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Exametazime racemate

Alias: dlHM-PAO dl-HM-PAO dl HM-PAOhexamethylpropyleneamineoxime HMPAO
Cat No.:V60027 Purity: ≥98%
Exametazime racemate (hexamethylpropylene amine oxime or HMPAO) isa radiopharmaceutical sold under the trade name Ceretec, and is used by nuclear medicine physicians for the detection of altered regional cerebral perfusion in stroke and other cerebrovascular diseases.
Exametazime racemate
Exametazime racemate Chemical Structure CAS No.: 105613-48-7
Product category: New8
This product is for research use only, not for human use. We do not sell to patients.
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description
Exametazime racemate (hexamethylpropylene amine oxime or HMPAO) is a radiopharmaceutical sold under the trade name Ceretec, and is used by nuclear medicine physicians for the detection of altered regional cerebral perfusion in stroke and other cerebrovascular diseases. It can also be used for the labelling of leukocytes to localise intra-abdominal infections and inflammatory bowel disease.
Exametazime racemate (CAS 105613-48-7), also known as HM-PAO (hexamethylpropyleneamine oxime), is a lipophilic agent used in the preparation of radiopharmaceuticals for brain imaging. It forms a neutral, lipophilic complex with technetium-99m (⁹⁹ᵐTc) which diffuses across cellular membranes, including the blood-brain barrier. ⁹⁹ᵐTc-Exametazime is used by nuclear medicine physicians for the detection of altered regional cerebral perfusion in stroke and other cerebrovascular diseases.
Biological Activity I Assay Protocols (From Reference)
Targets
Exametazime targets the brain's regional cerebral blood flow by forming a lipophilic complex with ⁹⁹ᵐTc that can cross the blood-brain barrier. Once in the brain, the complex is converted to a hydrophilic form that is trapped in the brain tissue, allowing for imaging of regional cerebral perfusion. As a chelating agent, it forms a cationic complex with the radioactive isotope technetium-99m. It can also be used for the labeling of leukocytes to localize intra-abdominal infections and inflammatory bowel disease.
ln Vitro
In vitro, Exametazime is recognized as an effective leukocyte labeling agent. The compound forms a stable complex with ⁹⁹ᵐTc that is lipophilic and can cross cell membranes. The ⁹⁹ᵐTc-Exametazime complex is used for in vitro leukocyte labeling in medical diagnostics. The racemate form is the chemical standard for this radiopharmaceutical preparation. Specific in vitro activity data are not typically reported as the compound is a diagnostic agent rather than a therapeutic drug.
ln Vivo
In vivo, ⁹⁹ᵐTc-Exametazime is used for regional cerebral perfusion imaging in nuclear medicine. After intravenous injection, the lipophilic complex crosses the blood-brain barrier and is distributed in the brain according to regional blood flow. The compound is used to detect altered regional cerebral perfusion in stroke and other cerebrovascular diseases. It is also used for the labeling of leukocytes to localize intra-abdominal infections and inflammatory bowel disease. The radiopharmaceutical is sold under the trade name Ceretec.
Enzyme Assay
The radiopharmaceutical preparation of ⁹⁹ᵐTc-Exametazime involves mixing Exametazime with a solution containing ⁹⁹ᵐTc-pertechnetate. The chelation reaction forms a neutral, lipophilic ⁹⁹ᵐTc-Exametazime complex. The radiochemical purity is assessed by thin-layer chromatography or HPLC. For leukocyte labeling, isolated leukocytes are incubated with the ⁹⁹ᵐTc-Exametazime complex, and labeling efficiency is measured. Quality control includes testing for radiochemical purity and sterility.
Cell Assay
Cellular assays for Exametazime involve leukocyte labeling studies. Leukocytes are isolated from whole blood and incubated with ⁹⁹ᵐTc-Exametazime at 37°C for 15-30 minutes. Labeling efficiency is determined by measuring the radioactivity associated with the cell pellet compared to the total radioactivity. Cell viability is assessed using trypan blue exclusion. The labeled leukocytes are used for in vivo migration studies to detect sites of infection or inflammation.
Animal Protocol
In vivo imaging studies with ⁹⁹ᵐTc-Exametazime are performed in patients or animal models. The radiopharmaceutical is administered intravenously, and images are acquired using a gamma camera or SPECT (single-photon emission computed tomography). For cerebral perfusion imaging, images are acquired 10-30 minutes after injection. For infection imaging, images are acquired at various time points after injection of labeled leukocytes. Image analysis includes visual assessment and quantitative regional uptake measurements.
ADME/Pharmacokinetics
As a diagnostic radiopharmaceutical, the pharmacokinetics of ⁹⁹ᵐTc-Exametazime are well characterized. After intravenous injection, the lipophilic complex rapidly crosses the blood-brain barrier and is distributed according to regional cerebral blood flow. The complex is converted to a hydrophilic form in the brain and is trapped, allowing for imaging. The compound is rapidly cleared from the blood with a half-life of minutes. The ⁹⁹ᵐTc label has a physical half-life of 6 hours. Renal excretion is the primary route of elimination.
Toxicity/Toxicokinetics
The radiation dose from ⁹⁹ᵐTc-Exametazime is within acceptable limits for diagnostic nuclear medicine procedures. As a radiopharmaceutical, the compound is administered in tracer amounts, and the radiation exposure is carefully controlled. Non-radioactive Exametazime is generally well-tolerated at the doses used for radiopharmaceutical preparation. Allergic reactions are rare. The compound is contraindicated in pregnancy and breastfeeding. Standard radiation safety precautions apply when handling and administering the radiopharmaceutical.
References
Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006–. Technetium Tc 99m Exametazime. 2020 Oct 19. PMID: 30000634.
Additional Infomation
Eccrine is a ketoxime compound. It is a diagnostic radiopharmaceutical, commonly used in the preparation of Tc99m eccrine injection. As a chelating agent, it forms a cationic complex with the radioactive isotope technetium-99m. It is used to detect changes in localized cerebral perfusion and for radiolabeling of autologous leukocytes.
Exametazime racemate (HM-PAO) is a lipophilic agent that forms a ⁹⁹ᵐTc complex for brain perfusion imaging. It is used for detecting altered regional cerebral perfusion in stroke and cerebrovascular diseases and for leukocyte labeling to detect infections. Marketed as Ceretec. For diagnostic use only.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C13H28N4O2
Molecular Weight
272.38702
Exact Mass
272.221
CAS #
105613-48-7
Related CAS #
Exametazime
PubChem CID
9552071
Appearance
Typically exists as solid at room temperature
Melting Point
128-130°
LogP
2.45
Hydrogen Bond Donor Count
4
Hydrogen Bond Acceptor Count
6
Rotatable Bond Count
8
Heavy Atom Count
19
Complexity
297
Defined Atom Stereocenter Count
2
SMILES
O/N=C(/[C@H](NCC(CN[C@@H](/C(=N/O)/C)C)(C)C)C)\C
InChi Key
BPNZYADGDZPRTK-UDUYQYQQSA-N
InChi Code
InChI=1S/C13H28N4O2/c1-9(11(3)16-18)14-7-13(5,6)8-15-10(2)12(4)17-19/h9-10,14-15,18-19H,7-8H2,1-6H3/b16-11+,17-12+/t9-,10-/m1/s1
Chemical Name
2-Butanone, 3,3'-((2,2-dimethyl-1,3-propanediyl)diimino)bis-, dioxime,
Synonyms
dlHM-PAO dl-HM-PAO dl HM-PAOhexamethylpropyleneamineoxime HMPAO
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
May dissolve in DMSO (in most cases), if not, try other solvents such as H2O, Ethanol, or DMF with a minute amount of products to avoid loss of samples
Solubility (In Vivo)
Note: Listed below are some common formulations that may be used to formulate products with low water solubility (e.g. < 1 mg/mL), you may test these formulations using a minute amount of products to avoid loss of samples.

