Specification
LlPOPHlLlC CATIONIC PROBE FOR PET - IMAGING
FIELD OF THE INVENTION
5
The present invention relates to imaging probes for use in techniques such as
positron-emission tomography (PET) and single photon emission computed
tomography (SPECT) for the visualisation of mitochondria1 energisation in vivo.
lo BACKGROUND TO THE INVENTION
Mitochondnal dyshnction contributes to a wide range of pathologies, including.
cancer, diabetes, heart failure, cardiovascular and liver diseases, AIDS,
autoimmune disorders, degenerative diseases and the pathophysiology of aging.
15
Diseases to which mitochondnal dysfunction contribute are often associated with
significant changes in mitochondrial membrane potential (AYm). Alteration in
mitochondnal membrane potential is an important characteristic in pathologies that
either involve suppressed apoptosis, such as cancer; or enhanced apoptosis, such as
20 AIDS and degenerative diseases. It is also associated with the many diseases
caused directly by mitochondnal dyshction such as DNA mutations and oxidative
stress.
There is thus a need to monitor mitochondria1 hnction in patients.
25
Positron-emission tomography (PET) is a widely used technique to image
biological tissues and metabolism withn patients. A short-lived positron-emitting
nucleus, such as "F, is incorporated into a probe molecule and injected into a
patient. The probe then accumulates in certain tissues. The location of the probe
30 may be visualised from the gamma ray emission using a PET scanner, and the local
concentration of the probes deduced from tomography.
Lipophilic cations such as tetra- or ti-phenylphosphonium cations penetrate the
plasma and mitochondria1 membranes and selectively accumulate in mitochondria
because of the negative membrane potential across the inner membrane.
5 The use of tracers based on simple TPP cations for PET has been suggested for
imaging mitochondria1 dysfunction (Cheng et a1 (2005) J. Label. Compd.
Radiopharm. 48: 13 1-1 37), turnour imaging (Madar et a1 (1 999) J. Nucl. Med.
40:1180-1185; Wang et a1 (2007) 50:5057-5069) and imaging for diagnosis of
coronary artery disease (Madar et a1 (2006) J. Nucl. Med. 47: 1359-1 366).
10
The present invention relates to improvements to the known mitochondria-targeted
PET probes.
DESCRIPTION OF THE FIGURES
15
Figure 1 - Structures of the TPP cations used in the Examples.
Figure 2 - Time course of uptake of [ 3 ~ ] ~ iinttoo m~ou se tissues following iv
injection. Mice were injected with a bolus of 100 nmol [ 3 ~ ] ~ ibyt iov ~tai l vein
20 injection. At the indicated times the mice were killed and the [ 3 ~ ] ~ icotnoten~t i n
the tissues were determined. Data are in nmol MitoQIg wet weight tissue and are
means * range for two separate mice per time point. A, liver and kidney, B, heart,
muscle, brain and white adipose tissue (fat). C and D, view of the first 1 hour after
injection of MitoQ for liver and kidney (C) and for heart, muscle, brain and whte
25 adipose tissue (fat) (D) respectively.
Figure 3 - Time course of clearance of [ 3 ~com]pou~nds~ from~ the circulation
following iv injection. Mice were injected with a bolus of 100 nmol [ 3 ~ ] ~ ~ ~
compound by iv tail vein injection. At the indicated times the mice were killed and
30 the [ 3 ~con]ten~t in ~the~ blo od were determined. Data are in nmol TPP
compound/ml blood and are means * range for two separate mice per time point. A,
[)H]M~~oQB,; [ 3 ~ ] ~ e canyd [l3~~~] ~~l u o r o ~ n d e Cc ,y [l ~3~ ~~; ] ~ ~ ~ ~ .
Figure 4 - Time~couneo f uptake of []H]D~C~ITaPnPd [ 3 ~ ] ~ l u o r o ~ n d einctoy l ~ ~ ~
tissues. Mice were injected with a bolus of 100 nmol of [ 3 ~ ] ~ e coyr l ~ ~ ~
[ 3 ~ ] ~ l u o r o ~ n d ebcy yinlje~ct~io~n into the tail vein. At the indicated times the
5 mice were killed and the content of ['H]D~C~~ToPr P[ 3 ~ ] ~ l u o r o ~ n d einc thyel ~ ~ ~
tissues determined. Data are means * range for two separate mice per time point. A,
liver and ladney for [ 3 ~ ] ~ e c yB,l h~ea~rt, ~mu, s cle, brain and whte adipose tissue
(fat) for [ 3 ~ ] ~ e c, Cy, alll~ tis~sue~s for [ 3 ~ ] ~ l u o r o ~ n d e c y l ~ ~ ~ .
10 Figure 5 - Time course for uptake of [ 3 ~into ]tissue~s. M~ice w~ere in~jected
with a bolus of 100 nmol of [ 3 ~by in]jecti~on int~o the ~tail v~ein. A t indicated
times the mice were killed and the content of [ 3 ~in th]e tiss~ues de~termi~ned. ~
Data are means * range for two separate mice per time point. A, liver and kidney,
B, heart, muscle, brain and white adipose tissue (fat).
15
Figure 6 - Comparison of uptake of TPP compounds into tissues at different times.
Mice were injected with an iv bolus of 100 nmol of [ 3 ~ ] ~ i t[o3~~, ] ~ e c y l ~ ~ ~ ,
[ 3 ~ ] ~ l u o r o ~ n d eorc [y l ~3~ ~ ~and a]t 15 ~min (~A, B)~, 1 h (~C, D) or 5 h (E, F)
the mice were killed and the tissue content of [ 3 ~com]pou~nds~ dete~rmi ned.
