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| United States Patent Application |
20080241873
|
| Kind Code
|
A1
|
|
Bornhop; Darryl J.
;   et al.
|
October 2, 2008
|
MULTI-USE MULTIMODAL IMAGING CHELATES
Abstract
Cyclen-based chelates can be used as contrast agents for multi-modal
imaging of tissue cells. The cyclen-based chelates are preferably
polyazamacrocyclic molecules formed from 1,4,7,10 tetraazacyclododecane
("cyclen") having varying chelating ions, phosphoester chains, and light
harvesting moieties. By changing the chelating ion, phosphoester chain
length and/or the light harvesting moiety different imaging techniques,
such as MRI, CT, fluorescence and absorption, x-ray and NIR, may be
employed to image the tissue cells. Additionally, the cyclen-based
chelates may be conjugated to provide for site-specific delivery of the
cyclen-based chelate to the desired tissue cells. The cyclen-based
chelates may also be delivered to the tissue cells by attaching the
cyclen-based to a polymeric delivery vehicle. Although these cyclen-based
chelates have a wide variety of application, the preferred use is for
imaging of cancer cells, such as brain cancer, for improving resection of
a cancerous tissue.
| Inventors: |
Bornhop; Darryl J.; (Nashville, TN)
; Manning; H. Charles; (Nashville, TN)
; Goebel; Timothy; (Lubbock, TX)
|
| Correspondence Address:
|
STITES & HARBISON PLLC
401 COMMERCE STREET, SUITE 800
NASHVILLE
TN
37219
US
|
| Serial No.:
|
042282 |
| Series Code:
|
12
|
| Filed:
|
March 4, 2008 |
| Current U.S. Class: |
435/29; 435/375; 540/474 |
| Class at Publication: |
435/29; 540/474; 435/375 |
| International Class: |
C12Q 1/02 20060101 C12Q001/02; C07D 257/02 20060101 C07D257/02; C12N 5/06 20060101 C12N005/06 |
Claims
1. A conjugate comprising the following formula:wherein n is 0-10, and a
contrast agent binded thereto.
2. The compound of claim 1, wherein the contrast agent is a cyclen-based
chelate compound.
3. A compound of claim 1, wherein A is selected from the group consisting
of:
4. A compound of claim 123, wherein A isY is F, Cl, CH.sub.3, OCH.sub.3,
CF.sub.3, NO.sub.2.
5. A method for delivering an agent to a sample of cells, comprising:(a)
forming a conjugate comprising the following formula:wherein n is 0-10,
and an agent binded thereto; and(b) introducing the conjugate to the
sample of cells.
6. The method of claim 5, wherein A is selected from the group consisting
of:
7. A method of claim 5, wherein A isY is F, Cl, CH.sub.3, OCH.sub.3,
CF.sub.3, NO.sub.2.
8. The method of claim 5, wherein said agent is a contrast agent.
9. The method of claim 5, wherein said agent is a targeted therapy agent.
10. The method of claim 8, further comprising the step of:detecting a
signal from said imaging agent.
11. The method of claim 10, further comprising the step of:analyzing said
signal to diagnose a disease state.
12. The method of claim 11, wherein said disease state is cancer.
13. The method of claim 12, wherein said disease state is brain cancer or
breast cancer.
14. The method of claim 8, further comprising the steps of:administering
to said sample of cells a second imaging agent; anddetecting a second
signal from said second imaging agent.
15. The method of claim 10, wherein the signal is selected from the group
comprising a fluorescent image, a MRI image, a NIR image, a PET image, a
CT image or an x-ray image.
16. The method of claim 14, wherein the second signal is selected from the
group comprising a fluorescent image, a MRI image, a NIR image, a PET
image, a CT image or an x-ray image.
17. A conjugate comprising the following formula:wherein n is 0-10, and a
targeted therapy agent binded thereto.
18. A process for preparing a conjugate, comprising reacting an agent with
an intermediate of the following formula:wherein n is 0-10, and an agent
binded thereto.
19. The process of claim 18, wherein the agent is a contrast agent.
20. The process of claim 18, wherein the agent is a targeted therapy
agent.
21. The process of claim 18, wherein the agent is a cyclen-based chelate
compound.
22. The process of claim 18, wherein the cyclen-based chelate compound
comprises a lanthanide (Ln) series ion.
23. The process of claim 18, wherein the agent is a compound of the
following formula:wherein:M is a chelating ion selected from the group
comprising carbon (C), nitrogen (N), oxygen (O), flourine (F), bromine
(Br), gallium (Ga), copper (Cu), nickel (Ni), selenium (Se), indium (In),
technetium (Tc), yttrium (Y) and lanthanide (Ln) series ion;R.sub.1 and
R.sub.3 are, independently,R.sub.4 is H, CH.sub.3, C.sub.2H.sub.5,
C.sub.3H.sub.7, C.sub.4H.sub.9, C.sub.5H.sub.11, C.sub.6H.sub.13; andA is
a sensitizer.
Description
CROSS REFERENCE TO RELATED APPLICATION
[0001]This application claims the benefit, under 35 U.S.C. 119(e), of U.S.
Provisional Application Nos. 60/316,284 and 60/316,303 both filed Sep. 4,
2001, the contents of which are incorporated herein by reference.
BACKGROUND OF THE INVENTION
[0002]1. Field of the Invention
[0003]The present invention relates generally to the formation of contrast
agents containing cyclen-based chelates in order to produce multimodal
images of a sample of cells.
[0004]2. Background Information
[0005]The American Cancer Society estimates that 16,800 new intracranial
tumors were diagnosed in 1999, more than double the number of diagnosed
cases of Hodgkin's disease, and over half the number of cases of
melanoma. Moreover, in the same year, primary cancer of the central
nervous system was the cause of death in approximately 13,100 people.
Despite aggressive treatment strategies including surgical resection,
irradiation and chemotherapy, most patients die from the disease, with
median survival measured in months.
[0006]Patients with malignant gliomas 18-44 years old have a median
survival rate of 107 weeks, whereas patients older than 65 survive just
23 weeks on average. Age, history of previous low-grade tumor, histologic
composition of the tumor and treatments (i.e. radiation, surgery and
chemotherapy) all affect prognosis. Yet, it is impossible to
over-emphasize the importance imaging and detection techniques play in
influencing the success in treating a variety of cancers.
[0007]Surgical therapy plays an important role in determining outcome for
patients with primary brain tumors and other cancerous tumors. Gross
total resection is associated with both longer survival and improved
neurologic function. Therefore, every effort is made to remove as much of
the tumor as possible. The degree to which a complete resection can be
carried out in the brain is limited, however, by a number of factors
unique to the central nervous system. One variable that directly
influences the extent of resection is the difficulty of visually
detecting differences between normal brain tissue and malignant tissue.
Primary brain tumors are infiltrating lesions and the margins of the
tumor are indistinct. For this reason, patients with malignant intrinsic
brain tumors often undergo subtotal resection. Alternatively, patients
may experience unexpected neurological morbidity if the resection is
inadvertently carried into normal surrounding brain tissue. Additionally,
current tumor imaging methods are limited because they image the tumor
indirectly. Normally, imaging methods measure alterations in blood brain
barrier permeability, detect edema or use non-specific MRI signal changes
within the tumor and adjacent the brain. Thus it is difficult to identify
radiation necrosis and inflammatory changes, as well as to assess
response to therapy or to provide the capability of following disease
progression. Furthermore, classical MRI contrast enhanced imaging fails
to demarcate primary infiltrating glial tumors, with scans often
indicating a discreet lesion border even though tumor cells typically
extend several centimeters away. Because outcome is so closely linked to
the extent of surgical resection, and the degree of resection is limited
by difficulties in visually detecting tumors, there is a pressing need to
develop new strategies to aid in intraoperative detection and imaging of
brain cancer. The ideal imaging method for enhancing brain cancer
detection would be tumor specific, non-invasive, provide real time
intraoperative imaging and correlation with anatomic imaging (MRI), and
define infiltrating tumor margins.
[0008]In patients where computed tomography (CT) or magnetic resonance
imaging (MRI) are used to aid in providing "complete" resection of the
tumor, the median survival period is 70 weeks. However, patients who
undergo "only biopsy of the tumor" have a median survival rate of just 19
weeks. Even with this dramatic improvement, MRI and CT scans cannot be
used to identify the outermost border of the malignant brain tumor. It
has been repeatedly shown that areas that appear "normal" during surgery
contain tumor cells. While contrast enhanced MRI scans often suggest the
presence of a discreet border to the lesion, brain tumors are widely
infiltrative with tumor cells typically extending microscopically several
centimeters away from the obvious area of the disease. Current imaging
methods do not adequately assess the extent of disease or differentiate
between viable tumor infiltration, radiation necrosis, or inflammatory
changes. For these reasons, current imaging modalities are not ideal for
following disease progression or assessing response to therapy. If it
were possible to perform guided resection using a fluorescent contrast
agent to image brain cancer cells on a microscopic scale in the operating
room in combination with macroscopic scale MRI, the long-term survival
rate would significantly improve.
[0009]Recent discoveries in molecular imaging play a vital role in the
early detection, diagnosis, and treatment of disease, as well as in the
study of biological and biochemical mechanisms, immunology, and
neuroscience. Since current molecular-level technologies primarily focus
on in-vitro methods, it is crucial to develop imaging methodologies that
have high spatial and temporal resolution in-vivo and spectroscopy
techniques for imaging at the cellular or molecular scales. Presently,
in-vivo detection and surgical resection means are limited to either
macroscopic gross visualization, white-light endoscopy or white-light
microscopic visualization. The visual assessment of any tissue depends on
many factors, including the experience of the clinician, his/her ability
to identify the suspect lesions and their resection or biopsy skill. The
visual cues, such as signal to noise ratio (S/N), for the determination
of a pathologic state are small or low, especially for brain cancer which
tends to infiltrate normal tissue. When the contrast for disease is low
as it is for small foci of cancer cells, it makes surgical resection
problematic. These techniques tend to miss disease at its earliest stage
because of low concentrations of the endogenous chromophores leading to
contrast between normal tissue and disease. The need for better contrast
agents to assist in identifying disease is not limited to the brain. For
example, patients undergoing back-to-back colonoscopies, performed by an
experienced colonoscopist, may have as many as 15% to 24% of their
neoplastic polyps smaller than 1 cm overlooked. Furthermore, up to 6% of
larger polyps may escape detection as well. In short, clinical outcomes
are dependent on the design of new contrast agents and imaging
methodologies. Clearly, there is a significant need for the enhancement
of disease detection to improve the clinical outcomes.
[0010]Recent advances in optical imaging, high spatial resolution MR, and
nuclear imaging play an important role in obtaining molecular
information. Early-stage disease detection, evaluation of molecular
markers for therapy assessment, and imaging of gene expression or protein
levels are just a few of the applications immediately available.
High-affinity ligands developed rationally, combinatorially, or by chance
must have the ability to reach the intended target at sufficient
concentration and for a sufficient length of time to be detectable
in-vivo. Through the use of compounds with multiple signatures, this goal
is more readily achieved.
[0011]Although MRI remains the hallmark imaging modality for examining
many types of cancers, MRI does not provide a clinician with real-time
intra-operative maps once surgery commences. Thus, new MR contrast agents
that can also offer real time intra-operative fluorescence visualization
of disease need to be developed in order to take full advantage of
conventional MRI examination. While there are numerous exogenous, topical
or injectable agents being used to aid in the demarcating of normal
tissue from disease tissue, including acetic acid, indocyanine green
(ICG), methylene and toluidine blue, and 5-aminolevulinic acid (ALA),
none of these agents can be used as an MRI agent. These agents are also
restricted in use due to tissue toxicity, low specificity, and/or long
manifestation times, with contrast primarily based on differential
permeability of the agent between normal and diseased tissue. Generally
they provide only modest diagnostic utility, primarily because of an
inherent lack of specificity.
