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Synthesis and evaluation of N/sub 2/S/sub 2/ complexes of Tc-99m as renal function agents

Conference · · J. Nucl. Med.; (United States)
OSTI ID:6859305
Complexes of Technetium-99m based on derivatives of the diamide disulfur ligand, N,N'-bis(mercaptoacetyl)ethylenediamine (DADS) have shown promise in clinical studies as a Tc-99m replacement for I-131 hippuran for renal function studies. However, problems of specificity, rate of renal excretion, and differences in behavior based on stereochemistry have caused them to be biologically inferior to hippuran. New ligands have been synthesized with the objectives of overcoming these disadvantages. In many cases stereoisomers resulted which were separated by HPLC and individually studied in animals. The parent Tc-99m DADS and amide carbonyl positional isomers including oxalyl and asymmetric showed that excretion rates and specificity were sensitive to these changes. Insertion of a hydroxymethylene group in the center ring gave chelate ring steroisomers, but both were rapidly excreted with high specificity. Methyl group addition to the center ring gave isomers that showed increased renal retention; 29% and 12% were found in the kidneys of mice at 10 min for the two products. Carboxylate group addition gave isomeric products with differences between isomers greater for center ring compared to side ring substitution. Extension of the carboxylate group to acetate as well as amide and glycine conjugation reduced isomer differences, but increased hepatobiliary excretion. Based on studies in mice and other species, several ligands appear promising and testing in humans is underway.
Research Organization:
Univ. of Utah, Salt Lake City, UT
OSTI ID:
6859305
Report Number(s):
CONF-840619-
Conference Information:
Journal Name: J. Nucl. Med.; (United States) Journal Volume: 25:5
Country of Publication:
United States
Language:
English

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