High Affinity Dopamine D2 Receptor Radioligands. 1. Regional Rat Brain Distribution of Iodinated Benzamides

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High Affinity Dopamine D2 Receptor Radioligands. 1. Regional Rat Brain Distribution of Iodinated Benzamides High Affinity Dopamine D2 Receptor Radioligands. 1. Regional Rat Brain Distribution of Iodinated Benzamides Robert M. Kessler, M. Sib Ansari, Tomas de Paulis, Dennis E. Schmidt, Jeffrey A. Ctanton, Howard E. Smith, Ronald G. Manning, David Gillespie, and Michael H. Ebert Departments of Radiology, Chemistry, and Psychiatry, Vanderbilt University School of Medicine, Nashville, Tennessee a substituted benzamide. Spiperone and its derivatives, Five 12Sl-labeled substituted benzamides, which are close e.g., [~ ~C]-N-methylspiperone, have very high affinities for structural analogues of (S)-sulpiride, eticlopride, and isore- the D2 receptor but also are potent serotonergic ligands moxipride, were evaluated for their selective in vivo uptake and have nonreversible binding in vivo (7-10). The sub- into dopamine D2 receptor rich tissue of the rat brain. "lodo- stituted benzamides used in man. [~]C]raclopride (11,12) pride" (Ko 0.88 nM), an iodine substituted benzamide struc- and [~23I]IBZM (13,14), are selective for the D2 receptor, turally related to sulpiride, displayed a maximal stria- have reversible binding in vivo, and have moderate affinity tum:cerebellar uptake ratio of 7.6. Demonstration of satura- for the D2 receptor. Both Seeman (15) and Ross (•6) have tion of the receptor with [12Sl]iodopride in striatum required uptake in frontal cortex to be used, rather than cerebellar recently demonstrated that [3H]raclopride binding in vivo uptake, to define nonspecific binding. Two other ligands struc- is inhibited by endogenous free synaptic dopamine, while turally related to eticlopride, "iclopride" (KD 0.23 riM) and binding of a high affinity ligand to the D2 receptor was "itopride" (Ko 0.16 nM), displayed maximal striatal:cerebellar not significantly inhibited by dopamine (15). Thus, ligands uptake ratios of 9.8 and 3.3, respectively. The most potent with very high affinity may be needed for accurate in vivo ligands, "epidepride" (KD 0.057 nM) and "ioxipride" (KD 0.070 measurements of receptor number. nM) showed striatal:cerebellar uptake ratios of 234 and 65, A dopamine D2 ligand for single photon emission to- respectively. The observed uptake ratios correlated poorly mography (SPECT) imaging would ideally have great se- with the affinity constants for the dopamine D2 receptor alone, lectivity and high affinity for the D2 receptor, low nonspe- but were highly correlated (r = 0.92) with the product of the cific binding, and brain uptake adequate for imaging. The receptor dissociation constant (Ko) and the apparent lipophil- in vivo striatal:cerebellar ratios for [~C]raclopride and icity (kw), as determined by reverse-phase HPLC at pH 7.5. Total striatal uptake also appeared dependent on lipophilicity, [J231]IBZM have been reported as 4:1 (11) and 2:1 (14), with maximal uptake occurring for ligands having log kw 2.4- respectively, in man; these ratios are sufficient for imaging 2.8. but not optimal. Many substituted benzamides are rela- tively selective for the D2 receptor (1 7); substituted benz- J Nucl Med 1991; 32:1593-1600 amides with high affinity for the D2 receptor such as etictopride (18) and isoremoxipride (19) have been syn- thesized. Kessler and colleagues have recently reported a series of iodinated benzamides with high affinity for the Cerebral dopaminergic neurotransmission has been ex- D2 receptor (20-22), which are structurally related to tensively studied and has been shown to be involved in sulpiride and to these high affinity benzamides. The pres- the pathogenesis of Parkinson's disease (1) and progressive ent study was undertaken to determine if these compounds supranuclear palsy (2). It has been implicated in the etiol- might be suitable as potential D2 ligands for SPECT and ogy of a number of other disorders including schizophrenia to evaluate the relationship of receptor affinity and lipo- (3), affective disorders (4) and tardive dyskinesia (5,6). philicity to the regional brain uptake of these tracers. The Because of the widespread interest in cerebral dopami- compounds evaluated include iodopride, iclopride, ioxi- nergic function and the availability of radiolabeled, high pride, and epidepride. A preliminary evaluation of ito- affinity dopaminergic ligands, in vivo studies of dopamine pride, a substituted benzamide structurally related to eti- D2 receptors in man have been performed utilizing emis- clopride, was also performed. The structures of these and sion tomography. The majority of these studies of D2 related compounds are shown in Figure I. receptors have utilized either a derivative of spiperone or METHODS Drugs Received Oct. 24, 1990; revision accepted Feb. 26, 1991. For reprints contact: Robert M. Kessler, MD, Department of Radiology, Iodopride, (S)-N-[(l-ethyl-2-pyrrolidinyl)methyl]-5-iodo-2- VUMC, Nashville, Tennessee 37232-2675. methoxybenzamide (21), IBZM (13,23), eticlopride (24), and Iodinated Benzamides • Kessler et al 1593 The IC~, for inhibition of [3H]spiperone binding to striatal homogenate was determined as follows. Prior to incubation, the assay tubes were placed on ice and the assay started by addition of 0.5 ml of the tissue homogenate to each tube containing [3H] spiperone (at a final concentration of 300 pM), 10 nM ketanserin, t % ~ , ,l~plttd~ t(~d~rptltlc 10 uM pargyline, and the displacing ligand at a final concentration H H of from 0.001 to 100,000 rot,/ with a final volume of 2 ml. CONHCH2-H~ Nonspecific binding was determined using a concentration of 10 uM spiperone. Each tube was removed from ice, vortexed for c,~/IL.