determine how closely the movements of (/sup 125/I)MIBG in the heart mimicked those of (/sup 3/H)NE, and if the changes (/sup 125/I) MIBG concentrations would reflect injury to, and function of, adrenergic neurons in the heart. Injury to adrenergic neurons by 6-hydroxydopamine substantially reduced the uptake of (/sup 125/I) MIBG into the left ventricle, but the effect was less than that on uptake of (/sup 3/H)NE uptake and concentration of endogenous NE. Similarly, when desmethylimipramine was given to inhibit the uptake-1 pathway of neurons, the reduction in uptake of (/sup 125/I)MIBG was statistically significant but less than that of (/sup 3/H)NE; part of this difference may be attributable to partial uptake of (/sup 125/I)MIBG into neurons by a diffusion pathway. Substantial fractions of (/sup 125/I)MIBG and (/sup 3/H)NE were displaced from the heart by the sympathomimetic drug, phenylpropanolamine. When adrenergic neurons of the heart were stimulated by feeding of rats, the disappearance rates of (/sup 3/H)NE and (/sup 125/I)MIBG from the heart were significantly increased. Although not a perfect analog of (/sup 3/H)NE, (/sup 125/I)MIBG appears to enter and leave the heart in patterns similar to those of (/sup 3/H)NE. Thus, movements of (/sup 125/I)MIBG give indices of adrenergic neuron injury and function in the heart.

Research Organization:
Univ. of Michigan Medical Center, Ann Arbor
OSTI ID:
5628200
Journal Information:
J. Nucl. Med.; (United States), Journal Name: J. Nucl. Med.; (United States) Vol. 28:10; ISSN JNMEA
Country of Publication:
United States
Language:
English