20 Data are means f range for two separate mice per time point and in A, C & E are
nmol TPP compound/g wet weight tissue and in By D & F are in nmol TPP
compound/ml blood.
Figure 7 - Mitochondnal uptake of TPP compounds in vivo. A, Mice were injected
25 with a bolus of 100 nmol [ 3 ~ ] ~ l u o r o ~ n d ebyc yinlje~ct~io~n into the tail vein.
After 15 min the mice were injected ip with DNP (200 or 300 pgkg) or saline
carrier and after a hrther 15 min later they were killed and the content of
[ 3 ~ ] ~ l u o r o ~ n d einc tyhel ~tis~su~es determined. Data are means range for two
mice per condition. B, IAM-TPP is shown being taken up in to mitochondria withn
30 a cell where it reacts with tho1 proteins to form a thioether adduct that can then be
detected by irnmunoblotting. C, Confocal image of IAM-TPP binding to
mitochondria in cells. C2C12 cells were incubated with 1 pM IAM-TPP for 3 h *
10 pM FCCP. The cells were then fixed and the location of the TPP moiety within
the cells determined by labelling with antiserum against the TPP moiety, visualised
by irnrnunofluorescence confocal microscopy. Control experiments confirmed that
the IAM-TPP binding colocalised with the mitochondria-specific dye Mitotracker
5 Orange (data not shown). D, Mice were injected with a bolus of 500 nmol of IAMTPP
by injection into the tail vein. After 1 h the mice were killed and liver and
heart mitochondria were prepared. The mitochondria (40 pg protein) were
separated by SDS-PAGE and proteins that had been labelled with IAM-TPP were
detected by irnrnunoblotting using antiserum against the TPP moiety. Mitochondria
10 from mice that had not been exposed to IAM-TPP were used as controls. The
experiment was repeated on three separate mice with similar results.
Figure 8 - Synthesis of the mitochondria-targeted PET probe 18FFluoroUndecylTPP
15
SUMMARY OF ASPECTS OF THE INVENTION
The present inventors have surprisingly found that if the hydrophobicity of the
imaging probe is increased, for example by incorporating a hydrophobic moiety,
20 this greatly increases the extent of accumulation in mitochondria and increases
clearance of the probe from circulation, leading to a greater tissue:circulation ratio.
Together these factors mean that the hydrophobic mitochondna-targeted imaging
probes of the present invention are 20-100 fold more sensitive and have better
25 tissue loading and contrast properties than currently used imaging probes for the
visualisation of mitochondria1 energisation in vivo.
Thus, in a first aspect, the present invention provides an imaging probe whch
comprises a lipophilic cation, a hydrophobic moiety and a PET nucleus.
30
The imaging probe may be for use, for example, in positron-emission tomography
(PET) andlor single photon emission computed tomography (SPECT)
The lipophilic cation may be or comprise triphenylphosphonium (TPP).
The hydrophobic moiety may be or comprise an aliphatic chain, for example an
aliphatic chain comprising at least 5 carbon atoms.
The hydrophobic moiety may comprise a linear alkane chain, for example a linear
decyl or undecyl chain.
The PET nucleus may, for example, be "F.
10
The hydrophobic moiety may act as a linker between the lipophilic cation and the
PET nucleus.
In a second aspect, the present invention provides a method for analysing
15 mitochondnal membrane potential in a subject which comprises the following
steps:
(i) administration of an imaging probe according to the first aspect of
the invention to the subject;
(ii) visualisation of the probe; and
(iii) deduction of the absolute or relative magnitude of the mitochondrial
membrane potential.
Mitochondria1 membrane potential may be analysed, for example, to visualise
tumours, investigate mitochondrial damage, diagnose/monitor a pathology which
25 involves a change in mitochondrial energisation in a subject, or to investigate the
effect of a test compound on mitochondrial potential.
In a third aspect, the present invention provides an imaging probe according to the
first aspect of the invention for use in
(i) a method for analysing mitochondrial membrane potential;
(ii) a method for visualising tumours in a subject;
(iii) a method for investigating mitochondrial damage in a subject;
(iv) a method for diagnosing and/or monitoring a pathology in a subject;
or
(v) a method for investigating the effect of a test compound on
mitochondria1 potential.
5
In a fourth aspect, the present invention provides a precursor molecule comprising a
lipophlic cation and a hydrophobic moiety which can be reacted with an anionic
form of the PET nucleus to produce an imaging probe according to the first aspect
of the invention.
10
The precursor molecule may comprise a mesylate group which reacts with the
anionic form of the PET nucleus. For example, the precursor molecule may be a
rnesylated alkyl triphenylphosphonium compound, reactable with 1 8 ~t-o form "FFluoroalkylTPP.
15
In a fifth aspect, the present invention provides a method for producing an imaging
probe according to the first aspect of the invention, which comprises the step of
reacting an anionic form of the PET nucleus with a precursor molecule according to
the fourth aspect of the invention.
20
The present invention also provides method for producing and administering an
imaging probe according to the first aspect of the invention to a subject which
comprises the following steps:
(i) synthesis of an anionic form of a PET nucleus, such as "F-
25 (ii) incorporation of the anionic form of the PET nucleus into a precursor
molecule according to any of the fourth aspect of the invention to produce an
imaging probe;
(ii) administration of the Imaging probe to the subject.
