Molecular-docking-guided design, synthesis, and biologic evaluation of radioiodinated quinazolinone prodrugs

Kai Chen1, Ayman F Al Aowad, S James Adelstein

  • 1Department of Radiology, Harvard Medical School, Boston, Massachusetts 02115, USA.

Insights

This study introduces enzyme-mediated cancer imaging and therapy (EMCIT) using novel iodinated quinazolinone derivatives. These compounds precipitate in vivo, enabling targeted cancer cell imaging and therapy with minimal retention in normal tissues.

Area of Science:

  • Biomedical Engineering
  • Radiochemistry
  • Oncology

Background:

  • Enzyme-mediated cancer imaging and therapy (EMCIT) utilizes in vivo precipitation of radioactive molecules.
  • Extracellular enzymes overexpressed by cancer cells trigger this precipitation.
  • Targeted cancer visualization and treatment remain critical challenges.

Purpose of the Study:

  • To model and assess novel iodinated quinazolinone derivatives for EMCIT.
  • To evaluate their interaction with human placental alkaline phosphatase (PLAP).
  • To synthesize and characterize the most promising derivative for in vivo application.

Main Methods:

  • Molecular modeling using AutoDock 3.0 to predict binding affinities.
  • Synthesis and characterization of ammonium 2-(2',4'-diphosphoryloxyphenyl)-6-iodo-4-(3H)-quinazolinone (IQ2-P,4-P).
  • In vitro enzymatic conversion assays and in vivo biodistribution studies in mice.

Main Results:

  • IQ2-P,4-P demonstrated favorable calculated inhibition constants with PLAP.
  • PLAP-mediated conversion yielded water-insoluble precipitates.
  • Autoradiography confirmed hydrolysis by cancer cells and extracellular precipitation.
  • Biodistribution studies showed minimal retention in normal tissues.

Conclusions:

  • The developed iodinated quinazolinone derivative is effective for EMCIT.
  • The study validates the potential of the EMCIT approach for cancer diagnostics and therapeutics.
  • Further research into this class of compounds is warranted.

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