Abstract
A series of microPET imaging studies were conducted in anesthetized rhesus monkeys using the dopamine D2-selective partial agonist, [11C]SV-III-130. There was a high uptake in regions of brain known to express a high density of D2 receptors under baseline conditions. Rapid displacement in the caudate and putamen, but not in the cerebellum, was observed after injection of the dopamine D2/3 receptor nonselective ligand S(−)-eticlopride at a low dosage (0.025 mg/kg/i.v.); no obvious displacement in the caudate, putamen and cerebellum was observed after the treatment with a dopamine D3 receptor selective ligand WC-34 (0.1 mg/kg/i.v.). Pretreatment with lorazepam (1 mg/kg, i.v. 30 min) to reduce endogenous dopamine prior to tracer injection resulted in unchanged binding potential (BP) values, a measure of D2 receptor binding in vivo, in the caudate and putamen. D-amphetamine challenge studies indicate that there is a significant displacement of [11C]SV-III-130 by d-amphetamine-induced increases in synaptic dopamine levels.
Keywords: Dopamine, Dopamine D2 receptors, Positron Emission Tomography
INTRODUCTION
Based on genetic and pharmacological studies, dopamine receptors are classified as the D1-like (D1 and D5 receptor subtypes) and the D2-like (D2, D3 and D4 receptor subtypes). Agonist stimulation of D1-like receptors activate adenylyl cyclase via coupling to the Galpha(S)/Galpha(olf) class of G proteins (Herve et al., 2001). Stimulation of the D2-like receptors leads to the inhibition of adenylyl cyclase activity via coupling with the Gi/Go class of G proteins (Sibley and Monsma, 1992, Sealfon and Olanow, 2000, Vallone et al., 2000). Dopamine receptor subtypes regulate dopaminergic circuits in a variety of neurological and neuropsychiatric disorders, including Parkinson’s disease, dystonia and schizophrenia (Lee et al., 1978, Missale et al., 1998, Jardemark et al., 2002, Nieoullon, 2002, Kapur and Mamo, 2003, Korczyn, 2003, Luedtke and Mach, 2003, Karimi et al., 2011). In addition, activation of the dopaminergic pathways may mediate the reinforcing effects of pyschostimulants, including cocaine and amphetamines (Uhl et al., 1998, Nader et al., 1999, Volkow et al., 2002). Dopamine receptors were also involved in the sleep deprivation-induced remodeling of dopamine circuits (Lim et al., 2011).
Positron emission tomography (PET) is an in vivo imaging technique which is capable of providing measures of receptor density in the living human brain. To date numerous PET imaging studies have been reported using carbon-11 and fluorine-18 labeled radiotracers such as [11C]raclopride, [11C]fallypride, [18F]fallypride, and [11C]FLB 457 (Yokoi et al., 2002, Buchsbaum et al., 2006, Cselenyi et al., 2006, Volkow et al., 2008, Narendran et al., 2009, Vandehey et al., 2010). However, these radiotracers are nonselective antagonists at both D2 and D3 receptors; consequently, the measure of dopamine receptor density, commonly referred to as the “binding potential”, is typically reported as the D2/3 receptor binding potential. A number of 11C-labeled D2-agonists have been reported in recent years. Examples include [11C](+)-PHNO (Ginovart et al., 2006, Narendran et al., 2006), [11C]NPA (Hwang et al., 2000, Narendran et al., 2004), and [11C]MNPA (Finnema et al., 2005, Seneca et al., 2006, Finnema et al., 2009). However, as with the radiolabeled antagonists described above, the binding potentials from PET studies with these radiotracers consist of a composite of the D3 receptor and high affinity state of the D2 receptor (highD2).
In previous efforts, our group structurally modified NGB 2904 to yield the compounds WC-10 and LS-3-134, which have high D3 affinity, good D3 vs. D2 receptor selectivity, and favorable log P value to serve as radiotracers for in vitro and in vivo imaging studies of the D3 receptor (Mach et al., 2011). WC-10 has also been labeled with tritium, and [3H]WC-10 has proven to be a useful radioligand for in vitro autoradiography studies in rodent and nonhuman primate brain (Xu et al., 2009, Xu et al., 2010, Brown et al., 2011, Lim et al., 2011). We have also reported PET imaging studies of dopamine D3 receptors using [18F]LS-3-134 (Mach et al., 2011), which can reproducibly image dopamine D3 receptors in anesthetized nonhuman primates following the administration of the benzodiazepine agonist, lorazepam, to transiently reduce synaptic dopamine levels (Dewey et al., 1992, Nader et al., 2006).
