Introduction
Kappa opioid receptors (KOR) are implicated in several brain
disorders. In this report, a first-in-human Positron Emission Tomography
(PET) study was conducted with the potent and selective KOR agonist tracer,
[11C]GR103545, to determine an appropriate
kinetic model for analysis of PET imaging data and assess the test-retest
reproducibility of model-derived binding parameters. The non-displaceable
distribution volume (VND) was estimated from a
blocking study with naltrexone. In addition, KOR occupancy of PF-04455242, a
selective KOR antagonist that is active in preclinical models of depression,
was also investigated.
Methods
For determination of a kinetic model and evaluation of test-retest
reproducibility, 11 subjects were scanned twice with
[11C]GR103545. Seven subjects were scanned before
and 75 min after oral administration of naltrexone (150 mg). For the KOR
occupancy study, six subjects were scanned at baseline and 1.5 h and 8 h
after an oral dose of PF-04455242 (15 mg, n = 1 and
30 mg, n = 5). Metabolite-corrected arterial input
functions were measured and all scans were 150 min in duration. Regional
time-activity curves (TACs) were analyzed with 1- and 2-tissue compartment
models (1TC and 2TC) and the multilinear analysis (MA1) method to derive
regional volume of distribution (VT). Relative
test-retest variability (TRV), absolute test-retest variability (aTRV) and
intra-class coefficient (ICC) were calculated to assess test-retest
reproducibility of regional VT. Occupancy plots
were computed for blocking studies to estimate occupancy and
VND. The half maximal inhibitory
concentration (IC50) of PF-04455242 was
determined from occupancies and drug concentrations in plasma.
[11C]GR103545 in vivo
KD was also estimated.
Results
Regional TACs were well described by the 2TC model and MA1. However,
2TC VT was sometimes estimated with high
standard error. Thus MA1 was the model of choice. Test-retest variability
was ~15%, depending on the outcome measure. The blocking studies
with naltrexone and PF-04455242 showed that VT
was reduced in all regions; thus no suitable reference region is available
for the radiotracer. VND was estimated reliably
from the occupancy plot of naltrexone blocking
(VND = 3.4 ± 0.9
mL/cm3). The IC50 of PF-04455242
was calculated as 55 ng/mL. [11C]GR103545
in vivo KD value was estimated as 0.069
nmol/L.
Conclusions
[11C]GR103545 PET can be used to image and
quantify KOR in humans, although it has slow kinetics and variability of
model-derived kinetic parameters is higher than desirable. This tracer
should be suitable for use in receptor occupancy studies, particularly those
that target high occupancy.