[11C]quinidine and [11C]laniquidar PET imaging in a chronic rodent epilepsy model: impact of epilepsy and drug-responsiveness

Stina Syvänen, Vera Russmann, Joost Verbeek, Jonas Eriksson, Maaike Labots, Christina Zellinger, Natalie Seeger, Robert Schuit, Marissa Rongen, Rolph van Kooij, Albert D Windhorst, Adriaan A Lammertsma, Elizabeth C de Lange, Rob A Voskuyl, Matthias Koepp, Heidrun Potschka

    Research output: Contribution to journalArticleAcademicpeer-review

    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 languageEnglish
    Pages (from-to)764-75
    Number of pages12
    JournalNuclear Medicine and Biology
    Volume40
    Issue number6
    DOIs
    Publication statusPublished - 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

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