| Literature DB >> 30087917 |
Waqas Rafique1, Vasko Kramer2,3, Tania Pardo4, René Smits5, Mona M Spilhaug1, Alexander Hoepping5, Eduardo Savio4, Henry Engler4, Rodrigo Kuljs6, Horacio Amaral2,3, Patrick J Riss1,7,8.
Abstract
Positron emission tomography (PET) imaging of misfolded protein aggregates that form in neurodegenerative processes of the brain is key to providing a robust marker for improved diagnosis and evaluation of treatments. We report the development of advanced radiotracer candidates based on the sulfoxide scaffold found in proton pump inhibitors (lansoprazole, prevacid) with inherent affinity to neurofibrillary tangles in Alzheimer's disease and related disorders (e.g., dementia with Lewy bodies and the frontotemporal degeneration syndrome). First-in-man results obtained with [18F]lansoprazole and N-methyl-[18F]lansoprazole were used to guide the design of a set of 24 novel molecules with suitable properties for neuroimaging with PET. Compounds were synthesized and characterized pharmacologically, and the binding affinity of the compounds to synthetic human tau-441 fibrils was determined. Selectivity of binding was assessed using α-synuclein and β-amyloid fibrils to address the key misfolded proteins of relevance in dementia. To complete the pharmacokinetic profiling in vitro, plasma protein binding and lipophilicity were investigated. Highly potent and selective new radiotracer candidates were identified for further study.Entities:
Year: 2018 PMID: 30087917 PMCID: PMC6068598 DOI: 10.1021/acsomega.8b00975
Source DB: PubMed Journal: ACS Omega ISSN: 2470-1343
Figure 1Top: transversal, sagittal, and coronal views of averaged PET/MRI fusion images of [18F]1 (left) and [18F]2 (right) 75 min postinjection. Bottom: (A) time–activity curves (TACs) of [18F]2 in the frontal lobe (blue), temporal lobe (green), cortical gray matter (black), white matter (white), and cerebellum (red); (B) comparison of TACs for [18F]1 (circles) and [18F]2 (diamonds) in cortical gray and white matter, respectively.
Figure 2Top: lansoprazole (1) and N-methyl-lansoprazole (2) the original leads. Bottom: dissection of lansoprazole into building blocks (blue, green) and generic scheme depicting the design of new analogues.
Scheme 1Illustration of the Synthesis Routes to Pyridines 8a–f
Scheme 2General Scheme for the Synthesis of Final Compounds over Two Steps
Figure 3Molecular structures and in silico and in vitro properties of compounds 11a–v. Reference value from the literature. IC50 values are given as the average of 3–9 replicates; see Supporting Information for details. Replicated twice with a broader range of concentrations. Based on single experiment, clog P = calculated with ChemDraw Ultra V13. Log D7.4: decadic logarithm of the distribution coefficient between aqueous and lipid phases at pH 7.4. tPSA = topographic polar surface area, Vm = molecular volume in Å3/mol. PPB = protein-bound fraction in percent of total concentration. n.d. = not determined. The best candidates are highlighted in orange, and lead structures 1 and 2 are highlighted in green.