~L c' c,., ,)k..CL, c, c~., C~Hs- ~ - I 3 sec, and incubated at 25"C for 50 min. Incubation was termi- cl~, t,,pr,ti; t~ h~prldc it~prltJt" nated by filtration through Whatman GF/B filters presoaked in 0.3% polyethylenimine, using a Brandel model M-24R cell har- vester. The filters were rinsed for 10 sec with ice-cold Tris HC1 CONHCHj?%~ C...... .H /--~ buffer, the filter placed in a 20-ml plastic scintillation vial and 10 ml of scintillation fluid was added. Liquid scintillation counting I --OCH~ was performed using a Beckman LS3801 counter; efficiency was I\ttr¢" [I i~ )k t t ,r i, I~ t'llhl~-[H ldt ii,~liIrltt~ typically 45%. The Kt~ for ligand binding to striatat homogenates was deter- FIGURE 1. Structures of new iodinated substituted benzam- mined as follows. If frozen, the tissue was thawed, homogenized ides and parent compounds. The parent compounds are shown at 100-fold dilution (w:v) in a Tris-HC1 buffer for t5 sec using a in the left column and the corresponding iodinated derivatives on Brinkman Polytron at half-maximum speed. The homogenate the right. was centrifuged at 4°C at 10.000 x g for 15 min, the supernatant discarded, the pellet resuspended in the initial volume of fresh buffer, and centrifuged a second time. The supernatant was again ioxipride, (S)-N-[( 1-ethyt-2-pyrrolidinyl)methyl]-3-iodo-5,6-di- discarded and the pellet resuspended in a Tris-HC1 buffer con- methoxysalicylamide (25) were prepared as described in the raining 50 mM Tris pH 7.4, 120 mM NaCI, 2 mM CaCI~, 1 rrL,~/ literature. Ictopride, (S)-5-chloro-N-[(t-ethyl-2-pyrrolidi- MgSO4, 1 mM NaEDTA, and 100 uM Na ascorbate at a final nyl)methyl]-3-iodo-6-methoxysalicylamide (20), itopride, (S)-3- dilution of 500 w:v. Incubation was performed in duplicate in a ethyl-N-I( I -ethyl-2-pyrrolidin yl)methyl]-5-iodo-6-methoxysali- total of 2.0 ml Tris-HC1-Na buffer containing 0.5 ml tissue and cylamide, and epidepride, (S)-N-[( t-ethyl-2-pyrrolidinyl)methyl] 20 ul radioactive ligand (final concentration 0.001 nM to 500 -5-iodo-2,3-dimethoxybenzamide (26), were prepared from the nM). The tissue was incubated for 45 min at 250C and the appropriate iodine substituted benzoic acid derivatives as de- binding assay terminated by filtration as described above. The scribed tbr the corresponding bromo analogues (27). Raclopride filter was placed in a gamma counting tube and gamma spectrom- (27) and IBF (28) were gifts from Dr. H. Hall (Astra) and Dr. H. etry performed using a Searle Analytic Inc model 1 t 85, with 86% F. Kung (University of Pennsylvania), respectively. efficiency. Nonspecific binding was determined by adding 10 uM sulpiride to the incubation mixture. Data analysis was performed Radiolabeling using the EBDA program. Preparation of [~2'l]iodobenzamides at high specific activity was achieved by iododestannylation of the corresponding tribu- tvltinbenzamide (iodopride, epidepride) (21,26) or by electro- In Vivo Studies philic iodination of the corresponding desiodobenzamide (ioxi- Groups of four 200-250 g male Harlan-Sprague-Dawley rats pride, iclopride, and itopride)(23,29). No-carrier-added sodium were injected with 25 or 30 uCi of ~-~5I labeled iodobenzamide via [':q]iodide (2000 Ci/mmol) was oxidized in situ by chloramine- tail vein. The animals were killed at 5, 20, 40, 80, 160, and when T in dilute hydrochloric acid. Its subsequent reaction with the necessary., 320, 640. and 1,280 min after injection. The brains appropriate substituted benzamide gave the [~2~I]iodobenzamide were rapidly removed, washed in iced saline, regional brain with radiochemical yields of 50-60% after purification by reverse- dissection was performed, and the cerebellum and striatum were phase liquid chromatography (Waters 10 cm × 8 mm NOVA weighed and counted using gamma spectrometr2y. Pak-CN, ethanol:100 mM phosphate buffer (30:70) at pH 7.0, To assess the effect of haloperidol, 2 mg/kg haloperidol was flow rate 1.5 mi/min, and ambient temperature). administered intraperitoneally 60 min prior to the tail vein ad- ministration of 25 or 30 uCi ~2~l-labeled iodobenzamide. Groups In Vitro Receptor Binding Studies of four rats were killed at 60 rain after [125I]iodopride or [125I] Mate Harlan Sprague Dawley rats (200-300 g) were sacrificed~ iciopride injection, or 80 min after injection of [l-~-~I]epidepride the brain removed, dissected and striatum stored at -80"C if not or [] 25I]ioxipride.
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