Most of the research efforts in nuclear medicine in the last two decades have focused on the development of radioactive ligands for the detection of extracellular antigens expressed on the membrane surface such as tumor markers, somatostatin receptors on tumor cells, or receptors that are more readily accessible than cytosolic or nuclear receptors. However, these general concepts of radiolabeling methods for these ligands have helped us significantly to embark on the next phase of development of gamma-emitting singlestranted ASON probes for studying gene activation. Previous studies have demonstrated the nuclease-sensitivity of ASON probes. Further modifications of phosphodiester backbone, ribose, and nucleotide subunits have identified derivatives with improved potency, desirable pharmacokinetics, and reduced toxicity. Encouraged by in vitro and in vivo inhibition studies, the oligonucleotides have been radiolabeled with nonmetallic and metallic radionuclides of I-123, In-111, and Tc-99m and demonstrated their use in imaging specific mRNA of oncogenes, c-myc, erb-b2, and telomerase present in breast tumors in the mouse model. Noninvasive imaging of mRNA of heat shock protein (HSP-70) has been shown in a pig model during an ischemic episode of cardiopulmonary bypass. The radiochemists have developed ASON probes for positron emission tomography imaging labeled whereby they were with carbon 11 and fluorine 18. The radiolabeled antisense probes may provide a novel method to image the amplified oncogenes in atherosclerotic plaques and heat shock genes in myocardial stress. The standard methods of radiolabeling and novel methods of charge neutralization may enhance the intracellular delivery for imaging a variety of activated genes in cardiovascular diseases.
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