On the development of novel cocaine-analogues for in vivo imaging of the dopamine transporter status

The present thesis is concerned with the development of novel cocaine-derived dopamine transporter ligands for the non-invasive exploration of the striatal and extra-striatal dopamine transporter (DAT) in living systems. The presynaptic dopamine transporter acquires an important function within the mediation of dopaminergic signal transduction. Its availability can serve as a measure for the overall integrity of the dopaminergic system. The DAT is upregulated in early Parkinson’s disease (PD), resulting in an increased availability of DAT-binding sites in the striatal DAT domains. Thereby, DAT imaging has become an important routine diagnostic tool for the early diagnosis of PD in patients, as well as for the differentiation of PD from symptomatically similar medical conditions. Furthermore, the dopaminergic system is involved in a variety of psychiatric diseases. In this regard, DAT-selective imaging agents may provide detailed insights into the scientific understanding of the biochemical background of both, the progress as well as the origins of the symptoms. DAT-imaging may also contribute to the determination of the dopaminergic therapeutic response for a given medication and thereby contribute to more convenient conditions for the patient. From an imaging point of view, the former demands a high availability of the radioactive probe to facilitate broad application of the modality, whereas the latter profits from short-lived probes, suitable for multi-injection studies. Therefore, labelling with longer-lived 18F-fluoride and in particular the generator nuclide 68Ga is worthwhile for clinical routine imaging. In contrast, the introduction of a 11C-label is a prerequisite for detailed scientific studies of neuronal interactions. The development of suitable DAT-ligands for medical imaging has often been complicated by the mixed binding profile of many compounds that that interact with the DAT. Other drawbacks have included high non-specific binding, extensive metabolism and slow accumulation in the DAT-rich brain areas. However, some recent examples have partially overcome the mentioned complications. Based on the structural speciality of these leads, novel ligand structures were designed and successfully synthesised in the present work. A structure activity relationship (SAR) study was conducted wherein the new structural modifications were examined for their influence on DAT-affinity and selectivity. Two of the compounds showed improvements in in vitro affinity for the DAT as well as selectivity versus the serotonin transporter (SERT) and norepinephrine transporter (NET). The main effort was focussed on the high-affinity candidate PR04.MZ, which was subsequently labelled with 18F and 11C in high yield. An initial pharmacological characterisation of PR04.MZ in rodents revealed highly specific binding to the target brain structures. As a result of low non-specific binding, the DAT-rich striatal area was clearly visualised by autoradiography and µPET. Furthermore, the radioactivity uptake into the DAT-rich brain regions was rapid and indicated fast binding equilibrium. No radioactive metabolite was found in the rat brain. [18F]PR04.MZ and [11C]PR04.MZ were compared in the primate brain and the plasma metabolism was studied. It was found that the ligands specifically visualise the DAT in high and low density in the primate brain. The activity uptake was rapid and quantitative evaluation by Logan graphical analysis and simplified reference tissue model was possible after a scanning time of 30 min. These results further reflect the good characteristics of PR04.MZ as a selective ligand of the neuronal DAT. To pursue 68Ga-labelling of the DAT, initial synthetic studies were performed as part of the present thesis. Thereby, a concept for the convenient preparation of novel bifunctional chelators (BFCs) was developed. Furthermore, the suitability of novel 1,4,7-triazacyclononane based N3S3-type BFCs for biomolecule-chelator conjugates of sufficient lipophilicity for the penetration of the blood-brain-barrier was elucidated.

Modulare Synthese von Sialyl-Lewis X-Mimetika als Selektin-Liganden

Zelladhäsions- und Zellerkennungsphänomene spielen eine entscheidende Rolle im biologischen Geschehen: So findet die Kommunikation zwischen Zellen zu einem großen Teil zwischen membranständigen Adhäsionsmolekülen und ebenfalls membranständigen Liganden auf Nachbarzellen statt. Zu diesen Adhäsionsmolekülen gehören die Selektine, die von fundamentaler Bedeutung für die Bekämpfung von Entzündungskrankheiten und damit für die Funktionsweise unseres Immunsystems sind. Tritt eine Entzündung in unserem Körper auf, so sind Selektine an Adhäsionsprozessen beteiligt, die zur Auswanderung von Leukozyten aus dem Blutstrom in das entzündete Gewebe führen. Diese auswandernden Zellen enthalten eine Vielzahl von Wirkstoffen, die Krankheitserreger bekämpfen, aber auch körpereigenes Gewebe angreifen können. Viele Krankheitsbilder, die mit akut oder chronisch entzündlichen Prozessen einhergehen, hängen mit einer Dysregulation der Selektine zusammen. In diesen Fällen werden übermäßig Selektine exprimiert und es kommt zu einer lokal überschießenden Akkumulation von Leukozyten, die zu Schädigungen von gesundem Gewebe führen kann. rnZu diesen Krankheiten gehören z.B. die rheumatoide Arthritis, die myocardialen Ischämie, Psoriasis sowie Asthma und Allergien. Auch bei der Abstoßung von Transplantaten und Tumormetastasierung wurde eine Beteiligung der Selektine nachgewiesen. Eine Strategie gegen diese unerwünschten Effekte ist die selektive Inhibierung der Selektine, welche aufgrund der bedeutenden Rolle der Selektine in der Genese zahlreicher Krankheiten, von großem pharmazeutischen Interesse ist. rnIn der vorliegenden Arbeit ist die Entwicklung chemischer Synthesen von Verbindungen beschrieben, welche selektininhibierende Eigenschaften aufweisen sollen. Solche sog. Mimetika, die wie die natürlichen Liganden mit den Selektinen wechselwirken, sind nicht nur potenzielle Medikamente, sondern können auch durch veränderte Affinität zur Aufklärung von selektinvermittelten Zelladhäsionsprozessen dienen.rn