Abstract
INTRODUCTION: To analyse the impact of both epilepsy and pharmacological modulation of P-glycoprotein on brain uptake and kinetics of positron emission tomography (PET) radiotracers [(11)C]quinidine and [(11)C]laniquidar.
METHODS: Metabolism and brain kinetics of both [(11)C]quinidine and [(11)C]laniquidar were assessed in naive rats, electrode-implanted control rats, and rats with spontaneous recurrent seizures. The latter group was further classified according to their response to the antiepileptic drug phenobarbital into "responders" and "non-responders". Additional experiments were performed following pre-treatment with the P-glycoprotein modulator tariquidar.
RESULTS: [(11)C]quinidine was metabolized rapidly, whereas [(11)C]laniquidar was more stable. Brain concentrations of both radiotracers remained at relatively low levels at baseline conditions. Tariquidar pre-treatment resulted in significant increases of [(11)C]quinidine and [(11)C]laniquidar brain concentrations. In the epileptic subgroup "non-responders", brain uptake of [(11)C]quinidine in selected brain regions reached higher levels than in electrode-implanted control rats. However, the relative response to tariquidar did not differ between groups with full blockade of P-glycoprotein by 15 mg/kg of tariquidar. For [(11)C]laniquidar differences between epileptic and control animals were only evident at baseline conditions but not after tariquidar pretreatment.
CONCLUSIONS: We confirmed that both [(11)C]quinidine and [(11)C]laniquidar are P-glycoprotein substrates. At full P-gp blockade, tariquidar pre-treatment only demonstrated slight differences for [(11)C]quinidine between drug-resistant and drug-sensitive animals.
Original language | English |
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Pages (from-to) | 764-75 |
Number of pages | 12 |
Journal | Nuclear Medicine and Biology |
Volume | 40 |
Issue number | 6 |
DOIs | |
Publication status | Published - Aug 2013 |
Keywords
- Animals
- Benzazepines
- Carbon Radioisotopes
- Chronic Disease
- Disease Models, Animal
- Epilepsy
- Female
- Gene Expression Regulation
- Kinetics
- Male
- P-Glycoprotein
- Phenobarbital
- Positron-Emission Tomography
- Quinidine
- Quinolines
- Radiochemistry
- Rats
- Rats, Sprague-Dawley
- Recurrence
- Treatment Outcome