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2016 ; 1
(2
): e85311
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Dynamic dual-isotope molecular imaging elucidates principles for optimizing
intrathecal drug delivery
#MMPMID27699254
Wolf DA
; Hesterman JY
; Sullivan JM
; Orcutt KD
; Silva MD
; Lobo M
; Wellman T
; Hoppin J
; Verma A
JCI Insight
2016[Feb]; 1
(2
): e85311
PMID27699254
show ga
The intrathecal (IT) dosing route offers a seemingly obvious solution for
delivering drugs directly to the central nervous system. However, gaps in
understanding drug molecule behavior within the anatomically and kinetically
unique environment of the mammalian IT space have impeded the establishment of
pharmacokinetic principles for optimizing regional drug exposure along the
neuraxis. Here, we have utilized high-resolution single-photon emission
tomography with X-ray computed tomography to study the behavior of multiple
molecular imaging tracers following an IT bolus injection, with supporting
histology, autoradiography, block-face tomography, and MRI. Using simultaneous
dual-isotope imaging, we demonstrate that the regional CNS tissue exposure of
molecules with varying chemical properties is affected by IT space anatomy,
cerebrospinal fluid (CSF) dynamics, CSF clearance routes, and the location and
volume of the injected bolus. These imaging approaches can be used across species
to optimize the safety and efficacy of IT drug therapy for neurological
disorders.