关键词: Congenital hyperinsulinism Exendin PET Exendin-4 GLP-1 GLP-1R Ga-68 Insulinoma PET/CT imaging β cell mass β cells

Mesh : Humans Glucagon-Like Peptide-1 Receptor Exenatide Positron Emission Tomography Computed Tomography Gallium Radioisotopes Peptides / chemistry Pancreatic Neoplasms / pathology Positron-Emission Tomography / methods

来  源:   DOI:10.1007/978-1-0716-2807-2_9

Abstract:
Imaging with radiolabeled exendin enables detection and characterization of glucagon-like peptide 1 receptors (GLP-1Rs) in vivo with high specificity. The novel radiotracer [68Ga]Ga-NODAGA-exendin-4 forms a stable complex after a simple and fast labeling procedure. Beta-cell mass in the islets of Langerhans can be visualized using [68Ga]Ga-NODAGA-exendin-4, which is promising for research into diabetes mellitus (DM) pathophysiology. Furthermore, this radiotracer enables very sensitive detection of insulinomas, resulting from vast overexpression of GLP-1Rs, and seems promising for the detection of focal lesions in congenital hyperinsulinism (CHI). Here, we describe the procedures involved in [68Ga]Ga-NODAGA-exendin-4 positron emission tomography (PET)/computed tomography (CT) imaging including the radiolabeling of the NODAGA-exendin conjugate with 68Ga, quality controls, and PET/CT.
摘要:
用放射性标记的exendin成像能够以高特异性在体内检测和表征胰高血糖素样肽1受体(GLP-1R)。新型放射性示踪剂[68Ga]Ga-NODAGA-exendin-4在简单而快速的标记程序后形成稳定的复合物。可以使用[68Ga]Ga-NODAGA-exendin-4可视化朗格汉斯胰岛中的β细胞团,这有望用于糖尿病(DM)病理生理学的研究。此外,这种放射性示踪剂能够非常灵敏地检测胰岛素瘤,由于GLP-1R的大量过表达,对于先天性高胰岛素血症(CHI)的局灶性病变的检测似乎很有希望。这里,我们描述了[68Ga]Ga-NODAGA-exendin-4正电子发射断层扫描(PET)/计算机断层扫描(CT)成像中涉及的程序,包括用68Ga放射性标记NODAGA-exendin缀合物,质量控制,PET/CT。
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