[0012]Several research groups have investigated laser-induced fluorescence
spectroscopy (LIFS) of endogenous fluorophores as a potential tool for
tissue diagnostics, targeting cardiovascular and oncological
applications. Pertinent reviews in the field of Laser-Induced
Fluorescence Spectroscopy (LIFS) for tissue diagnostic applications, and
in particular, oncological applications have been presented. Evidence
exists that tissue staging can be accomplished allowing transformation
from dysplasia to cancer to be quantified. All tissue contains
fluorophores or endogenous chromophores that absorb light and
subsequently emit light at a longer wavelength. Nicotinamide adenine
dinucleotide (NAD[H]), flavins, collagen, and elastin are commonly known
tissue fluorophores. It is currently believed that autofluorescence
primarily detects changes in concentration or distribution of these
components. As normal tissue becomes dysplastic the concentration or
distribution of these endogenous fluorophores changes thus leading to a
detectable change in the resulting fluorescent spectrum. These changes
are wavelength dependent and correlate with changes in histology. These
techniques, while showing great promise, still suffer from relatively low
S/N stemming from small changes in concentration of the solutes detected
in early disease and the large background arising from other
fluorophores, scattering, and reflected light. Combining these technical
advances with new contrast agents will advance the field of molecular
imaging.
[0013]Moreover, while steady-state LIFS techniques have been extensively
investigated and are currently routinely used in research clinics for
characterization of endogenous and exogenous fluorescence, only a few
research groups have explored the TR-LIFS techniques for diagnostics. In
this regard, both time- and frequency-domain time-resolved
instrumentation have been employed. This early work suggests that
time-resolved fluorescence spectroscopy improves the specificity of
fluorescence measurements in tissue and enhances the ability of LIFS to
characterize tissue composition. The use of time-resolved fluorescence
approach for tissue characterization is suitable for several reasons.
Time-resolved fluorescence measurement a) can resolve the spectral
overlap of endogenous fluorophores in tissue (main limitation of LIFS
steady-state), b) is independent of fluorescence emission intensity as
long as the signal to noise is commensurable, thus independent to the
presence of the endogenous chromophores in tissue (hemoglobin) or to
excitation-collection geometry (optical assembly), and c) is sensitive to
microenvironmental parameters in tissue (pH, enzymatic activity,
temperature), thus various tis-sue parameters can be monitored. Cellular
level detection and evaluation of glioma could be facilitated by
combining the power of time-resolved spectroscopic imaging with contrast
agents.
[0014]Another example of contrast enhancement agents or site-directed
chemical agents that have seen recent success is the P
hotoDynamic Therapy
(PDT) class of markers. While these types of markers have shown promise
in a diagnostic setting, there are limitations. Long delays for
accumulation in tumors, prolonged photosensitization of skin, and
phototoxicity of tissues being imaged are some examples of these
limitations. Preclinical studies in rat brain-tumor model with
hematoporphyrin derivative (HpD) demonstrated an increase in the HpD
fluorescence in the brain tumor relative to the adjacent normal tissue.
Second generation p
hotosensitizers such as chloro-aluminium
phthalocyanine have been shown to increase the accuracy with which rat
brain tumor margins can be defined during resection in-vivo. More
recently, 5-Aminolevulinic acid-(ALA) induced porphyrin (PpIX)
fluorescence has been used in clinical studies. The results suggest that
ALA-induced PpIX may label malignant gliomas and enhance the tumor
removal. However, to date, their efficiency in intraoperative detection
of tumor margins has been limited.
[0015]Improved site-directed delivery of contrast agents can be
accomplished when a carrier molecules or ligand specific for a receptor
is conjugated to some signaling species. In general the result is
enhanced accumulation or association of this ligand with or in a certain
type of cell, leading to high detection specificity when using of
fluorescence imaging. For example, it has recently been demonstrated that
implanted pancreatic acinar tumors, that over express the somatostatin
receptor, could be imaged using a DOTA and a Indocyanine Green (ICG)
conjugate. Another example of site directed contrast enhanced imaging is
the use of folate to target several different kinds of cancer cells that
are known to upregulate a receptor for this complex. One drawback of this
approach to cancer detection is that the chemistry required for
conjugation can often be quite complicated or require great synthetic
skill.
[0016]Pyclen-based lanthanide chelates can be used as exogenous markers
for epithelial carcinoma. Pyclen-based terbium chelate having the
following chemical structure have been used to detect chemically induced
colon cancers in the Sprague Dawley rat. As shown below, lanthanide
chelates can be derived from the following ligands: 3,6,9-tris(methylene
phosphonic acid n-butyl
ester)-3,6,9,15-tetraaza-bicyclo[9.3.1]pentadeca-1(15),11,13-triene
(PCTMB), 3,6,9-tris(methylene phosphonic
acid)-3,6,9,15-tetraaza-bicyclo[9.3.1]pentadeca-1(13),11,13-
triene (PCTMP) and N,N'-bis(methylene phosphonic
acid)-2,11-diaza[3.3]-(2,6)pyridinophane (BP2P). The molecule,
Tb-[N-(2-pryidylmethyl)-N',N'',N'''-tris(methylenephosphonic acid butyl
ester)-1,4,7,10 tetraazacyclododecane] or Tb-PCTMB has excellent
fluorescent properties, good specificity, and low toxicity. Preliminary
work indicates that Tb-PCTMB can be used as an exogenous marker for
dysplastic tissues with sensitivity as high as 94.7%. Using the bright
green fluorescence from a tributyl ester Tb.sup.3+ chelate with a
tethered antenna, and subsequent histopathology, it is possible to detect
squamous cell carcinoma lesions in the Syrian Hamster Cheek Pouch which
are not visible by standard white light imaging. However, a major concern
with using these pyclen-based lanthanide chelates is that the harvesting
moiety, pyridine, requires high energy UV light (270 nm) to excite the
lanthanide, which can be harmful to tissues. Therefore, a new class of
chelates that does not require high energy UV light yet still retains a
high degree of specificity and sensitivity is desirable.
[0017]When used as molecular imaging agents, contrast agents having
conjugated complexes have the potential for high discrimination between
histologically dissimilar (i.e. normal vs. diseased) tissues on the
molecular level. In particular, mitochondrial function, specifically the
over-expression of the peripheral benzodiazepine receptor (PBR) in
cancerous tissue, has been suggested as an effective target with which to
direct contrast agents for the identification of disease, especially
cancers of the CNS. Although PBRs are widely expressed throughout the
body in all steroid-producing tissues, their density in the CNS is
primarily limited to the ependymal cells and glia. This 18 kDa protein is
associated with many biological functions including the regulation of
cellular proliferation, immunomodulation, porphyrin transport and heme
biosynthesis, anion transport, regulation of steroidogensis and
apoptosis, all processes that would be amplified in immortalized, rapidly
proliferating tumor cells. The exploitation of PBR over expression has
been shown to be a viable targeting technique for numerous times. A known
high affinity PBR ligand PK11195 has been used both as an in-vitra and
in-vivo PET agent for visualizing both human and rat gliomblastoma, and
as a targeted therapeutic agent when conjugated to the drug gemcitabine.
It has also been shown that a PBR ligand which is closely related to
PK-11195, 7-Nitro-2,1,3-benzoxadiazol-4-yl, could be conjugated to a
fluorescent label, 2-Phenylindole-3-acetamide, retaining the ability
label PBR in glioma cell lines. While this compound is attractive, it
provides only an optical signature and has not been conjugated to the
most attractive PBR ligand, PK-11195.
[0018]For various reasons, including non-ideal interstitial solute
transport properties and complicated pharmokinetics, the approach of
using high-affinity vector molecules as contrast agents has been limited
by poor specificity when used in vivo. This has not been the case when
the isoquinoline, PK-11195, has been used as a ligand to target the
peripheral-type benzodiazepine, a PBR ligand that labels glioma cells.
Human glial tumors have been shown to display a high density of
peripheral benzodiazepine binding (PBR) sites. The presence of such high
concentrations of specific PBR receptors on glial tumors suggests that
human primary brain tumors could be imaged and diagnosed using PBR
ligands. Recent reports have demonstrated the feasibility of this
hypothesis and have identified the peripheral benzodiazepine receptor
ligand PK-11195 as an excellent candidate molecule. Intravenously
administered .sup.3H-PK-11195 has been shown to selectively label glioma
cells in rat brains studied in-vitro and in-vivo. Moreover,
autoradiograms of postmortem brain sections containing glioma revealed
that .sup.3H-PK-11195 bound specifically to intact tumor cells and not to
cells of normal cortex or necrotic areas of the tumor. A clinical
positron emission tomography (PET) study was carried out with
C.sup.11PK-11195 and demonstrated that saturable, high-affinity binding
of the ligand corresponded directly to the tumor. Taken together, these
findings provide support for the use of PK-11195 to image human gliomas.
However, these studies have not been fully explored nor demonstrate the
potential use of PK-11195 as a vehicle for contrast enhancement in brain
cancer imaging. In addition, to imaging brain cancer, PK11195 may be
useful in the identification of other forms of cancer. For example,
breast cancer cells over-express substantial quantities of PBR as well.
[0019]At this time, there are no specific markers for neoplastic glial
cells, thus allowing the unambiguous discrimination of human brain tumors
from normal tissue. While there is a marker for glial cells called glial
fibrillary acidic protein (GFAP), it is also present in reactive and
normal glial cells. Furthermore, GFAP is inconsistently detectable in
glioma cells. A sensitive and specific marker for neoplastic glial
(glioma) cells would be of particular assistance in the identification of
low cellularity infiltrating glioma cells amidst reactive glia. It may
also have utility as a marker for distinguishing gliomas from other
malignancies.
[0020]Current MRI modalities significantly improve patient diagnosis when
tumor tissue is clearly distinguishable from normal tissue. In an attempt
to fully identify a tumor in its entirety, clinicians infuse patients
with a Gd.sup.3+ containing contrast agent that exploits the varying
degrees of angiogenesis between normal and diseased tissue. An effective
method for increasing MR contrast in-vivo is to increase the relaxivity
of the contrast agent, thus yielding greater differentiation between
diseased and normal tissue with a T.sub.1 weighted image, facilitating
smaller agent doses to be administered reducing toxicity. Several groups
have shown that by attaching Gd.sup.3+ chelating agents to macromolecules
the relaxivity of the combined contrast agent can increase substantially.
Additionally by attaching several molecules of the contrast agent to
polylysine (PL) and/or poly(ethylene glycol) (PEG), relaxivities in the
2500 mM.sup.-1s.sup.-1 range can be obtained. These relaxivities are
three orders of magnitude better than commercially available MR contrast
agents, because the greater size and amount of Gd.sup.3+ present. It has
recently been shown that paramagnetic ions can also be bound to proteins
to yield an increase in relaxivity. Alternately, MR contrast can be
improved by more effectively targeting the delivery of the agent. Iron
complexes have been investigated, but as single entities they show no
real enhancement over those of Gd(III).
[0021]Lanthanides containing compounds have also been used as temperature
sensors. The optical fiber community has exploited this temperature
dependent fluorescence of rare earths for some time relying on changes in
the up-converted ionic fluorescent intensity or fluctuations in the ionic
fluorescence lifetime. Current detection methodologies rely primarily on
changes in the up-converted ionic fluorescent intensity or fluctuations
in the ionic fluorescence lifetime. Typical fiber optic temperature
sensors are temperature sensitive in the range from 20.degree. C. to
140.degree. C., with sensitivities on the order of 1.times.10.sup.-2
.DELTA..degree. C..sup.1. A new class of compounds that provides both
improved tissue imaging, which also has the ability to exploit the
temperature sensitivity of lanthanide series ions would be desirable.