In a similar manner, structural alteration of Aripiprazole (Abilify™), an atypical antipsychotic for treatment of schizophrenia, yielded the analog 7-(4-(4-(2-methoxyphenyl)piperazin-1-yl)butoxy)-3,4-dihydroquinolin-2(1H)-one oxalate (SV-III-130). SV-III-130 has improved D2 versus D3 receptor selectivity in comparison with Aripirazole, a methoxy group for carbon-11 radiolabeling, and a favorable log P to serve as a radiotracer for PET imaging studies of the D2 receptor (Vangveravong et al., 2011). In this study, we report the synthesis of [11C]SV-III-130, a radiolabeled D2 partial agonist that is capable of imaging the dopamine D2 receptor in vivo with positron emission tomography. We also report evidence suggesting that there is a low level of competition between [11C]SV-III-130 and endogenous dopamine for D2 receptors.
MATERIALS AND METHODS
Radiosynthesis
The synthesis of the des-methyl precursor, SV-III-158, and unlabeled SV-III-130 (HPLC standard) was reported previously by our group (Vangveravong et al., 2011). [11C]SV-III-130 was prepared via O-alkylation of SV-III-158 with [11C]methyl iodide. The final product was purified by reversed-phase HPLC (C-18 column; 52% methanol: 48% ammonium formate buffer).
Receptor Binding Assays
In vitro binding assays for human dopamine receptors were conducted using the assay conditions described by Chu et al. in 2005. The radioligand used in the dopamine receptor binding assay was [125I]IABN, which has a high affinity for dopamine D2, D3 and D4 receptors (Luedtke et al., 2000). To measure the binding affinity at 5-HT1A receptors, a filtration binding assay previously described (Xu et al., 2005, Wang et al., 2011) was used with human 5-HT1A serotonin receptor membranes (ChanTest, Cleveland, OH, U.S.) and [3H] 8-OH-DPAT (Perkin-Elmer, Boston, MA, U.S.) as the radioligand.
Intrinsic Activity Assay
The intrinsic activity at dopamine D2 receptors was determined using the cAMP assay conditions as described in 2005 by Chu et al. (Chu et al., 2005). In this assay, quinpirole was used as a reference full agonist at both D2 and D3 dopamine receptors.
PET Data acquisition
MicroPET imaging studies were conducted on a Focus 220 microPET scanner (Siemens Medical Systems, Knoxville, TN, USA). Male rhesus monkeys (8 – 12 kg) were initially anesthetized with ketamine (10–15 mg/kg) and injected with glycopyrrolate (0.013 – 0.017 mg/kg) to reduce saliva secretions. PET tracers were administered ~ 90 minutes after ketamine injection. Subjects were intubated and placed on the scanner bed with a circulating warm water blanket and blankets. A water-soluble ophthalmic ointment was placed in the eyes, and the head was positioned in the center of the field using gauze rolls taped in place. Anesthesia was maintained with isoflurane (1.0 – 1.75 % in 1.5 L/min oxygen flow). Respiration rate, pulse, oxygen saturation, body temperature, and inspired/exhaled gasses were monitored throughout the study. Radiotracers and fluids were administered using a catheter placed percutaneously in a peripheral vein. For the metabolism studies, a catheter was placed percutaneously in the contralateral femoral artery to permit the collection of arterial blood samples and for the determination of the blood time-activity-curve using a continuous flow detection system (Hutchins et al., 1986). In each microPET scanning session, the head was positioned supine with the brain in the center of the field of view. A 10-minute transmission scan was performed to check positioning; once confirmed, a 45 minute transmission scan was obtained for attenuation correction. Subsequently, a 60-minute baseline dynamic emission scan was acquired after administration of ~10 mCi of [11C]SV-III-130 via the venous catheter. Displacement studies were also conducted in animals by administering compound S-(−)-eticlopride (0.025 mg/kg, i.v.), a nonselective dopamine D2 and D3 receptor ligand (Nader et al., 1999); and WC-34, a selective dopamine D3 receptor ligand (Chu et al., 2005, Mach et al., 2011), 20 min post tracer injection. Chemical structures of s-(−)-eticlopride and WC-34 and their binding affinities at dopamine receptors are shown in Figure 4. For the dopamine depletion studies, animals were given an intravenous dose of lorazepam (1 mg/kg in saline) approximately 30 min prior to injection of the radiotracer. For dopamine challenge studies, 1 mg/kg d-amphetamine was administrated via the venous catheter 20 min post radiotracer injection.
