대한핵의학회지 (1967년~2009년)
대한핵의학회지 2005;39(6)421~429
[11C]Raclopride PET을 이용한 흡연에 의한 도파민 유리 영상 연구
(Smoking-Induced Dopamine Release Studied with [11C]Raclopride PET)
Author 김유경1,조상수1,이도훈2,류혜정2,이은주1,류창형1,정인순1,홍수경1,이재성1,서홍관3,정재민1,이원우1,김상은1,
Yu Kyeong Kim1, Sang Soo Cho1, Do-Hoon Lee2, Hye-Jung Ryu2, Eun Ju Lee1, Chang Hung Ryu1, In Soon Jeong1, Soo Kyung Hong1, Jae Sung Lee1, Hong-Gwan Seo3, Jae Min Jeong1, Won Woo Lee1, Sang Eun Kim1
Affiliation 서울대학교 의과대학 핵의학교실1, 국립 암센터 진료지원센터2, 암예방검진센터3
Department of Nuclear Medicine, Seoul National University College of Medicine, Seoul, Korea1, Center for Clinical Services,2 and Center for Cancer Prevention,3 Research Institute and Hospital, National Cancer Center, Goyang, Korea
Abstract

Purpose: It has been postulated that dopamine release in the striatum underlies the reinforcing properties of nicotine. Substantial evidence in the animal studies demonstrates that nicotine interacts with dopaminergic neuron and regulates the activation of the dopaminergic system. The aim of this study was to visualize the dopamine release by smoking in human brain using PET scan with [11C]raclopride. Materials and Methods: Five male non-smokers or ex-smokers with an abstinence period longer than 1 year (mean age of 24.4¡¾1.7 years) were enrolled in this study. [11C]raclopride, a dopamine D2 receptor radioligand, was administrated with bolus-plus-constant infusion. Dynamic PET was performed during 120 minutes (3¡¿20s, 2¡¿60s, 2¡¿120s, 1¡¿180s and 22¡¿300s). Following the 50 minute-scanning, subjects smoked a cigarette containing 1 mg of nicotine while in the scanner. Blood samples for the measurement of plasma nicotine level were collected at 0, 5, 10, 15, 20, 25, 30, 45, 60, and 90 minute after smoking. Regions for striatal structures were drawn on the coronal summed PET images guided with co-registered MRI. Binding potential, calculated as (striatal-cerebellar)/cerebellar activity, was measured under equilibrium condition at baseline and smoking session. Results: The mean decrease in binding potential of [11C]raclopride between the baseline and smoking in caudate head, anterior putamen and ventral striatum was 4.7%, 4.0 % and 7.8 %, respectively. This indicated the striatal dopamine release by smoking. Of these, the reduction in binding potential in the ventral striatum was significantly correlated with the cumulated plasma level of the nicotine (Spearman's rho=0.9, p=0.04). Conclusion: These data demonstrate that in vivo imaging with [11C]raclopride PET could measure nicotine-induced dopamine release in the human brain, which has a significant positive correlation with the amount of nicotine administered by smoking.(Korean J Nucl Med 39(6):421-429, 2005)

Keyword Smoking, Nicotine, Dopamine release, [11C]raclopride PET
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