BRIEF SUMMARY OF THE INVENTION
[0022]Multiple-signature, multi-modal imaging is possible by introducing
an effective amount of a cyclen-based chelate into a sample of cells.
When multiple cyclen-based chelates, each capable of delivering a single
unique signature, are introduced as a single contrast agent, multi-modal
imagining of diseases and tissues are possible. Multi-modal imaging is
possible by detecting a first signal from the cyclen-based chelate and a
second signal from a second imaging agent present in a contrast agent.
The preferred cyclen-based chelates are non-toxic and useful for in-vitro
diagnostics and in-vivo detection. The cyclen-based chelates produce new
contrast agents that are useful in bi-modal imaging and therapy tracking.
Cyclen-based chelates are used as contrast agents to provide in-vitro
diagnostics and in-vivo disease detection. Sub-picomolar in-vivo
detection limits can be achieved for these cyclen-base chelates. Time
resolved detection is possible allowing improved site discrimination.
Naked eye visualization of early stage epithelia lesions can be
accomplished in-vivo. Contrast agents containing cyclen-based chelates
provide a new molecular imaging tool that improves cancer detection,
facilitates surgical assistance and provides in-vivo and in vitro
measurements previously not possible.
[0023]This new class of cyclen-based chelates is essentially a series of
molecules containing 1,4,7,10 tetraazacyclododecane ("cyclen") with
different chelating ions and light harvesting moieties. The cyclen-based
chelates may contain a variety of chelating ions depending on the type of
imaging desired. Possible chelating ions include carbon (C), nitrogen
(N), oxygen (O), flourine (F), bromine (Br), gallium (Ga), copper (Cu),
nickel (Ni), selenium (Se), indium (In), technetium (Tc), yttrium (Y) and
lanthanide (Ln) series ions. However, the preferred chelating ions are
lanthanide series ions, which are hereinafter referred to as cyclen-based
lanthanide chelates. By simply changing the chelating ion, a contrast
agent can be prepared that provides imaging over a range of wavelengths.
For example, by adding a radioactive lanthanide as the chelating ion, a
PET tracer for molecular imaging may be formed. Different light
harvesting moieties, known as sensitizers, are tethered to the cyclen
macrocycle resulting in a simplified synthesis of the cyclen-based
chelates. By tethering the sensitizer to the cyclen a wide variety of
sensitizers may be used. Alternatively, the phosphoester chain length of
the cyclen-based chelate may be altered to significantly change the
biodistribution. When combining the ability to modify the sensitizer with
the option to use different chelating ions within the cyclen, a broad
range of fluorescent wavelengths ranging from green to the near infrared
can be accessed.
[0024]When used as a mixture or cocktail, multi-modal imaging is possible
which facilitates macroscopic and microscopic scale images of the same
site providing fluorescent contrast, MRI contrast, CT contrast, PET
contrast and x-ray contrast. For example, when preparing a cocktail
containing cyclen-based lanthanide chelates with different fluorescing
lanthanide ions, for example Gd.sup.+3 or Sm.sup.+3, multiple signature
imaging agents are possible. Thus, multiple scales of imaging are
possible from the same contrast agent. These contrast agents may be used
to detect superficial lesions in epithelial tissue and show promise as
molecular imaging agents in other tissues. "Diapeutic" compounds, those
that have both diagnostic and therapeutic potentials, can be based on
this strategy as well by combining radioactive metals and MRI active
gadolinium as chelating ions. The resulting cyclen-based chelates produce
a class of molecular probes whose spectral properties and biospecificity
can be easily modified.
[0025]Additionally, a conjugable variation of the cyclen-based chelates
(hereinafter referred to as "conjugable cyclen-based chelates") may be
used as molecular imaging agents to produce site-directed delivery. Some
preferred targeting agents that may be attached to the cyclen-based
chelates include receptor ligands, antibodies, peptides and similar
directing vectors. For example, a peripheral benzodiazepine receptor
(PBR) specific ligand, such as PK-11195, can be coupled to a cyclen-based
lanthanide chelate, yielding a contrast agent that will provide either a
MRI or fluorescence signature and can be uptaken by glial cells. A
contrast agent prepared as a cocktail of a Gd.sup.+3-based lanthanide
chelate conjugated with PK-11195 provide macroscopic scale images by MRI
and a cocktail of the Eu.sup.+3 or Tb.sup.+3-based lanthanide chelate
conjugated with PK-11195 will provide microscopic scale by fluorescence
imaging from the same tissue. These contrast agents can be used to
improve brain cancer clinical outcomes while facilitating an improved
understanding of glial tumor development. In addition to the detection of
brain cancer tumors, a cyclen-based lanthanide chelate conjugated with
PK-11195 can be used to detect a variety of other types of cancer,
including, but not limited to, breast cancer.
[0026]The cyclen-based chelates containing lanthanide ions are a special
class of molecules that can produce unique contrast agents, in part
because they can give various spectroscopic signatures including
luminescence, radioactivity and NMR shift, but also because they have
relative long fluorescence life-times. Cyclen-based lanthanide chelates
can serve as platforms to facilitate NMR (MRI) signatures, commonly
Gd.sup.+3, gamma ray signatures (.sup.166Ho.sup.+3), beta particle
signatures (.sup.153Sm.sup.+3), as well as the production of singlet
oxygen. Due to the long lifetimes produced by this class of cyclen-based
lanthanide chelates (100's of microseconds to several milliseconds),
inexpensive gated detection methods may be employed to discriminate the
signal from the background noise. Thus the complex can be detected even
at low levels in the presence of high concentrations of other
fluorophores such as collagen, NADH, ATP, DNA, etc.
[0027]Contrast agents may be prepared in the form of a cocktail or a
bimetallic complex. The cocktail approach has advantages in that small
molecules are easily delivered and relatively non-toxic. However, an
integrated bimetallic complex also serves as a useful dual macromolecular
imaging agent. Bimetallic complexes have been reported previously, yet
none possessed the appropriate integrated multi-functionality. The
present bimetallic complexes containing cyclen-base lanthanide chelates
have bright fluorescence and a strong MR signature facilitating
microscale and macroscale imaging from the same molecule. They also have
long lifetimes allowing gated detection for further S/N gains, are
non-toxic and non-immunogenic, and if necessary have long circulation
times.
[0028]Cyclen-based lanthanide chelates have long emission lifetimes for
detection in the zero noise regime, spectroscopic thermal sensitivity
allowing the opportunity for use as molecular-level temperature probes
and MRI relaxivity that is sensitive to pH making them potentially useful
as nano-scale pH indicators.
[0029]The relaxivity of the contrast agent may be increase by creating a
moiety of the cyclen-based chelates by attaching the cyclen-based
chelates to macromolecules. Non-immunogenic synthetic polymers, such as
poly(vinyl alcohol), poly(ethylene glycol), and natural polymers such as
multi-valent sugars, carbohydrates, antibodies, proteins, peptibodies and
peptides may be used in vivo as delivery vehicles for contrast agents and
therapeutics. Polyethylene glycol, of PEG, may be employed to increase in
vivo circulation time.
BRIEF DESCRIPTION OF THE DRAWINGS
[0030]The features and advantages of the present invention will become
apparent from the following detailed description of the preferred
embodiments thereof, taken in conjunction with the accompanying drawings,
in which:
[0031]FIG. 1 depicts a general synthetic strategy for delivering a
multi-signature contrast agent containing a PK11195 conjugated
cyclen-based lanthanide chelate to PBR over-expressing tissues;
[0032]FIG. 2 depicts a strategy for the selective targeting of contrast
agents to PBR-over expressing cancerous tissues;
[0033]FIG. 3 are absorption and emission graphs showing the spectra and
fluorescence of Eu-Q{m}-CTME;
[0034]FIG. 4 is a graph showing the biodistribution for the quinoline
methyl, acid, ethyl and butyl chelates;
[0035]FIG. 5 is a graph showing the absorption and emission spectra for
the Eu-Q{M}-CTMC-PK11195 chelate;
[0036]FIG. 6A depicts C6 glioblastoma cells after 60 minute incubation
with Eu-QM-CTMC-PK11195 and viewed in fluorescence model at 40.times.
(False light). Inset: undoes (blank) C6 glioblastoma cells.
[0037]FIG. 6B depicts C6 culture first incubated 60 minutes with
Eu-QM-CTMC-PK11195, then counter incubated with PK11195 for 60 minutes;
[0038]FIG. 7 shows the average fluorescence attenuation of C6 glioblastoma
as a function of PK11195 displacement of contrast agent from PBR;
[0039]FIG. 8 is a graph demonstrating the relaxivity of Gd-PK11195 and
Magnevist;
[0040]FIG. 9 shows the MRI contrast for Gd-PK11195 and Magnevist;
[0041]FIG. 10 shows a contrast enhanced high-resolution in-vivo imaging at
78.times.78.times.200 .mu.m of mouse brain glioma in the 11.7 T MRI.
[0042]FIG. 11 is a graph demonstrating the pH dependent relaxivity of
Gd-QM-CTME and Gd-QM-CTMB;
[0043]FIG. 12 shows images of un-dosed TTU-1 cells;
[0044]FIG. 13 shows images of Eu-QM_CTMC-PK1195 dosed TTU-1 cells; and
[0045]FIG. 14 shows MDA-231 cell images of breast cancer cells-Ln-PK11195.
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
[0046]Cyclen-based chelates 1 used as contrast agents for multi-modal
imaging are polyazamacrocyclic molecules preferably formed from 1,4,7,10
tetraazacyclododecane ("cyclen") containing various chelating ions, M,
having a general formula as shown below.
R.sub.1, R.sub.2, and R.sub.3 are selected from the group comprising
The chelating ion, M, may be selected from a wide range of elements
depending on the type of imaging desired. Examples of chelating ions
include, but are not limited to, carbon (C), nitrogen (N), oxygen (O),
flourine (F), bromine (Br), gallium (Ga), copper (Cu), nickel (Ni),
selenium (Se), indium (In), technetium (Tc), yttrium (Y) and lanthanide
(Ln) series ions. PET imaging is possible with cyclen-based chelates
containing .sup.68Ga, .sup.58NI, .sup.73Se, .sup.100mIn, .sup.94mTc,
.sup.60Cu, .sup.64Cu, .sup.86Y, .sup.11C, .sup.13N, .sup.15O, .sup.18F,
.sup.75Br and .sup.76Br ions as chelating ions. MI imaging, fluorescent
imaging, CT imaging, and x-ray imaging are possible with lanthanide
series ions as the chelating ion. Different light harvesting moieties may
be attached to the cyclen by tethering a sensitizer, A, to the cyclen
structure. Additionally, the phosphoester chain length of the
cyclen-based chelate may be altered to change biodistribution. The
phosphoester chain length may be altered by adding alkyl groups to the
phosphoester, with R.dbd.H, CH.sub.3, C.sub.2H.sub.5, C.sub.3H.sub.7,
C.sub.4H.sub.9, C.sub.5H.sub.11, and C.sub.6H.sub.13. Cyclen-based
chelates that contain lanthanide series ions (Ln) as the chelating ion
are hereinafter referred to as cyclen-based lanthanide chelates.
