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Cite This: J. Med. Chem. 2019, 62, 2638−2650 pubs.acs.org/jmc

Remarkable Brain Penetration of Cyclopentadienyl M(CO)3+ (M =


99m
Tc, Re) Derivatives of Benzothiazole and Benzimidazole Paves the
Way for Their Application as Diagnostic, with Single-Photon-
Emission Computed Tomography (SPECT), and Therapeutic Agents
for Alzheimer’s Disease
Marina Sagnou,† Barbara Mavroidi,† Antonio Shegani,‡ Maria Paravatou-Petsotas,‡
Catherine Raptopoulou,§ Vassilis Psycharis,§ Ioannis Pirmettis,‡ Minas S. Papadopoulos,‡
and Maria Pelecanou*,†
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Institutes of Biosciences & Applications, ‡Nuclear & Radiological Sciences & Technology, Energy & Safety, and §Nanoscience and
Downloaded via UNIV OF GOTHENBURG on October 22, 2019 at 12:56:56 (UTC).

Nanotechnology, National Center for Scientific Research “Demokritos”, 15310 Athens, Greece
*
S Supporting Information

ABSTRACT: The synthesis and evaluation of three novel


99m
Tc complexes (99mTc-1−3) and their corresponding Re
complexes (Re-1−3), in which the phenyl ring of 2-
phenylbenzothiazole or 2-phenylbenzimidazole is replaced by
the cyclopentadienyl tricarbonyl [Cp99mTc(CO)3] core, are
reported. Both 99mTc and Re complexes were prepared from
the corresponding ferrocenyl derivatives, and the Re
complexes were fully characterized by elemental analysis,
spectroscopic methods, and X-ray crystallography. The complexes exhibit effective in vitro binding to β-amyloid (Aβ) plaques
and fibrils, inhibit Aβ fibril formation, and significantly reduce Aβ-induced cytotoxicity and reactive oxygen species production
in neuronal cell cultures. The brain uptake of the 99mTc complexes ranges between 7.94 and 3.99% ID/g at 2 min p.i., being the
highest recorded for potential 99mTc Aβ plaque imaging probes in mice. Powered by their high brain uptake, the complexes
represent strong theranostic candidates against Alzheimer’s disease combining single-photon-emission computed tomography
diagnostic (99mTc complexes) and antiamyloid therapeutic (Re complexes) potential.

■ INTRODUCTION
Penetration across the blood−brain barrier (BBB) is the
requirements of an AD imaging probe, namely, efficient
radiolabeling and stability, affinity for Aβ fibrils, and selectivity
bottleneck in brain drug development with more than 98% of and binding affinity for Aβ plaques on postmortem brain tissue
all small-molecule drugs, and ∼100% of all large-molecule but, nonetheless, fail the prerequisite for adequate in vivo brain
drugs, not crossing BBB.1 Alzheimer’s disease (AD) is among penetration.7−9
the many central nervous system (CNS) disorders for which In this work, a new type of 99mTc complex is presented in
drug discovery is limited by effective CNS drug delivery.2 AD which the phenyl moiety of 2-phenylbenzothiazole has been
therapeutic strategies focusing on the β-amyloid (Aβ), like replaced by the cyclopentadienyl tricarbonyl [Cp99mTc(CO)3]
inhibition of Aβ production, inhibition of Aβ aggregation and core (99mTc-1, Scheme 1). 2-Arylbenzothiazole is the classical
deposition, or Aβ immunotherapy, have failed in clinical trials Aβ binding structure originally developed as the neutral
partly due to limited transport across the BBB.3 AD diagnostic analogue of thioflavin T (ThT), the histological dye used in
strategies focusing on imaging of Aβ plaques have produced the clinic for ex vivo visualization of Aβ plaques in AD brain.10
three 18F radioagents in clinical use today, 18F-florbetapir, 18F- As a result, the 2-arylbenzothiazole scaffold has been
flutametamol, and 18F-florbetaben, which cross the BBB and extensively used in the investigations for a 99mTc radio-
allow in vivo imaging of Aβ burden with positron emission diagnostic for AD, as the pharmacophore to confer binding
tomography (PET).4,5 However, systematic efforts to circum- affinity to Aβ plaques.7−9,11 On the other hand, the
vent the drawbacks of high cost and limited availability [Cp99mTc(CO)3] core possesses properties favorable for BBB
associated with PET imaging6 by developing a 99mTc penetration, such as small size, low molecular weight (MW),
radiodiagnostic for in vivo imaging of Aβ plaques with lack of charge, moderate lipophilicity, and high stability12 and
single-photon-emission computed tomography (SPECT)
have not yet met with success. Many potential 99mTc agents Received: December 13, 2018
have been synthesized that fulfill the in vitro evaluation Published: February 15, 2019

© 2019 American Chemical Society 2638 DOI: 10.1021/acs.jmedchem.8b01949


J. Med. Chem. 2019, 62, 2638−2650
Journal of Medicinal Chemistry Article

99m
Scheme 1. Chemical Structures of Complexes Tc-1−3 and Re-1−3

Scheme 2. Synthetic Route to Ferrocenyl Derivatives Fe-1−3 and to Complexes Re-1−3 and 99m
Tc-1−3a

a
Reagents and conditions: (a) ethanol, reflux, 8 h for Fe-1; ethanol, NaHSO3, reflux, 2 h for Fe-2; Fe-2, CH3I, acetone−water, NaOH, 1 h, room
temperature (rt) for Fe-3; (b) [Re(CO)3Br3][NEt4]2, dimethylformamide (DMF)−0.1 N HCl, 160 °C, 2 h; (c) Na[99mTcO4], Mn(CO)5Br,
DMF−H2O, 110 °C, 90 min.

