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Improved in vivo PET imaging of the adenosine A2A receptor in the brain using [18F]FLUDA, a deuterated radiotracer with high metabolic stability.


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.

SUBMITTER: Lai TH 

PROVIDER: S-EPMC8263428 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature

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Publications

Improved in vivo PET imaging of the adenosine A<sub>2A</sub> receptor in the brain using [<sup>18</sup>F]FLUDA, a deuterated radiotracer with high metabolic stability.

Lai Thu Hang TH   Toussaint Magali M   Teodoro Rodrigo R   Dukić-Stefanović Sladjana S   Gündel Daniel D   Ludwig Friedrich-Alexander FA   Wenzel Barbara B   Schröder Susann S   Sattler Bernhard B   Moldovan Rareş-Petru RP   Falkenburger Björn H BH   Sabri Osama O   Deuther-Conrad Winnie W   Brust Peter P  

European journal of nuclear medicine and molecular imaging 20210202 9


<h4>Purpose</h4>The adenosine A<sub>2A</sub> receptor has emerged as a therapeutic target for multiple diseases, and thus the non-invasive imaging of the expression or occupancy of the A<sub>2A</sub> receptor has potential to contribute to diagnosis and drug development. We aimed at the development of a metabolically stable A<sub>2A</sub> receptor radiotracer and report herein the preclinical evaluation of [<sup>18</sup>F]FLUDA, a deuterated isotopologue of [<sup>18</sup>F]FESCH.<h4>Methods</h4>  ...[more]

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