30 The present invention also provides:
(i) a method for increasing the uptake of an imaging probe which comprises
a triphenylphosphonium (TPP) cation which comprises the step of increasing the
hydrophobicity of the imaging probe; and
(ii) a method for increasing the tissue:circulation ratio of an imaging probe
5 which comprises a triphenylphosphoniurn (TPP) cation, whlch method comprises
the step of increasing the hydrophobicity of the Imaging probe.
Hydrophobicity of the imaging probe may, for example, be increased by
incorporation of an alkyl chain having at least 5 carbon atoms.
10
DETAILED DESCRIPTION
POSITRON-EMISSION TOMOGRAPHY (PET)
15 Positron emission tomography (PET) is a nuclear medicine imaging technique
which produces a three-dimensional image or picture of functional processes in the
body. The system detects pairs of gamma rays emitted indirectly by a positronemitting
radionuclide (tracer), which is introduced into the body on a biologically
active molecule. Images of tracer concentration in 3-dimensional space within the
20 body are then reconstructed by computer analysis. In modem scanners, this
reconstruction is often accomplished with the aid of a CT X-ray scan performed on
the patient during the same session, in the same machine.
The glucose analog fluorine-1 8 (F- 18) fluorodeoxyglucose (FDG) is a biologically
25 active molecule for PET whch is widely used in clinical oncology. This tracer is
taken up by glucose-using cells and phosphorylated by hexokinase, the
concentrations of tracer imaged then give tissue metabolic activity, in terms of
regional glucose uptake.
30 For imaging mitochondria andlor changes in mitochondria1 membrane potential, it
is possible to use lipophilic cations which selectively accumulate in mitochondria
due to the negative inner membrane potential (-1 20 to -1 70 mV). Such lipophilic
cations include rhodamine- 123 (Rh123) and tetraphenyphosphonium salts.
The term "positron-emission tomography (PET) probe" or "imaging probe" used
5 herein means a molecule suitable for use in positron-emission tomography, SPECT
or any other imaging technique, which can be administered to a patient, for
example, by injection, and which accumulates in a tissue of interest. The location
and local concentration of the probe can then be deduced using PET scanning and
tomography, SPECT or another type of imaging technque.
10
A rnitochondna-targeted imaging probe selectively accumulates in mitochondna,
possibly due to the high mitochondria1 membrane potential. The uptake of the
probe may be ATm-dependent so that the probe can give information on the
energisation status of mitochondna.
15
The probe of the present invention may have a distribution profile in the body
which is a fimction of mitochondrial integrity.
The probes of the present invention may be useful for imaging variations in
20 mitochondrial surface potential (AT,) imaging cells or tissues having dysfunctional
mitochondna and imaging or monitoring diseases or conditions associated with
dysfunctional mitochondria.
The imaging probe of the present invention comprises a lipophilic cation, a
25 hydrophobic moiety and a PET nucleus.
SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY (SPECT)
Single photon emission computed tomography (SPECT) is a nuclear medicine
30 tomographic imaging technique using gamma rays. It is very similar to
conventional nuclear medicine planar imaging using a gamma camera, but is able to
provide true 3D information. This information is typically presented as crosssectional
slices through the patient, but can be freely reformatted or manipulated as
required.
The basic technique requires injection of a gamma-emitting radioisotope (also
s called radionuclide) into the bloodsteam of the patient. This may involve the
attachment of a marker radioisotope to a ligand which is of interest for its chemical
bindmg properties to certain types of tissues. This marriage allows the combination
of ligand and radioisotope (the radiopharmaceutical) to be carried and bound to a
place of interest in the body, which then (due to the gamma-emission of the
10 isotope) allows the ligand concentration to be seen by a gamma-camera.
LIPOPHILIC CATION
The lipophilic cation moiety of the probe of the present invention may be any
15 cation which accumulates in mitochondria due to the hlgh mitochondnal membrane
potential. The cation may have a delocalised positive charge which promotes its
AY,-dependent accumulation into mitochondria and its passage through
phospholipid bilayers.
20 Examples of such cations include Rhodamine-123 and phosphonium cations,
triphenyl and tetraphenyl phosphonium derivatives, arsonium derivatives,
quaternary amines with hydrophobic groups e.g. tetrabenzyl ammonium, and
hydrophobic aromatic systems with delocalised positive charges akin to rhodamine.
25 Several labelled phosphonium cations, such as [' '~]meth~ltri~hen~l~hos~honiurn,
223-['8~]~luoropropaynd1 4-[18~]~luorobenzyltriarylphosphonhiauvme been used
as mitochondnal targeting agents.
The lipophilic cation may be triphenylphosphonium which when linked to the
30 hydrophobic moiety (see below) produces a lipophilic alkyl tiphenylphosphonium
cation.
HYDROPHOBIC MOIETY
The hydrophobic moiety increases the overall hydrophobicity of the cation when
associated with it, for example by covalent linkage. The the octanol1PBS partition
5 coefficient of the imaging probe including the hydrophobic moiety may be at least
50, 100,250, 500, 750 or 1000. The coefficients for MethylTPP and Decyl TPP are
0.35 and 5000 respectively where the larger the number reflects the higher
hydrophobicity. FluoroUndecyl has a value of 740.
10 The hydrophobic moiety may, for example be an aliphatic chain. The aliphatic
chain may comprise at least 2 carbon atoms, for example between 5 to 20, 8 to 15,
or 10 to 12 carbon atoms. The aliphatic chain may have 10 or 1 I carbon atoms.
