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British Heart Journal logoLink to British Heart Journal
. 1987 Jan;57(1):23–27. doi: 10.1136/hrt.57.1.23

The acute inflammatory response to myocardial infarction: imaging with indium-111 labelled autologous neutrophils.

D Bell, M Jackson, A M Millar, J J Nicoll, M Connell, A L Muir
PMCID: PMC1277141  PMID: 3099817

Abstract

The uptake of indium-111 labelled neutrophils was examined in 30 patients with acute myocardial infarction by planar imaging and single photon emission computed tomography. The time from venepuncture to reinjection of the autologous labelled neutrophils was less than 2.5 hours and imaging was carried out 24 hours later. Twenty three patients had a positive uptake of neutrophils in the myocardium and imaging was improved by single photon emission computed tomography. There was a significant difference between the intervals from the onset of chest pain to injection of labelled neutrophils between patients with positive and negative images; early reinjection was more likely to produce a positive image. Indeed, all nine patients reinjected within 18 hours of the onset of symptoms had positive images. The results suggest that the stimulus for activation and migration of neutrophils is transient; this is an important factor if neutrophil release products play a role in cell damage after coronary occlusion.

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Selected References

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  1. Been M., de Bono D. P., Muir A. L., Boulton F. E., Hillis W. S., Hornung R. Coronary thrombolysis with intravenous anisoylated plasminogen-streptokinase complex BRL 26921. Br Heart J. 1985 Mar;53(3):253–259. doi: 10.1136/hrt.53.3.253. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Bell D., Millar A. M., McGillivray M., Muir A. L. The preparation and in vivo behaviour of 111In-oxine labelled neutrophils separated from whole blood using mono-poly resolving medium. Nucl Med Commun. 1986 Jun;7(6):447–453. doi: 10.1097/00006231-198606000-00007. [DOI] [PubMed] [Google Scholar]
  3. Braunwald E., Kloner R. A. Myocardial reperfusion: a double-edged sword? J Clin Invest. 1985 Nov;76(5):1713–1719. doi: 10.1172/JCI112160. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Davies R. A., Thakur M. L., Berger H. J., Wackers F. J., Gottschalk A., Zaret B. L. Imaging the inflammatory response to acute myocardial infarction in man using indium-111-labeled autologous platelets. Circulation. 1981 Apr;63(4):826–832. doi: 10.1161/01.cir.63.4.826. [DOI] [PubMed] [Google Scholar]
  5. Jansen D. E., Corbett J. R., Wolfe C. L., Lewis S. E., Gabliani G., Filipchuk N., Redish G., Parkey R. W., Buja L. M., Jaffe A. S. Quantification of myocardial infarction: a comparison of single photon-emission computed tomography with pyrophosphate to serial plasma MB-creatine kinase measurements. Circulation. 1985 Aug;72(2):327–333. doi: 10.1161/01.cir.72.2.327. [DOI] [PubMed] [Google Scholar]
  6. Mathey D. G., Kuck K. H., Tilsner V., Krebber H. J., Bleifeld W. Non surgical coronary artery recanalization in acute transmural myocardial infarction. Circulation. 1981 Mar;63(3):489–497. doi: 10.1161/01.cir.63.3.489. [DOI] [PubMed] [Google Scholar]
  7. McDougall I. R., Baumert J. E., Lantieri R. L. Evaluation of 111In leukocyte whole body scanning. AJR Am J Roentgenol. 1979 Nov;133(5):849–854. doi: 10.2214/ajr.133.5.849. [DOI] [PubMed] [Google Scholar]
  8. Romson J. L., Hook B. G., Kunkel S. L., Abrams G. D., Schork M. A., Lucchesi B. R. Reduction of the extent of ischemic myocardial injury by neutrophil depletion in the dog. Circulation. 1983 May;67(5):1016–1023. doi: 10.1161/01.cir.67.5.1016. [DOI] [PubMed] [Google Scholar]
  9. Romson J. L., Hook B. G., Rigot V. H., Schork M. A., Swanson D. P., Lucchesi B. R. The effect of ibuprofen on accumulation of indium-111-labeled platelets and leukocytes in experimental myocardial infarction. Circulation. 1982 Nov;66(5):1002–1011. doi: 10.1161/01.cir.66.5.1002. [DOI] [PubMed] [Google Scholar]
  10. SOMMERS H. M., JENNINGS R. B. EXPERIMENTAL ACUTE MYOCARDIAL INFARCTION; HISTOLOGIC AND HISTOCHEMICAL STUDIES OF EARLY MYOCARDIAL INFARCTS INDUCED BY TEMPORARY OR PERMANENT OCCLUSION OF A CORONARY ARTERY. Lab Invest. 1964 Dec;13:1491–1503. [PubMed] [Google Scholar]
  11. Thakur M. L., Gottschalk A., Zaret B. L. Imaging experimental myocardial infarction with indium-111-labeled autologous leukocytes: effects of infarct age and residual regional myocardial blood flow. Circulation. 1979 Aug;60(2):297–305. doi: 10.1161/01.cir.60.2.297. [DOI] [PubMed] [Google Scholar]
  12. Weiss E. S., Ahmed S. A., Thakur M. L., Welch M. J., Coleman R. E., Sobel B. E. Imaging of the inflammatory response in ischemic canine myocardium with 111indium-labeled leukocytes. Am J Cardiol. 1977 Aug;40(2):195–199. doi: 10.1016/0002-9149(77)90008-x. [DOI] [PubMed] [Google Scholar]
  13. Werns S. W., Shea M. J., Lucchesi B. R. Free radicals and myocardial injury: pharmacologic implications. Circulation. 1986 Jul;74(1):1–5. doi: 10.1161/01.cir.74.1.1. [DOI] [PubMed] [Google Scholar]

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