Title:β -[18F]Fluoro Azomycin Arabinoside (β -[18F]FAZA): Synthesis, Radiofluorination and Preliminary PET Imaging of Murine A431 Tumors
Volume: 10
Issue: 2
Author(s): Piyush Kumar*, Peter Roselt, Gerald Reischl, Carlene Cullinane, Davood Beiki, Walter Ehrlichmann, David Binns, Ebrahim Naimi, Jennifer Yang, Rodney Hicks, Hans-Juergen Machulla and Leonard I. Wiebe
Affiliation:
- Department of Oncology, Cross Cancer Institute, 11560 University Avenue, Edmonton, Alberta, T6G 1Z2,Canada
Keywords:
Hypoxia, PET imaging, β-FAZA, β-[18F]FAZA, FAZA, [18F]FAZA
Abstract: Background: 1-α-D-(5-Deoxy-5-[18F]fluoroarabinofuranosyl)-2-nitroimidazole([18F]
FAZA) is a PET radiotracer that demonstrates excellent potential in imaging regional
hypoxia, and is clinically used in diagnosing a wide range of solid tumors in cancer patients.
[18F]FAZA, however, is radiofluorinated in only moderate recovered radiochemical yield (rRCY,
~12%). It is postulated that the relative stability of the C1’ β-anomeric bond at C5’ will make
1-β-D-(5-fluoro-5-deoxyarabinofuranosyl)-2-nitroimidazole (β-FAZA), the β-conformer of FAZA,
an attractive candidate for clinical hypoxia imaging.
Objectives: The principle goals were to synthesize β-FAZA and β-Ac
2TsAZA, the radiofluorination
precursor, to establish the radiofluorination chemistry leading to β-[
18F]FAZA, and to
investigate the biodistribution of β-[
18F]FAZA in an animal tumor-bearing model using PET imaging.
Methods: The appropriately-protected furanose sugar was coupled with 2-nitroimidazole to
afford 1-β-D-(2,3-di-O-acetylarabinofuranosyl)-2-nitroimidazole (β-Ac
2AZA). Fluorination of
β-Ac
2AZA with DAST, followed by alkaline hydrolysis, afforded β-FAZA (21%). The radiolabeling
synthon, 1-β-D-(5-O-toluenesulfonyl-2,3-di-O-acetylarabinofuranosyl)-2-nitroimidazole
(β-Ac
2TsAZA), on radiofluorination using the
18F/K
222 complex under various reaction conditions,
followed by base-catalyzed deacetylation, afforded β-[
18F]FAZA. β-[
18F]FAZA was radiochemically
stable for at least 8 h when stored in aqueous ethanol (8%) at 22 °C. A preliminary PET
imaging-based biodistribution study of β-[
18F]FAZA was performed in A431 tumor-bearing nude
mice.
Results: β-FAZA and β-Ac
2TsAZA were synthesized in satisfactory yield. Radiochemistry of
[
18F]FAZA was established. PET images showed strong uptake in hypoxic regions of the tumor.
Conclusion: The synthesis of β-FAZA and β-[
18F]FAZA are reported. Radiofluorination of
β-Ac
2TsAZA and the deprotection of β-Ac
2[
18F]FAZA were facile, but led to a more complex
mixture of radiofluorinated by-products than observed with the corresponding precursor of
α-[
18F]FAZA. PET images were indicative of hypoxia-selective accumulation of β-[
18F]FAZA in
tumor.