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Scintigraphic detection of regional disruption of adrenergic neurons in the heart

Journal Article · · Am. Heart J.; (United States)

Experiments were designed to detect regional disruptions of adrenergic neurons in the hearts of living dogs. The neuron disruption was achieved by the application of phenol to the epicardium of the left ventricle. Evidence for denervation was the reduction in endogenous norepinephrine (NE) concentrations in the myocardium beneath the region of phenol treatment and toward the apex. Radiolabeled meta-iodobenzylguanidine (MIBG) acts as an analog of NE and as such is concentrated in adrenergic nerve terminals. Following phenol application, MIBG labeled with /sup 125/I was found, 20 hours after injection, to be distributed within myocardium in patterns comparable to those of NE. However, left stellectomy did not alter the distributions of NE or /sup 125/I-MIBG in the myocardium and apparently did not disrupt adrenergic innervation. MIBG labeled with /sup 123/I enabled scintigraphic images of heart neurons in the living dog 3 and 20 hours after injection; these images portrayed the regions of adrenergic neuron disruption caused by phenol treatment. Concentrations of thallium-201 depicted on scintigraphic image and of triphenyltetrazolium observed on in vitro staining demonstrated no myocardial injury. Thus, scintigraphy with /sup 123/I-MIBG will display regional adrenergic denervations in the heart.

Research Organization:
Univ. of Michigan Medical Center, Ann Arbor (USA)
OSTI ID:
7001434
Journal Information:
Am. Heart J.; (United States), Journal Name: Am. Heart J.; (United States) Vol. 116; ISSN AHJOA
Country of Publication:
United States
Language:
English

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