Robust Quantification of Phosphodiesterase-4D in Monkey Brain with PET and <sup>11</sup>C-Labeled Radioligands That Avoid Radiometabolite Contamination.

Jiang, Meijuan; Tang, Shiyu; Jenkins, Madeline D; Lee, Adrian C; Kenou, Bruny; Knoer, Carson; Montero Santamaria, Jose; Wu, Shawn et al. · J Nucl Med · 2024

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Abstract

Phosphodiesterase-4D (PDE4D) has emerged as a significant target for treating neuropsychiatric disorders, but no PET radioligand currently exists for robustly quantifying human brain PDE4D to assist biomedical research and drug discovery. A prior candidate PDE4D PET radioligand, namely [<sup>11</sup>C]T1650, failed in humans because of poor time stability of brain PDE4D-specific signal (indexed by total volume of distribution), likely due to radiometabolites accumulating in brain. Its nitro group was considered to be a source of the brain radiometabolites. <b>Methods:</b> We selected 5 high-affinity and selective PDE4D inhibitors, absent of a nitro group, from our prior structure-activity relationship study for evaluation as PET radioligands. <b>Results:</b> All 5 radioligands were labeled with <sup>11</sup>C (half-time, 20.4 min) in useful yields and with high molar activity. All displayed sizable PDE4D-specific signals in rhesus monkey brain. Notably, [<sup>11</sup>C]JMJ-81 and [<sup>11</sup>C]JMJ-129 exhibited excellent time stability of signal (total volume of distribution). Furthermore, as an example, [<sup>11</sup>C]JMJ-81 was found to be free of radiometabolites in ex vivo monkey brain, affirming that this radioligand can provide robust quantification of brain PDE4D with PET. <b>Conclusion:</b> Given their high similarity in structures and metabolic profiles, both [<sup>11</sup>C]JMJ-81 and [<sup>11</sup>C]JMJ-129 warrant further evaluation in human subjects. [<sup>11</sup>C]JMJ-129 shows a higher PDE4D specific-to-nonspecific binding ratio and will be the first to be evaluated.

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