
Journal of Medicinal Chemistry p. 6058 - 6080 (2015)
Update date:2022-08-15
Topics:
Sander, Kerstin
Galante, Eva
Gendron, Thibault
Yiannaki, Elena
Patel, Niral
Kalber, Tammy L.
Badar, Adam
Robson, Mathew
Johnson, Sean P.
Bauer, Florian
Mairinger, Severin
Stanek, Johann
Wanek, Thomas
Kuntner, Claudia
Kottke, Tim
Weizel, Lilia
Dickens, David
Erlandsson, Kjell
Hutton, Brian F.
Lythgoe, Mark F.
Stark, Holger
Langer, Oliver
Koepp, Matthias
?rstad, Erik
Increased activity of efflux transporters, e.g., P-glycoprotein (P-gp) and breast cancer resistance protein (BCRP), at the blood-brain barrier is a pathological hallmark of many neurological diseases, and the resulting multiple drug resistance represents a major clinical challenge. Noninvasive imaging of transporter activity can help to clarify the underlying mechanisms of drug resistance and facilitate diagnosis, patient stratification, and treatment monitoring. We have developed a metabolically activated radiotracer for functional imaging of P-gp/BCRP activity with positron emission tomography (PET). In preclinical studies, the tracer showed excellent initial brain uptake and clean conversion to the desired metabolite, although at a sluggish rate. Blocking with P-gp/BCRP modulators led to increased levels of brain radioactivity; however, dynamic PET did not show differential clearance rates between treatment and control groups. Our results provide proof-of-concept for development of prodrug tracers for imaging of P-gp/BCRP function in vivo but also highlight some challenges associated with this strategy.
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