Abstract
Hydrogen peroxide (H2O2) is a type of reactive oxygen species that regulates essential biological processes. Despite the central role of H2O2 in pathophysiological states, available molecular probes for assessing H2O2 in vivo are still limited. This work develops hyperpolarized 15N-boronobenzyl-4-cyanopyridinium (15N-BBCP) as a rationally designed molecular probe for detecting H2O2. The 15N-BBCP demonstrated favorable physicochemical and biochemical properties for H2O2 detection and dynamic nuclear polarization, allowing non-invasive detection of H2O2. In particular, 15N-BBCP and the products possessed long spin-lattice relaxation times and spectrally resolvable 15N chemical shift differences. The performance of hyperpolarized 15N-BBCP was demonstrated both in vitro and in vivo with time-resolved 15N-MRS. This study highlights a promising approach to designing a reaction-based 15N-labeled molecular imaging agent for detecting oxidative stress in vivo.
Keywords: H2O2-sensing, reaction-based probe, nitrogen-15-NMR, DNP hyperpolarization, magnetic resonance spectroscopy and imaging
Graphical Abstract

Reactive oxygen species (ROS) play essential roles in regulating a wide range of biological and physiological processes.1–4 Among various ROS metabolites, hydrogen peroxide (H2O2) exists in the highest concentration (10−7–10−8 M range) and is stable under physiological conditions.5, 6 Normally, the production of oxidative species is balanced with an innate antioxidant defense system. However, a disturbance in the redox balance often triggers the accumulation of H2O2, which can cause oxidative stress and oxidative damage to biomolecules.7–9 Elevated level of H2O2 has been considered as a hallmark for various diseases, including cancer,10–12 inflammation,13, 14 and neurodegenerative disorders.15–17 The broad actions of H2O2 in pathophysiology highlight the importance of imaging the distribution of H2O2 at biological concentrations for diagnostic and therapeutic applications. Accordingly, efficient sensing probes of oxidative stress applicable for preclinical and clinical models are in high demand.
Elegant development of optical imaging probes selective for H2O2 has been disclosed.18–21 The challenge yet remains regarding the investigation of dynamic H2O2 activities with high spatial and temporal resolution. Magnetic resonance spectroscopy and imaging (MRS/MRI) with hyperpolarized probes has been established to be a clinically relevant imaging platform for investigating in vivo metabolism.22–30 Therefore, hyperpolarized probes that are sensitive to oxidative stress would present great potential for non-invasive detection of H2O2 in real-time and for translation to patients. Several ROS-sensing hyperpolarized probes have been developed. For instance, hyperpolarized 13C-thiourea31 and [1-13C]-benzoylformic acid32 were proposed as H2O2-sensing probes, yet both showed limited spin-lattice relaxation times (T1). Compared to carbon-13-labeled probes, nitrogen-15-labeled agents are relatively underexplored as hyperpolarization probes. Among elegant examples reported, the 15N-labeled hyperpolarized probes have shown great potentials to deliver a long T1 and a wide range of 15N chemical shift (900 ppm) for an extended scope of chemical complexity.33–48 Notably, the T1 of 15N-trimethylphenylammonium was reportedly over 400 s although the oxidative reaction afforded a small chemical shift (~1.5 ppm).
We envisioned that exogenous 15N-probes for reaction-based H2O2-sensing can be rationally designed and fine-tuned to achieve the desired molecular reactivity and imaging properties. Toward this goal, several physicochemical and biochemical properties were considered in the pursuit of practical 15N-probe candidates. First, the 15N-center in the molecular probe must possess T1 values in the order of minutes to afford a sufficient imaging window. Second, the probe and its reaction product should have a distinguishable chemical shift difference for detection accuracy. Third, the probe must be biocompatible in terms of aqueous solubility, stability and cytotoxicity with high reaction selectivity and kinetics. In this work, we designed 15N-boronobenzyl-4-cyanopyridinium (15N-BBCP) as a novel H2O2-sensing probe and investigated hyperpolarized 15N-BBCP on its ability for sensitive and selective detection of H2O2 with time-resolved 15N-MRS both in vitro and in vivo.