it has been repeatedly employed in the search for a 99mTc Aβ spectroscopies as well as electrospray ionization (ESI) mass
imaging agent both through the integrated13 and the spectrometry and elemental analysis. The UV absorbance and
conjugated approach.14−16 In the 99mTc-1 complex, replace- fluorescence properties of the Re complexes (Figure S4,
ment of the phenyl ring of 2-phenylbenzothiazole by Supporting Information) (Re-1: Absmax = 305 nm, Fluemmi =
[Cp99mTc(CO)3] resulted in a compact lipophilic 99mTc 362 nm, Re-2: Absmax = 304 nm, Fluemmi = 379 nm, Re-3:
agent that maintains affinity for Aβ fibrils and plaques, while Absmax = 300 nm, Fluemmi = 350 nm) are similar to those of the
exhibiting an unprecedented for a 99mTc complex uptake in lead pharmacophore 2-phenylbenzothiazole,20 indicating that
mouse brain of 7.94% ID/g at 2 min.
the extended conjugation is maintained in the complexes. X-
The design was extended to include the corresponding
complexes with benzimidazole (99mTc-2) and N-methylbenzi- ray crystallographic analysis was possible for Fe-1 and Re-1
midazole (99mTc-3) in place of benzothiazole (Scheme 1) that and showed that indeed the Cp ring lies on the same plane
display equally impressive properties, with respective brain with the benzothiazole moiety. The Re-1−3 complexes are
uptakes of 3.99 and 5.36% ID/g at 2 min. The analogous soluble in CH2Cl2, dimethyl sulfoxide (DMSO), and ethanol;
isostructural Re complexes Re-1−3 were also synthesized to sparingly soluble in ether, hexane, and water; and stable in
serve, according to the usual practice,17 as nonradioactive organic solvents for a period as witnessed by high-performance
surrogates in structure identification and in vitro biological liquid chromatography (HPLC) and NMR.
evaluation experiments. Nonetheless, the interesting properties Description of the Structures. Labeled plots of the
that the Re-1−3 complexes displayed against Aβ aggregation molecular structures of Fe-1 and Re-1 are presented in Figures
and toxicity led us to extend the spectrum of potential 1 and 2, respectively; important crystallographic data for Fe-1
application of the new complexes from AD diagnostics (99mTc- and Re-1 are listed in Table 1, whereas bond distances and
1−3) to AD therapeutics (Re-1−3). angles are listed in Tables S3 and S4, Supporting Information.

■ RESULTS
Synthesis of Re Complexes. The Re-1−3 complexes
In addition, in Figures S5−S8 (Supporting Information), a

were synthesized from the corresponding ferrocenyl derivatives


of benzothiazole (Fe-1), benzimidazole (Fe-2), and N-
methylbenzimidazole (Fe-3) (Scheme 2).18,19 The ferrocenyl
derivatives Fe-1 and Fe-2 were obtained from the
condensation of ferrocenyl aldehyde with 2-aminobenzenethiol
and benzene-1,2-diamine, respectively, whereas Fe-3 was
obtained from methylation of Fe-2 with methyl iodide. The
reaction of Fe-1−3 with the rhenium precursor [Re(CO)3Br3]-
[NEt4]2 under vigorous conditions resulted in the formation of
the complexes Re-1−3 in yields ranging from 59 to 72%.
The ferrocenyl derivatives Fe-1−3 and the rhenium
complexes Re-1−3 were characterized by IR and NMR Figure 1. Oak Ridge thermal ellipsoid plot (ORTEP) of compound
(Figures S1−S3; Tables S1 and S2, Supporting Information) Fe-1 with the thermal ellipsoids presented at a level of 50%.

2639 DOI: 10.1021/acs.jmedchem.8b01949


J. Med. Chem. 2019, 62, 2638−2650
Journal of Medicinal Chemistry Article

carbons of the Cp2 ring is 2.041 Å, in conformity with previous


studies.21−23 The angle around the bond C10−C11 of the
benzothiazole part of the molecule defined by the atoms C11,
C12, C13, C14, C15, C16, C17, N1, S1 and the cyclo-
pentadienyl ring defined by the atoms C6,..., C10 is 10.08(8)°.
Complex Re-1 crystallizes in the P1̅ space group, and the
asymmetric unit of the unit cell contains one molecule. The
coordination environment about Re1 is described as piano-
stool-type with the three carbonyls in facial arrangement at
approximately 90° to each other (Table S4, Supporting
Information) and the Cp unit occupying the opposite facial
plane of the pseudo-octahedral coordination sphere.15 The Cp
ring (C4,..., C8) is essentially planar with 0.010 rms deviations
of fitted atoms. The Cg1···Re1 distance (Cg1 stands for the
Figure 2. ORTEP of complex Re-1 with the thermal ellipsoids centroid of the Cp ring) is equal to 1.9630(4) Å. The average
presented at a level of 50%. C−C bond distance for the Cp ring is 1.414 Å, whereas the
average distance of the Re1 atom to the carbons of the Cp ring
detailed presentation of the packing diagrams based on is 2.302 Å. The angle around the bond C8−C9 of the
intermolecular interactions is given for both Fe-1 and Re-1. benzothiazole part with the cyclopentadienyl ring is 6.9(6)°,
Compound Fe-1 crystallizes in the P21/c space group, and rendering the molecule essentially flat.
the asymmetric unit of the unit cell contains one molecule with Synthesis of 99mTc Complexes. The 99mTc-1−3 com-
the cyclopentadienyl (Cp) rings in eclipsed geometry21 and plexes were also synthesized from the corresponding ferrocenyl
not in staggered.22 Both Cp1 (C1,..., C5) and Cp2 (C6,..., derivatives Fe-1−3 through two different methods. The first
C10) rings are essentially planar with 0.001 and 0.003 root- method employs the widely used fac-[99mTc(H2O)3(CO)3]+
mean-square (rms) deviations of fitted atoms, respectively, and precursor (yield 50%), and the second one employs Mn-
also parallel to each other as the dihedral angle between the (CO)5Br and Na[99mTcO4] according to the double ligand
mean planes is 0.3(1)°. The Cg1···Fe1 and Cg2···Fe1 distances transfer (DLT) reaction, first introduced by Katzenellenbogen
(Cg1 and Cg2 are the centroids of Cp1 and Cp2 rings, et al. for the synthesis of [CpM(CO)3] (M = Re, 99mTc)
respectively) are equal to 1.6558(2) and 1.6395(2) Å, complexes from ferrocenyl precursors (yield 96%).24,25 It
respectively, and the Cg1−Fe1−Cg2 angle takes the value of should be noted that high yields were also obtained by our
179.18°. All of the above values fall in the range of previous group through the DLT reaction during the synthesis of a
studies.23 The average C−C bond distance for the Cp1 ring is [Cp99mTc(CO)3] complex conjugated to phenylbenzothiazole
1.416 Å and that of the Cp2 one is slightly larger, 1.429 Å. The through an amide bond (95% compared with 35% through the
average distance of the Fe1 atom to the carbons of the Cp1 fac-[99mTc(H2O)3(CO)3]+ precursor).16 The 99mTc complexes
ring is 2.046 Å, whereas the corresponding distance to the were characterized by comparative HPLC analysis using the

