Over the past few decades, a number of radiopharmaceuticals for noninvasive imaging of the adrenal glands by the nuclear imaging technique have been evolved, designed by targeting specific metabolic or synthetic processes within the gland.1,2) Among the current developments and the expansion of new molecular imaging modalities and specific probes, adrenal scintigraphy using more specific radiotracers to obtain functional information for tissue characterization is still challenging.
3,4)The adrenal gland is among the organs with the highest concentration of L-ascorbic acid (AsA) in the body and is particularly sensitive to deficiencies of AsA.5) It is well known that AsA is an important cofactor required both in catecholamine biosynthesis and in adrenal steroidogenesis, and that it functions as a water-soluble antioxidant in the adrenal gland. [5][6][7][8][9] The cellular uptake of AsA and its distribution in cells are important factors that determine its inherent activity. Studies of tissue distribution of radioactivity in animals after injection of 14 C-labeled AsA ( 14 C-AsA) were reported in the 1960s, showing a remarkable uptake of radioactivity in the adrenal glands, pituitary glands and parotid glands.10-12) Diagnostic application of AsA as a radiotracer for imaging the adrenals, however, remains to be limited by relatively high accumulations of 14 C-AsA in the liver and kidneys.
13)Recent biochemical studies have demonstrated that AsA is taken up into cells by the sodium-dependent vitamin C transporter (SVCT-1 and -2), whereas oxidized vitamin C (dehydroascorbic acid) is transported via glucose transporters. [14][15][16][17][18][19] SVCT-1 is expressed in epithelial organs such as the liver and kidneys, whereas SVCT-2 is found in the adrenal glands and lungs. [14][15][16][17][18][19] In particular, SVCT-2 is primarily responsible for the uptake of AsA from blood circulation into the adrenal cells. [14][15][16][17][18][19] The adrenals have been shown to have the largest falls in the AsA levels in mice with a deficiency of 20) and the influence of the depletion of tissue AsA on tissue catecholamines was found to be most prominent in the adrenals. 21,22) In addition, it has recently been shown that overexpression of adrenal SVCT-2 mRNA in diabetic mice resulted in increased uptake of AsA. 23) Thus, it is most likely that the AsA transport mechanism plays an important role in the pathologic processes of the adrenals. 24) We became interested in the possibility that appropriate structural AsA analogs with specific transport characteristics, if possessing favorable in vivo distribution properties, might be used as tracer agents for the visualization of biochemical events associated with the action of AsA in the adrenal glands. Several AsA analogs labeled with 18 F, 131 I, 125 I, or 99m Tc were prepared and their potential imaging characteristics were evaluated in animals. [25][26][27][28][29][30][31] 6-Deoxy-6-iodo-L-ascorbic acid (6-IAsA) has been shown to be an effective inhibitor of AsA transport, with tran...