Characterization of <sup>11</sup>C-GSK1482160 for Targeting the P2X7 Receptor as a Biomarker for Neuroinflammation.

Territo, Paul R; Meyer, Jill A; Peters, Jonathan S; Riley, Amanda A; McCarthy, Brian P; Gao, Mingzhang; Wang, Min; Green, Mark A et al. · J Nucl Med · 2017

basic_science · Level V

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Abstract

The purinergic receptor subtype 7 (P2X7R) represents a novel molecular target for imaging neuroinflammation via PET. GSK1482160, a potent P2X7R antagonist, has high receptor affinity, high blood-brain barrier penetration, and the ability to be radiolabeled with <sup>11</sup>C. We report the initial physical and biologic characterization of this novel ligand. <b>Methods:</b><sup>11</sup>C-GSK1482160 was synthesized according to published methods. Cell density studies were performed on human embryonic kidney cell lines expressing human P2X7R (HEK293-hP2X7R) and underwent Western blotting, an immunofluorescence assay, and radioimmunohistochemistry analysis using P2X7R polyclonal antibodies. Receptor density and binding potential were determined by saturation and association-disassociation kinetics, respectively. Peak immune response to lipopolysaccharide treatment in mice was determined in time course studies and analyzed via Iba1 and P2X7R Western blotting and Iba1 immunohistochemistry. Whole-animal biodistribution studies were performed on saline- or lipopolysaccharide-treated mice at 15, 30, and 60 min after radiotracer administration. Dynamic in vivo PET/CT was performed on the mice at 72 h after administration of saline, lipopolysaccharide, or lipopolysaccharide + blocking, and 2-compartment, 5-parameter tracer kinetic modeling of brain regions was performed. <b>Results:</b> P2X7R changed linearly with concentrations or cell numbers. For high-specific-activity <sup>11</sup>C-GSK1482160, receptor density and K<sub>d</sub> were 1.15 ± 0.12 nM and 3.03 ± 0.10 pmol/mg, respectively, in HEK293-hP2X7R membranes. Association constant <i>k</i><sub>on</sub>, dissociation constant <i>k</i><sub>off</sub>, and binding potential (<i>k</i><sub>on</sub>/<i>k</i><sub>off</sub>) in HEK293-hP2X7R cells were 0.2312 ± 0.01542 min<sup>-1</sup>⋅nM<sup>-1</sup>, 0.2547 ± 0.0155 min<sup>-1</sup>, and 1.0277 ± 0.207, respectively. Whole-brain Iba1 expression in lipopolysaccharide-treated mice peaked by 72 h on immunohistochemistry, and Western blot analysis of P2X7R for saline- and lipopolysaccharide-treated brain sections showed a respective 1.8- and 1.7-fold increase in signal enhancement at 72 h. Biodistribution of <sup>11</sup>C-GSK1482160 in saline- and lipopolysaccharide-treated mice at 72 h was statistically significant across all tissues studied. In vivo dynamic <sup>11</sup>C-GSK1482160 PET/CT of mice at 72 h after administration of saline, lipopolysaccharide, or lipopolysaccharide + blocking showed a 3.2-fold increase and 97% blocking by 30 min. The total distribution volumes for multiple cortical regions and the hippocampus showed statistically significant increases and were blocked by an excess of authentic standard GSK1482160. <b>Conclusion:</b> The current study provides compelling data that support the suitability of <sup>11</sup>C-GSK1482160 as a radioligand targeting P2X7R, a biomarker of neuroinflammation.

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