Table 1. Crystallographic Data for Fe-1 and Re-1b


Fe-1 Re-1
formula C17H13FeNS C15H8NO3ReS
Fw 319.19 468.48
T (K) 180 293
radiation Mo Kα Mo Kα
crystal system monoclinic triclinic
space group P21/c P1̅
a (Å) 9.0869 (3) 7.0230 (4)
b (Å) 13.6081 (3) 8.4824 (5)
c (Å) 10.9798 (3) 12.4549 (7)
α (deg) 90.00 84.290 (2)
β (deg) 102.520 (1) 82.139 (2)
γ (deg) 90.00 77.940 (2)
volume (Å3) 1325.43 (6) 716.84 (7)
Z 4 2
D (calcd) (Mg/m3) 1.600 2.170
abs. coef., μ (mm−1) 1.28 8.63
GOF on F2 1.02 1.09
measured/unique/reflections with I > 2σ(I) 37 691/2882/2687 13 413/3114/2767
Rint 0.029 0.075
R1/wR2 (total)a 0.0266/0.0638 0.0559/0.1354
R1/wR2 [for I > 2σ(I)]a 0.0246/0.0626 0.0506/0.1293

a
R1 = ∑(|Fo| − |Fc|)/∑(|Fo|) and wR2 = {∑[w(Fo2 − Fc2)2]/∑[w(Fo2)2]}1/2. bw = 1/[σ2(Fo2) + (αP)2 + bP] and P = [Fo2 + 2Fc2]/3: α = 0.0357, b
= 0.7911 for Fe-1; α = 0.0623, b = 2.3528 for Re-1.

2640 DOI: 10.1021/acs.jmedchem.8b01949


J. Med. Chem. 2019, 62, 2638−2650
Journal of Medicinal Chemistry Article

Figure 3. Confocal fluorescence images (λexc 370 nm, λem 580 nm) of consecutive brain slices from an autopsy-confirmed AD patient stained with
complexes Re-2 (A) and Re-3 (B) and with ThS (C) (0.5 mg/mL) as a positive control. The scale bar corresponds to 50 μm.

Figure 4. Inhibition curves of complexes Re-1 (A), Re-2 (B), and Re-3 (C) for the binding of the corresponding 99mTc-1, 99mTc-2, and 99mTc-3
complexes to Aβ42 aggregates. Error bars represent standard deviation (n = 3).
99m 99m 99m
Table 2. Biodistribution of Radioactivity (% ID/g) after Injection of Complexes Tc-1, Tc-2, and Tc-3 in Healthy
Swiss Albino Mice (n = 4)a
99m 99m 99m
Tc-1 Tc-2 Tc-3
organ 2 min 15 min 90 min 2 min 15 min 90 min 2 min 15 min 90 min
blood 2.90 ± 0.73 1.59 ± 0.23 0.47 ± 0.01 3.38 ± 0.67 1.86 ± 0.13 0.48 ± 0.12 1.82 ± 0.74 0.41 ± 0.08 0.14 ± 0.01
liver 11.30 ± 1.79 28.22 ± 1.82 17.11 ± 1.25 13.97 ± 2.13 30.66 ± 3.96 18.08 ± 1.34 4.46 ± 0.43 10.68 ± 1.69 5.30 ± 0.58
heart 23.81 ± 5.39 4.93 ± 0.34 0.69 ± 0.13 7.53 ± 1.28 1.95 ± 0.26 0.22 ± 0.05 9.43 ± 2.28 1.73 ± 0.07 0.25 ± 0.06
kidneys 15.54 ± 4.30 13.61 ± 1.96 13.91 ± 1.34 9.70 ± 0.92 5.04 ± 0.53 1.57 ± 0.20 8.42 ± 1.48 8.99 ± 2.55 7.42 ± 1.09
stomach 2.87 ± 1.22 7.83 ± 2.57 15.26 ± 3.88 1.63 ± 0.44 3.17 ± 0.43 4.63 ± 0.56 1.29 ± 0.31 3.57 ± 0.98 3.18 ± 1.70
intestines 2.81 ± 0.95 15.70 ± 0.95 15.42 ± 2.41 3.06 ± 0.08 14.80 ± 0.25 23.94 ± 4.27 2.01 ± 0.55 11.89 ± 0.16 22.16 ± 1.53
spleen 2.95 ± 0.89 3.32 ± 0.30 0.67 ± 0.08 2.63 ± 0.40 1.01 ± 0.09 0.17 ± 0.03 1.69 ± 0.45 0.64 ± 0.04 0.16 ± 0.05
muscle 4.12 ± 0.34 2.76 ± 0.12 0.83 ± 0.34 5.23 ± 0.79 1.50 ± 0.19 0.15 ± 0.03 4.10 ± 0.39 1.34 ± 0.28 0.32 ± 0.06
lungs 22.61 ± 5.47 17.07 ± 3.06 8.48 ± 1.18 7.09 ± 0.38 2.44 ± 0.39 0.45 ± 0.13 9.10 ± 1.93 3.77 ± 1.48 1.23 ± 0.30
pancreas 6.99 ± 0.97 4.24 ± 0.35 0.73 ± 0.19 5.99 ± 0.62 1.96 ± 0.25 0.21 ± 0.02 5.35 ± 1.21 1.17 ± 0.12 0.38 ± 0.09
brain 7.94 ± 1.46 3.70 ± 0.40 0.20 ± 0.03 3.99 ± 0.60 0.75 ± 0.11 0.04 ± 0.01 5.36 ± 0.65 0.85 ± 0.05 0.09 ± 0.02
a
Data expressed as the % of the injected dose per gram of wet tissue (% ID/g) ± the standard deviation of the mean.

