1. First‑in‑human in vivo imaging and quantifcation of monoacylglycerol lipase in the brain: a PET study with 18F‑T‑401
- Author
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Keisuke, Takahata, Chie, Seki, Yasuyuki, Kimura, Manabu, Kubota, Masanori, Ichise, Yasunori, Sano, Yamamoto, Yasuharu, Kenji, Tagai, Hitoshi, Shimada, Soichiro, Kitamura, Kiwamu, Matsuoka, Hironobu, Endo, Hitoshi, Shinoto, Kazunori, Kawamura, Zhang, Ming-Rong, Yuhei, Takado, Makoto, Higuchi, Keisuke, Takahata, Chie, Seki, Yasuyuki, Kimura, Manabu, Kubota, Masanori, Ichise, Yasunori, Sano, Yamamoto, Yasuharu, Kenji, Tagai, Hitoshi, Shimada, Soichiro, Kitamura, Kiwamu, Matsuoka, Hironobu, Endo, Hitoshi, Shinoto, Kazunori, Kawamura, Zhang, Ming-Rong, Yuhei, Takado, and Makoto, Higuchi
- Abstract
Purpose Monoacylglycerol lipase (MAGL) regulates cannabinoid neurotransmission and the pro-infammatory arachidonic acid pathway by degrading endocannabinoids. MAGL inhibitors may accordingly act as cannabinoid-potentiating and antiinfammatory agents. Although MAGL dysfunction has been implicated in neuropsychiatric disorders, it has never been visualized in vivo in human brain. The primary objective of the current study was to visualize MAGL in the human brain using the novel PET ligand 18F-T-401. Methods Seven healthy males underwent 120-min dynamic 18F-T-401-PET scans with arterial blood sampling. Six subjects also underwent a second PET scan with 18F-T-401 within 2 weeks of the frst scan. For quantifcation of MAGL in the human brain, kinetic analyses using one- and two-tissue compartment models (1TCM and 2TCM, respectively), along with multilinear analysis (MA1) and Logan graphical analysis, were performed. Time-stability and test–retest reproducibility of 18F-T-401-PET were also evaluated. Results 18F-T-401 showed rapid uptake and gradual washout from the brain. Logan graphical analysis showed linearity in all subjects, indicating reversible radioligand kinetics. Using a metabolite-corrected arterial input function, MA1 estimated regional total distribution volume (VT) values by best identifability. VT values were highest in the cerebral cortex, moderate in the thalamus and putamen, and lowest in white matter and the brainstem, which was in agreement with regional MAGL expression in the human brain. Time-stability analysis showed that MA1 estimated VT values with a minimal bias even using truncated 60-min scan data. Test–retest reliability was also excellent with the use of MA1. Conclusions Here, we provide the frst demonstration of in vivo visualization of MAGL in the human brain. 18F-T-401 showed excellent test–retest reliability, reversible kinetics, and stable estimation of VT values consistent with known regional MAGL expressions. PET with 18F-T-401-PET is
- Published
- 2022