2’-[18F]Fluoroflumazenil
- PMID: 20641363
- Bookshelf ID: NBK23160
2’-[18F]Fluoroflumazenil
Excerpt
Benzodiazepines are used for their sedative, anxiolytic, and muscle-relaxant properties. Their mechanism of action involves the binding of a ligand to a specific benzodiazepine receptor. Alteration of the central benzodiazepine receptor (CBR) has been reported in various diseases and pathologic conditions such as Alzheimer’s disease, epilepsy, or cerebral ischemia (1-4).
CBRs have been studied in vivo by positron emission tomography (PET) and single photon emission computed tomography, and the existence of a specific benzodiazepine receptor linked to the γ-aminobutyric acid (GABA) receptor/chloride ionophore has been shown by use of diazepam (4).
[11C]Flumazenil, a highly selective benzodiazepine antagonist, has been the most widely used agent for PET imaging of CBRs, but the short half-life of 11C (20 min) limits its use. To overcome this great disadvantage, the flumazenil analog [18F]fluoroethyl 8-fluoro-5-methyl-6-oxo-5,6-dihydro-4H-benzo-[f]imidazo[1,5-a][1,4]diazepine-3-carboxylate ([18F]fluoroflumazenil; [18F]FFMZ) has been developed and is currently under study. It can be conveniently synthesized and labeled, and preliminary research shows some favorable specific binding properties for CBRs.
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