Abstract
Purpose
The adenosine A2A receptor has emerged as a therapeutic target for multiple diseases, and thus the non-invasive imaging of the expression or occupancy of the A2A receptor has potential to contribute to diagnosis and drug development. We aimed at the development of a metabolically stable A2A receptor radiotracer and report herein the preclinical evaluation of [18F]FLUDA, a deuterated isotopologue of [18F]FESCH.
Methods
[18F]FLUDA was synthesized by a two-step one-pot approach and evaluated in vitro by autoradiographic studies as well as in vivo by metabolism and dynamic PET/MRI studies in mice and piglets under baseline and blocking conditions. A single-dose toxicity study was performed in rats.
Results
[18F]FLUDA was obtained with a radiochemical yield of 19% and molar activities of 72–180 GBq/μmol. Autoradiography proved A2A receptor–specific accumulation of [18F]FLUDA in the striatum of a mouse and pig brain. In vivo evaluation in mice revealed improved stability of [18F]FLUDA compared to that of [18F]FESCH, resulting in the absence of brain-penetrant radiometabolites. Furthermore, the radiometabolites detected in piglets are expected to have a low tendency for brain penetration. PET/MRI studies confirmed high specific binding of [18F]FLUDA towards striatal A2A receptor with a maximum specific-to-non-specific binding ratio in mice of 8.3. The toxicity study revealed no adverse effects of FLUDA up to 30 μg/kg, ~ 4000-fold the dose applied in human PET studies using [18F]FLUDA.
Conclusions
The new radiotracer [18F]FLUDA is suitable to detect the availability of the A2A receptor in the brain with high target specificity. It is regarded ready for human application.
摘要
目的:
腺苷A2A受体已成为多种疾病的治疗靶点,因此非侵入性成像A2A受体的表达或占位有潜力为诊断和药物开发做出贡献。我们旨在开发一种代谢稳定的A2A受体放射性示踪剂,并在此处报告[18F]FLU
DA的临床前评估,它是[18F]FESCH的
氘同位素。
方法:[18F]FLU
DA通过两步一锅法合成,并通过体外放射自显影研究以及小鼠和仔猪的代谢和动态PET / MRI研究在基线和阻断条件下进行体内评估。在大鼠中进行了单剂量毒性研究。
结果:[18F]FLU
DA的放射
化学收率为19%,摩尔活性为72-180 GBq /μmol。自显影证明了小鼠和猪脑中[18F]FLU
DA在纹状体中的A2A受体特异性积累。小鼠体内评估显示[18F]FLU
DA的稳定性优于[18F]FESCH,导致无脑可渗透放射性代谢物。此外,仔猪检测到的放射性代谢物预计具有较低的大脑穿透倾向。PET / MRI研究证实[18F]FLU
DA对纹状体A2A受体具有高度特异性结合,小鼠的最大特异性结合比为8.3。毒性研究显示[18F]FLU
DA在30 μg / kg(约为人类PET研究中应用的剂量的4000倍)时没有不良影响。
结论:新的放射性示踪剂[18F]FLU
DA适用于检测大脑中A2A受体的可用性,具有高度的靶点特异性。它被认为已准备好应用于人体。