PMID- 12221059 OWN - NLM STAT- MEDLINE DCOM- 20020923 LR - 20190623 IS - 1524-4539 (Electronic) IS - 0009-7322 (Linking) VI - 106 IP - 11 DP - 2002 Sep 10 TI - Detection of experimental autoimmune myocarditis in rats by 111In monoclonal antibody specific for tenascin-C. PG - 1397-402 AB - BACKGROUND: Although the identification of inflammatory infiltrates in endomyocardial biopsy specimens is necessary for the definite diagnosis of myocarditis, the biopsy test is invasive and is not sensitive. Therefore, a new diagnostic technique for the early and noninvasive evaluation of myocarditis has been awaited. Expression of tenascin-C (TNC), one of the oligometric extracellular glycoproteins, is induced in various pathological states, including inflammation, suggesting that TNC can be a molecular marker of myocarditis. METHODS AND RESULTS: An 111In anti-TNC monoclonal antibody Fab' fragment was injected intravenously into rats with experimental autoimmune myocarditis (EAM), and the biodistribution of this radiotracer was measured. Rapid clearance of radioactivity from the blood was observed in both EAM and control rats (<1% at 6 hours after injection). Myocardial uptake of the tracer was much higher in EAM rats than in control rats (7.54-, 4.39-, and 3.51-fold at 6, 24, and 48 hours after injection, respectively). By autoradiography, high radioactivities were clearly observed in the regions indicative of inflammation in EAM rats. Single-photon emission CT imaging demonstrated the focal myocardial uptake of 111In anti-TNC Fab' in vivo. CONCLUSIONS: Radiolabeled anti-TNC Fab' may be useful for the noninvasive diagnosis of myocarditis. FAU - Sato, Mikio AU - Sato M AD - Department of Cardiovascular Science and Medicine, Graduate School of Medicine, Chiba University, Chiba-shi, Chiba, Japan. FAU - Toyozaki, Tetsuya AU - Toyozaki T FAU - Odaka, Kenichi AU - Odaka K FAU - Uehara, Tomoya AU - Uehara T FAU - Arano, Yasushi AU - Arano Y FAU - Hasegawa, Hiroshi AU - Hasegawa H FAU - Yoshida, Katsuya AU - Yoshida K FAU - Imanaka-Yoshida, Kyoko AU - Imanaka-Yoshida K FAU - Yoshida, Toshimichi AU - Yoshida T FAU - Hiroe, Michiaki AU - Hiroe M FAU - Tadokoro, Hiroyuki AU - Tadokoro H FAU - Irie, Toshiaki AU - Irie T FAU - Tanada, Shuji AU - Tanada S FAU - Komuro, Issei AU - Komuro I LA - eng PT - Journal Article PL - United States TA - Circulation JT - Circulation JID - 0147763 RN - 0 (Antibodies, Monoclonal) RN - 0 (Biomarkers) RN - 0 (Immunoglobulin Fab Fragments) RN - 0 (Indium Radioisotopes) RN - 0 (Tenascin) SB - IM MH - Animals MH - Antibodies, Monoclonal/immunology/*pharmacokinetics MH - Autoimmune Diseases/diagnostic imaging/*metabolism/pathology MH - Autoradiography MH - Biomarkers/analysis MH - Female MH - Immunoglobulin Fab Fragments/metabolism MH - Indium Radioisotopes MH - Myocarditis/diagnostic imaging/*immunology/*metabolism/pathology MH - Myocardium/metabolism MH - Rats MH - Rats, Inbred Lew MH - Tenascin/*immunology/metabolism MH - Tomography, Emission-Computed, Single-Photon EDAT- 2002/09/11 10:00 MHDA- 2002/09/24 06:00 CRDT- 2002/09/11 10:00 PHST- 2002/09/11 10:00 [pubmed] PHST- 2002/09/24 06:00 [medline] PHST- 2002/09/11 10:00 [entrez] AID - 10.1161/01.cir.0000027823.07104.86 [doi] PST - ppublish SO - Circulation. 2002 Sep 10;106(11):1397-402. doi: 10.1161/01.cir.0000027823.07104.86.