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Fenfluramine-induced loss of serotonin transporters in baboon brain visualized with PET

✍ Scribed by Ursula Scheffel; Zsolt Szabo; William B. Mathews; Paige A. Finley; Jie Yuan; Brian Callahan; George Hatzidimitriou; Robert F. Dannals; Hayden T. Ravert; George A. Ricaurte


Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
868 KB
Volume
24
Category
Article
ISSN
0887-4476

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✦ Synopsis


The present study sought to determine whether or not Positron Emission Tomography (PET) with the newly developed positron emitting serotonin (5-HT) transporter ligand, ( +) [11C]McN-5652, could be used to detect fenfluramine-induced 5-HT neurotoxicity in the brain of living primates (baboons). Six PET imaging studies were performed: three before treatment with fenfluramine (5 mgkg, s.c., twice daily for 4 days) and three after (18, 45, and 81 days after treatment). The dose of fenfluramine used in this study ( 5 mgkg) is known to produce 5-HT neurotoxicity in primates, and to be approximately two times higher than a dose of fenfluramine reported to produce small and inconsistent weight loss in baboons (2 mgkg). Following fenfluramine treatment, marked lasting reductions in regional brain specific binding of (+ )["C]McN-5652 were found by means of PET. Findings with PET corresponded well with post-mortem neurochemical findings indicative of serotonergic neurotoxicity (lasting depletions of regional brain 5-HT, 5-HIAA, and 5-HT uptake sites). These results suggest that PET imaging with ( +) [11C]McN-5652 will be useful for evaluating the 5-HT neurotoxic potential of fenfluramine and related drugs in living humans. o 1996 Wiley-Liss, Inc.