Preferred sensitizers, A, for the cyclen-based chelates are selected from
the group listed below:
The lanthanide series ion (Ln) may be selected from any of the lanthanide
series of atoms. Preferably the lanthanide series ion is selected from
the group comprising gadolinium (Gd), terbium (Tb), europium (Eu),
ytterbium (Yb), neodymium (Nd), and erbium (Er). By preparing cocktails
of both the Gd.sup.+3 and Eu.sup.3+ or Tb.sup.+3 cyclen-based chelates,
it is possible to obtain macroscopic scale images by MRI and perform
microscopic scale detection by fluorescence imaging on the same cell or
tissue.
[0047]The lanthanide series ions may be easily changed allowing a
significant portion of the electromagnetic spectrum to be accessed. Table
2 shows that lanthanide emission from blue to the near infrared is
possible depending on the chelating ion used.
TABLE-US-00001
TABLE 2
Tb.sup.+3 470-625 nm
Eu.sup.3+ 575-710 nm
Yb.sup.+3 1000 nm
Nd.sup.3+ 1064 nm
Er.sup.+3 1575 nm
[0048]As shown below, the cyclen-based lanthanide chelates 7 may be formed
by adapting pyclen-based lanthanide chelates 3 and then tethering
antennas to the resulting cyclen-based lanthanide chelate 5. By way of
example, a pyclen-based lanthanide chelate 3 is generally transformed
into a cyclen-based lanthanide chelate 7 by the following mechanism:
For synthetic reasons, the antenna is preferably tethered to the cyclen
macrocycle 5, rather than attempting to modify the pyridyl group that is
incorporated into the macrocycle in the pyclen-based lanthanide chelates
3.
[0049]A variety of cyclen-based chelates may be formed in order to obtain
the desired diagnosis of a particular disease by altering the
phosphoester chain length. Non-conjugated cyclen-based lanthanide
chelates 8, as shown below, are useful as imaging agents.
[0050]When high lipophilicity is desirable, the chain length of the
cyclen-base lanthanide chelate can be lengthened, even beyond six carbons
(i.e. R.dbd.C.sub.6H.sub.13). If a non-lipophilic solute is desirable,
full phosphonic acids can be synthesized (i.e. R=hydrogen). Rat
biodistibution data confirms that these types of structural modifications
lead to site directed delivery. This first set of lanthanide chelates 8
may be native, physiologically molecules transported by charge, mass,
lipophilicity, etc. This first set of lanthanide chelates is fully
compatible for diagnostic use in vivo and in vitro, as well as many other
functions.
[0051]Additionally, a second set of conjugable cyclen-based chelates is
produced yielding trifunctional markers. This second set of conjugable
cyclen-based chelates retains the capability of signaling and stability,
yet are also fully conjugable to bioactive species such as receptor
ligands, peptides, antibodies, molecular probes and certain cell
signaling metabolites. The conjugable cyclen-based chelates in the second
set may be tailored to produce molecular probes for site directed
delivery with selectable optical superficial UV/Visible, deep tissue
NIR-IR wavelengths, MRI and radiation signaling properties. A preferred
carboxylate conjugated cyclen-based chelate 9 is depicted below.
As in the first set of cyclen-based chelates 1, M, A, R.sub.1, R.sub.2,
R.sub.3 and R.sub.4 are as previously defined. R.sub.5 indicates the
place where the conjugation of the biological species occurs. Examples of
preferred PBR conjugable ligands include the following:
[0052]FIG. 1 illustrates the general synthetic strategy for delivering
multi-signature contrast agents to PBR over-expressing tissue. More
specifically, FIG. 1 shows an analogue of PK11195 conjugated to a
cyclen-based lanthanide chelate. FIG. 2 shows a strategy for the
selective targeting of a contrast agents containing a cyclen-based
lanthanide chelate conjugated to PK11195 to PBR-over expressing cancerous
tissue.
[0053]The total charge of the cyclen-based chelates can easily be varied
by modifying the pendant arms, yielding complexes charged negatively,
positively, or neutral. Thus, a wide range of functionality is possible
when using these cyclen-based chelates. For example, the following
cyclen-based lanthanide chelate 11 exhibits infinite water solubility
while maintaining high lipophilicity and strong chelating ability.
[0054]The contrast agent may be formed by preparing either cocktails or
bimetallic complexes of the cyclen-based chelates. There are numerous
reasons for preparing a bimetallic complex that has the capability of
ligating two different metals, including the realization of
multi-signature complexes and even the possibility of directly monitoring
a therapeutic dose while delivering it. Taking advantage of the unique
properties of cyclen-based chelates, this new bimetallic complex gives
both MRI and bright fluorescent signatures simultaneously.
[0055]Alternately, imaging may be performed by preparing two different
cell lines, each with a different cyclen-based chelate. The preference
for a first cell line could be tracked in relation to a second cell line.
This technique could also be used to separate two different cell lines.
For example, one cell line could contain Nd as the chelating ion and the
second cell line could contain Yb as the chelating ion.
[0056]The cyclen-based chelates may also be used as molecular agents for
nano-scale temperature sensing. There are numerous scenarios in
biological research where it is desirable to measure changes in
temperature of a local environment. Temperature determination would be
possible by preparing mixtures of cyclen-based lanthanide chelates that
are and are not temperature sensitive. For example, by using the relative
change in luminescence intensity at 615 nm (Eu) and 550 nm (Tb), the
temperature can be extracted.
[0057]Non-immunogenic synthetic polymers, such as poly(vinyl alcohol),
poly(ethylene glycol), and natural polymers such as multi-valent sugars,
carbohydrates, antibodies, proteins, peptibodies, and peptides can be
used in vivo as delivery vehicles for both contrast agents and
therapeutics. These polymers can be both site directed by coupling a
targeting moiety to the polymer such as a high binding affinity receptor
ligand, an antibody, a peptide, and such, or the polymer can be a long
circulating perfusion agent. A moiety containing the cyclen-based
chelates may be formed by coupling to the delivery vehicle cyclen-based
chelates, such as those yielding fluorescent, PET, MRI, X-Ray, and/or
ultrasound signatures, for multi-modal visualization of a disease state.
For targeted therapy, a moiety may be formed which contains cyclen-based
chelates having site-directing moieties coupled to the delivery vehicle.
The following is an illustration of a hetero-multimeric visualization
moiety 14 with multiple scales of imaging possible from one molecule.
In similar fashion to the hetero-multimeric visualization moiety 14, these
delivery vehicles can be used for therapeutics as well. Using poly(vinyl
alcohol), poly(ethylene glycol) and similar non-immunogenic polymers, or
natural polymers such as multi-valent sugars, carbohydrates, antibodies,
proteins, peptibodies, and peptides, therapeutics such as radio nuclides,
therapeutic antibodies and/or genes, singlet oxygen producers, and/or
antibiotics can be delivered to the site of a disease. As shown in the
following hetero-multimeric therapeutic moiety 15, a targeting moiety
such as a receptor ligand, an antibody, a peptide or similar directing
vector can also be utilized.
In similar fashion to the hetero-multimeric visualization moiety 14 and
hetero-multimeric therapeutic moiety 15 above described, therapeutic
agents can be incorporated with imaging agents, all delivered by a single
polymeric backbone. Incorporated imaging therapeutics provides real-time
therapy monitoring, affording the clinician the ability to monitor the
therapeutic dose and efficiently visualize the dose-disease response.
Additionally, by utilizing the multi-modal concept, multiple scales of
imaging are possible. This hetero-multimeric incorporated imaging
therapeutic 16 is illustrated below.
[0058]By way of example, poly(ethylene glycol) (PEG) or synthetic
polypeptides such as poly(lysine) (PL)PEG and PEG-PL may be used as
synthetic polymeric carriers for the cyclen-based lanthanide chelates in
an effort to demonstrate long blood half-life, large MR signatures, and
disease specificity. Synthetic carriers, such as poly(ethylene glycol)
(PEG) or synthetic polypeptides such as poly(lysine) (PL), are less toxic
and less immunogenic than natural carriers. Even though smaller polymer
supports typically result in rather fast clearance (90% in 1 hour),
larger supports and branched polymers undoubtedly increase blood pool
half-life. Polyethylene glycol, PEG, can easily be incorporated into the
cyclen-based lanthanide chelates to afford increased plasma stability and
blood circulation time.
Example 1
Method of Making Cyclen-Based Lanthanide Chelates
[0059]Scheme I shows a method of preparing a first class of cyclen-based
lanthanide chelates by attaching quinoline antennae to cyclen and then
functionalizing the macrocycle.
[0060]First, to a stirring solution of cyclen (3.52 g, 0.0204 mol) in
chloroform (525 mL) was added 2-(Chloromethyl)-6-fluoroquinoline 19 (2 g,
0.0102 mol). The reaction was then allowed to stir until completion as
determined by TLC, concentrated and purified on silica using a gradient
elution system starting with 50:1 CHCl.sub.3:MeOH; 150:4:1
CHCl.sub.3:MeOH:NH.sub.4OH; 100:4:1; 50:4:1; and finally with 20:4:1 to
afford 2.54 g (75%) of a pale yellow oil that solidified on standing to
an off-white solid. The resulting compound is
N-(6-fluoro-2-quinolylmethyl)-1,4,7,10 tetraazacyclododecane 21.
Formation of N-(6-fluoro-2-quinolylmethyl)-N',N'',N'''-tris(methylene
phosphonic acid)-1,4,7,10 tetraazacyclododecane 25, wherein Y.dbd.F
[0061]To a stirring solution of the resulting
N-(6-fluoro-2-quinolylmethyl)-1,4,7,10 tetraazacyclododecane 21 (1 g,
0.00302 mol) in dry THF (50 mL) under N.sub.2 was added paraformaldehyde
(0.298 g, 0.00942 mol). The reaction was allowed to stir for 3 hours at
room temperature. Tributylphosphite (2.48 g, 0.00942 mol) is then added
to N-(6-fluoro-2-quinolylmethyl)-1,4,7,10 tetraazacyclododecane 21 the
mixture slowly and allowed to stir until the solution turns completely
clear. The completed reaction mixture was concentrated and dried under
high vacuum for 24 hours to afford a pale yellow oil. The resulting oil
was dissolved in 6 M HCl (50 mL) and heated with stirring to a gentle
reflux for 4 days. The solution was allowed to cool and excess HCl was
removed by azeotropic distillation with water to afford a pale yellow
solid. The product was then further purified, if necessary, by
recrystallization with anhydrous isopropyl alcohol to afford 2.17 g (90%)
of a white solid. The compound was isolated in its fully protonated form.
Formation of N-(6-fluoro-2-quinolylmethyl)-N',N'',N'''-tris(methylene
phosphonic acid ethyl ester)-1,4,7,10 tetraazacyclododecane 27, where
Y.dbd.F and R.dbd.C.sub.2H.sub.5
[0062]To a stirring solution of the resulting
N-(6-fluoro-2-quinolylmethyl)-1,4,7,10 tetraazacyclododecane 21 (1 g,
0.00302 mol) in dry THF (50 mL) under N.sub.2 was added paraformaldehyde
(0.298 g, 0.00942 mol). The reaction was allowed to stir for 3 hours at
room temperature. Triethylphosphite (1.59 g, 0.00942 mol) was then added
to the mixture and allowed to stir until the solution turned completely
clear. The completed reaction mixture was concentrated and dried under
high vacuum for 24 hours to afford a pale yellow oil. The oil was then
refluxed for four days with 27 equivalents of KOH dissolved in 20 mL of
H.sub.2O with enough dioxane to achieve solubility. The resulting mixture
volume was then reduced under vacuum to produce thick oil. The oil was
then washed with a series of increasing chloroform concentration
methanol/chloroform solutions with filtration and removal of solvent. The
resulting oil was then dissolved in a minimal amount of chloroform and
acetonitrile was then added until the solution became cloudy. The mixture
was allowed to stand to precipitate the pure product, which was then
filtered, dissolved in water, and lyphilized to produce 1.83 g of white,
flaky solid.
