RT Journal Article SR Electronic T1 Synthesis and evaluation of a novel 18F-labeled abirateron derivative for imaging CYP17A1 expression with positron emission tomography JF Journal of Nuclear Medicine JO J Nucl Med FD Society of Nuclear Medicine SP 1135 OP 1135 VO 56 IS supplement 3 A1 Zhang, Zhengxing A1 Jenni, Silvia A1 Zhang, Chengcheng A1 Pan, Jinhe A1 Hundal-Jabal, Navjit A1 Colpo, Nadine A1 Benard, Francois A1 Lin, Kuo-Shyan YR 2015 UL http://jnm.snmjournals.org/content/56/supplement_3/1135.abstract AB 1135 Objectives Intratumoral up-regulation of cytochrome P450 17A1 (CYP17A1), a key enzyme involved in androgen synthesis, is one of the main causes for the development of castration-resistant prostate cancer (CRPC). Suitable CYP17A1 targeting tracers could be used to select potential responders who could benefit from treatment with CYP17A1 inhibitors such as abiraterone. Herein, we present the synthesis and evaluation of a potent radiolabeled abiraterone derivative, 18F-(3β)​-17-​(4-​fluoro-​3-​pyridinyl)​-androsta-​5,​16-​dien-​3-​ol (18F-4’-FAbi; IC50 ≤ 11 nM) for imaging CYP17A1 expression with PET.Methods The radiolabeling precursor (3β)​-17-​(4-​chloro-​3-​pyridinyl)​-androsta-​5,​16-​dien-​3-​ol was synthesized in 4 steps from dehydroepiandrosterone. The 18F labeling was achieved via aromatic nucleophilic substitution using K[18F]F/K222 in DMF at 130 °C for 20 min, and 18F-4’-FAbi was purified by HPLC. PET/CT imaging and biodistribution studies were performed using male NODSCID/IL2RKO mice with CYP17A1-expressing testes serving as a surrogate of CYP17A1-expressing CRPC.Results 18F-4’-FAbi was obtained in 1.5 ± 0.6% decay-corrected radiochemical yield with > 99% radiochemical purity. PET/CT imaging and biodistribution studies showed that 18F-4’-FAbi was cleared rapidly from blood, and excreted primarily via the hepatobiliary pathway. At 2 h post-injection (p.i.), only bone (12.1 ± 1.88 %ID/g), liver (3.36 ± 0.94 %ID/g), and intestines showed higher uptake than the CYP17A1-expressing testes (1.88 ± 0.17 %ID/g). The testes-to-blood and testes-to-muscle ratios at 2 h p.i. were 6.7 ± 1.3 and 6.7 ± 2.8, respectively.Conclusions 18F-4’-FAbi was successfully synthesized, and evaluated for imaging CYP17A1 expression in mice using testes as a surrogate target. Despite clear visualization of testes in PET images, 18F-4’-FAbi is not a suitable PET tracer due to its massive in vivo defluorination.