黄政海,任超,吴美其,张现忠,霍力.基于AllinOne合成模块自动化合成18F-MK-6240并初步用于阿尔茨海默病[J].中国医学影像技术,2024,40(12):1909~1913
基于AllinOne合成模块自动化合成18F-MK-6240并初步用于阿尔茨海默病
Automatic synthesis of 18F-MK-6240 with AllinOne synthesis module and preliminary application in Alzheimer disease
投稿时间:2024-08-13  修订日期:2024-12-04
DOI:10.13929/j.issn.1003-3289.2024.12.022
中文关键词:  阿尔茨海默病  tau蛋白质类  正电子发射断层显像和计算机体层摄影术  18F-MK-6240
英文关键词:Alzheimer disease  tau proteins  positron-emission tomography and computed tomography  18F-MK-6240
基金项目:北京协和医院中央高水平医院临床科研专项(2022-PUMCH-B-071)。
作者单位E-mail
黄政海 中国医学科学院北京协和医学院北京协和医院临床医学研究所, 北京 100730
中国医学科学院北京协和医学院北京协和医院核医学科, 北京 100730 
 
任超 中国医学科学院北京协和医学院北京协和医院核医学科, 北京 100730  
吴美其 中国医学科学院北京协和医学院北京协和医院核医学科, 北京 100730  
张现忠 中国医学科学院北京协和医学院北京协和医院临床医学研究所, 北京 100730
中国医学科学院北京协和医学院北京协和医院核医学科, 北京 100730 
 
霍力 中国医学科学院北京协和医学院北京协和医院核医学科, 北京 100730 huoli@pumch.cn 
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中文摘要:
      目的 采用AllinOne合成模块自动化合成18F-MK-6240,初步观察其用于阿尔茨海默病(AD)的价值。方法 基于AllinOne合成模块使18F-MK-6240前体与18F发生亲核反应而形成18F标记中间体18F-MK-6240-Boc,再经酸水解、高效液相色谱法分离及固相萃取纯化获得18F-MK-6240;对其进行质量控制。前瞻性对1例AD及1例非AD认知障碍患者行18F-MK-6240 PET/CT扫描;观察其初步应用价值。结果 基于AllinOne合成模块成功自动合成18F-MK-6240,合成时间为80 min,不校正合成效率为20.74%±2.31%,放射化学纯度>95%,无菌检测、细菌内毒素检测、异常毒性检测及溶剂残留检测均符合国家标准。18F-MK-6240 PET/CT显示AD患者双侧额叶、顶叶、颞叶及岛叶tau蛋白沉积,非AD认知障碍患者颅内未见tau蛋白沉积。结论 基于AllinOne合成模块可自动化合成18F-MK-6240且产品质量合格,用于AD具有临床价值。
英文摘要:
      Objective To observe the preliminary application value of 18F-MK-6240 automatically synthesized with AllinOne synthesis module in Alzheimer disease (AD). Methods Based on AllinOne synthesis module, 18F-labeled intermediate 18F-MK-6240-Boc was formed with 18F-MK-6240 precursor through nucleophilic reaction with 18F. After hydrolyzed by acid, separated by high performance liquid chromatography and purified by solid-phase extraction, 18F-MK-6240 was obtained, and quality control was performed. 18F-MK-6240 PET/CT scanning was performed in 1 AD patient and 1 non-AD patient with cognitive impairment who were prospectively enrolled, and the preliminary application value of the product was observed. Results 18F-MK-6240 was successfully automatically synthesized based on AllinOne synthesis module, the synthesis time was 80 min, no-corrected synthesis efficiency was 20.74%±2.31%, radiochemical purity was greater than 95%, and sterility test, bacterial endotoxins test, abnormal toxicity test and solvent residual test all met national standards. 18F-MK-6240 PET/CT showed tau protein deposition of bilateral frontal, parietal, temporal and insular lobes in AD patients, while no tau protein deposition was observed in non-AD patients with cognitive impairment. Conclusion 18F-MK-6240 could be automatically synthesized based on AllinOne synthesis module, with qualified product quality and clinical application value in AD.
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