Heteroaryl derivatives of suvorexant as OX1R selective PET ligand candidates: Cu-mediated 18 F-fluorination of boroxines, in vitro and initial in vivo evaluation

• Published in: EJNMMI research 2024-09, Vol.14 (1), p.80
• Main Authors: Bolik, Kim-Viktoria, Hellmann, Jan, Maschauer, Simone, Neu, Eduard, Einsiedel, Jürgen, Riss, Patrick, Vogg, Nora, König, Jörg, Fromm, Martin F, Hübner, Harald, Gmeiner, Peter, Prante, Olaf
• Format: Article
• Language: English
• ISSN: 2191-219X; 2191-219X

The orexin receptor (OXR) plays a role in drug addiction and is aberrantly expressed in colorectal tumors. Subtype-selective OXR PET ligands suitable for in vivo use have not yet been reported. This work reports the development of F-labeled OXR PET ligand candidates derived from the OXR antagonist suvorexant and the OX1R-selective antagonist JH112. Computational analysis predicted that fluorine substitution (1e) and introduction of the fluorobenzothiazole scaffold (1f) would be suitable for maintaining high OX1R affinity. After multi-step synthesis of 1a-1f, in vitro OXR binding studies confirmed the molecular dynamics calculations and revealed single-digit nanomolar OX1R affinities for 1a-f, ranging from 0.69 to 2.5 nM. The benzothiazole 1f showed high OX1R affinity (K  = 0.69 nM), along with 77-fold subtype selectivity over OX2R. Cu-mediated F-fluorination of boroxine precursors allowed for a shortened reaction time of 5 min to provide the non-selective OXR ligand [ F]1c and its selective OX1R congener [ F]1f in activity yields of 14% and 22%, respectively, within a total synthesis time of 52-76 min. [ F]1c and [ F]1f were stable in plasma and serum in vitro, with logD of 2.28 ([ F]1c) and 2.37 ([ F]1f), and high plasma protein binding of 66% and 77%, respectively. Dynamic PET imaging in rats showed similar brain uptake of [ F]1c (0.17%ID/g) and [ F]1f (0.15%ID/g). However, preinjection of suvorexant did not significantly block [ F]1c or [ F]1f uptake in the rat brain. Pretreatment with cyclosporine A to study the role of P-glycoprotein (P-gp) in limiting brain accumulation moderately increased brain uptake of [ F]1c and [ F]1f. Accordingly, in vitro experiments demonstrated that the P-gp inhibitor zosuquidar only moderately inhibited polarized, basal to apical transport of 1c (p