corresponding Re complexes as reference compounds (Figure fluorescence microscope images obtained in consecutive
S9, Supporting Information), and they were clearly separated brain slices with Re-2 and Re-3 and with the Aβ binding
by HPLC from their corresponding ferrocenyl precursor. Their histological dye thioflavin S (ThS) as a positive control.
lipophilicity was determined by measuring their partition Analogous images obtained with Re-1 are shown in Figure
coefficient (P) in n-octanol/phosphate buffer (0.1 M, pH 7.4) S11, Supporting Information. All three complexes bind
and resulted in log Poct/water values of 2.52 ± 0.14, 1.84 ± 0.17, selectively to the Aβ plaques, allowing the clear visualization
and 1.50 ± 0.12, respectively. Complexes 99mTc-1−3 were of both diffused and dense core ones and producing images of
stable (>95%) in their preparation medium for at least 6 h and analogous quality to those of ThS.
in challenge experiments against histidine and cysteine (Table The complexes were also found to interact with mature Aβ
S5, Supporting Information). Moreover, all 99mTc complexes fibrils through in vitro competition binding assays between the
were found very stable (99%) in rat plasma for at least 90 min stable Re complexes and their radioactive 99mTc counterparts,
(Figure S10, Supporting Information). conducted according to published procedures.10,16 As shown in
Biological Evaluation. In Vitro Affinity for Aβ Plaques Figure 4 for Re-1, Re-2, and Re-3, the presence of increasing
and Aβ Fibrils. The affinity of complexes Re-1−3 for Aβ concentrations of the Re complexes inhibited the binding of
plaques was evaluated with confocal microscopy in post- the corresponding 99mTc complexes (99mTc-1, 99mTc-2, and
mortem fixed brain sections from an AD patient using a 99m
Tc-3, respectively), which were employed as radioligands.
standard staining procedure.26,27 Figure 3 shows the The Ki values of 65.8 ± 21.3, 7.0 ± 2.9, and 5.7 ± 2.9 nM
2641 DOI: 10.1021/acs.jmedchem.8b01949
J. Med. Chem. 2019, 62, 2638−2650
Journal of Medicinal Chemistry Article

Figure 5. Graphical representation of the biodistribution data (% ID/g) for the 99mTc-1, 99mTc-2, and 99mTc-3 complexes in healthy Swiss albino
mice.

calculated from the inhibition data for Re-1, Re-2, and Re-3 probes in healthy mice,8 the highest uptakes at 2 min being
respectively, show strong affinity of the complexes for Aβ42 1.21% ID/g for complexes of the [99mTc(CO)3]+ core30 and
aggregates. Especially, the Ki values obtained for Re-2 and Re- 2.11% ID/g for complexes of the [99mTcO]3+ core.31 The high
3 are the lowest reported for potential Aβ SPECT imaging brain penetration noted for 99mTc-1−3 was accompanied by
agents bearing the [CpM(CO)3] (M = Re, 99mTc) core and fast blood clearance and almost complete washout at 90 min
among the lowest reported for complexes of the [MO]3+ (M = (Table 2), resulting in brain2min/brain90min clearance ratios of
Re, 99mTc) core.8 39.7, 99.8, and 59.6, respectively, which indicate lack of
Biodistribution in Healthy Mice. The affinity displayed by retention in brain tissue, an advantageous feature for clear
complexes Re-1−3 for both Aβ plaques and fibrils prompted imaging and one of the prerequisites for Aβ imaging probes.7,8
us to proceed with biodistribution experiments in healthy mice. Biodistribution of 99mTc-1 in Transgenic (Tg) 5×FAD
The biodistribution results are shown in Table 2 where an
Mice. Biodistribution experiments of the 99mTc-1 complex
impressive and unprecedented, for 99mTc complexes, brain
uptake is presented amounting to 7.94 ± 1.46, 3.99 ± 0.60, were conducted at 15 min with Tg 5×FAD mice (n = 4) as
and 5.36 ± 0.65% ID/g at 2 min for 99mTc-1, 99mTc-2, and well as with their wild-type littermates and are reported in
99m
Tc-3, respectively. A graphical representation of the Table S6, Supporting Information. The % ID/g at 15 min is
biodistribution data of the 99mTc complexes is presented in 3.90 ± 0.19, substantially higher than the corresponding % ID/
Figure 5. g of 2.68 ± 0.06 found for the wild-type littermates. In view of
The brain uptake of 99mTc-1 is comparable to that of 18F- the similar characteristics of the Tg and wt mice in terms of
florbetapir (7.33% ID/g at 2 min)28 and substantially higher weight, age, and genetic background, the difference in uptake
than that of 18F-florbetaben (4.77% ID/g at 2 min),29 the U.S. of 99mTc-1 is attributed to the presence of pathological AD
Food and Drug Administration approved [18F] imaging agents features in the Tg 5×FAD mice and especially to the presence
in clinical use. Overall, the brain uptake of 99mTc-1−3 far of Aβ plaques. The results are in agreement with literature data
exceeds all values reported for potential 99mTc Aβ imaging in which a similar increase in uptake is typically observed for
2642 DOI: 10.1021/acs.jmedchem.8b01949
J. Med. Chem. 2019, 62, 2638−2650
Journal of Medicinal Chemistry Article

Figure 6. Fluorescence spectra of ThT (5 μM in phosphate-buffered saline (PBS), 10 mM, pH 7.4) added in Aβ42 solutions incubated for 15 days
in the presence or absence of Re complexes (Aβ42/complexes, 1:1 (A) and 1:2 (B) ratios). Fluorescence was monitored after excitation at 440 nm.
Representative spectra from n = 3 independent experiments are presented.

