SPECT imaging of myocardial infarction using 99mTc-labeled C2A domain of synaptotagmin I in a porcine ischemia-reperfusion model

Wei Fang, Feng Wang, Shundong Ji, Xiaoguang Zhu, Heidi T. Meier, Robert S. Hellman, Kevin M. Brindle, Bazbek Davletov, Ming Zhao*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Introduction: The C2A domain of synaptotagmin I recognizes necrotic and apoptotic cells by binding to exposed anionic phospholipids. The goal is to explore the potential imaging utility of 99mTc-labeled C2A in the detection of acute cardiac cell death in a porcine model that resembles human cardiovascular physiology. Methods: Ischemia (20-25 min) was induced in pigs (M/F, 20-25 kg) using balloon angioplasty. 99mTc-C2A-GST (n=7) or 99mTc-BSA (n=2) was injected intravenously 1-2 h after reperfusion. Noninfarct animals were injected with 99mTc-C2A-GST (n=4). SPECT images were acquired at 3 and 6 h postinjection. Cardiac tissues were analyzed to confirm the presence of cell death. Results: Focal uptake was detected in five out of seven subjects at 3 h and in all infarct subjects at 6 h postinjection but not in infarct animals injected with 99mTc-BSA or in noninfarct animals with 99mTc-C2A-GST. Gamma counting of infarct versus normal myocardium yielded a 10.2±5.7-fold elevation in absolute radioactivity, with histologically confirmed infarction. Conclusions: We present data on imaging myocardial cell death in the acute phase of infarction in pigs. C2A holds promise and warrants further development as an infarct-avid molecular probe.

Original languageEnglish (US)
Pages (from-to)917-923
Number of pages7
JournalNuclear Medicine and Biology
Volume34
Issue number8
DOIs
StatePublished - Nov 2007

Funding

The authors would like to thank Mr. David Peck for technical assistance and Mr. Frank Steffel for administrative support. The editorial help from Ms. Carrie O'Connor is greatly appreciated. The funding support from the National Natural Science Foundation of China (Grant No. 30500134) and the American Heart Association (Grant No. 0435147N) is gratefully acknowledged.

Keywords

  • C2A domain
  • Myocardial infarction
  • SPECT imaging

ASJC Scopus subject areas

  • Molecular Medicine
  • Radiology Nuclear Medicine and imaging
  • Cancer Research

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