Evaluation of potential PET imaging probes for the orexin 2 receptors

Changning Wang1, Colin M Wilson, Christian K Moseley

  • 1Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, 02129, United States.

Insights

Researchers developed a novel PET imaging agent, [(11)C]CW4, for visualizing orexin receptors in the brain. While showing good uptake, its fast kinetics and high nonspecific binding suggest it

Area of Science:

  • Neuroscience
  • Radiochemistry
  • Pharmacology

Background:

  • Central nervous system (CNS) disorders, especially sleep-related ones, are linked to abnormal orexin (OX) receptor function.
  • Current limitations exist in in vivo imaging tools for assessing orexin receptor density and function.
  • Lack of published pharmacokinetic data for orexin receptor antagonists hinders drug development.

Purpose of the Study:

  • To develop and evaluate novel positron emission tomography (PET) radiotracers for imaging orexin receptors in the brain.
  • To assess the central nervous system (CNS) pharmacokinetics of potential orexin receptor antagonists.
  • To facilitate the understanding of orexin receptor associations with CNS diseases and aid drug discovery.

Main Methods:

  • Design and synthesis of carbon-11 labeled compounds based on known diazepane orexin receptor antagonists.
  • Evaluation of a lead compound, [(11)C]CW4, in rodent models for brain uptake.
  • Further assessment of [(11)C]CW4 in non-human primates (NHPs) using PET-MR imaging, including pharmacokinetic analysis via co-administration with unlabeled antagonist.

Main Results:

  • The synthesized compound [(11)C]CW4 demonstrated high brain uptake in rats.
  • PET scans in a baboon showed promising early brain uptake for [(11)C]CW4 as a potential radiotracer.
  • [(11)C]CW4 exhibited fast kinetics and significant nonspecific binding, indicating good brain penetrance but requiring further optimization.

Conclusions:

  • [(11)C]CW4 shows potential as a lead compound for developing novel CNS-penetrant PET imaging probes targeting orexin receptors.
  • The compound's properties suggest its utility in studying orexin receptor distribution and dynamics in vivo.
  • Further development is warranted to refine the tracer for improved specificity and slower kinetics in orexin receptor imaging.

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