the Tg mice32−35 and taken as a sign of increased interaction/ hippocampal cells by the MTT assay, following the literature
binding of the tracer with the Aβ plaques. procedure.37,38 As shown in Figure 7, exposure of primary
Staining of brain slices from the Tg 5×FAD revealed an
abundance of Aβ plaques (Figure S12, Supporting Informa-
tion).
Activity of Re-1−3 against Aβ Aggregation and Toxicity.
The high brain penetration and favorable pharmacokinetics of
the 99mTc-1−3 complexes, combined with the displayed
stability in serum and relatively low toxicity as determined
from the 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyl-tetrazolium
bromide (MTT) assay (Figure S13, Supporting Information),
prompted their investigation for possible therapeutic action
against AD. As a first step, the study of their potential to inhibit
the aggregation of Aβ42, which is considered to play a major
role in AD neurotoxicity,36 was attempted with circular
dichroism (CD) spectropolarimetry, a method widely
employed to monitor the aggregation of Aβ and its interactions
with potential aggregation inhibitors. However, the strong CD
absorption of the complexes, attributed to the asymmetric
environment of the [CpRe(CO) 3 ] core (Figure S14,
Supporting Information), precluded the study of the
aggregation process of Aβ (50 μM) at the 1:1 and 1:2 Aβ/
complex ratios usually employed in our CD studies. The CD Figure 7. Effect of 1 and 2 μM of complexes Re-1, Re-2, and Re-3 on
spectra of the Re-1−3 complexes remained noisy even at the the cytotoxicity of 1 μM Aβ42 in primary mouse hippocampal
neurons after 24 h of incubation at 37 °C. Cell viability was assessed
concentration of 6 μM, which is the lowest limit for
using the MTT reduction assay (n = 3 independent experiments, each
monitoring Aβ interactions under our experimental conditions. one performed in six replicates). The data are presented as mean ±
As a result, the complexes were incubated with Aβ at 1:1 and standard error of the mean (SEM), *p ≤ 0.05, **p ≤ 0.01, ***p ≤
1:2 Aβ/complex ratios and only the solution of plain Aβ, which 0.001, and not significant (ns) > 0.05 compared with Aβ42 (1 μM)
served as control, was monitored with CD (Figure S15, treatment and #p < 0.01, ##p < 0.01, and ###p < 0.001 compared with
Supporting Information). When the aggregation of plain Aβ control (untreated cells).
was complete, as witnessed by CD, the thioflavin T (ThT)
fluorescence test, that detects mature Aβ fibrils, was performed hippocampal neurons to plain Aβ42 (1 μM) reduces cell
on all Aβ/complex solutions. The results are presented in viability to 50% of untreated cells, a reduction which is in
Figure 6 and show great reduction in the amount of typical Aβ accordance with values reported in the literature for the
fibrils formed in the presence of the complexes compared to toxicity of Aβ42 in primary neurons.39 It is clear from Figure 7
that in the solutions of plain Aβ. As can be seen in Figure 6B, that the presence of complexes Re-1−3 in the Aβ solution at 1
the reduction is more pronounced at the higher Aβ/complex and 2 μM concentration raises cell viability, reaching almost
ratio of 1:2. The results of the ThT test clearly show that 95% at the 2 μM concentration. The significant rescue effects
interaction of the complexes with Aβ takes place and alters the of 72, 79, and 81% obtained for complexes Re-1, Re-2, and Re-
normal aggregation course of Aβ to toxic fibrils. 3, respectively, at the 1:2 Aβ/complex ratio indicate that the
The potential of the rhenium complexes Re-1−3 to rescue complexes have neuroprotective properties against Aβ-induced
cells from Aβ toxicity was subsequently examined in primary toxicity. In view of the inhibitory action of the Re-1−3
2643 DOI: 10.1021/acs.jmedchem.8b01949
J. Med. Chem. 2019, 62, 2638−2650
Journal of Medicinal Chemistry Article

