Development and evaluation of endothelin-A receptor (radio)ligands for positron emission tomography

Kristin Michel1, Katrin Büther, Marilyn P Law

  • 1Department of Nuclear Medicine, University Hospital Münster, Albert-Schweitzer-Strasse 33, D-48149 Münster, Germany. kristin.michel@uni-muenster.de

Insights

Researchers developed new, more hydrophilic PET radioligands targeting endothelin (ET) receptors, improving imaging for cardiovascular diseases and tumors by reducing unwanted accumulation in the body.

Area of Science:

  • Radiochemistry
  • Molecular Imaging
  • Pharmacology

Background:

  • Endothelin (ET) receptors are implicated in cardiovascular diseases and cancer progression.
  • Previous ET(A) receptor radioligands showed high lipophilicity, leading to undesirable accumulation in bile and intestines.
  • There is a need for improved radioligands with better pharmacokinetic properties for diagnostic imaging.

Purpose of the Study:

  • To synthesize and evaluate novel, hydrophilic fluorinated derivatives of a non-peptide ET(A) receptor antagonist.
  • To develop improved positron emission tomography (PET) radioligands for visualizing ET(A) receptor expression.
  • To enhance diagnostic capabilities for diseases involving ET receptor abnormalities.

Main Methods:

  • Synthesis of a series of fluorinated ET(A) receptor antagonist derivatives.
  • In vitro evaluation of ligand affinity and subtype selectivity (ET(A) vs. ET(B)).
  • Radiosynthesis of [(18)F]17 and assessment of its stability in human serum.
  • In vivo biodistribution studies and small animal PET imaging to evaluate clearance and target uptake.

Main Results:

  • All synthesized compounds demonstrated high affinity for the ET(A) receptor (K(i) = 1.4-7.9 nM) and high selectivity over the ET(B) receptor.
  • The radioligand [(18)F]17 exhibited increased hydrophilicity and excellent stability in human serum.
  • Biodistribution and PET imaging confirmed improved clearance and specific uptake in target organs for [(18)F]17.

Conclusions:

  • Novel fluorinated derivatives represent promising candidates for PET imaging of ET(A) receptors.
  • [(18)F]17 offers improved hydrophilicity and pharmacokinetic properties compared to previous radioligands.
  • These findings support the potential of [(18)F]17 for enhanced diagnostic imaging in relevant diseases.

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