Results and discussion, Experimental
Design and synthesis of 15N-BBCP as a H2O2 sensor
The structure of 15N-BBCP comprised aryl boronate as a H2O2-sensing unit and 15N-nitrile as a signaling unit, connected through a pyridinium linkage (Figure 1A). The synthesis of 15N-BBCP was achieved by conjugation of the readily prepared boronic ester 2 with 15N-4-cyanopyridine (15N-CP), which was prepared from the isotope-enriched 15N-hydroxylamine hydrochloride and 4-pyridinecarboxaldehyde (Figure 1B).
Figure 1. Design and synthesis of a novel 15N-labeled H2O2-sensing probe.

A) Proposed two-step H2O2-sensing mechanism involving boron oxidation followed by 1,6-elimination. B) Synthetic routes to 15N-CP and 15N-BBCP (R = H), with bromide ion (Br−) as the counterion.
In our design principle of 15N-BBCP as a reaction-based H2O2 sensor, the oxidation of aryl boronic ester/acid upon H2O2 was expected to unmask a phenol intermediate (hydroxybenzyl-4-cyanopyridinium, 15N-HBCP). Simultaneously, the 1,6-elimination of 15N-HBCP would release 15N-CP and quinone methide (QM) (Figure 1A). We envisioned that both 15N-HBCP and 15N-CP can be captured as signal readouts in the H2O2-sensing studies. For the signaling unit, 15N-labeled nitrile was selected as the hyperpolarizable imaging handle as it was expected to provide the long T1 lifetimes desirable for a molecular probe, based on previous hyperpolarization studies of 15N-benzonitrile.48 The H2O2 sensing will rely on the detection of distinct chemical shifts from the 15N-nitrile in 15N-BBCP, intermediate 15N-HBCP, and final product 15N-CP. We anticipated the chemical shift difference between 15N-BBCP and 15N-HBCP would be small due to the structural similarity. Thus, the pyridinium linker is a key component in our design, as it would lead to a larger chemical shift change when cleaved to pyridine. Indeed, thermal scans using 15N2-urea (0.0 ppm) as a reference revealed a significant chemical shift difference of 13.9 ppm between 15N-BBCP (194.8 ppm) and 15N-CP (180.9 ppm). Furthermore, the incorporation of the pyridinium linker that bears a positive charge is favorable in increasing the aqueous solubility of the probe.
Biochemical analysis of BBCP
We investigated the applicability of BBCP for in vivo studies and characterized its physicochemical and biochemical properties. BBCP demonstrated high aqueous solubility and stability in physiological buffer solution (PBS, pH 7.4) (Figure S1). The selectivity toward H2O2 over other biologically relevant ROS and reactive nitrogen species (RNS) was examined. Upon reaction of BBCP at various timepoints (5–30 min, room temperature), the reaction with H2O2 outperformed other ROS/RNS and showed a significant conversion to 4-cyanopyridine (CP) based on LC/MS analysis (Figure 2A). In addition, hypochlorite (OCl−) and peroxynitrite (ONOO−) showed moderate reactivity with BBCP, in which reactions of aryl boronates with OCl− and ONOO− have been reported.49, 50 However, the physiological concentration of peroxynitrite is minuscule (~1 nM for [ONOO−] vs ~100 nM for [H2O2])51, allowing the use of BBCP as a selective H2O2-sensing probe.
Figure 2. Evaluation of BBCP as a H2O2-sensing probe.

A) Response of BBCP (200 μM) with various ROS/RNS (2 mM) in PBS (pH 7.4). Concentration of CP measured by LC/MS after 5, 10, 15, and 30 min of reaction. B) LC/MS trace data of reactions of BBCP (200 μM) + H2O2 (1 mM, 5 equiv) in PBS (pH 7.4) after 5–65 min. Peak area in reference to BBCP at Abs = 280 nm (blue: BBCP; purple: HBCP; green: CP; yellow: quinone methide, QM). Data represented is qualitative, not quantitative. C) Effects of buffer pH on oxidation of BBCP to HBCP and fragmentation to CP. BBCP (100 mM) reaction with 1 equiv H2O2 in PBS + 10% D2O monitored by 1H NMR
The reaction mechanism of BBCP with H2O2 was also investigated. Treatment of BBCP with H2O2 generated CP and QM, with transient phenol species HBCP observed by the LC/MS measurements (Figure 2B), suggesting the proposed two-step oxidation and fragmentation as the sensing mechanism. To confirm the involvement of 1,6-elimination pathway, we prepared a negative control probe S3 with an ethylene linker group that is unable undergo the 1,6-elimination step (Scheme S2). The control reactions with S3 confirmed that H2O2 does not directly cleave the benzylic center, further supporting the subsequent two-step mechanism shown in Figure 1A. In addition, the UV/Vis kinetic measurements revealed that the reaction of BBCP with H2O2 proceeds rapidly with a second-order rate constant of k2 = 12.6 ± 0.52 M−1 min−1 (25 °C, PBS, pH 7.4) (Figure S3). Interestingly, the oxidation and fragmentation rates were dependent on the pH of the reaction solution. Investigation of the effects of buffer pH revealed the oxidation rate is slowed at pH <6.0, and the fragmentation rate was impeded to a greater extent in acidic solutions. These data suggest the biological pH may have an effect on the H2O2 reactivity with 15N-BBCP and fragmentation to 15N-CP, therefore affecting the sensitivity of H2O2 imaging.