complexes against formation of toxic Aβ fibrils, as revealed in receptor.44 In subsequent works, the [CpM(CO)3] moiety (M
the ThT assay (Figure 6), it is plausible that Re-1−3 exert = Re and/or 99mTc) has replaced a phenyl group in
their neuroprotective action through modulation of the chalcones13,45 and benzamides,46 as well as a 1,2,3,4-
aggregation pathway of Aβ. tetrahydro-naphthalene group in PB28, a selective sigma-2
Finally, based on the fact that the pathology of AD is receptor agonist,47 resulting in bioactive derivatives. In this
associated with oxidative stress and the production of reactive work, the new agents preserve main structural features of 2-
oxygen species (ROS),40 complexes Re-1, Re-2, and Re-3 were arylbenzothiazole, such as planarity, length, neutrality, and
evaluated for their antioxidant potential. As shown in Figure 8, chemical properties, like fluorescence and affinity for Aβ
plaques, whereas the compactness of the structure and added
lipophilicity provided by the [CpMCO3] (M = Re, 99mTc)
core44 obviously contributes to their impressive brain uptake.
The results support the notion that piano-stool-structured
compounds can topologically mimic phenyl rings in
pharmaceuticals and contribute to the establishment of the
[CpM(CO)3] core as an effective tool in the development of
targeted radiotracers.48,49
The new 99mTc agents 99mTc-1−3 have ideal properties to
develop into SPECT diagnostic tools for AD. They meet the
initial prerequisites for Aβ imaging probes, as presented in the
2014 review by Cui et al.,7 as (1) they present high binding
affinity for synthetic Aβ42 fibrils with Ki values ranging from
65.8 nM for 99mTc-1 down to 5.7 nM for 99mTc-3, (2) they are
stable in their preparation medium, in cell media, and in
plasma with essentially no metabolism in 90 min, a fact that
implies in vivo metabolic stability, (3) they are efficiently
synthesized from the corresponding ferrocenyl precursors with
radiochemical yields of >98%, (4) they selectively label Aβ
plaques in vitro in postmortem human brain as revealed by
Figure 8. Effect of 1 and 2 μM of complexes Re-1, Re-2, and Re-3 on fluorescence microscopy, (5) they present impressive brain
Aβ42 (1 μM)-induced ROS generation in primary mouse hippo- penetration ranging from 7.94% ID/g for 99mTc-1 to 3.99%
campal neurons after 24 h of incubation at 37 °C. ROS levels were ID/g for Tc-2 and excellent washout kinetics with a brain2min/
measured by the 2’,7’-dichlorofluorescein (DCF) fluorescence assay brain90min ratio reaching 99.8 for 99mTc-2. Additionally,
(n = 3 independent experiments, each one performed in six complex 99mTc-1 administered in Tg 5×FAD mice shows
replicates). The data are presented as mean ± SEM, *p ≤ 0.05, significantly (45%) increased brain uptake compared to that in
**p ≤ 0.01, ***p ≤ 0.001, and not significant (ns) > 0.05 compared
wild-type littermates, within the range observed in the
with Aβ42 (1 μM) treatment and #p < 0.01, ##p < 0.01, and ###p <
0.001 compared with control (untreated cells). literature for analogous studies.32−35 Overall, the complexes
99m
Tc-1−3 are the first reported 99mTc agents that combine
important key features for a SPECT imaging agent and,
exposure of primary hippocampal cells to 1 μM Aβ40 for 24 h therefore, are excellent candidates for further biological
results in a 10-fold increase of ROS production compared to evaluation as AD diagnostic probes.
that from untreated cells, a value in agreement with literature The brain uptake values observed for complexes 99mTc-1−3
data.41 The presence of Re-1−3 in the Aβ solution at 1:1 and far exceed those reported in the literature for other neutral and
1:2 Aβ/complex ratios attenuates the production of ROS 55.2, lipophilic [Cp99mTc(CO)3] complexes designed as potential
63.2, and 68.1%, respectively, indicating a significant Aβ imaging probes, summarized in a recent review.8 The
antioxidant activity for Re-1−3, comparable to that demon- reported [Cp99mTc(CO)3] complexes are designed through
strated in the literature by known antioxidants.42 As both the conjugated approach in which the Aβ plaque binding
soluble and fibrillar aggregates of Aβ have been implicated in pharmacophore (arylbenzothiazole14,50,51 or stilbene-like52) is
ROS production and oxidative stress in the AD brain,43 the joined to the [Cp99mTc(CO)3] core through alkyl linkers,
potential of Re-1−3 to interact with Aβ and alter its suggesting that the compactness of the structure and
aggregation course (Figure 6) may be very well related to consequent low MW, that characterizes complexes 99mTc-1
their antioxidant action. to 99mTc-3, are crucial factors for BBB penetration. In support

