出 处:《中华核医学杂志》2011年第6期410-413,共4页Chinese Journal of Nuclear Medicine
基 金:国家重点基础研究发展计划(973计划)(2006CB705705);国家自然科学基金(30870729,30900374)北京大学“985工程”二期建设项目(985-2-056)
摘 要:目的探讨^131I标记的人血清淀粉样P成分(SAP)诊断淀粉样变性的价值。方法用Iodogen法对SAP标准品进行^131I标记,测定标记率与放化纯,观察标记物的稳定性;对实验组小鼠用质量分数10%酪蛋白(Casein)0.5ml每日皮下注射,连续21d,制作继发性淀粉样变性小鼠动物模型,对照组连续注射21d0.5ml生理盐水;2组小鼠各4只,经尾静脉注射200μl(7.4MBq)^131I—SAP,分别于1,3,6,24,48和72h进行显像。实验组、对照组小鼠各30只,经尾静脉注射100μl(555kBq)^131I-SAP后,分别于1,3,6,24,48和72h处死小鼠(每个时相实验组与对照组各5只),取心、肺、肝、脾、肾、肌肉、主动脉、血液等组织,测定放射性计数。两组间比较采用单因素独立样本t检验。结果^131I-SAP的标记率为70.6%,经分离纯化后,放化纯为(95.5±3.4)%,且稳定性好;^131I—SAP在淀粉样变性小鼠肝、脾与肾中的放射性摄取明显高于对照组,实验组24h单位质量放射性计数肝/血、脾/血、肾/血比值分别为2.201±0.301,2.139±0.223,4.797±0.615,对照组分别为0.657±0.126,1.014±0.063,0.607±0.028,t值分别为10.747,11.626和15.135,P均〈0.01。48h二者差异仍具有统计学意义(t值分别为15.128,4.558,16.960,P均〈0.01);72h2组除脾/血比值外,其余2个比值差异有统计学意义,对应t值为3.022(P〉0.05),7.8011,6.442(P均〈0.01)。显像结果示,注药后24h实验组小鼠腹部放射性摄取增加,而对照组无明显摄取。结论SAP易于进行^131I标记,且标记物稳定性好;^131I-SAP可以特异性结合于淀粉样变性脏器,生物分布与显像结果一致,提示^131I—SAP可以作为特异性的显像剂无创诊断淀粉样变性。Objective To validate ^131I-serum amyloid P-component (SAP) as a novel amyloid probe in mice bearing amyloidosis and evaluate its diagnostic value. Methods Standard SAP was labeled with ^131I using Iodogen method. Amyloidotic mice model was established by subcutaneous injection of 0.5 ml 10% Casein daily for 21 d, and the control group was injected with 0.5 ml saline. Both groups were injected with 7.4 MBq ^131I-SAP through the tail veins and imaging was performed at 1, 3, 6, 24, 48 and 72 h post injection. In biodistribution study, 30 amyloidotic mice model and 30 controls were injected with 555 kBq ^131 I- SAP and were killed evenly at 1,3, 6, 24, 48 and 72 h post injection. T test was used to analysis the data. Results The labeling efficiency of ^131I-SAP was 70.6%, and the radiochemical purity was (95.5 ± 3.4) %. There was significant tracer uptake by liver, spleen and kidney at 24 h in the test group and mild uptake by these organs in the control group. The uptake ratios of liver, spleen and kidney over blood in the test group were 2. 201 ± 0. 301, 2. 139 ± 0. 223, 4. 797 ± 0. 615, vs 0. 657 ± 0. 126, 1. 014 ± 0. 063, 0. 607 ±0.028 in the control group, respectively (t = 10. 747, 11. 626 and 15. 135, all P 〈0.01 ). The uptake differences between the two groups were still statistically significant at 48 h ( t = 15. 128, 4. 558, 16. 960, all P 〈 0, 01 ). The uptake ratios of spleen over blood between the two groups were not significantly different at 72 h ( t = 3. 022, P 〉 0.05), but the other two uptake ratios were both sigificantly different ( t = 7. 801, 6. 442, both P 〈 0.01 ). Conclusions SAP can be reliably labeled with ^131I. The labeled product ^131 I-SAP can accumulate in amyloid laden tissues, thus rendering it a potential agent in the detection of amyloidosis.
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