Review Article

New SPECT and PET Radiopharmaceuticals for Imaging Cardiovascular Disease

Table 11

SPECT and PET Radiopharmaceutical for Imaging Apoptosis.

942960.table.0011a 99mTc-HYNIC(Tricine)2-Annexin V (99mTc-Annexin-V)
(i) example of a tricine derivatized 99mTc-HYNIC based chelate appended to annexin-V
(ii) annexin-V binds to phosphatidylserine exposed on the surface of cells undergoing apoptosis (calcium dependent)
(iii) 99mTc-HYNIC-Annexin-V derivatives have high renal and hepatic uptake with unfavourable radiation dosimetry to these organs [101]

942960.table.0011bp-18F-Fluorobenzyltriphenylphosphonium (18F-FBnTP)
(i) a cationic and sufficiently lipophilic compound that passively diffuses across cell membranes of cardiac myocytes
(ii) accumulation in mitochondria driven by negative membrane potential

942960.table.0011c 18F-(S)-1-((1-(2-Fluoroethyl)-1H- 1,2,3 -Triazol-4-yl)methyl)-5-(2(2,4-Difluorophenoxymethyl)-Pyrrolidine-1-sulfonyl)Isatin (18F-ICMT-11)
(i) caspase-3-specific PET tracer for apoptosis imaging
(ii) first in human studies in 8 healthy volunteers (4 women and 4 men) confirmed a safe PET tracer with a favourable dosimetry profile, biodistribution and stability [102]

942960.table.0011d 18F-2-(5-Fluoropentyl)-2-Methylmalonic acid (18F-ML-10)
(i) PET tracer for apoptosis imaging
(ii) first in human studies in 8 healthy volunteers also showed favourable dosimetry, biodistribution, stability and safety [103]