Injection Formulations
(e.g. IP/IV/IM/SC)
Injection Formulation 1: DMSO : Tween 80: Saline = 10 : 5 : 85 (i.e. 100 μL DMSO stock solution 50 μL Tween 80 850 μL Saline)
*Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH ₂ O to obtain a clear solution.
Injection Formulation 2: DMSO : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL DMSO 400 μLPEG300 50 μL Tween 80 450 μL Saline)
Injection Formulation 3: DMSO : Corn oil = 10 : 90 (i.e. 100 μL DMSO 900 μL Corn oil)
Example: Take the Injection Formulation 3 (DMSO : Corn oil = 10 : 90) as an example, if 1 mL of 2.5 mg/mL working solution is to be prepared, you can take 100 μL 25 mg/mL DMSO stock solution and add to 900 μL corn oil, mix well to obtain a clear or suspension solution (2.5 mg/mL, ready for use in animals).
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Injection Formulation 4: DMSO : 20% SBE-β-CD in saline = 10 : 90 [i.e. 100 μL DMSO 900 μL (20% SBE-β-CD in saline)]
*Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.
Injection Formulation 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (i.e. 500 μL 2-Hydroxypropyl-β-cyclodextrin 500 μL Saline)
Injection Formulation 6: DMSO : PEG300 : castor oil : Saline = 5 : 10 : 20 : 65 (i.e. 50 μL DMSO 100 μLPEG300 200 μL castor oil 650 μL Saline)
Injection Formulation 7: Ethanol : Cremophor : Saline = 10: 10 : 80 (i.e. 100 μL Ethanol 100 μL Cremophor 800 μL Saline)
Injection Formulation 8: Dissolve in Cremophor/Ethanol (50 : 50), then diluted by Saline
Injection Formulation 9: EtOH : Corn oil = 10 : 90 (i.e. 100 μL EtOH 900 μL Corn oil)
Injection Formulation 10: EtOH : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL EtOH 400 μLPEG300 50 μL Tween 80 450 μL Saline)


Oral Formulations
Oral Formulation 1: Suspend in 0.5% CMC Na (carboxymethylcellulose sodium)
Oral Formulation 2: Suspend in 0.5% Carboxymethyl cellulose
Example: Take the Oral Formulation 1 (Suspend in 0.5% CMC Na) as an example, if 100 mL of 2.5 mg/mL working solution is to be prepared, you can first prepare 0.5% CMC Na solution by measuring 0.5 g CMC Na and dissolve it in 100 mL ddH2O to obtain a clear solution; then add 250 mg of the product to 100 mL 0.5% CMC Na solution, to make the suspension solution (2.5 mg/mL, ready for use in animals).
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Oral Formulation 3: Dissolved in PEG400
Oral Formulation 4: Suspend in 0.2% Carboxymethyl cellulose
Oral Formulation 5: Dissolve in 0.25% Tween 80 and 0.5% Carboxymethyl cellulose
Oral Formulation 6: Mixing with food powders


Note: Please be aware that the above formulations are for reference only. InvivoChem strongly recommends customers to read literature methods/protocols carefully before determining which formulation you should use for in vivo studies, as different compounds have different solubility properties and have to be formulated differently.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 3.6712 mL 18.3560 mL 36.7121 mL
5 mM 0.7342 mL 3.6712 mL 7.3424 mL
10 mM 0.3671 mL 1.8356 mL 3.6712 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

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An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
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Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

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  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
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Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

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