PMID- 14534832 OWN - NLM STAT- MEDLINE DCOM- 20041013 LR - 20191210 IS - 1619-7070 (Print) IS - 1619-7070 (Linking) VI - 31 IP - 1 DP - 2004 Jan TI - Characterisation of [123I]iomazenil distribution in a rat model of focal cerebral ischaemia in relation to histopathological findings. PG - 64-70 AB - Iodine-123 labelled iomazenil ([(123)I]IMZ) has been reported to be a useful marker of neuronal viability. The brain distribution of [(123)I]IMZ, however, has not been correlated with the pathophysiological response in detail after an ischaemic insult. To characterise [(123)I]IMZ as a marker of neuronal viability, we compared its brain distribution with cyclooxygenase-2 (COX-2) expression, DNA fragmentation and cellular integrity. [(123)I]IMZ and [(125)I]IMP were injected into rats with focal cerebral ischaemia for the purpose of dual-tracer autoradiography. COX-2 and microtubule-associated protein-2 (MAP-2, a marker of cellular integrity) were immunostained. In situ DNA polymerase-I-dependent dUTP incorporation into damaged DNA was used as an indicator of DNA fragmentation. Lesion to normal ratios (LNRs) for [(123)I]IMP and [(125)I]IMZ were calculated. [(123)I]IMZ accumulation was preserved in several regions with impaired [(123)I]IMP accumulation. COX-2 expression was occasionally observed, whereas neither DNA fragmentation nor MAP-2 denaturation was detected in these regions. DNA fragmentation and impaired MAP-2 immunostaining were observed only in the regions with reduced LNRs for both tracers. The LNR for [(123)I]IMZ was significantly lower in regions with impaired MAP-2 immunostaining (0.120+/-0.152, P<0.0001), in regions positive for dUTP incorporation (0.488+/-0.166, P<0.0001) and in regions positive for COX-2 expression (0.626+/-0.186, P<0.001) than in histologically normal regions (0.784+/-0.213). Thus, neuronal DNA is still intact and cellular integrity is maintained in the ischaemic regions with preserved [(123)I]IMZ accumulation. The impairment of [(123)I]IMZ accumulation precedes DNA fragmentation and denaturation of cellular integrity. These results provide the molecular basis of [(123)I]IMZ distribution. FAU - Kaji, Tomohito AU - Kaji T AD - Department of Nuclear Medicine, Hokkaido University Graduate School of Medicine, Kita-ku, Sapporo, Japan. FAU - Kuge, Yuji AU - Kuge Y FAU - Yokota, Chiaki AU - Yokota C FAU - Tagaya, Masafumi AU - Tagaya M FAU - Inoue, Hiroyasu AU - Inoue H FAU - Shiga, Tohru AU - Shiga T FAU - Minematsu, Kazuo AU - Minematsu K FAU - Tamaki, Nagara AU - Tamaki N LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20031008 PL - Germany TA - Eur J Nucl Med Mol Imaging JT - European journal of nuclear medicine and molecular imaging JID - 101140988 RN - 0 (Iodine Radioisotopes) RN - 0 (Radiopharmaceuticals) RN - 40P7XK9392 (Flumazenil) RN - 7DVX185FLQ (iomazenil) SB - IM MH - Animals MH - Brain Ischemia/*diagnostic imaging/*metabolism/pathology MH - Disease Models, Animal MH - Flumazenil/analogs & derivatives/*pharmacokinetics MH - Iodine Radioisotopes MH - Male MH - Metabolic Clearance Rate MH - Radionuclide Imaging MH - Radiopharmaceuticals/pharmacokinetics MH - Rats MH - Rats, Sprague-Dawley MH - Tissue Distribution EDAT- 2003/10/10 05:00 MHDA- 2004/10/14 09:00 CRDT- 2003/10/10 05:00 PHST- 2003/05/14 00:00 [received] PHST- 2003/07/27 00:00 [accepted] PHST- 2003/10/10 05:00 [pubmed] PHST- 2004/10/14 09:00 [medline] PHST- 2003/10/10 05:00 [entrez] AID - 10.1007/s00259-003-1319-6 [doi] PST - ppublish SO - Eur J Nucl Med Mol Imaging. 2004 Jan;31(1):64-70. doi: 10.1007/s00259-003-1319-6. Epub 2003 Oct 8.