Time Activity Curves and Metabolite analysis
Arterial blood time activity curves for the initial 5 min post [11C]SV-III-130 injection were determined using the continuous flow detection system attached to a percutaneous arterial catheter. Arterial blood samples for metabolite analysis were taken in a heparinized syringe from the same catheter at 5 and 30 min post injection. The 5 min sample was taken immediately after the pump for the detector was turned off; the arterial line was flushed prior to collection of subsequent samples. Additional blood samples were taken at 10, 60 min for the TAC (Figure 5 C). Metabolite analysis was performed using a solid-phase extraction technique previously used for similar studies (Mach et al., 1997). A 1 mL aliquot of whole blood was centrifuged to separate plasma from packed red cells. Each fraction was counted, a 400 μL aliquot of plasma was removed, counted and deproteinated with 6 ml of 2: 1 methanol: 0.4 M perchloric acid mixture. After centrifugation the supernatant was diluted with 4 mL water and applied to an activated C-18 light Sep-Pak. The cartridge was neutralized with 2 mL 1N NaOH, then rinsed twice with water, and extracted with two portions of methanol (2 mL, 1 mL). All samples were counted in a Ludlum well counter. The methanol extracts were combined, concentrated in vacuo and rediluted to 150 μL of methanol for injection onto the HPLC. HPLC analysis was performed using a reversed-phase Phenomenex analytical column (Prodigy 250 × 4.6) with a mobile phase of methanol: 0.1 M ammonium formate buffer, pH 4.5 60:40. The flow rate was 0.8 ml/min, 0.5 min/fraction; 36 fractions were collected and counted or each sample. The location of the parent UV peak was determined by injection of cold standard. After HPLC analysis of all plasma samples had been completed, the purity and stability of the injectate were confirmed by analysis of both reserved injectate and an in vitro control (reserved injectate added to a pre-scan blood sample which was immediately processed as described above). This control also confirmed the stability of the radiotracer under the conditions used to process the blood for metabolite analysis. The percentages of unchanged parent compound and its metabolites were determined by decay correcting the counts and dividing the amount of recovered activity in all samples and multiplying by 100. (Table 2) Only a single peak for the parent compound was observed in the in vitro control and > 95% of the activity was recovered.
Table 2.
Time (min) | % Parent Compound |
---|---|
5 | 76.3 ± 1.7 |
30 | 60.6 ± 5.8 |
Image processing and analysis
Acquired list mode data were histogrammed into a 3D set of sinograms and binned to the following time frames: 3 × 1 min, 4 ×2 min, 3 ×3 min and 20 ×5 min. Sinogram data were corrected for attenuation and scatter. Maximum a posteriori (MAP) reconstructions were done with 18 iterations and a beta value of 0.004, resulting in a final 256 ×256 ×95 matrix. The voxel dimensions of the reconstructed images were 0.95 ×0.95 ×0.80 mm3. A 1.5 mm Gaussian filter was applied to smooth each MAP reconstructed image. These images were then co-registered with MRI images to identify the regions of interest with AnalyzeDirect software (AnalyzeDirect, Inc., Overland Park, KS). 3D regions of interest PET images were manually drawn using co-registered MRI images as references for the caudate, putamen and cerebellum to obtain time–activity curves. Activity measures were standardized to dose of radioactivity injected to yield %ID/c.c. (Figure 5 A and B.). Logan DVR-1 (binding potential) analyses were performed using the cerebellum as the reference region, with a K2 value of 0.035 (Logan, 2000). Percent dopamine (DA) occupancy (OCC) in the caudate and putamen was measured as (1−[DVRbaseline −1]/[DVRd-amphetamine −1])×100 (Mukherjee et al., 2001).