■ DISCUSSION
In this work, the synthesis of new agents in which the
of this conclusion is the fact that complexes mimicking the
chalcone structure designed in an integrated approach similar
to ours through replacement of a phenyl ring by the
[CpM(CO)3] (M = Re, 99mTc) moiety has replaced the phenyl [Cp99mTc(CO)3] core present high brain uptake as well.13
ring of 2-arylbenzothiazole, the classical Aβ binding Besides the favorable characteristics displayed by 99mTc-1−3
structure,11 to generate stable, compact, lipophilic agents in terms of high brain uptake and fast washout kinetics, the
with exquisite brain uptake that preserve the affinity of 2- interesting properties of the corresponding Re-1−3 complexes
arylbenzothiazole for Aβ plaques and Aβ fibrils is reported. against Aβ aggregation and toxicity, in combination with their
Replacement of a phenyl ring by the [CpRe(CO)3] high BBB penetration anticipated on the basis of the results of
(cyrhetrenyl) moiety was pioneered by Jaouen and co-workers their 99mTc counterparts, suggest a potential role for Re-1−3 as
through the synthesis of cyrhetrenyl derivatives of OH- therapeutic tools against AD. Inhibition of the aggregation of
tamoxifen that retained the high affinity for the estrogen Aβ, to either soluble oligomers or insoluble fibrils, is one of the
2644 DOI: 10.1021/acs.jmedchem.8b01949
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therapeutic strategies against AD, and a great number of small analysis of a series of 1H−1H and 1H−13C correlation experiments
molecules of various structures are known to interact with Aβ recorded using standard pulse sequences from the Bruker library. The
and inhibit its aggregation;53,54 however, the issue of their IR spectra were recorded using a PerkinElmer Spectrum 100
delivery to the brain is the main obstacle to their further spectrometer with a universal attenuated total reflection accessory
(PerkinElmer) over the range 4000−200 cm−1. The high-resolution
development as AD drugs. Overall, BBB penetration represents electrospray mass spectra were recorded in the range of m/z 250−
one of the greatest challenges for drug delivery to the CNS and 1400 on a TSQ 7000 Finnigan MAT (Scientific Instrument Services).
one of the main reasons why clinical trials for AD drugs For the mass spectrometric studies, samples were dissolved in DMSO
fail.55,56 Based on two recent reviews that summarize the and the resulting solution was supplied to the electrospray capillary
existing data on metal complexes targeting Aβ,57,58 the Re-1−3 through a syringe pump. Fluorescent staining observation was
complexes appear to be among the very few modulators of Aβ performed with a Leica TCS SP8 MP (Wetzlar, Germany) confocal
aggregation with demonstrated potential to cross the BBB in microscope equipped with an IR MaiTai DeepSee Ti:Sapphire laser
vivo. This rare property in combination with their relatively (Spectra-Physics, Santa Clara, CA) for multiphoton applications.
low toxicity advocates the exploration of these complexes in Images were acquired with LAS X software (Leica Microsystems CMS
GmbH, Wetzlar, Germany) and are presented without any processing.
the quest for AD therapeutic agents targeting Aβ oligomeriza-
An automated well-type γ counter [NaI(Tl)] 3 in. crystal, Packard
tion or fibrilization and possibly other processes of neuro- Minaxi Auto-γ 5000 Series γ Counter (Canberra Packard Instrument
degeneration associated with AD. Co., IL) calibrated for 99mTc was used for radioactivity measurements.
Based on the above, the 99mTc-1−3 and the corresponding Elemental analysis for C, H, and N was conducted on a PerkinElmer
Re-1−3 complexes capable of labeling and simultaneously 2400 automatic elemental analyzer (PerkinElmer).
inhibiting the formation of Aβ fibrils form a theranostic pair for High-performance liquid chromatography (HPLC) analysis was
AD, as diagnostic and targeted therapeutic potential are performed with a Waters 600E Chromatography System coupled to
combined in a single chemical entity synthesized through a both a Waters 486 UV detector (for Re complexes) and a GABI γ-
common precursor. Development of theranostics for AD is an detector from Raytest (for 99mTc complexes). Separations were
emerging field aiming to streamline the drug-discovery process, achieved on a C-18 reverse phase column (250 mm × 4 mm, 5 μm)
eluted with a binary gradient system at a 1 mL/min flow rate. Mobile
with small molecules integrating imaging and therapeutic phase A was methanol containing 0.1% trifluoroacetic acid, while
functions exhibiting the most promising properties.59,60 The mobile phase B was water containing 0.01% trifluoroacetic acid. The
prototype theranostic application of the 99mTc/Re pair elution gradient was 0−1 min 5% A (95% B), followed by a linear
addresses the diagnosis and treatment of tumors, with 99mTc gradient to 85% A (15% B) in 9 min; this composition was held for
being optimal for diagnostic imaging and the β-emitting 186Re another 20 min. After a column wash with 95% A (5% B) for 5 min,
and 188Re isotopes of rhenium being suitable for radio- the column was re-equilibrated by applying the initial conditions 5% A
therapy.61 Complexes 99mTc-1−3 and Re-1−3 offer a (95% B) for 10 min prior to the next injection.
promising starting point for developing novel theranostic Postmortem brain tissue from an autopsy-confirmed AD case was
tools against brain tumors. Furthermore, the biological obtained through the University of Manchester of the Greater
Manchester Neurosciences Centre and was cut in 6 μm slices using a
properties (anticancer, antibacterial, antifungal, etc.) of both Leica RM2135 rotary microtome and brain sections from mice were
the benzazole and the 2-arylbenzazole scaffold present in the cut in 10 μm slices using a Leica VT1000S vibratome. The Swiss
complexes broaden the spectrum of their potential application Albino and C57BL/6 mice as well as the Wistar rats and the
to CNS diseases (patent pending). transgenic (Tg) AD mouse model (5×FAD) that were used in vitro
In conclusion, complexes 99mTc-1−3 and the corresponding and in vivo biological evaluation experiments were obtained from the
Re-1−3 represent strong candidates in the AD drug develop- breeding facilities of the Institute of Bioscience & Applications, NCSR
ment field to face the unmet needs for a widely available “Demokritos”. All the biodistribution studies were carried out in
SPECT imaging probe, as well as for an Aβ aggregation compliance with the Presidential Decree 56/2013 (published in the
inhibitor. Moreover, the high brain uptake of the complexes, in Official Government Gazette of Greece 106 A/30-4-2013) that has
transposed the EU Directive 2010/63 on the protection of animals
combination with their inherent pharmacophoric nature,
used for scientific purposes. U87MG cells (human glioblastoma−
advocates their investigation as pharmaceutical agents of astrocytoma, epithelial-like cell line) is listed in the database of
CNS diseases.


commonly misidentified cell lines maintained by ICLAC. The cell line
is from the cell bank of the Laboratory of Radiobiology, Institute of
EXPERIMENTAL SECTION Nuclear & Radiological Sciences and Technology, Energy & Safety,
General Information. Warning! 99mTc is a γ emitter (t1/2 = 6.02 NCSR “Demokritos” and has not been authenticated. The U87MG
h; Ec = 140 keV) and requires special radioprotective measures during cell line was free of mycoplasma contamination, as judged visually
handling. under microscope observation and by regular 4′,6-diamidino-2-
All reagents used in the synthesis were purchased from Sigma- phenylindole staining of the cell cultures. Na[99mTcO4] was eluted
Aldrich, Alfa Aesar, and Acros Organics and were used without further from a 99Mo/99mTc generator (Mallinckrodt, Petten, Netherlands)
purification. Aβ42 (>95% pure) was purchased from Anaspec. The using 0.9% saline (3700−7400 MBq, 100−200 mCi/10 mL). The CO
media/agents for the cultures of primary neuronal cells and human gas was purchased from Air Liquide (Greece) in a cylinder. The fac-
glioblastoma cell line were purchased from Thermo Fisher Scientific. [ 99mTc(CO)3(H2O)3]+ precursor was prepared as previously
The MTT reagent (3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyl-tetrazo- described. Briefly, a vial containing 5.5 mg of NaBH4, 4.4 mg of
lium bromide) was bought from AppliChem (Germany), whereas Na2CO3, and 10 mg of Na−K tartrate was purged with CO gas, and
2′,7′-dichlorofluorescin diacetate (DCFH-DA), thioflavin T, and then a solution of Na99mTcO4 (1.0 mL, ∼740 MBq) was added. The
thioflavin S were bought from Sigma-Aldrich (Germany). The CO gas vial was heated at 85 °C for 30 min. After cooling, the pH was
was purchased from Air Liquide (Greece) in a cylinder. All reactions adjusted to 7.0 with 1 N HCl, and a sample was analyzed by HPLC
sensitive to oxygen or moisture were carried out under a nitrogen (yield >95%). fac-[NEt4]2[Re(CO)3Br3] was prepared according to a
atmosphere. published procedure.62
NMR spectra were obtained in DMSO-d6 at 25 °C on Bruker Synthesis. Benzo[d]thiazole-2-ferrocene (Fe-1). The ferrocenyl
Avance DRX 500 MHz (1H at 500.13 MHz and 13C at 125.77 MHz). precursors Fe-1 was synthesized according to a published procedure
Tetramethylsilane (TMS) was used as the internal standard. with slight modifications. 18 Briefly, a mixture of ferrocene
Assignment of 1H and 13C chemical shifts was based on the combined carboxaldehyde (1.1 g, 5 mmol) and 2-aminothiophenol (600 μL,