Formation of N-(6-fluoro-2-quinolylmethyl)-N',N'',N'''-tris(methylene
phosphonic acid butyl ester)-1,4,7,10 tetraazacyclododecane formation 27,
where Y.dbd.F and R.dbd.C.sub.4H.sub.9
[0063]To a stirring solution of the resulting
N-(6-fluoro-2-quinolylmethyl)-1,4,7,10 tetraazacyclododecane 21 (1 g,
0.00302 mol) in dry THF (50 mL) under N.sub.2 was added paraformaldehyde
(0.298 g, 0.00942 mol). The reaction was allowed to stir for 3 hours at
room temperature. Tributylphosphite (2.48 g, 0.00942 mol) was then added
to the mixture and allowed to stir until the solution turned completely
clear. The completed reaction mixture was concentrated and dried under
high vacuum for 24 hours to afford a pale yellow oil. The oil was then
refluxed for four days with 27 equivalents of KOH dissolved in 20 mL of
H.sub.2O with enough dioxane to achieve solubility. The resulting mixture
volume was then reduced under vacuum to produce thick oil. The oil was
then washed with a series of increasing chloroform concentration
methanol/chloroform solutions with filtration and removal of solvent. The
resulting oil was then dissolved in a minimal amount of chloroform and
acetonitrile was then added until the solution became cloudy. The mixture
was allowed to stand to precipitate the pure product, which was then
filtered, dissolved in water, and lyophilized to produce 1.75 g (65%) of
a white, flaky solid.
Method of Making Cyclen-Based Lanthanide Chelates 29 and 31
[0064]The following chelation procedure for europium (Eu) and the butyl
half-ester is demonstrated to produce a lanthanide chelate designated
Eu-Q{F}-CTMB. A potassium salt of
N-(6-fluoro-2-quinolylmethyl)-N',N'',N'''-tris(methylene phosphonic acid
butyl ester)-1,4,7,10 tetraazacyclododecane 27 (where Y.dbd.F and
R.dbd.C.sub.4H.sub.9), (300 mg, 3.77.times.10.sup.-4 mol) is dissolved in
100 mL of distilled water. The pH of the solution, which was around 10.5
to start, was then adjusted to 6.5 using dilute hydrochloric acid.
Europium chloride hexahydrate (128 mg, 3.77.times.10.sup.-4 mol) was
dissolved in 50 mL of distilled water and added to the butyl half ester
solution dropwise with stirring. The pH was maintained at around pH=6
with a dilute potassium hydroxide solution. Addition of potassium
hydroxide was terminated after all the europium salt had been added and
when the pH had settled around 6.4. The solution was then lypholized,
redissolved in chloroform and filtered through celite. The resulting
filtrate was then concentrated producing a glassy solid. The solid was
then taken up in water and filtered through a microfilter to remove
Eu(OH).sub.3 and lipholized to produce a flocculent white solid.
Testing Results
[0065]The cyclen-based lanthanide chelates have improved spectroscopic
properties when compared to the pyclen-based chelates (PCTMX) and
tethered pyclen-based chelates (T-PCTMX). Table 3 shows the results of a
test of cytotoxicity of Eu-Q{F}-CTMB, average of three trials.
TABLE-US-00002
TABLE 3
Eu-QF-
Control CTMB
Total cell 2.22 .times. 10.sup.6 2.44 .times. 10.sup.6
population
Live Cells 81.2% 81.1%
Dead Cells 18.8% 18.9%
[0066]In-vivo imaging was even used to aid in identifying early-stage
cancerous lesions in the Golden Syrian Hamster cheek pouch model. Typical
absorption and emission spectra are presented in FIG. 3. The quantum
efficiency and molar extension coefficient for a red-shifted lanthanide
cyclen-based chelates will depend on the lanthanide ion, pendent arm
functionality (ethyl or butyl ester, free acid group) and the identity of
the antenna, but as shown in FIG. 3, the absorption is blue shifted to
the safer 310-340 nm region. The inset in FIG. 3 is a photograph that
shows these quinoline-containing cyclen-based lanthanide chelates
(Ln-Q-Y-CTMR) can have extremely bright fluorescence, even when using low
power 300-400 nm excitation (long wavelength of a TLC plate reader).
[0067]The cyclen-based lanthanide chelates are advantageous because facile
synthetic procedures can easily produce chelates with structural changes
that influence biodistribution or transport in cells. This property makes
them tunable. For example, by modifying the quinoline-containing
cyclen-based lanthanide chelates (Ln-Q-Y-CTMR) from the full acid into a
half-ester, rat tissue biodistribution is substantially changed as shown
in FIG. 4. Here 1 mM solutions of the full acid, ethyl and butyl half
esters of the Lu.sup.3+ cyclen-based lanthanide chelates were
administered to normal male Sprague Dawley rats by tail vein injection.
Using the radioactive lanthanide ion Lu instead of Eu or Gd is common
practice for such studies because it is assumed the identity does not
influence the transport of the final cyclen-based lanthanide chelate.
After two hours the animals are euthanised, organs are collected and
ground-up, and the radioactivity from each tissue quantified. As shown in
FIG. 4, the target organ or biodistribution is dependent upon the
structure of the cyclen-based lanthanide chelate and that even subtle
changes in structure, transformation from an ethyl to a butyl half ester
(one CH.sub.3 group), has a major effect on the delivery. In this series
the full acid tends to associate with the bone, while the half esters can
be directed to the intestine. Later time course data indicate that the
butyl and ethyl half esters will `traverse` the intestine moving from the
small intestine to the colon and can be found primarily in the luminal
walls.
[0068]In order to test the cyclen-based lanthanide chelates for
suitability as topical contrast agents, the butyl and ethyl ester fluoro
and methyl-quinoldine complexes of Eu.sup.3+ were constructed and a
series of disease detection studies were performed. In a pilot study a
well-characterized protocol for oral epithelial carcinogenesis, such as
dimethylbenzanthracene (DMBA), and a soft tissue inflammation model, such
as sodium lauryl sulphate (SLS) as a benign lesion initiator, was used in
combination with OCT, autofluorescence, PP-IX fluorescence and contrast
enhanced imaging to demonstrate that the present contrast agents work
well in demarcating cancer, but not benign disease. A topically applied 1
mM solution of the first tethered complex, Tb-T-PCTMB, marks very early
stage lesions that are not detectable with the naked eye. The very
bright, localized fluorescent signature of the suspect site was confirmed
by OCT and H&E and determined to be a foci of dysplastic cells.
[0069]To definitively demonstrate that the cyclen-based lanthanide
chelates, with improved spectroscopic properties, are suitable for
in-vivo use, additional imaging experiments were performed. Here the
pink-red fluorescent Eu(III) fluoro-quinoline tibutylester, (Eu-Q-F-CTMB)
and Eu(III) methyl-quinoline tiethylester, (Eu-Q-Me-CTME) chelates were
used in an expanded oral cancer study. The chelates provided
significantly improved contrast for early-stage cancer lesions, under
visual detection of live animals with distended cheek pouches. The
red-shifted absorption of the cyclen-based lanthanide chelates, allowed
for the use of innocuous wavelengths of light (320 nm-360 nm) and glass
optics. Detection of reddish-pink light on a blue background repetitively
gave extraordinarily bright, localized fluorescence in animals with oral
cancer. It is also noteworthy that normal animals treated with this agent
were devoid of detectable fluorescence, as was the animal pouches
containing benign (inflammation) lesions.
Example 2
[0070]A tri-functional cyclen-based lanthanide chelate may be used to
facilitate molecular imaging and allow site-specific delivery. This
tri-functional chelate is conjugated, via standard linking chemistry to a
carboxylate group, is light sensitized through the antenna and is a
strong ligating complex through the phosphonate pendent arms and
heterocycle. This is a facile and efficient synthesis that can be used to
make numerous imaging agents. In addition, the resulting 6-substituted
quinaldines have light stability and are very inexpensive to prepare.
Method of Making
[0071]The general synthesis used to accomplish this task is shown in
Scheme II and provides a vehicle to make numerous molecular imaging
agents for targeted delivery, all of them having unique and improved
absorption properties.
[0072]As depicted in Scheme II, the synthesis of a carboxylate derivation
of a cyclen-based lanthanide chelate is produced using the following
method. First, 1,7-Bis(bezyloxycarbonyl)-1,4,7,10-tetraazacyclododecane
45 is formed by the following process. To a large round-bottom flask 2.5
grams of 1,4,7,10 tetraazacyclododecane (cyclen) 41 was dissolved in 18
mL of H.sub.2O and the pH was adjusted to 3 via the addition of 5 mL of
6M HCl. Next, 15 mL of 1,4 dioxane was added to the reaction mixture.
Benzylchloroformate 43 (6.4 g) was dissolved in 1,4 dioxane (15 mL) and
allowed to slowly drip into the reaction flask from an addition funnel
over a period of 5 hours. The pH is maintained between 2-3 by the
addition of 2M NaOH via a separate addition funnel. After the addition
was complete, solvents were removed via rotary evaporation yielding a tan
solid. The solid residue was extracted with dry Et.sub.2O (4.times.50 mL)
to remove any
1,4,7,10-tetrakis(benzyloxycarbonyl)-1,4,7,10-tetraazacyclododecane. NaOH
(20% w/v, 25 mL) was added to the remaining residue and the aqueous
mixture was extracted with Et.sub.2O (4.times.50 mL). The organic
fractions were collected, rewashed with NaOH (5% w/v) and dried over
MgSO.sub.4 Solvents were removed via rotary evaporation and dried under
high vacuum to yield a colorless viscous oil (5.46 g).
[0073]In a medium round-bottom flask 0.500 grams of the resulting
1,7-Bis(bezyloxycarbonyl)-1,4,7,10-tetraazacyclododecane 45 was dissolved
in 300 mL of dry CH.sub.3CN. Dry K.sub.2CO.sub.3 (0.500 g) was added to
the reaction mixture and allowed to stir. In one part, 0.218 grams of
2-chloromethylene-6-methyl quinoline 47 was added. The reaction was
allowed to stir at 40.degree. C. for four days. Reaction volume was
reduced via rotary evaporation and the resulting crude was purified on a
silica gel column eluting with a 30:1:0.1 mixture of methylene chloride,
methanol, and ammonium hydroxide. Desired product was obtained in 80%
yield.
[0074]In a medium round-bottom flask 0.500 g of the resulting
1,7-Bis(benzyloxycarbonyl)-4-(2-methylene-6-methyl
quinoline)-1,4,7,10-tetraazacyclododecane 49 was dissolved in 300 mL of
dry CH.sub.3CN. One equivalent of ethyl bromoacetate was added in one
part and the reaction was allowed to stir for 24 hours at rt. Desired
product was isolated (78% yield) on a silica gel column eluting with a
75:4:1 mixture of chloroform, methanol, and ammonium hydroxide.
[0075]A solution of the resulting
1,7-Bis(benzyloxycarbonyl)-4-(2-methylene-6-methyl
quinoline)-10-(ethylene acetate)-1,4,7,10-tetraazacyclododecane 51 (5
grams) in absolute ethanol was mixed with cyclohexene (5 molar excess per
benzyloxycarbonyl group). Next, 1.00 gram of 5% Pd/C catalyst was added.
The mixture was stirred at reflux for 4 hours. The mixture was
concentrated via rotary vaporation, taken up in ethylacetate and then
extracted with 20% NaOH. Organic layer was dried yield concentrated via
rotary vaporation giving the desired product in 95% yield.
