Tau蛋白显像剂18F-THK5317的合成与初步临床应用

Synthesis and Preliminary Clinical Application of Tau Protein Imaging Agent 18F-THK5317

  • 摘要: 18F-THK5317是以tau为靶点的新型分子探针,本研究利用国产氟多功能模块自动化合成18F-THK5317,在动物实验基础上进行了初步的临床研究。以(S)-2-(4-甲氨基苯基)-6-2-(四氢吡喃基-)-3-对甲苯磺酰氧基丙氧基喹啉为前体,经亲核反应、酸水解、碱中和,分别采用混合液直接HPLC纯化与混合液经C18小柱预纯化后再HPLC分离纯化两种方法得到18F-THK5317;研究了药物在正常KM小鼠体内生物学分布;对比了18F-THK5317在正常人(HC)和阿尔茨海默病(AD)患者脑中PET/MR显像结果。先以C18小柱预纯化粗产品再用HPLC分离,能显著改善HPLC分离效果和提高产品放化纯度。18F-THK5317未校正合成产率为(18.7±5.3)%(n=7),放化纯度大于95%。小鼠生物分布表明,探针易穿透血脑屏障,并且能迅速从正常脑组织清除,Brain1 min/Brain60 min放射性摄取比为34;PET/MR结果显示,AD患者双侧颞叶、皮层的放射性滞留均高于健康对照。以上结果表明,国产氟多功能模块能够稳定高效地合成符合药物质控标准的18F-THK5317,动物实验及初步临床研究表明18F-THK5317具有在体显像tau蛋白的潜力。

     

    Abstract: We report automatic synthesis and biological evaluation of 6-(3-18Ffluoro-2-hydroxy)propoxy-2-(4-methylaminophenyl)quinoline ((S) 18F-THK5117, or 18F-THK5317), a novel PET tracer for Tau protein imaging in vivo. 18F-THK5317 was prepared from (2-(4-methylaminophenyl)-6-2-(tetrahydro-2H-pyran-2-yloxy)-3-tosyloxy-propoxyquinoline) via nucleophilic substitution, acid-hydrolysis, alkali neutralization and HPLC purification, two methods of treatment of rough product were used. Biodistribution study in the KM mice was performed. The discrepancy of PET/MR imaging characteristics of 18F-THK5317 in normal control and Alzheimer’s subjects was contrasted and analyzed. Pre-purification of crude product by C18 SPE column before HPLC separation increased the quantity of 18F-THK5317 and enhanced its radio-chemical purity. The undecay corrected radio-chemical yield was (18.7±5.3)% (n=7), the radio-chemical purity was more than 95%, and the product showed good stability at room temperature. Bio-distribution of the 18F-THK5317 in mice indicates that initial uptake was high in brain, and radioactivity was quickly washed out from normal brain with the Brain1 min/Brain60 min ratio of 34. In vivo study in AD dementia patient using 18F-THK5317 has shown considerable cortical uptake and temporal lobe retention, in comparison to HC individual. These findings suggested that 18F-THK5317 could be an excellent imaging agent for tau protein in AD patients.

     

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