The hydrophobic moiety may comprise an alkyl chain, whch may be a
15 substantially or completely linear alkyl chain, or include some branching. The
chain may comprise one or more hetero atoms (e.g 0 , S, N, P) internally and or at
the terminus. The hydrophobic moiety may, in addition, contain unsaturated
(alkenyl, alkynyl, aryl, heteroaryl) components andlor may comprise one or more
aromatic insertions.
20
The hydrophobic moiety may be covalently linked to the lipophilic cation. Where
the lipophilic cation is triphenylphosphonium (TPP) the hydrophobic moiety may
be linked to the central phosphorus ion as shown in Figure 1.
25 Without wishing to be bound by theory, the present inventors believe that the
increased uptake associated with imaging probes comprising a hydrophobic moiety
is due to more rapid permeation of the plasma membrane and the increased
adsorption of the hydrophobic moiety to the matrix-facing surface of the
mitochondria1 inner membrane.
3 0
PET NUCLEUS
Non-radioactive elements and their counterparts that can be used in the probes of
the present invention include: F- 19 (F-18); C-12 (C-1 1); 1-1 27 (I- 125, I- 124, 1-1 3 1
and 1-123); CI-36 (CI-32, CI-33, CI-34); Br-80 (Br-74, Br-75, Br-76, Br-77, Br-
78); Re-1851187 (Re-186, Re-188); Y-89 (Y-90, Y-86); Lu-177 and Sm-153.
5
Alternatively the probes of the present invention may be labeled with one or more
radio-isotopes, such as "c, "F, 7 6 ~ r1,2 31~2, 4~13, '1, 1 3 ~or, 150.
Radionuclides used in PET scanning are typically isotopes with short half lives
lo such as carbon- 1 1 (-20 min), nitrogen-1 3 (-1 0 min), oxygen- 15 (-2 min), and
fluorine- 1 8 (-1 10 min).
The PET nucleus may comprise 1 8 ~ .
1s The term "PET nucleus" refers to a non-radioactive element or radionuclide which
may be used in PET, SPECT or other imaging processes.
The PET nucleus may be attached, for example covalently linked to the lipophilic
cation and/or the hydrophobic moiety. For example the hydrophobic moeity may
20 act as a linker between the lipophilic cation and the PET nucleus.
The probe may be 1 8 ~ - ~ l u o r o ~ n d e c y l ~ ~ ~ .
METHOD FOR USE
25
The present invention also provides a method for analysing mitochondnal
membrane potential in a subject which comprises the following steps:
(i) administration of an imaging probe according to the present
invention to the subject;
30 (ii) visualisation of the probe; and
(iii) deduction of the mitochondria1 membrane potential.
The imaging apparatus used to detect ,and monitor the imaging agent include
imaging technologies such as gamma camera, PET apparatus and SPECT
apparatus.
5 Analysis of the mitochondnal membrane potential may be used in, for example,
diagnosing andlor monitoring a pathology which involves a change in
mitochondrial energisation in a subject.
Analysis of the mitochondrial membrane potential may be used in, for example, a
10 method for visualising turnours or a method for investigating mitochondrial damage
in a subject.
The probe may be administered by any suitable techque known in the art, such as
direct injection. Injection may be intravenous (IV). Administration may be general
15 or local to the site of interest, such as to a tumour.
The probe may be used in conjunction with another probe, for example a probe
capable of visualising a particular tissue or a tumour. The two (or more) probes
may be administered together, separately or sequentially.
20
The imaging probe of the present invention may be used to diagnose, assess or
monitor the progression or treatment of a disease or condition.
The imaging probe of the present invention may be used to investigate the effects
25 of a test compound on mitochondnal energisation. For example, the imaging probe
may be administered together with a test compound, to and the effect of the test
compound on mitochondrial energisation be assayed in real time in vivo using a
method in accordance with the present invention.
30 DISEASE
The disease or condition may be characterized by a change in mitochondnal
energisation. For example, a change in mitochondrial energisation (either a higher
or lower mitochondrial membrane potential) may be a symptom of the disease or
may be the, or one of the, causative factors of the disease,
5
Full or partial reversal of the pathogenic mitochondrial energisation state following
treatment may be indicative of therapeutic efficacy.
Mitochondria1 oxidative damage contributes to many pathologies because
10 mitochondna are a source of reactive oxygen species and are also susceptible to
oxidative damage.
Various diseases and conditions are associated with dysfunctional mitochondria,
including various cancers, diabetes, heart failure, cardiovascular and liver diseases,
15 AIDS, degenerative diseases, immune disorders, aging and other myopathies.
The present invention provides probes that are taken up by mitochondria, the
uptake being proportional to AY,. This allows detection and imaging of
dysfbnctional mitochondria, for example mitochondria with suppressed or
20 enhanced activity. Tumours commonly have a higher mitochondnal membrane
potential, whereas areas of tissue damage may have a lower AY,.
The condition andor its treatment may be characterised by increased or decreased
apoptosis, which may be monitored using an imagng probe according to the
25 present invention. Loss of mitochondrial membrane potential is an early event in
cell death caused by pro-apoptotic agents. Mitochondria-controlled apoptosis is
thought to underlie cell loss in heart failure
The imaging methods of the invention may also be used to assess the efficacy of
30 chemotherapy or radiation treatment protocols used to retard or destroy cancer and
other malignant tumours.
The imaging methods of the present invention may be used to diagnose or assess
cancer, for example lung, breast or prostate cancer.
It has been demonstrated that the mitochondrial transmembrane potential in
s carcinoma cells is significantly higher than in normal epithelia1 cells. For example,
the difference in AYm between the CX-1 colon carcinoma cell line and the control
green monkey epithelial cell line CV-1 was approximately 60mV (163mV in
tumour cells versus 104 mV in normal cells).