[0076]To a stirred solution of paraformaldehyde and triethylphosphite (2
equivalents respectively) in THF, 0.500 grams of the resulting
1-(2-methylene-6-methyl quinoline)-7-(ethylene
acetate)-1,4,7,10-tetraazacyclododecane 53 was added in one part. The
reaction was allowed to stir for three days at room temperature under
positive N.sub.2 pressure. Solvents were removed via rotary evaporation.
Desired product was isolated (83% yield) using a silica gel column and
eluting with a 20:4:1 mixture of chloroform, methanol, and ammonium
hydroxide.
[0077]To 200 mL of 6M HCl, 0.500 grams of the resulting
1-(2-methylene-6-methyl quinoline)-4,10
Bis(methylene-phosphonicdiethylester)-7-(ethylene
acetate)-1,4,7,10-tetraazacyclo-dodecane 55 was added and allowed to stir
at room temperature for 3 days. The desired product was isolated (94%)
via azeotropic distillation with water. The carboxylate derivate of the
lanthanide chelate 1-(2-methylene-6-methyl quinoline)-4,10
Bis(methylene-phosphonic acid)-7-(acetic
acid)-1,4,7,10-tetraazacyclododecane 57 was produced.
Example 3
[0078]Subsequently, the cyclen-based lanthanide chelates obtained in
EXAMPLE 2 can be conjugated to PK-11195 to give specificity of uptake and
numerous signatures for co-registration diagnostic imaging and surgical
guidance. Previous studies on PK-11195 and a closely related compound
indicate that it can be conjugated, will retain it biological activity
and can therefore be used as a molecular imaging agent to detect
blastoglioma and study mitochondrial function.
Method of Making Conjugable PK-11195
[0079]An Ln-PK-11195 conjugated chelate (Eu-QM-CTMC-PK11195) can be
prepared and will provide useful fluorescence and MR images. Scheme III
illustrates a process for making a small quantity of high purity
conjugable PK-11195.
A conjugable form of PK-11195 is formed by first producing
2-Chloro-N-(2-hydroxy-1-methyl-2-phenylethyl)benzamide 75 by the
following process. To an ice-cooled mixture of Norephedrine 71 HCl in
CH.sub.2Cl.sub.2 (120 mL, 5.2 g, 27.8 mmol) and 40 mL of 5% NaOH was
added dropwise a solution of 2-Chlorobenzoyl Chloride 73 (7.5 g, 28.1
mmol) in 15 mL CH.sub.2Cl.sub.2. The mixture was stirred for 4 hours at
0.degree. C. The solvent was removed in vacuo. The residue was washed
with H.sub.2O then dried and recrystallized from EtOH to afford 90% 9.5 g
of a white solid.
[0080]Next, 1-(2-chlorophenyl)-3-methylisoquinoline 77 is formed by the
following process. A mixture of
2-Chloro-N-(2-hydroxy-1-methyl-2-phenylethyl)benzamide 75 (9.5 g 24.9
mmol) and P.sub.2O.sub.5 in o-dichlorobenzene (150 mL) was refluxed
overnight. Upon completion, the reaction was cooled to room temperature
and then it was chilled to 0.degree. C. 300 mL of H.sub.2O was cautiously
added. The resulting dark solution was then washed with toluene
(2.times.50 mL). The aqueous layer was cooled to 0.degree. C. and made to
pH 11 with 50% NaOH. The resulting mixture was then extracted with
toluene (4.times.50 mL). The toluene layer was dried, filtered and
concentrated in vacuo. The residue was then recrystallized from benzene
to afford a white solid. (6.68, 80%).
[0081]Then 1-(2-clorophenyl)-3-isoquinolinecarboxylic acid 81 is formed by
the following process. A mixture of
1-(2-clorophenyl)-3-methylisoquinoline 77 (6.68 g, 19.88 mmol),
N-bromo-succinimide (NBS) (8.896 g, 19.98 mmol), and benzoyl peroxide
(BPO) (0.57 g) in CCl.sub.4 was heated to reflux while being illuminated
by a flood lamp for 5 hours. The reaction was cooled to room temperature
and filtered. The filtrate was washed with saturated NaHCO.sub.3
(1.times.40 mL), dried with Na.sub.3SO.sub.4, filtered and concentrated
in vacuo. The crude dibromide yellow product 79 was used in the next
step. To a refluxing solution of the crude dibromide 79. (10.13 g) in
EtOH (140 mL) and THF (70 mL) was added dropwise a solution of AgNO.sub.3
(10.595 g) in H.sub.2O (6 mL). The mixture was refluxed for 1 hour and
filtered hot. The filter cake was washed with
hot THF (2.times.20). The
combined filtrate was concentrated in vacuo to give crude
1-(2-clorophenyl)-3-isoquinolinecarboxaldehyde as a dark yellow oil. (9
g) This oil was used without purification. To a solution of the crude
aldehyde in absolute EtOH (100 mL) was slowly added a solution of
AgNO.sub.3 (11.11 g) in 10 mL H.sub.2O. to this stirred solution was
added dropwise a solution of NaOH (9.43 g) in H.sub.2O (140 mL). The
resulting black slurry was stirred at room temperature for 2 hours. The
solution was then filtered through a Celite column. The filter cake was
washed with ether. The ether was evaporated and the aqueous solution was
made slightly acidic with concentrated HCl. The precipitate was collected
by filtration, then washed with H.sub.2O. It was then recrystallized from
CH.sub.3CN affording pale yellow crystals (2.63 g, 35%).
[0082]Finally, 1-(2-clorophenyl)-N-heptylamino-3-isoquinolinecarboxamide
83 (PK11195) is formed by the following process. To a mixture of
1-(2-clorophenyl)-3-isoquinolinecarboxylic acid 81 (0.1868 g, 0.5 mmol)
and bezotriazol-1-yloxy-tris(dimethylamino)phosphonium
hexafluorophosphate (BOP) (0.2219 g, 0.5 mmol) 1,7 diaminoheptane in DMF
(8 mL) and triethylamine (0.42 mL, 4.5 mmol) was added. The reaction was
stirred under positive N.sub.2 at room temperature for 7 hours and
quenched with the addition of H.sub.2O (10 mL). The mixture was extracted
with CH.sub.2Cl.sub.2 (3.times.15 mL). The organic layer was dried with
MgSO.sub.4, filtered and concentrated in vacuo. Residue was purified on a
silica column with 1:1 ethyl acetate, hexanes. (0.1237 g, 65%).
Conjugation of Cyclen-Based Lanthanide Chelate with PK11195
[0083]Conjugation of 1-(2-methylene-6-methyl quinoline)-4,10
Bis(methylene-phosphonic acid)-7-(acetic
acid)-1,4,7,10-tetraazacyclododecane to PK11195 is performed by the
following process. Scheme IV shows a preferred synthesis and conjugation
of a small quantity of a Ln-Q-Y-CTMX to PK-11195 complex.
[0084]The specific procedures used are described herein. The complex
1-(2-methylene-6-methyl quinoline)-4,10 Bis(methylene-phosphonic
acid)-7-(methylene-1-(2-chlorophenyl)-N-hexyl-3-iosoquinoline
carboxamide)-1,4,7,10-tetraazacyclododecane 107 is prepared using the
following process. To a stirring mixture of 1-(2-methylene-6-methyl
quinoline)-4,10 Bis(methylene-phosphonic acid)-7-(acetic
acid)-1,4,7,10-tetraazacyclododecane 57 and
O--(N-Succinimidyl)-N,N,N',N'-Tetramethyluronium tetrafluoroborate (TSTU)
(1 equivalent of each) in a water-dioxane solution, a mixture of
1-(2-chlorophenyl)-N-hexylamino-3-iosoquinoline carboxamide and one
equivalent of triethyl amine was added slowly via canula. The resulting
reaction mixture was allowed to stir at room temperature under positive
N.sub.2 pressure for 4 hours. The desired product was isolated (40%) on a
silca gel column eluting with a 50:4:1 mixture of chloroform, methanol,
and ammonium hydroxide.
Testing Results
[0085]FIG. 5 shows the absorbance spectrum for one of the proposed agent
obtained using a Shimadzu 1601 UV/Vis spectrophotometer. The sample was
scanned from 400-250 nm with a sampling interval of 0.1 nm. Slit-width
was 2 nm. Two distinct absorbing features were clearly visible,
presumably, one for the quinoline sensitizer and the other for PK11195.
Performing serial dilutions and preparing a Beer's law calibration plot
provided a value of the molar absorptivity (.epsilon..apprxeq.3,500
L/mol.cm.). As seen in FIG. 16, the fluorescence spectrum of
Eu-QM-CTMC-PK11195 was measured using an SLM 4800c fluorometer (Aminco)
(0.5 nm resolution, 1 nm step size). Complex was excited at 320 nm and
the sharp fluorescent emission bands were observed from 580 nm to 720 nm
corresponding to the atomic fluorescence of Eu.sup.3+
(.sup.5D.sub.0.fwdarw..sup.7F.sub.0, .sup.7F.sub.1, .sup.7F.sub.2,
.sup.7F.sub.3, .sup.7F.sub.4, .sup.7F.sub.5).
C6 Glioblastoma Cell Testing
[0086]Preliminary observations regarding the use of Ln-QM-CTMC-PK11195 to
selectively image C6 glioblastoma, or brain cancer cells, are herein
presented. Additionally, by simply changing the chelating ion in the
complex, from Eu.sup.3+ to Gd.sup.3+, MR contrasts are obtained that are
comparable to the standard clinical MRI perfusion agent, Magnevist.TM..
[0087]The following testing was conducted to confirm that conjugated
cyclen-based lanthanide chelates are uptaken by C6 glial cells. C6
glioblastoma cells were plated out on glass coverslips and incubated at
37.degree. C. until just prior to confluency. Next, cells were dosed with
1 mL of a 25 .mu.M solution of Eu-QM-CTMC-PK11195 and allowed to incubate
at 37.degree. C. for 60 minutes. At the end of the incubation time, the
cells were thoroughly rinsed with saline and imaged in white light and
fluorescence directly using a epi-illumination fluorescence microscope
configured with an optical train consisting of a UG11 filter in the
excitation path and 400 nm cutoff dichroic mirror (Chroma). Finally,
fluorescence was collected through a 612 nm, 25 nm FWHM emission filter
and directed onto a P
hotometrics PXL PVCAM cooled CCD camera. Integration
time was 18 seconds for both the blank and inoculated samples. FIG. 6A
illustrates the typical uptake of Eu-QM-CTMC-PK11195 by C6 glioblastoma
cells (false colorized). Inset in the figure is the fluorescence blank,
an un-dosed population of C6 cells of comparable density. Similar results
have been obtained in multiple subsequent data sets. From FIG. 6A, one
will readily note that the agent was substantially up-taken and that
fluorescence seems to be emanating from distinct internal regions,
suggesting specific organelle localization. The actual organelle(s)
responsible for this localization have yet to be fractionally isolated
and identified. The images presented were taken at 40.times. with an
ultrafluar object (NA=0.5).
[0088]After demonstrating that the agent was significantly up-taken by
cells, the next step was to determine whether the agent was truly binding
the PBR or not. Cells were dosed with Ln-QM-CTMC-PK11195, the
fluorescence intensity was quantified, then the same cells were incubated
with the native PBR ligand (PK11195) and the reduction in fluorescence
intensity was measured to determine if Ln-QM-CTMC-PK11195 was displaced
from the PBR. The results of this experiment can be seen in FIG. 6B. This
picture is the subsequent image (false colorized) after first dosing with
Eu-QM-CTMC-PK11195, then counter incubation with excess native PK11195.
