Synthesis, in vitro and in vivo evaluation of C-O-methylated arylpiperazines as potential serotonin 1A (5-HT) receptor antagonist radiotracers.

BACKGROUND

Serotonin 1A (5-HT) receptors are implicated in the pathogenesis of several psychiatric and neurodegenerative disorders motivating the development of suitable radiotracers for in vivo positron emission tomography (PET) neuroimaging. The gold standard PET imaging agent for this target is [carbonyl-C]WAY-100635, labeled via a technically challenging multi-step reaction that has limited its widespread use. While several antagonist and agonist-based PET radiotracers for 5-HT receptors have been developed, their clinical translation has been hindered by methodological challenges and/or and non-specific binding. As a result, there is continued interest in the development of new and more selective 5-HT PET tracers having a relatively easier and reliable radiosynthesis process for routine production and with favorable metabolism to facilitate tracer-kinetic modeling. The purpose of the current study was to develop and characterize a radioligand with suitable characteristics for imaging 5-HT receptors in the brain. The current study reports the in vitro characterization and radiosyntheses of three candidate 5-HT receptor antagonists, DF-100 (1), DF-300 (2) and DF-400 (3), to explore their suitability as potential PET radiotracers.

RESULTS

Syntheses of 1-3 and corresponding precursors for radiolabeling were achieved from isonicotinic, picolinic acid or picolino nitrile. In vitro binding studies demonstrated nanomolar affinity of the compounds for 5-HT receptors. Binding of 1-3 for other biogenic amines, neurotransmitter receptors, and transporters was negligible with the exception of moderate affinities for α-adrenergic receptors (4-6-fold less potent than that for 5-HT receptor). Radioligands [C]1-3 were efficiently prepared by C-O-methylation of the corresponding phenolic precursor in non-decay corrected radiochemical yields of 7-11% with > 99% chemical and radiochemical purities. Dynamic PET studies in rats demonstrated negligible brain uptake of [C]1 and [C]2. In contrast, significant brain uptake of [C]3 was observed with an early peak SUV of 4-5. However, [C]3 displayed significant off-target binding attributed to α-adrenergic receptors based on regional distribution (thalamus>hippocampus) and blocking studies.

CONCLUSION

Despite efficient radiolabeling, results from PET imaging experiments limit the application of [C]3 for in vivo quantification of 5-HT receptors. Nevertheless, derivatives of compound 3 may provide a scaffold for alternative PET radiotracers with improved selectivity for 5-HT receptors or α-adrenergic receptors.