10 SUBJECT
- The subject may be human or animal'subject. The subject may be a healthy subject
or a subject having or at risk from contracting a disease.
15 In particular the subject may have or be at risk from contracting one of the diseases
or conditions mentioned in the previous section.
The subject may be undergoing treatment for the disease. The imaging probe of the
invention may be used to investigate changes in mitochondria1 energisation which
20 are associated with progression of or amelioration of the disease or condition.
The subject may be an experimental animal, in particular and animal model of one
of the diseases or conditions mentioned in the previous section.
2s PROBE SYNTHESIS
The PET nucleus, for example "F, may be incorporated into a precursor form of
the imaging probe which is capable of receiving or adapted to receive the PET
nucleus.
3 0
For example, ' 8 m~a y be synthesised in a cyclotron by methods known in the art.
After synthesis, the "F is commonly in the F- form and, in view of its 110 minute
half-life, needs to be rapidly incorporated into the imaging probe, purified and
administered to the subject.
The present invention also provides a precursor molecule adapted to receive a PET
5 nucleus. For example, the present invention provides a precursor molecule
comprising a lipophilic cation and a hydrophobic moiety which can be reacted with
an anionic form of a PET nucleus to produce an imaging probe according to the
present invention.
10 The precursor molecule may, for example, comprise a leaving group which is
susceptible to nucleophilic substitution. For example the precursor molecule may
comprise a mesylate, tosylate, nosylate, triflate or iodo group, which reacts with the
anionic form of the PET nucleus.
15 The precursor molecule may be a mesylated alkyl triphenylphosphonium
compound, reactable with "F- to form 1 8 ~ - ~ l u o r o a l k yFlig~u~re~ 8. shows the
reaction of a mesylated undecylTPP precursor with "F- to form 1 8 ~ - u n d e c y l ~ ~ ~ .
The present invention also provides a method for producing an imaging probe
20 which comprises the step of reacting an anionic form of the PET nucleus with such
a precursor molecule. This provides a convenient :one-step procedure for
production of the imaging probe.
The present invention also provides a method for producing and administering an
25 imaging probe of the invention to a subject which comprises the following steps:
(i) synthesis of "F-, for example in a cyclotron
(ii) incorporation of into a precursor molecule to produce an imaging
probe;
(iii) optionally purifying the imaging probe; and
3 0 (ii) administration of the optionally purified imaging probe to the subject.
The probe should be administered to the subject as soon as possible after its
synthesis.
INCREASE IN UPTAKE AND CLEARANCE FROM CIRCULATION
5
The present inventors have found that inclusion of a hydrophobic moiety into a
mitochondria-targeted imaging probe increases its uptake into tissues and the extent
to which it is cleared fiom the circulation. The uptake relative to background
circulation is greater, leading to a greater tissue/circulation ratio. This greatly
10 enhances the sensitivity of these probes for detecting and visualising changes in
mitochondnal energisation in vivo.
The present invention thus provides a method for increasing the uptake of an
imaging probe which comprises a tiphenylphosphoniurn (TPP) cation whlch
15 comprises the step of increasing the hydrophobicity of the imaging probe.
The rate andor extent of uptake may be increased 5 to 50, 10 to 40, or 20 to 30 fold
when compared to the uptake of the corresponding compound which lacks the
hydrophobic moiety.
20
Uptake may be increased, in particular into certain tissues, such as kidney, muscle,
heart, liver and fat.
Differences in uptake may be measured, for example between lhr and Shrs after
25 administration.
The present invention also provides a method for increasing the tissue:circulation
ratio of an imaging probe which comprises a tiphenylphosphonium (TPP) cation,
which method comprises the step of increasing the hydrophobicity of the imaging
30 probe.
The tissue:circulation ratio may be obtained by comparing the concentration of the
compound in the tissue (e.g. ludney, liver, muscle or heart) with the concentration
of the compound in the circulation (e.g. blood).
5 Clearance of the imaging probe from the circulation may be increased 5 to 50, 10 to
40, or 20 to 30 fold when compared to clearance of the corresponding imaging
probe whch lacks the hydrophobic moiety. The tissue/circulation ratio may be at
least 50-, 80-, or 100-fold greater than that of the corresponding compound which
lacks the hydrophobic moiety.
10
An example of an imaging probe having a hydrophobic moiety is "FFluoroUndecylTPP,
and the corresponhng imaging probe lacking the hydrophobic
moiety is "F-TPP or "F-TPMP. As the PET nucleus is unlikely to affect uptake or
clearance of the probe, the PET may be compared with the corresponding molecule
15 lacking the hydrophobic moiety and the PET nucleus (e.g. TPP or TPMP).
Hydrophobicity may therefore be increased by introducing or increasing the length
of an alkyl side chain of a triphenylphosphonium lipophilic cation, such that is has
at least 5, for example between 8 and 15 carbon atoms. Hydrophobicity may also
20 be increased by adding side chains to the alkyl groups, putting aromatic groups in
the chain and adding side group to the phenyl rings on the triphenylphosphonium
moiety.
The invention will now be further described by way of Examples, whch are meant
25 to serve to assist one of ordinary skill in the art in carrying out the invention and are
not intended in any way to limit the scope of the invention.
