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KMID : 1148920200540020105
Nuclear Medicine and Molecular Imaging
2020 Volume.54 No. 2 p.105 ~ p.113
Radioactivity Reduction of 2-Deoxy-2-[18F] Fluoro-D-Glucose by Milk and Ursodeoxycholic Acid in Preclinical Study
Jeong Hwan-Jeong

Bagalkot Tarique Rajasaheb
Kim Hyeon-Soo
Han Yeon-Hee
Kim Min-Joo
Lim Seok-Tae
Sohn Myung-Hee
Abstract
Purpose: 2-Deoxy-2-[18F] fluoro-d-glucose positron emission tomography (18F-FDG-PET) is a less-invasive and widely used diagnostic tool for detection of malignant tumors. However, prolonged retention of 18F-FDG in the body increases radiation exposure. This study evaluated the effect of oral administration of milk and ursodeoxycholic acid (UDCA) in terms of reducing radiation exposure by 18F-FDG.

Methods: 18F-FDG radioactivity was measured using a digital ¥ã counter in the whole body and in various organs of rats after oral administration of milk and milk plus UDCA (milk + UDCA). Western blotting was performed to measure the expression levels of G6Pase, HK 2, CREB, FoxO1, and PGC-1¥á in the brain, liver, small intestine, and large intestine to assess the mechanism underlying the reduction in radiation exposure from 18F-FDG by oral administration of milk and UDCA.

Results: We found a significant reduction in 18F-FDG radioactivity in the whole body and in the brain, liver, and small and large intestines. Expression of G6Pase was significantly increased in the above-mentioned organs in the milk and milk + UDCA groups. Expression of HK 2 was significantly decreased in the brain and small intestine in the milk and milk + UDCA groups. CREB, FoxO1, and PGC-1¥á expression levels in the brain, liver, and small intestine were increased in the milk and milk + UDCA groups. However, expression of PGC-1¥á in the large intestine in the milk and milk + UDCA groups was significantly decreased compared with that in the control group.

Conclusion: The present study demonstrated that administration of milk and UDCA increased G6Pase expression levels and 18F-FDG release from the tissue. These results suggest milk and UDCA could be used to reduce radiation exposure from 18F-FDG after image acquisition. The mechanisms underpinning this phenomenon should be explored in a human study.
KEYWORD
2-Deoxy-2-[18F] fluoro-d-glucose, Ursodeoxycholic acid, Milk, Radioactivity
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