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Research ArticleBasic Science Investigation

Radiosynthesis and Evaluation of 11C-CIMBI-5 as a 5-HT2A Receptor Agonist Radioligand for PET

Anders Ettrup, Mikael Palner, Nic Gillings, Martin A. Santini, Martin Hansen, Birgitte R. Kornum, Lars K. Rasmussen, Kjell Någren, Jacob Madsen, Mikael Begtrup and Gitte M. Knudsen
Journal of Nuclear Medicine November 2010, 51 (11) 1763-1770; DOI: https://doi.org/10.2967/jnumed.109.074021
Anders Ettrup
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Mikael Palner
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Nic Gillings
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Martin A. Santini
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Martin Hansen
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Birgitte R. Kornum
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Lars K. Rasmussen
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Kjell Någren
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Jacob Madsen
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Mikael Begtrup
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Gitte M. Knudsen
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  • FIGURE 1.
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    FIGURE 1.

    Synthesis of labeling precursor for 11C-CIMBI-5 (3): (a) 2-(tert-butyldimethylsilyloxy)benzaldehyde, NaBH4, MeOH; (b) Boc2O, THF; and (c) TBAF, NH4Cl, THF. OTBDMS = t-butyldimethylsiloxy; THF = tetrahydrofuran.

  • FIGURE 2.
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    FIGURE 2.

    Radiochemical synthesis of 11C-CIMBI-5. OTf = triflate; TFA = trifluoroacetic acid.

  • FIGURE 3.
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    FIGURE 3.

    Time-dependent ex vivo distribution of 11C-CIMBI-5 and displacement by ketanserin. (A) SBRs in frontal cortex in rats are shown relative to time after injection. (B) After ketanserin pretreatment (1 mg/kg intravenously), SBR in frontal cortex at 30 min after 11C-CIMBI-5 injection is significantly decreased. ***P < 0.0001 in Student t test of ketanserin vs. saline. ROI = region of interest.

  • FIGURE 4.
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    FIGURE 4.

    Representative coronal (top), sagittal (middle), and horizontal (bottom) PET images summed from 0 to 90 min of scanning showing distribution of 11C-CIMBI-5 in pig brain. Left column shows PET images after 3 × 3 × 3 mm gaussian filtering. Right column shows same PET images aligned and overlaid on a standardized MRI-based atlas of the pig brain after coregistration. SUV = standardized uptake value.

  • FIGURE 5.
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    FIGURE 5.

    Time–activity curves of 5-HT2A agonist and antagonist PET tracers in pig brain. (A) 11C-CIMBI-5 time–activity curves in Danish Landrace pig brain at baseline (black solid line) or after intravenous ketanserin (3 mg/kg bolus, 1 mg/kg/h infusion) blockade (gray dotted line). (B) 18F-altanserin time–activity curves in minipigs. Mean standardized uptake values normalized to injected dose per body weight are shown. SUV = standardized uptake value.

  • FIGURE 6.
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    FIGURE 6.

    HPLC analysis of radioactive metabolites in pig plasma after intravenous injection of 11C-CIMBI-5. ▪ = parent compound 11C-CIMBI-5; ▾ = lipophilic metabolite; •= polar metabolites.

  • FIGURE 7.
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    FIGURE 7.

    HPLC analysis of brain extracts and plasma at 25 min after injection of 11C-CIMBI-5: frontal cortex (A), cerebellum (B), and plasma (C). Peaks: 1 = polar metabolites, 2 = lipophilic metabolites, and 3 = parent compound.

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    TABLE 1

    PDSP Screening Result: Inhibition Constants (Ki) for CIMBI-5 Versus Serotonin and Other Receptors

    ReceptorKi (nM)
    5-HT2A2.2 ± 0.1
    5-HT2B2.3 ± 0.2
    5-HT2C7.0 ± 1.0
    5-HT658 ± 17
    5-HT1A85 ± 16
    D3117 ± 14
    α2C348 ± 17
    D4647 ± 37
    Serotonin transporter1,009 ± 84
    α2A1,106 ± 206
    M51,381 ± 231
    D21,600 ± 333
    5-HT71,670 ± 125
    5-HT5A2,200 ± 385
    D13,718 ± 365
    5-HT1B3,742 ± 553
    Norepinephrine transporter4,574 ± 270
    Dopamine transporter5,031 ± 343
    D57,872 ± 933

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Journal of Nuclear Medicine: 51 (11)
Journal of Nuclear Medicine
Vol. 51, Issue 11
November 1, 2010
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Radiosynthesis and Evaluation of 11C-CIMBI-5 as a 5-HT2A Receptor Agonist Radioligand for PET
Anders Ettrup, Mikael Palner, Nic Gillings, Martin A. Santini, Martin Hansen, Birgitte R. Kornum, Lars K. Rasmussen, Kjell Någren, Jacob Madsen, Mikael Begtrup, Gitte M. Knudsen
Journal of Nuclear Medicine Nov 2010, 51 (11) 1763-1770; DOI: 10.2967/jnumed.109.074021

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Radiosynthesis and Evaluation of 11C-CIMBI-5 as a 5-HT2A Receptor Agonist Radioligand for PET
Anders Ettrup, Mikael Palner, Nic Gillings, Martin A. Santini, Martin Hansen, Birgitte R. Kornum, Lars K. Rasmussen, Kjell Någren, Jacob Madsen, Mikael Begtrup, Gitte M. Knudsen
Journal of Nuclear Medicine Nov 2010, 51 (11) 1763-1770; DOI: 10.2967/jnumed.109.074021
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