EXAMPLES
30 Example 1 - Investigating; the kinetics of or~and istribution of a mitochondriatargeted
alkvlTPP compound follow in^ iv injection
To determine how rapidly alkylTPP compounds distribute within the body, the
uptake of the mitochondria-targeted antioxidant MitoQ was first assessed following
intravenous (iv) injection (Fig. 2). To do ths a bolus of 100 nrnol [ 3 ~ ] ~ iwtaso ~
administered to mice via tail vein injection and the amount of [ 3 ~ ] ~ int voari~ou s
5 organs was measured over the subsequent 48 h (Fig. 2). There was extensive
uptake of MitoQ by the liver and kidneys when measured 1 h after injection (Fig.
2A). At this time there was less extensive uptake by the heart, lower uptake by
muscle and adipose tissue and very little uptake by the brain (Fig. 2B). This rapid
uptake of MitoQ into organs was mirrored by its early loss from the blood (Fig.
10 3A). The [)H]Mito~ac cumulated by the tissues was then gradually lost with half
lives of -2 h for the liver, - 4 h for the hdneys and -15 h for the heart. There was
almost complete clearance of the administered radioactivity from these tissues
within 48 h, consistent with other studies where -80% of MitoQ was eliminated 24
h after iv injection. To assess the initial uptake of [ 3 ~ ] ~ iinttoo ti~ssu es focus was
15 made on its tissue distribution over the first hour following injection (Figs. 2C &
D). This showed that MitoQ uptake into tissues is very rapid, reaching its
maximum at the earliest time measurable, 5 min after injection. Together these
data show that MitoQ is taken up rapidly from the blood into most organs, but with
significant variations in the extent of uptake by different organs.
20
To see if the rapid uptake of MitoQ into organs from the circulation was a general
property of all alkylTPP cations, or was specific to MitoQ, the organ distribution
following iv injection of three alkylTPP cations, [ 3 ~ ] d e c y l ~ ~ ~ ,
[ 3 ~ ] ~ l u o r o ~ n d eacnyd l[~ ~ ~3 ~was] asse~ssed ~next.~ The~se co mpounds
25 ranged in hydrophobicity from the relatively hydrophilic [ 3 ~(Oct]anolI~PBS ~ ~ ~
partition coefficient 0.35) to the hydrophobic [ 3 ~ ] ~ e c yanld~ ~ ~
[ 3 ~ ] ~ l u o r o ~ n d e(Occytaln~oU~P~BS partition coefficients of 5000 and 740 * 100,
respectively). The tissue distribution of [ 3 ~ ] ~ e covyerl 4~8 h~ is~ sh own in Figs.
4A & B, and that of [ 3 ~ ] ~ l u o r o ~ n d eocveyr l5~ h~ is~ s hown in Fig. 4C. Their
30 uptake profiles were similar to that of MitoQ, with rapid uptake into the liver,
kidney and heart, followed by loss with half lives of -3 h for both compounds from
the liver and kidneys. As was the case with MitoQ, loss from the heart was slower,
with half lives of -1 5 h and - 2 1 h for ['H]D~C~~TanPdP [ ' ~ ] ~ l u o r o ~ n d e c ~ l ~ ~ ~ ,
respectively. The clearance of ['H]D~C~~TaPndP [ 3 ~ ] ~ l u o r o ~ n d efic-oyml t~he~ ~
blood (Fig. 3B) was qualitatively similar to that of ['HlMito~ (Fig. 3A), but their
blood concentrations were lower. The organ distribution of ['HITPMP was
5 measured for 5 h following iv injection (Figs. 5 A,B). The [ 3 ~distr]ibutio~n ~ ~ ~
was qualitatively similar to those of MitoQ, DecylTPP and FluoroUndecylTPP,
with rapid uptake into the liver, heart, kidneys and fat. However the extent of
TPMP uptake was generally less than that of MitoQ, DecylTPP and
FluoroUndecylTPP, with the exception of the brain. The half lives for loss of
10 ['HITPMP From the liver and kidneys were -3 h and - 2 h, respectively, similar to
the other TPP compounds. However, the half life for loss of TPMP fi-om the heart
was - 2 h, significantly shorter than for the other alkylTPP compounds. The
clearance of [ 3 ~froln] the b~lood ~was q~ualit~ativel y similar to that of the more
hydrophobic alkylTPP compounds, although the concentration of ['HITPMP in the
15 blood remained higher (Fig. 3C). Comparing the half lives for clearance of
[ 3 ~and ]the o~ther ~alkyl~TPP ~comp ounds horn the remaining tissues was
technically difficult due to the low amounts of compound taken up, however for
both fat and muscle the half life for clearance of TPMP was estimated at -1-2 h,
while those for DecylTPP and FluoroUndecylTPP were significantly longer at -7-
20 12 h. Together these experiments demonstrated that there was extensive and rapid
uptake of all alkylTPP compounds into organs fi-om the blood.
Example 2 - Comparison of the extent of uptake of alkylTPP compounds into
organs over time
2 5
The data in Figs. 2, 4 & 5 show that the organ distributions of the four TPP
compounds assessed are qualitatively similar. However, there were significant
quantitative differences between the extents of uptake of the compounds into
different organs. To assess these differences we have plotted the tissue contents of
30 the four TPP compounds at 15 min, 1 h and 5 h after iv injection (Figs. 6 A, C, E).
As the amounts taken up into muscle, fat and brain were lower than other organs,
these data are also presented as expanded inserts within each panel. This analysis
showed that for the ludneys, heart and muscle the extent of uptake was in order:
DecylTPP, FluoroUndecylTPP > MitoQ > TPMP, and these differences were most
evident 1 to 5 h after injection. The magnitudes of these differences were large, for
example the uptake of DecylTPP, MitoQ and TPMP into the heart 1 h after
5 injection being in the ratio of 17:6: 1 and by 5 h this ratio was 32: 10: 1. The organ
distribution for MitoQ, DecylTPP and FluoroUndecylTPP were similar with uptake
in the order: kidney > liver > heart > muscle, fat > brain. The organ distribution of
TPMP is broadly similar to that of the three more hydrophobic compounds, with
the exception that the uptake into the liver was greater than in the kidney for this
10 compound and there was greater uptake into the brain.