RESULTS
In vitro binding studies indicate that SV-III-130 (Figure 1) has a high affinity for D2 receptors (0.22 nM) and ~60-fold selectivity for D2 versus D3 receptors (Table 1). Functional assays demonstrated that SV-III-130 partially inhibited forskolin-dependent adenylyl cyclase activity relative to quinpirole (~ 61% maximal response) in CHO cells transfected with hD2 receptors (Table 1), indicating that it is a partial agonist at D2 receptors. The affinity of SV-III-130 for dopamine D4 receptors was low (~210 nM). It’s noteworthy that SV-III-130 also has high binding affinity for 5-HT1A receptor (0.28 nM).
Table 1.
D2long | D3 | D4 | D2:D3 Ratio | %IA D2 | %IA D3 |
---|---|---|---|---|---|
0.22 ± 0.01 nM | 13.1 ± 2.3 nM | 212 ± 45 nM | 60 | 61.2 ± 4.4 | 52.5 ± 4.4 |
Ki values (nM) were determined using human receptors expressed in HEK cells with 125I-IABN. The Ki values represent the mean values for n > 3 determinations.
Percent intrinsic activity (%IA) at human D2 or D3 receptors was determined using a forskolin-dependent adenylyl cyclase whole cell assay at a concentration of test compound >10 × Ki value. The mean values (n > 3) were normalized to values obtained using the full agonist quinpirole.
The synthesis of [11C]SV-III-130 was achieved in approximately 60 min in an overall radiochemical yield of 60% from starting [11C]methyl iodide. The specific activity of the final compound was ~3,000 mCi/μmol (end of bombardment); radiochemical purity was greater than 95% and suitable for microPET imaging studies (Figure 2).
Metabolism studies of arterial blood samples indicated that [11C]SV-III-130 is relatively stable; the 30 minute blood sample post-i.v. administration of the radiotracer contained greater than 60% parent compound (Table 2).
MicroPET studies were conducted in rhesus monkeys under 1% isoflurane anesthesia (n = 4). These initial baseline microPET imaging studies (Figure 3, top panel) demonstrated high uptake of [11C]SV-III-130 in the caudate and putamen. A second series of studies were conducted in which the animal received an intravenous dose of lorazepam (1.0 mg/kg) 30 min prior to the injection of the radiotracer (Figure 3, bottom panel). Lorazepam has been shown to increase striatal [11C]raclopride binding (Dewey et al., 1992); we previously used this paradigm to evaluate the effect of endogenous dopamine on the binding of the dopamine D2/3 radiotracer, [18F]FCP, and the dopamine D3 radiotracer [18F]LS-3-134 in rhesus monkeys (Nader et al., 2006, Mach et al., 2011). The tissue-time activity curves in the lorazepam-treated animals were similar to the baseline study (Figure 5 A and B). Pretreatment with lorazepam had no significant effects on the binding of [11C]SV-III-130 to dopamine D2 receptors as measured by the Logan DVR-1 analyses (Figure 6) (Logan, 2000). There was no obvious binding of [11C]SV-III-130 in the thalamus, a region known to express D3 versus D2 receptors (Rabiner et al., 2009, Sun et al., 2012) under either baseline and lorazemap depletion conditions. This data indicate that [11C]SV-III-130 does not label dopamine D3 receptors in vivo. In contrast to the depletion of endogenous dopamine with lorazepam, dopamine challenge studies resulting from the administration of d-amphetamine (1 mg/kg/i.v.) 20 minutes post-i.v. injection of the radiotracer resulted in a displacement of [11C]SV-III-130 in the caudate and putamen (Figure 5 C). Binding potential analyses demonstrated that the effect of d-amphetamine is significant for both caudate (p = 0.0001) and putamen (p = 0.03) (Table 3). Percent dopamine (DA) occupancy (OCC) is higher in the caudate than in the putamen for all 4 monkeys. Rapid displacement in the caudate and putamen, but not in the cerebellum, was observed after injection of the dopamine D2/3 nonselective ligand S(−)-eticlopride at a relatively low dosage (0.025 mg/kg/i.v.) (Figure 5 D). These data indicate that the binding of [11C]SV-III-130 to D2 receptors in the caudate and putamen is reversible. A dopamine D3 receptor selective ligand WC-34 (0.025 mg/kg/i.v.) didn’t displace the binding of [11C]SV-III-130 in the caudate and putamen, which suggests that the binding of [11C]SV-III-130 is specific to dopamine D2 v.s. D3 receptors. [11C]SV-III-130 activity uptake in the blood peaked at ~ 1 minute post tracer injection and displayed rapid blood activity clearance (Figure 5 F and G).
