Abstract

N-(2-(4-(2-Methoxy-phenyl)-1-piperazin-1-yl)ethyl)- N-(2-pyridyl)cyclohexanecarboxamide (WAY-100635), labelled in the O- methyl group with carbon-11 ( t 1 2 = 20.4 min ), is a promising radioligand for application with positron emission tomography (PET) to the study of 5-HT 1A receptors in living human brain. An understanding of the metabolism of this new radioligand is crucial to the development of a biomathematical model for the interpretation of the kinetics of radioactivity uptake in brain in terms of receptor-binding parameters. After intravenous injection of [O- methyl- 11C] WAY-100635 into humans, radioactivity was found to clear rapidly from blood and plasma. By using established methods for the analysis of radioactivity in plasma, it was found that intravenously injected [O- methyl- 11C]WAY-100635 is rapidly metabolised to more polar radioactive compounds in a cynomolgus monkey and in humans. Thus, at 60 min postinjection, parent radioligand represented 40% and 5% of the radioactivity in monkey and human plasma, respectively. In monkey and human, one of the radioactive metabolites was identified as the descyclohexanecarbonyl analogue of the parent radioligand, namely [O- methyl- 11C]WAY-100634. This compound is known to have high affinity for 5-HT 1A receptors and α 1-adrenoceptors. In a PET experiment it was demonstrated that, after IV injection of [O- methyl- 11C]WAY-100634 into a cynomolgus monkey, radioactivity was avidly taken up by brain. Uptake of radioactivity was higher in 5-HT 1A receptor-rich frontal cortex than in cerebellum, which is devoid of 5-HT 1A receptors. Polar radioactive metabolites appeared in plasma. The results suggest that the use of WAY-100635 labelled with carbon-11 in its cyclohexanecarbonyl moiety may provide enhanced signal contrast in PET studies and a possibility to develop a simple biomathematical model for regional brain radioactivity uptake.

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