AlkylTPP compounds are accumulated into tissues in response to the plasma and
mitochondrial membrane potentials, as described by the Nernst equation.
Consequently the concentration of the compound w i t h mitochondria in the tissue
15 will be determined by the mitochondrial and plasma membrane potentials, and by
the concentration of compound in the circulation. As these membrane potentials
are similar for all experiments reported here, a major determinant of the extent of
compound uptake into tissues is its concentration in the blood. To correct for
alterations in organ uptake due to this we also determined the ratio of the
20 concentration of compound in the organ to its concentration in the circulation, and
these data are shown at 15 min, 1 h and 5 h after iv injection (Figs 6B, D and F).
These data corroborate the findings of Figs. 6A, C and E and confirm that the
extent of uptake was in order: DecylTPP, FluoroUndecylTPP > MitoQ > TPMP.
For example, the heart/blood ratios for DecylTPP, MitoQ and TPMP 1 h after
25 injection are in the ratio of 109: 11 :1 and by 5 h this ratio was 248:26: 1. One
exception is that while the liver/blood ratio of MitoQ and TPMP were similar, those
for DecylTPP and FluoroUndecylTPP were significantly greater. In addition, there
was little difference between the brainhlood ratio for all four compounds,
suggesting that the apparent greater uptake of TPMP seen in Figs. 6 A, C and E
30 may arise due to its presence in entrapped blood, rather than in the brain itself.
Together, the data in Fig. 6 indicate that the organ distribution for all four
compounds is qualitatively similar. DecylTPP and FluoroUndecylTPP are taken up
to a significantly greater extent than MitoQ, and in turn MitoQ is taken up and
retained to a far greater extent than TPMP.
Example 3 - Uptake of alkvlTPP compounds bv mitochondria in vivo
5
The results of Examples 1 and 2 show that alkylTPP compounds are taken up
rapidly into organs in vivo. The uptake of TPP compounds into mitochondna and
cells has been shown to be due to the mitochondnal and plasma membrane
potentials with most of the accumulated compound being within mitochondria.
lo Therefore it is likely that once the alkylTPP compounds are accumulated withn
tissues they are predominantly localised withn rnitochondna, driven by the
membrane potential. To see if this was the case in these experiments, it was next
determined if the uptake of the alkylTPP compounds in vivo was decreased by
lowering the mitochondria1 membrane potential. To do this,
15 [ 3 ~ ] ~ l u o r o ~ n d ewcasy iln~jec~te~d into mice iv and after 15 min the mice were
hrther injected with various doses of the mitochondrial uncoupler 2,4-
dinitrophenol (DNP) or saline carrier and after a further 15 min the extent of
[ 3 ~ ] ~ l u o r o ~ n d eacccyuml ~ul~ati~on by the organs was measured (Fig. 7A). The
amounts of DNP used have been shown to cause partial uncoupling of
20 mitochondna in vivo without toxicity. Our experiments showed that DNP
decreased the uptake of [ 3 ~ ] ~ l u o r o ~ n d einctoy tlh~e o~rg~a ns by up to 40%, in a
dose dependent manner (Fig. 7A). These findings are consistent with the extent of
uptake of alkylTPP compounds within organs in vivo being determined by the
mitochondnal membrane potential.
25
To demonstrate directly the localization of alkylTPP compounds within
mitochondna in vivo is technically challenging due to their rapid redistribution
upon the tissue homogenisation required for mitochondnal isolation. To overcome
this problem in the past,the modified alkylTPP compounds 4-iodobutylTPP (IBTP)
30 and 10-iododecylTPP (1DTP)have been used. These compounds are accumulated
by mitochondna in the same way as other alkylTPP compounds, but once within
the mitochondrial matrix the iodo moiety is displaced by mitochondrial thiol
proteins to form stable thioether adducts whlch can be visualised using antibodies
against the TPP moiety. As the rates of reaction of IBTP and IDTP with protein
thiols are relatively slow, this approach was extended to make a TPP compound
attached to the more thiol-reactive iodoacetamide (IAM) moiety (IAM-TPP; Fig
5 7B). The intention was that this molecule should be accumulated by mitochondria
and there label mitochondnal thiol proteins, with the enhanced thiol reactivity of
the IAM moiety facilitating the reaction of IAM-TPP with mitochondrial protein
thiols in vivo before it was cleared from the organ (Fig. 7B). On incubation with
isolated mitochondria IAM-TPP rapidly reacted with protein thiols and could be
10 detected using antiTPP antibodies as was shown previously for IBTP (data not
shown). Incubation of IAM-TPP with cells followed by analysis by
imrnunocytochemistry showed uncoupler-sensitive localisation of IAM-TPP within
mitochondria (Fig 7C), confirming that IAM-TPP labelled mitochondnal proteins.
A bolus of IAM-TPP was then adrmnistered to mice by iv injection and isolated
15 mitochondria from the heart and liver 1 h later. Western blots of these
mitochondrial fractions using antiserum selective for the TPP moiety showed
labelling of heart and liver mitochondrial proteins by IAM-TPP (Fig. 7D).