Table 3.
Monkeya | Caudate DVR-1 | Putamen DVR-1 | ||||
---|---|---|---|---|---|---|
Baselineb | AMPHc | DAd OCC | Baselineb | AMPHc | DAd OCC | |
Monkey 1 | 1.55 | 1.17 | 25% | 1.70 | 1.45 | 15% |
Monkey 2 | 1.80 | 1.05 | 42% | 2.00 | 1.73 | 13% |
Monkey 3 | 1.69 | 1.03 | 39% | 1.85 | 1.22 | 34% |
Monkey 4 | 1.71 | 1.43 | 16% | 1.89 | 1.76 | 7% |
Four rhesus male monkeys were studied separately;
Baseline DVR-1 values represent test-retest average of at least two studies for each individual monkey;
D-amphetamine (AMPH) (1 mg/kg/i.v.) significantly decreased [11C]SV-III-130 binding potential in striatal regions: caudate (p = 0.001) and putamen (p = 0.03);
Percent dopamine (DA) occupancy (OCC) is higher in the caudate than in the putamen for all 4 monkeys.
DISCUSSION
Despite the structure similarities and high degree of sequence homology in the ligand binding domains (Sokoloff et al., 1990), the D2 and D3 receptors are thought to differ in their a) neuroanatomical localization, b) levels of receptor expression, c) efficacy in response to agonist stimulation, and d) regulation and desensitization (Joyce, 2001, Luedtke and Mach, 2003, Mach et al., 2004). However, the absolute densities of D2 and D3 receptors, and the differential expression of these receptors in the CNS, is currently not known since there are no selective radioligands to measure D2 versus D3 receptors, and vice versa, using either in vitro (autoradiography) or in vivo (PET) imaging techniques. Although a number of dopamine D2 and D3 selective radiotracers, labeled with either carbon-11 (t = 20.4 min) or fluorine-18 (t = 110 min), have been reported over the past twenty years, none have proven to be useful for selectively imaging dopamine D2 or D3 receptors in vivo. Nonselective dopamine D2/D3 radiotracers inevitably provide a binding potential from the combination of both receptor signals, such as the radiolabeled antagonists [11C]raclopride (Yokoi et al., 2002, Volkow et al., 2008), [11C]fallypride or [18F]fallypride (Buchsbaum et al., 2006, Narendran et al., 2009); and [11C]FLB457 (Cselenyi et al., 2006, Vandehey et al., 2010), and full agonists at D2 and D3 receptors, [11C](+)-PHNO (Ginovart et al., 2006, Narendran et al., 2006), [11C]NPA (Hwang et al., 2000, Narendran et al., 2004), and [11C]MNPA (Finnema et al., 2005, Seneca et al., 2006, Finnema et al., 2009).
In a previous study, we reported that [18F]LS-3-134 has a subnanomolar affinity for dopamine D3 receptors and a 160-fold higher affinity for D3 compared to D2 dopamine receptors (Mach et al., 2011). Because of the high affinity of dopamine for D3 receptors, it was necessary to deplete the synapse dopamine of [18F]LS-3-134 in anesthetized rhesus monkeys in order to image the D3 receptor. These data are consistent with previous reports demonstrating that there is a high in vivo occupancy of D3 receptors by endogenous dopamine (Schotte et al., 1992, Schotte et al., 1996). That study also demonstrated that [18F]LS-3-134 had high binding in the thalamus which is believed to be a brain region having a high density of D3 receptors (Rabiner et al., 2009, Sun et al., 2012). In the current study, we found [11C]SV-III-130 had high binding in the caudate and putamen and no uptake in the thalamus. Dopamine depletion did not increase the uptake of the radiotracer in the caudate, putamen and thalamus. These data suggest [11C]SV-III-130 binding to dopamine D3 receptors is negligible since there was no tracer uptake in the thalamus under both baseline and dopamine depletion conditions. Recently it was reported that dopamine D2 receptor preferring ligand [18F](N-Methyl)Benperidol (NMB) has appreciable binding in the thalamus (Eisenstein et al., 2012); this very likely represents binding at dopamine D4 receptors since [18F]NMB has a high binding affinity at the D4 receptor (Ki = 4.9 nM), and there is a high density of D4 receptors in the thalamus (Primus et al., 1997, Karimi et al., 2011). The observation that dopamine depletion did not change the binding potential of [11C]SV-III-130 in the caudate and putamen also suggests that endogenous dopamine has a low in vivo occupancy at D2 receptors. This result agrees well with previous reports that endogenous dopamine protects the D3 receptor (but not the D2) receptors from alkylation by 1-ethoxycarbonyl-2-ethoxy-1,2-dihydroquinoline (EEDQ) and the spiperone analog, N-(p-isothiocyanatophenethyl)spiperone (NIPS) (Levant, 1995, Zhang et al., 1999). Occupancy of D3 receptors by endogenous dopamine in vivo is high due to the higher binding affinity of dopamine for dopamine D3 versus D2 receptors (Levant, 1997).