The cytotoxicity of BBCP was evaluated as hyperpolarized molecular probes are typically administered as a bolus in high concentrations (20–80 mM) to account for >10-fold dilution in blood. Cytotoxicity assay showed BBCP has minimal toxicity (>90% cell viability) at concentrations up to 10 mM after 6 h of treatment (Figure S4).38 Altogether, BBCP fulfills essential properties as a molecular imaging agent for in vivo sensing of H2O2, including high aqueous solubility/stability, high ROS selectivity, fast reaction kinetics, and low cytotoxicity.
Dynamic nuclear polarization of 15N-BBCP
Polarization level and T1 relaxation time of 15N-BBCP were estimated in vitro. 15N-BBCP samples (3.4 M, 4:1 DMSO:glycerol with 15-mM Ox063) were prepared and polarized using a SPINlab DNP polarizer (GE Healthcare) that operates at ~0.8 K and 5 T.52 After 3–4 h of polarization, the frozen sample was rapidly dissolved in hot (130 °C) dissolution media (0.1g/L EDTA, pH = 7.4 in DI water), producing 5.5–6.0 mL of 20-mM hyperpolarized 15N-BBCP solution. The in vitro T1 of 15N-BBCP was estimated as 340.1 s at 1 T (Spinsolve, Magritek) and 122.8 s at 3 T (Achieva, Philips Healthcare) after correcting radiofrequency (RF) sampling losses (Figure 3A). The liquid-state polarization level at the time of dissolution was estimated as 17.3% from the 3-T data by comparing to thermal scans. Hyperpolarized signal was retained when 40-mM hyperpolarized 15N-BBCP was injected to healthy rats as a bolus (Figure 3B). No metabolic products were observed presumably due to low H2O2 concentrations regulated by the native antioxidative responses in well-balanced physiological conditions.
Figure 3. Hyperpolarization of 15N-BBCP and the two-step sensing mechanism of H2O2.

A) In vitro time series of hyperpolarized 15N-BBCP spectra. B) In vivo observation of hyperpolarized 15N-BBCP spectra acquired from a rat abdomen at 3 T (insert: temporal changes of 15N-BBCP peak at 194.8 ppm). C) In vitro time series of hyperpolarized 15N-CP at 3 T. D) In vitro time series and time courses of hyperpolarized 15N-BBCP and products, observed after mixing with H2O2 (blue: 15N-BBCP; purple: 15N-HBCP; green: 15N-CP). E) In vivo reaction-based detection of H2O2 via 15N-HBCP production from hyperpolarized 15N-BBCP.
Reaction-based H2O2-sensing using hyperpolarized 15N-BBCP
Hyperpolarized 15N-BBCP was further tested with H2O2 in vitro to validate its reaction-based H2O2-sensing performance (Figure 3D). Immediately upon the addition of H2O2, hyperpolarized signals from 15N-BBCP as well as its oxidation product, 15N-HBCP 0.6 ppm upfield, and the fragmentation product, 15N-CP 13.9 ppm upfield, appeared, demonstrating that both oxidation and fragmentation occur rapidly and the T1 values of 15N-species are sufficiently long to monitor the H2O2-sensing reactions in real-time. A separate in vitro experiment with hyperpolarized 15N-CP confirmed the long T1 of 15N-CP (184.3 s) at 3 T (Figure 3C).