Together these data indicate that following iv injection alkylTPP compounds are
rapidly taken up by mitochondria within tissues driven by the mitochondrial
20 membrane potential.
It has thus been shown that alkylTPP compounds are accumulated by many organs
in vivo within 5 min of iv administration giving therapeutically effective amounts
of compound in the tissues. This uptake into tissues was due to the membrane
25 potential-dependent accumulation of the compounds into mitochondna.
An interesting finding in this study was that DecylTPP and FluoroUndecylTPP
compounds were far more extensively taken up into tissues than TPMP. This is due
to the greater adsorption of the longer chain akylTPP cations to the matrix-facing
30 surface of the mitochondrial inner membrane. Importantly, the enhancement of the
extent of uptake of TPP cations by altering the side chain was large, 10 to 30-fold.
In addition to elevating the absolute levels of alkylTPP compounds within organs,
modifying the alkyl side chain to a FluoroUndecyl or Decyl moiety greatly
enhanced the organlblood concentration ratio of the alkylTPP compounds by over a
hundred-fold relative to TPMP. This property will be useful for the design of more
5 effective PET probes to assess mitochondnal function in vivo in order to assess
changes in mitochondria1 polarisation associated with cancer and with cell death.
The data presented here suggest that PET probes based on long chain, hydrophobic
alkylTPP cations may have significantly better tissue loading and contrast
properties than the alkylTPP cations that have been developed as PET probes to
10 date, whch are similar to TPMP. In this regard, the data obtained with
FluoroUndecylTPP are particularly interesting as theIg~a tom can be readily
replaced by the PET-active "F, and the uptake of FluoroUndecylTPP responded to
the extent of mitochondnal polarisation in vivo.
15 Exam~le 4 - Use of 18F-UndecvlTPP to visualise tumours and mitochondnal
damage in animal models
An irnmunocompromised mouse model is used into which tumours of various sizes
have been implanted tumours. 18F-UndecylTPP is then administered to the mice
20 and the turnours visualised using PET.
A heart or kidney ischaemia reperfusion model is also used show that 18FUndecylTPP
may be used to visualise damaged mitochondria within tissues.
25 Finally, models of damage to the blood-brain barrier are used to investigate whether
the probes of the invention are taken up in to the brain following this damage,
thusindicating whether the blood brain barrier has been compromised.
Materials and Methods
Chemical syntheses
[ 3 ~iodid]e (6~0 Ci~/mmo~l) wa~s fro m American Radiolabeled Chemicals.
[ " ] ~ i t o ~a nd ['HID~C~~TprPePpa rations were synthesised and HPLC-purified to
>97% radiopurity. To synthesise 1 1 -fluoroundecyltriphenylphosphonium mesylate
(FluoroUndecylTPP) a mixture of 11-bromoundecanol (752.1 mg 2.99 mrnol),
5 tetrabutylarnmonium fluoride (2.34 g 7.21 mmol) and H20 (162 pL) in a Kimax
tube (15 mm x 150 rnrn), flushed with argon and sealed with a screw cap was
stirred at 80°C for 1 h. The reaction was allowed to cool slightly and extracted into
pentane (25 mL). The organic layer was washed with H20 (30 mL) three times,
dried over MgS04, filtered and concentrated in vacuo to give 1 1-fluoro-1-
10 undecanol as a slightly brown oil (41 6 mg 2.19 mmol 73%) containing -7% 1 1 -
fluoroundec-1-ene from 'H NMR integration of the -CH2F (4.5) vs =CH2 (4.9-5)
resonances. I H NMR 4.46 (2H, d,t J=47.3, 6.2 Hz, -CH2F), 3.66 (2H, t, J=6.2 Hz, -
CHzOH), 1.2-1.8 (18H, m) ppm. 19F NMR -21 8.5 (t,t J=47.5, 24.6 Hz) ppm. A
solution of crude 1 1 -fluoro- 1-undecanol (333 mg, 1.75 mmol), triethylamine (35 1
15 mg, 3.47 mmol, 484 pL, 2 equiv.) in dry CH2C12 (10 mL) was stirred at -lO°C for
10 min. A solution of methane sulfonyl chloride (230 mg, 2.02 mrnol, 156 pL) in
dry CH2C12 (1 mL) was then added while maintaining a temperature
Documents
Application Documents
| # |
Name |
Date |
| 1 |
8574-delnp-2012.pdf |
2015-11-30 |
| 2 |
8574-delnp-2012-Correspondence Others-(11-03-2013).pdf |
2013-03-11 |
| 3 |
8574-delnp-2012-Form-3-(11-03-2013).pdf |
2013-03-11 |
| 3 |
Form-1.pdf |
2012-10-10 |
| 4 |
8574-delnp-2012-Correspondence-IPO-(05-11-2012).pdf |
2012-11-05 |
| 4 |
8574-delnp-2012-Correspondence-others (12-11-2012).pdf |
2012-11-12 |
| 5 |
8574-delnp-2012-GPA (12-11-2012).pdf |
2012-11-12 |
| 6 |
8574-delnp-2012-Correspondence-IPO-(05-11-2012).pdf |
2012-11-05 |
| 6 |
8574-delnp-2012-Correspondence-others (12-11-2012).pdf |
2012-11-12 |
| 7 |
8574-delnp-2012-Form-3-(11-03-2013).pdf |
2013-03-11 |
| 7 |
Form-1.pdf |
2012-10-10 |
| 8 |
8574-delnp-2012-Correspondence Others-(11-03-2013).pdf |
2013-03-11 |
| 9 |
8574-delnp-2012.pdf |
2015-11-30 |