Purpose <p>The sphingosine-1-phosphate receptor-1 (S1PR<sub>1</sub>) is involved in regulating responses to neuroimmune stimuli. There is a need for S1PR<sub>1</sub>-specific radioligands with clinically suitable brain pharmcokinetic properties to complement existing radiotracers. This work evaluated a promising S1PR<sub>1</sub> radiotracer, [<sup>18</sup>F]TZ4877, in nonhuman primates.</p> Procedures <p>[<sup>18</sup>F]TZ4877 was produced via nucleophilic substitution of tosylate precursor with K[<sup>18</sup>F]/F<sup>-</sup> followed by deprotection. Brain PET imaging data were acquired with a Focus220 scanner in two <i>Macaca mulatta</i> (6, 13 years old) for 120-180 min following bolus injection of 118-163 MBq [<sup>18</sup>F]TZ4877, with arterial blood sampling and metabolite analysis to measure the parent input function and plasma free fraction (<i>f</i><sub>P</sub>). Each animal was scanned at baseline, 15-18 min after 0.047-0.063 mg/kg of the S1PR<sub>1</sub> inhibitor ponesimod, 33 min after 0.4-0.8 mg/kg of the S1PR<sub>1</sub>-specific compound TZ82112, and 167-195 min after 1 ng/kg of the immune stimulus endotoxin. Kinetic analysis with metabolite-corrected input function was performed to estimate the free fraction corrected total distribution volume (<i>V</i><sub>T</sub>/<i>f</i><sub>P</sub>). Whole-body dosimetry scans were acquired in 2 animals (1M, 1F) with a Biograph Vision PET/CT System, and absorbed radiation dose estimates were calculated with OLINDA.</p> Results <p>[<sup>18</sup>F]TZ4877 exhibited fast kinetics that were described by the reversible 2-tissue compartment model. Baseline [<sup>18</sup>F]TZ4877 <i>f</i><sub>P</sub> was low (&lt;1%), and [<sup>18</sup>F]TZ4877 <i>V</i><sub>T</sub>/<i>f</i><sub>P</sub> values were 233-866 mL/cm<sup>3</sup>. TZ82112 dose-dependently reduced [<sup>18</sup>F]TZ4877 <i>V</i><sub>T</sub>/<i>f</i><sub>P</sub>, while ponesimod and endotoxin exhibited negligible effects on <i>V</i><sub>T</sub>/<i>f</i><sub>P</sub>, possibly due to scan timing relative to dosing. Dosimetry studies identified the critical organs of gallbladder (0.42 (M) and 0.31 (F) mSv/MBq) for anesthetized nonhuman primate.</p> Conclusions <p>[<sup>18</sup>F]TZ4877 exhibits reversible kinetic properties, but the low <i>f</i><sub>P</sub> value limits reproducible quantification with this radiotracer. S1PR<sub>1</sub> is a compelling PET imaging target, and these data support pursuing alternative F-18 labeled radiotracers for potential future human studies.</p>

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PET Imaging of Sphingosine-1-Phosphate Receptor 1 with [18F]TZ4877 in Nonhuman Primates

  • Jiwei Gu,
  • Ming-Qiang Zheng,
  • Daniel Holden,
  • Krista Fowles,
  • Lin Qiu,
  • Zachary Felchner,
  • Li Zhang,
  • Jim Ropchan,
  • Robert J. Gropler,
  • Richard E. Carson,
  • Zhude Tu,
  • Yiyun Huang,
  • Ansel T. Hillmer

摘要

Purpose

The sphingosine-1-phosphate receptor-1 (S1PR1) is involved in regulating responses to neuroimmune stimuli. There is a need for S1PR1-specific radioligands with clinically suitable brain pharmcokinetic properties to complement existing radiotracers. This work evaluated a promising S1PR1 radiotracer, [18F]TZ4877, in nonhuman primates.

Procedures

[18F]TZ4877 was produced via nucleophilic substitution of tosylate precursor with K[18F]/F- followed by deprotection. Brain PET imaging data were acquired with a Focus220 scanner in two Macaca mulatta (6, 13 years old) for 120-180 min following bolus injection of 118-163 MBq [18F]TZ4877, with arterial blood sampling and metabolite analysis to measure the parent input function and plasma free fraction (fP). Each animal was scanned at baseline, 15-18 min after 0.047-0.063 mg/kg of the S1PR1 inhibitor ponesimod, 33 min after 0.4-0.8 mg/kg of the S1PR1-specific compound TZ82112, and 167-195 min after 1 ng/kg of the immune stimulus endotoxin. Kinetic analysis with metabolite-corrected input function was performed to estimate the free fraction corrected total distribution volume (VT/fP). Whole-body dosimetry scans were acquired in 2 animals (1M, 1F) with a Biograph Vision PET/CT System, and absorbed radiation dose estimates were calculated with OLINDA.

Results

[18F]TZ4877 exhibited fast kinetics that were described by the reversible 2-tissue compartment model. Baseline [18F]TZ4877 fP was low (<1%), and [18F]TZ4877 VT/fP values were 233-866 mL/cm3. TZ82112 dose-dependently reduced [18F]TZ4877 VT/fP, while ponesimod and endotoxin exhibited negligible effects on VT/fP, possibly due to scan timing relative to dosing. Dosimetry studies identified the critical organs of gallbladder (0.42 (M) and 0.31 (F) mSv/MBq) for anesthetized nonhuman primate.

Conclusions

[18F]TZ4877 exhibits reversible kinetic properties, but the low fP value limits reproducible quantification with this radiotracer. S1PR1 is a compelling PET imaging target, and these data support pursuing alternative F-18 labeled radiotracers for potential future human studies.