Unlike the dopamine depletion studies using lorazepam, d-amphetamine challenge given 20 min post-i.v. injection of the radiotracer resulted in a change (i.e., reduction) of [11C]SV-III-130 binding in the caudate and putamen. This reduction in tracer binding is believed to be caused by the in vivo displacement of radiotracer by d-amphetamine-induced elevations in synaptic dopamine levels. A higher percent dopamine (DA) occupancy (OCC) was observed in the caudate than in the putamen, which is consistent with a previous report using [18F]fallypride as the radioligand (Mukherjee et al., 2005). To confirm the displaceable binding of [11C]SV-III-130 to dopamine D2 receptors in the caudate and putamen, a low dose of the D2/3 antagonist S(−)-eticlopride (0.025 mg/kg/i.v.) was administered at 20 min post-i.v. injection of the radiotracer. S(−)-eticlopride rapidly displaced [11C]SV-III-130 binding in the caudate and putamen, with the striatal activity reached a level close to that in the reference region of cerebellum by ~ 50 min post-injection. To test the specificity of [11C]SV-III-130 binding to dopamine D2 but not D3 receptors, a relatively high dose (4 fold higher of that of s(−)-eticlopride, i.e., 0.1 mg/kg/i.v.) of selective D3 receptor partial agonist WC-34 was administered at 20 min post-i.v. injection of the radiotracer, no obvious displacement of [11C]SV-III-130 was observed.
Although the in vitro binding assay showed that SV-III-130 has a high binding affinity for 5-HT1A receptor, the in vivo PET imaging studies didn’t suggest that [11C]SV-III-130 labeled 5-HT1A sites in the nonhuman primate brains; no obvious uptake was detected in the 5-HT1A receptor enriched regions, such as the dorsal raphe, cingulate cortex and hippocampus(Saigal et al., 2006).
In summary, we have evaluated the in vivo properties of [11C]SV-III-130, a radiotracer with subnanomolar affinity for dopamine D2 receptors and 60-fold selectivity over dopamine D3 receptors. Preclinical imaging studies using nonhuman primates indicates [11C]SV-III-130 images dopamine D2 but not D3 receptors. This study also demonstrated that dopamine D2 receptors can be imaged in nonhuman primates without the need to deplete the dopaminergic synapses of endogenous neurotransmitter, which is in stark contrast to the imaging of D3 receptors with the radiotracer [18F]LS-3134. Translational imaging studies in human subjects are clearly needed to determine the ability of [11C]SV-III-130 to directly measure dopamine D2 receptors without interference from the labeling of D3 receptors.
Highlights.
We synthesized a novel dopamine D2 receptor radiotracer, [11C]SV-III-130.
We conducted microPET imaging of dopamine D2 receptors using [11C]SV-III-130.
[11C]SV-III-130 binding can be displaced D2/3 ligand S(−)-eticlopride.
Dopamine depletion via lorazepam treatment didn’t change the binding potential.
D-amphetamine induced dopamine increase displaced [11C]SV-III-130 binding.
Acknowledgments
The authors would like to thank John Hood, Christina Zukas and Darryl Craig for their assistance and technical expertise in conducting the nonhuman primate imaging studies. This research was funded by NIH grants MH081281 and DA023957.
Footnotes
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