Finally, the feasibility of 15N-BBCP to detect H2O2 in vivo was investigated in a rat model at the clinical 3 T MRI. With an intravenous bolus injection of 40-mM hyperpolarized 15N-BBCP, following an intraperitoneal injection of H2O2, both 15N-BBCP and 15N-HBCP peaks appeared from the imaging slab that included the liver and kidneys (Figure 3E). Despite the small chemical shift difference, the accumulation of 15N-HBCP production was clearly observed in the later time points. Considering the hyperpolarized 15N-BBCP presented in healthy rats did not provide detectable metabolic products (Figure 3B), the appearance of 15N-HBCP peak indicates in vivo reaction of 15N-BBCP with H2O2. However, 15N-CP was not observed, suggesting the 1,6-fragmentation step has a lower reaction conversion in vivo in the two-step sensing mechanism, as implied in Figure 2C.
Potentials, limitations and future works
With currently limited reports on in vivo studies of 15N-probes,47 15N-BBCP presents exciting progress as an exogenous reaction-based 15N-probe extended to in vivo imaging. While 15N-BBCP was rationally designed to achieve the desired molecular reactivity, several factors need to be considered and improved for future studies. For instance, BBCP showed moderate toxicity at a high concentration (10 mM) (Figure S4), and it should be noted the reaction byproduct quinone methide (QM) is reported to be toxic.53 Therefore, next-generation reaction-based 15N-probes should consider the toxicity of the probes and have innocuous byproducts.
While a larger chemical shift difference is highly desired due to the low gyromagnetic ratio of 15N, both in vitro and in vivo results suggest that 15N-probes can be utilized to detect 1 ppm or less of chemical shift difference using a conventional clinical 3-T system. MR spectroscopic imaging approach may improve spectral separation of 15N-BBCP and 15N-HBCP by reducing intra-voxel B0 inhomogeneity, but at the expense of signal-to-noise ratio.
Unlike the in vitro setting that contained sufficient H2O2, in vivo application of hyperpolarized 15N-BBCP to scavenge H2O2 did not detect 15N-CP while its conversion to 15N-HBCP was still minimally observed. This is probably due to the limited concentration of H2O2 or because the provided H2O2 was rapidly decomposed into water and oxygen, as well as a slow fragmentation rate to generate 15N-CP. Pathological conditions that persist in elevated levels of H2O2 or an oxidative burst may produce a detectable amount of 15N-CP. Thus, further verification with disease models or a chemical stimulation that induces high H2O2 production such as cancer treated with β-lapachone54 will be needed to evaluate in vivo performance of hyperpolarized 15N-BBCP as a H2O2-sensing probe.
Conclusions
In summary, we designed and characterized 15N-BBCP as a reaction-based H2O2-sensing probe that is applicable to dynamic nuclear polarization. Currently, hyperpolarized 15N-probes have been largely unexplored for in vivo imaging. Our study demonstrates a novel exogenous reaction-based 15N-molecular probe that has been applied in vivo. The probe exhibited ideal properties, including high aqueous solubility, stability, low cytotoxicity, and rapid reaction kinetics. In addition, 15N-BBCP retained a long polarization lifetime that allowed monitoring of the reaction with H2O2. Notably, the presented work demonstrates the possibilities of using reaction-based 15N-probes to image and characterize oxidative stress for future diagnostic and therapeutic applications.
Supplementary Material
Acknowledgements
We acknowledge financial support from NIH (R21 EB024824, P30 CA014236, P41 EB015908, R01 NS107409) and the Welch Foundation (I-2009-20190330). We appreciate James Ratnakar, Emily Buchanan and Zoltán Kovács for assistance in measuring T1 at 1 T. We thank A. Dean Sherry, Robert Lenkinski, and Ralph Hashoian for the 1H/15N radiofrequency coil. We also thank Dr. Peter Silinski (Duke University) for the assistance with high-resolution mass spectrometry data.
Footnotes
Supporting Information.
The Supporting Information is available free of charge on the ACS Publications website.
Additional experimental details and methods of 15N-BBCP characterization, including the synthesis, NMR spectra, biochemical analysis, and general procedures for dynamic nuclear polarization (DNP) studies.
Conflicts of interest
There are no conflicts to declare.
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