Note, due to the procedure used to rinse the cells between incubations,
minor repositioning of the cells occurs. For this reason, FIG. 6A and
FIG. 6B look dissimilar despite being approximately the same region on
the slide. As shown in FIG. 7, the average intensity attenuation
(triplicate experiments) was determined to be 37%. This value is
significant because only a six-fold excess of PK11195 was used to
displace the present contrast agent, whereas the standard method employs
a 100 fold excess of PK11195 to demonstrate quantifiable fluorescence
attenuation and show PBR ligand functionality. By quantifying the
attenuation of fluorescence upon displacement of Ln-QM-CTMC-PK11195 with
the native PBR ligand PK11195, results indicate that the conjugated
chelates is functioning as a true PBR ligand. These results seem to
indicate that Eu-QM-CTMC-PK11195 is displaced by PK11195 and is
functioning as a PBR ligand.
[0089]At the present time, four commercially available, non-radioactive
lanthanide derived chelates are widely used as contrast enhancement
agents for magnetic resonance imaging. A significant volume of literature
shows that these complexes of Gd.sup.3+, particularly those derived from
and analogous to the present lanthanide chelate complexes, have the
necessary properties to be good MRI contrast agents. For example, the
macrocyclic derivatives (DOTAREM and PROHANCE) display a greater degree
of thermodynamic inertness relative to the acyclic analogs, which means
that they can be subjected to extreme environments for prolonged periods
without degradation. These chelates also exhibit a high degree of kinetic
inertness making them suitable for in-vivo applications and have been
exhaustively studied and evaluated and are routinely used in humans at
high dosages. LD50's are typically in the 10 mmol/kg range in the rat
model for PROHANCE. These compounds are classified as perfusion agents
and are administered IV at dosage levels ranging from 0.05-3 mmol/kg.
[0090]Recent studies to determine how the present cyclen-based lanthanide
chelates will perform as contrast agents with MRI have been performed. In
preliminary work, Gd.sup.3+ chelates of the contrast agents
(Gd-Q-Me-CTMX) were prepared and relaxivity experiments were performed.
The water proton relaxivity (r.sub.1), when observed at RT and 20 Mz, was
found to range from r.sub.1=1.4-3.2 mM.sup.-1s.sup.-1 with q=0 or 1.
These results indicate that the quinoline-containing cyclen-based
chelates should perform similarly to currently available MRI agents like
PROHANCE. Experiments were conducted to show the MRI contrast possible
with four of the un-conjugated cyclen-based lanthanide chelates. Here 2
mM solutions were placed in 3 mm tubes with a smaller tube containing
buffer alone and imaged on the 11.7 T system at Caltech Biological
Imaging Center using a standard spin echo sequence. For contrast agents
currently on the market, about 50% of their relaxivity is due to the
outer-sphere component, with the literature clearly showing that even q=0
complexes can be used effectively in tissues. These complexes generally
show improved performance when bound to interstitial space or circulating
proteins or to cell surfaces.
[0091]The relaxivity of the Gd.sup.3+ chelate of Ln-PK-11195 was also
evaluated. FIG. 8 shows the results of this determination, allowing a
direct comparison to an existing agent (r.sub.Gd=PK=5.94
mM.sup.-1sec.sup.-1 vs. r.sub.Magnevist=6.45 mM.sup.-1sec.sup.-1). Under
different conditions and using a different magnet at 20 Mhz, r.sub.1=4.8
mM.sup.-1sec.sup.-1, the T.sub.1 weighted proton imaging experiments,
done at 4.2 T and using a T.sub.1 weighted spin-echo sequence
(TE/TR=12/400 msec), provide a more definitive illustration that the
present contrast agents provide MRI contrast enhancement. FIG. 9 is nine
images in which TE=12 msec was kept constant and TR was varied 100-3000
msec. Brightness for solutions of sequentially decreasing concentration
of Ln-PK-11195 and Magnevist show that the present contrast agent can be
used for MRI. Enhanced relaxivity is also expected for this compound upon
cell binding or uptake. FIG. 10 shows the possible resolution as
generated from MRI of a mouse brain by the co-PI Dr. Moats.
[0092]Both luminescent cyclen-based lanthanide chelates and those
primarily yielding MR signatures have been shown to be sensitive to
changes in pH. Luminescent probes used for sensing pH changes typically
detect changes in the fluorescence lifetime of the lanthanide ion as a
function of pH. Analogously, an MR contrast agent has recently been
reported in which the water proton relaxivity could be modulated via
changes in pH. In both cases by changing the pH in a given system, one
can envision agents with enhanced contrast. Similarly, one can use these
pH sensitive contrast agents as molecular reporters of various proton
density gradients, with both industrial (monitoring industrial processes)
and biomedical applications (tissue/disease mapping). Indeed our
preliminary relaxivity measurements have also indicated that it might be
possible to use the present molecular imaging agents as pH sensors. For
example, FIG. 11 shows that both Gd-Q{M}-CTME and Gd-Q{M}-CTMB exhibit a
pH relaxivity change (pH response) over physiologically interesting
range.
[0093]The molecular imaging agent Ln-QM-CTMC-PK11195 addresses the need
for glia-specific stain. By targeting the over-expressed PBR in human
brain tumors, the Eu-PK-11195 contrast agent allows the discrimination of
normal tissue versus infiltrating disease. A typical example of a thinly
sliced cross-section of surgically resected human brain tumor (ex-vivo)
that was paraffin fixed, incubated with the new molecular imaging agent
and imaged using an epi-fluoresence microscope at 40.times. was prepared.
Current data indicates that the ligand does mark glioblastoma multiforme
cells. The paraffin sections of glioblastoma incubated with ligand
demonstrate this potential as well as the pleomorphic morphology of
glioma cells.
[0094]Cellular up-take and displacement of Ln-QM-CTMC-PK11195 in PBR
over-expressing C6 glioblastoma cells has been demonstrated. Thus, the
Eu.sup.3+ chealte, when up-taken by cells will produce bright
fluorescence which is easily detectable with standard instrumentation.
Also, complexes with Gd.sup.3+ Ln-QM-CTMC-PK11195 will generate a
quantifiable MR signature which is comparable in brightness to
commercially available and clinically used products.
Breast Cancer Studies
[0095]The cyclen-based lanthanide chelates conjugated with PK11195 may
also be used to selectively demarcate PBR over-expressed breast cancer
tissues. This has been demonstrated by dosing two different human cell
lines, TTU-1 and MDA-231 with Ln-QM-CTMC-PK11195. FIG. 12 shows the white
light and auto-fluorescence image of un-dosed TTU-1 cells. The images
stem from two different regions of the same slide. To accomplish the
imaging, the cells were grown to near confluency on glass coverslips.
Next, the media was removed and the cells were dosed for 30 minutes with
0.10% saline. Finally, the cells were wet-mounted onto a glass slide and
images in white-light and fluorescence modes. The undosed cells exhibit
very little auto-fluorescence at the utilized 30 second integration time.
[0096]The next step was to dose the cells with the contrast agent. FIG. 13
shows the white light images and the corresponding fluorescence images
after dosing the cells with Eu-QM-CTMC-PK11195. The imaging was
accomplished by growing the cells as stated above, then dosing them with
a 50 .mu.M solution of the contrast agent for 40 minutes. After the
incubation time, the cells were rinsed with 0.10% saline and wet mounted
for imaging. As with the auto-fluorescence images, the integration time
was set to 30 seconds. The contrast ratio for the dosed TTU-1 cells over
the background is estimated to be approximately 10:1.
[0097]A parallel series of experiments was conducted involving the use of
a second human breast cancer cell line, MDA-231. It has been previously
determined that these particular cells constitute one of the highest PBR
expressing breast cancer cell lines known. MDA-231 cells were grown,
dosed and imaged as described above. FIG. 14 shows the results from
dosing the MDA-231 cells with Ln-PK11195 for 40 minutes. Camera
integration time was set to 30 seconds. From FIG. 14, the MDA-231 cells
are uptaking the contrast agent. The contrast ratio for the dosed MDA-231
cells over the background is estimated to be approximately 15:1.
[0098]It should be noted that depending on several factors including cell
cycle and confluency level, the actual location of the PBRs can vary.
This could potentially explain why there seems to be some fluorescence
stemming from the nucleus, cytosol, and plasma membrane.
Example 4
[0099]An alternate conjugation of 1-(2-methylene-6-methyl quinoline)-4,10
bis(methylene-phosphonic acid)-7-(acetic
acid)-1,4,7,10-tetraazacyclododecane to PK11195 is prepared as follows to
prepare chelates with enhanced stability and resistance to enzyme
cleavage. To a stirring mixture of 1-(2-methylene-6-methyl
quinoline)-4,10 Bis(methylene-phosphonic acid)-7-(acetic
acid)-1,4,7,10-tetraazacyclododecane and
bezotriazol-1-yloxy-tris(dimethylamino)phosphonium hexafluorophosphate
(BOP) (1 equivalent of each) in dioxane-DMF solution, a mixture of
1-(2-chlorophenyl)-N-hexylamino-3-iosoquinoline carboxamide and one
equivalent of diisopropyl ethyl amine (DIEA) was added slowly via canula.
The resulting reaction mixture was allowed to stir at rt under positive
N.sub.2 pressure for 4 hours. The desired product was isolated (40%) on a
silca gel column eluting with a 50:4:1 mixture of chloroform, methanol,
and ammonium hydroxide.
[0100]In addition to the six-carbon linker currently used in the present
Ln-PK11195 chelates, conjugated chelates with longer and shorter linker
chain lengths (spacer group) may be prepared. For example, the synthesize
agents may contain linker chains with 2, 4, 8 and 10 carbons.
Example 5
[0101]Using the lanthanide metal ions Nd.sup.3+, and Yb.sup.3+ and the
cyclen-based lanthanide chelates prepared using Scheme V, NIR absorbing
and emitting complexes containing lanthanide chelates are prepared.
[0102]The synthesis of new antenna chelates with IR absorption and
emission properties, N-[4-(Dimethylamino)
phenyl]4-bromomethylene-1-phenylmethylene]-2,5-cyclohexadien-1-ylidene]-N-
-methyl-methylammonium chloride is performed as follows. In short,
para-toluoyl chloride 111 is brominated using NBS and BPO in CCl.sub.4
and purified using column chromatography. Next, the resulting compound
113 is reduced to the aldehyde 115 using NaBH.sub.4 in DMF/THF at
-70.degree. C. The leuco base 117 will then be formed using two
equivalents of N,N dimethylaniline 116 in HCl. Sodium carbonate is then
added and the excess aniline will be distilled off leaving the leuco base
117 is then filtered and washed. The leuco base 117 is then dissolved in
dilute HCl and cooled to 0.degree. C. upon which the appropriate amount
of lead dioxide is added. Sodium sulphate is added to precipitate lead
sulphate, which is removed by filtration. Sodium carbonate is then added
to precipitate the carbinol base 119.
[0103]From this point the antenna is then isolated as the zinc chloride
double salt using acid and zinc chloride (not shown in scheme). The
functionalization of cyclen follows the procedure detailed in the
production of the quinoline complexes with the exception that the
Lanthanides used for chelation will be Nd.sup.3+ and Yb.sup.3+.
Absorption is expected to be in the range of 620-630 nm, while emission
will be at 880, 1064 and 1330 nm for Nd(III) or 980 nm for Yb(III).
Example 6
[0104]Scheme VI shows a method for producing an NIR lanthanide chelate.
The NIR lanthanide chelate may be used for producing NIR images in a
tissue transparent window. The NIR lanthanide chelate may be used in
combination with fluorescence. The NIR lanthanide chelate has the
following general structure:
[0105]The following process may be used to make
13-[Bis-(4-dimethylamino-phenyl)-methyl]-3,9-bis-phosphonomethyl-3,6,9-tr-
iaza-bicyclo[9.3.1]pentadeca-1(14),11(15),12-trien-6-yl}-acetic acid 138,
wherein R is C, R' is a phosphoester and R'' is a carboxylate.
[0106]N1-(2-Amino-ethyl)-ethane-1,2-Tosyl-diamine 131. is prepared using 2
equivalents of tosyl chloride to 1 equivalent
N1-(2-Amino-ethyl)-ethane-1,2-diamine. The tosyl chloride is added
dropwise to a stirring solution of the amine at 0 degrees C. The reaction
is allowed to warm to room temperature after 3 hours and left to stir
overnight. The THF is removed in-vacuo and the resulting crude is
purified using a silica gel column.
[0107]Bis-(2tosylamino-ethyl)-amino-acetic acid ethyl ester 132 is
prepared by the following process. Sodium carbonate and 1 equivalent of
N1-(2-Amino-ethyl)-ethane-1,2-Tosyl-diamine 131 is added to acetonitrile
and allowed to stir. To this stirring solution is added dropwise
bromo-ethyl acetate. The reaction is allowed to stir overnight. The
solvent is removed in-vacuo and the resulting crude is purified using a
silica gel column. Then, 3,5-Bis-chloromethyl-benzaldehyde 133 is
prepared by adding 3,5-Dimethyl-benzaldehyde to CCl.sub.4 with NBS and
BPO. The reaction is then heated to reflux allowed to react for 5 hrs.
the crude product is washed with a saturated solution of sodium carbonate
twice and the solvent is removed in-vacuo. The resulting crude is
purified using a silica gel column.
[0108](1,3-Formyl-3,9 Bistosyl-369
triaza-bicyclo[9.3.1]pentadeca.sub.--1(14),11(15),12-trien-6yl)-acetic
acid ethyl ester 134 is formed by the following process. To a stirring
solution of [bis-(2tosylamino-ethyl)-amino]-acetic acid ethyl ester 132
in dry DMF with sodium carbonate at 100.degree. C. is added dropwise a
solution of 1 equivelant of 3,5-Bis-chloromethyl-benzaldehyde 133 in dry
DMF. The reaction is allowed to react overnight. It is then cooled to
room temperature washed with NaOH, dried with sodium sulfate, and
rotovaped. the final complex will be purified by recrystallization in
acetone.
[0109]{13-[bis-(4-dimethylamino-phenyl)-methyl]-3,9-bis
tosyl-3,6,9-triaza-bicyclo[9.3.1]pentadeca-1(1(15),12 trien-6yl}-acetic
acid ethyl ester 135 is produced by making a 1:1 mixture of dimethyl
aniline and (1,3-Formyl-3,9 Bistosyl-369
triaza-bicyclo[9.3.1]pentadeca.sub.--1(14),11(15),12-trien-6yl)-acetic
acid ethyl ester 134 and adding to a dilute HCl solution and heated to
reflux and allowed to react overnight.
[0110]{13-[bis-(4-dimethylamino-phenyl)-methyl-3,6,9-triaza-bicyclo[9.3.1]-
pentadeca-1(1(15),12 trien-6yl}-acetic acid 136 is formed by adding to the
crude above conc. HCl and the reaction is allowed to continue for 3 days
under reflux. the HCl is removed by aziotropic distillation. The
resulting crude is purified by silica gel column chromatography.
[0111][13-[Bis-(4-dimethylamino-phenyl)-methyl]-3,9-bis-(dibutoxy-phosphor-
ylmethyl)-3,6,9-triaza-bicyclo[9.3.1]pentadeca-[(14),11(15),12-trien-6-yl]-
-acetic acid 137 is formed by adding 2.15 equivalents of paraformaldehyde
to 1 equivalent
{13-[bis-(4-dimethylamino-phenyl)-methyl-3,6,9-triaza-bicyclo[9.3.1]penta-
deca-1(1(15),12 trien-6yl}-acetic acid 136 in dry THF. When the solvent
becomes clear 2.15 equivalents of tributyl phosphite are added and the
reaction is allowed to stir at room temp. for 2 days. The reaction is
then rotovaped to remove the solvent and the resulting crude is heated
under vacuume to remove butanol.
[0112]Finally,
{13-[Bis-(4-dimethylamino-phenyl)-methyl]-3,9-bis-phosphonomethyl-3,6,9-t-
riaza-bicyclo[9.3.1]pentadeca-1(14),11(15),12-trien-6-yl}-acetic acid 138
is prepared by the following process. A solution of
[13-[Bis-(4-dimethylamino-phenyl)-methyl]-3,9-bis-(dibutoxy-phosphorylmet-
hyl)-3,6,9-triaza-bicyclo[9.3.1]pentadeca-[(14),11(15),12-trien-6-yl]-acet-
ic acid 137 in 6M HCl is brought to reflux and allowed to stir for 3 days.
The HCl is removed by aziotropic distillation and the product is
lyophilized.
[0113]Adding the chelating ion is accomplished by similar techniques as
described in the previous examples.
Example 7
[0114]Using the unique chemistry described previously and shown in Scheme
II, a trifunctional ligand is prepared. Then, using Scheme VII, a new
bimetallic complex is prepared.
[0115]The bimetallic complex is synthesized by first forming
Ln-1-(2-methylene-6-methyl quinoline)-4,10 Bis(methylene-phosphonic
acid)-7-(acetic acid)-1,4,7,10-tetraazacyclododecane 147. To 50 mL of
nano-pure water, 0.500 grams of 1-(2-methylene-6-methyl quinoline)-4,10
Bis(methylene-phosphonic acid)-7-(acetic
acid)-1,4,7,10-tetraazacyclododecane 146 was added and allowed to
dissolve. Upon complete dissolution, the pH was adjusted to 6.5 via a
small addition of 1N KOH solution. When the pH stabilized, a solution of
LnCl.sub.3 was slowly added (1 equivalent by mass) and the pH was
maintained around 6 with the KOH. After complete addition, the solution
was lyophilized. Complexation was monitored with HPLC and metal content
determined by ICP.
[0116]Next 1-(2-methylene-6-methyl quinoline)-4,10
Bis(methylene-phosphonic
acid)-(N-hexylamine)-1,4,7,10-tetraazacyclododecane 148 is formed by the
following process. To a stirring mixture of 1-(2-methylene-6-methyl
quinoline)-4,10 Bis(methylene-phosphonic acid)-7-(acetic
acid)-1,4,7,10-tetraazacyclododecane and
O--(N-Succinimidyl)-N,N,N',N'-Tetramethyluronium tetrafluoroborate (TSTU)
(1 equivalent of each) in a water-dioxane solution, a mixture of 1,6
diaminohexane and one equivalent of triethyl amine was added slowly via
cannula. The resulting reaction mixture was allowed to stir at room
temperature under positive N.sub.2 pressure for 4 hours. The desired
product was isolated via chloroform:ammonium hydroxide washes and
lyophilized.
[0117]Then, Ln-1-(2-methylene-6-methyl quinoline)-4,10
Bis(methylene-phosphonic
acid)-(N-hexylamine)-1,4,7,10-tetraazacyclododecane 149 is formed as
following. To 50 mL of nano-pure water, 0.500 grams of
1-(2-methylene-6-methyl quinoline)-4,10 Bis(methylene-phosphonic
acid)-(N-hexylamine)-1,4,7,10-tetraazacyclododecane 148 was added and
allowed to dissolve. Upon complete dissolution, the pH was adjusted to
6.5 via a small addition of 1N KOH solution. When the pH stabilized, a
solution of LnCl.sub.3 was slowly added (1 equivalent by mass) and the pH
was maintained around 6 with the KOH. After complete addition, the
solution was lyophilized. Complexation was monitored with HPLC and metal
content determined by inductively coupled plasma spectrometry (ICP).
[0118]Finally, the bimetallic complex Bis[Ln-bis-1-(2-methylene-6-methyl
quinoline)-4,10 Bis(methylene-phosphonic
acid-1,4,7,10-tetraazacyclododecane])-N-hexyldiamide 150 is produced as
follows. To a stirring mixture of Ln-1-(2-methylene-6-methyl
quinoline)-4,10 Bis(methylene-phosphonic acid)-7-(acetic
acid)-1,4,7,10-tetraazacyclododecane 147 and
O--(N-Succinimidyl)-N,N,N',N'-Tetramethyluronium tetrafluoroborate (TSTU)
(1 equivalent of each) in a water-dioxane solution, a mixture of
Ln-1-(2-methylene-6-methyl quinoline)-4,10 Bis(methylene-phosphonic
acid)-(N-hexylamine)-1,4,7,10-tetraazacyclododecane 149 and one
equivalent of triethyl amine was added slowly via canula. The resulting
reaction mixture was allowed to stir at room temperature under positive
N.sub.2 pressure for 12 hours. The desired product was isolated via
chloroform:ammonium hydroxide washes, filtered through dialysis tubing
and microfilters, and lyophilized. Conjugation was monitored via HPLC.
[0119]The bimetallic complex is tested as with all of the previous agents.
Parameters include; a) optical and NMR spectral properties, b) stability,
c) cellular uptake, d) cytotoxicity and e) biodistribution. The
bimetallic complex will be evaluated as a bi-modal (fluorescence and MR)
imaging agent.
Example 8
[0120]In an effort to demonstrate long blood half-life, large MR
signatures, and disease specificity PEG and PEG-PL are used as synthetic
polymeric carriers for the cyclen-based lanthanide chelates.
[0121]First, 5 grams of MPEG 5000 was dissolved in 400 mL of dioxane and
heated to 90.degree. C. To this mixture, 1.2 g of succinic anhydride and
0.1 g of N,N'-dimethylaminopyridine were added and the mixture was
reacted at 110.degree. C. for 7 hours. Next, the solute was concentrated
in-vacuo and filtered through a small celite column. To the
mother-liquor, 10 mL of EtOAc and 50 mL ether was then added to
precipitate the desired PEG disuccinate. The product was further purified
by passage through a Sephadex G-25 column.
[0122]The preparation of PEG bound Ln-QM-CTMC (PEG-Gd-QM-CTMC) 151 as
shown below is performed using the following process.
[0123]To an aqueous stirring solution of MPEG5000 disuccinate (5 mM) at pH
8.5, 10 equivalents of Ln-1-(2-methylene-6-methyl quinoline)-4,10
Bis(methylene-phosphonic
acid)-(N-hexylamine)-1,4,7,10-tetraazacyclododecane was added and allowed
to react for 3 hours. The products were purified via ultra-filtration and
finally passed through a Sephadex A-25 column, which was preequilabrated
with water.
[0124]As shown below, PEG-Polylysine (PL) bound Ln-QM-CTMC
(PEG-PL-Ln-QM-CTMC) 155 is prepared by the following method.
To a stirring 25 mM solution of PL (25 KD), 5 mM (equivalent) activated
MPEG 5000 was added and allowed to react at room temperature for 1 hour
at pH 8.5. This will substitute approximately 30% of the available amino
groups on PL. The remaining amino groups were substituted with the
succinate ester of Ln-QM-CTMC via aqueous coupling, pH 8.5 (5 molar
excess). The products were purified via ultra-filtration and finally
passed through a Sephadex A-25 column, which was preequilabrated with
water.
[0125]The size of the contrast agent was determined via gel filtration,
(1.times.40 cm Ultragel AcA34 column) precalibrated with protein
molecular weight markers. Laser light scattering size determinations will
also be performed with an N4MD device by using sample particle-size
distribution analysis.
[0126]Although the present invention has been disclosed in terms of a
preferred embodiment, it will be understood that numerous additional
modifications and variations could be made thereto without departing from
the scope of the invention as defined by the following claims:
* * * * *