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Journal of Medicinal Chemistry Article

5.5 mmol, 1.1 equiv) in ethanol (40 mL) was refluxed overnight. The Calcd for C15H9N2O3Re: C: 39.91%, H: 2.01%, N: 6.21%. Found: C:
reaction mixture was allowed to cool to room temperature and a 39.78%, H: 1.89%, N: 6.08%. HPLC: tR = 14.6 min.
reddish-brown solid precipitated which after flash column chromatog- 1-Methylbenzo[d]imidazole-2-(cyclopentadienyl)-
raphy on silica gel (eluent: hexane/ethyl acetate 98:2) gave 1.46 g of tricarbonylrhenium (Re-3). Re-3 was synthesized from the
the desired product. Yield 92%. IR (cm−1) 498, 483. The 1H and 13C corresponding ferrocenyl derivative Fe-3 following the procedure
NMR data are given in Table S1, Supporting Information. Anal. Calcd given for Re-1. The crude product was purified by flash column
for C17H13FeNS: C: 63.97%, H: 4.11%, N: 4.39%. Found: C: 63.58%, chromatography on silica gel (eluent hexane/ethyl acetate70:30) to
H: 4.32%, N: 4.25%. HPLC: tR = 17.3 min. Crystals suitable for X-ray afford the Re-3 as a pale yellow powder. Yield 16 mg (72%). IR
crystallography were obtained by slow evaporation from a mixture of (cm−1) 2013, 1897. 1H and 13C NMR are given in Table S2,
CH2Cl2/CH3OH 3:1. Supporting Information. HRMS (ESI) [M + H]+ calcd for
Benzo[d]imidazole-2-ferrocene (Fe-2). The ferrocenyl precursors C16H12N2O3187Re, 467.0403, found, 467.0405. Anal. Calcd for
Fe-2 was synthesized according to a published procedure with slight C16H11N2O3Re: C: 41.29%, H: 2.38%, N: 6.02%. Found: C:
modifications.19 Briefly, ferrocene carboxaldehyde (0.76 g, 4 mmol) 40.99%, H: 2.54%, N: 5.90%. HPLC: tR = 15.8 min.
and sodium bisulfite (1.44 g, 1.4 mmol) were dissolved in a mixture of X-ray Crystallography. Important crystallographic data for
absolute ethanol and water (20 mL, 1:1) and the solution was refluxed compounds Fe-1 and Re-1 are listed in Table 1. A crystal of Fe-1
for 3 h. After cooling to room temperature, o-phenylenediamine (0.4 (0.12 × 0.26 × 0.70 mm3) was taken from the mother liquor and
g, 4 mmol, 1 equiv) was added and the reaction mixture was refluxed immediately cooled to −93 °C. A crystal of Re-1 was glued with
for additional 2 h. The mixture was allowed to cool to room epoxy on a fiber and the crystal data were collected at room
temperature and then further down to 0 °C in an ice-water bath. The temperature. Diffraction measurements were made on a Rigaku R-
precipitate formed was filtered, washed successively with ice-cold AXIS SPIDER Image Plate diffractometer using graphite mono-
water and cold absolute ethanol, air dried and subjected to flash chromated Mo Kα radiation. Data collection (ω-scans) and
column chromatography on silica gel (eluent: dichloromethane/ethyl processing (cell refinement, data reduction, and numerical absorption
acetate 96:4) to afford 0.75 g of the final product as a red solid. Yield correction) were performed using the CrystalClear program pack-
62%. IR (cm−1) 488, 477. 1H and 13C NMR data are given in Table age.63 The structures were solved by direct methods using SHELXS-
S1, Supporting Information. Anal. Calcd for C17H14FeN2: C: 67.58%, 9764 and refined by full-matrix least-squares methods on F2 with
H: 4.67%, N: 9.27%. Found: C: 67.35%, H: 4.82%, N: 9.11%. HPLC: SHELXL2014/6.65 Further experimental crystallographic details for
tR = 14.5 min. Fe-1: 2θmax = 54.00°; 233 parameters refined; (Δ/σ)max = 0.016;
1-Methylbenzo[d]imidazole-2-ferrocene (Fe-3). To a solution of (Δρ)max/(Δρ)min = 0.862/−0.188 e/Å3. Further experimental
NaOH (0.54 g, 13.4 mmol) in water (1 mL), a solution of Fe-2 (0.54 crystallographic details for Re-1: 2θmax = 54.00°; 190 parameters
g, 1.8 mmol) in acetone (7.5 mL) was added at 0 °C and the mixture refined; (Δ/σ)max = 0.004; (Δρ)max/(Δρ)min = 1.552/−2.180 e/Å3.
was stirred for 5 min. Subsequently, methyl iodide (145 μL, 2.3 The hydrogen atoms of Fe-1 were located from difference Fourier
mmol) was added dropwise. The reaction mixture was stirred for 1 h maps and were refined isotropically and those of Re-1 were
at room temperature. Acetone was evaporated in vacuo and the introduced at calculated positions and were refined as riding on
reaction mixture was diluted with water (50 mL) and extracted with bonded atoms. All non-hydrogen atoms for both complexes were
CH2Cl2 (3 × 30 mL). The organic phase was dried over Na2SO4, refined anisotropically. The structures were drawn with the Diamond
filtered and the filtrate was concentrated under vacuum. The resulting 3 program package.66
99m
oil was purified by flash column chromatography on silica gel Tc Labeling. The 99mTc complexes 99mTc-1, 99mTc-2, 99mTc-3,
(dichloromethane/ethyl acetate 96:4) to afford 0.54 g of the product. were prepared from the corresponding ferrocenyl derivatives Fe-1, Fe-
Yield 95%. IR (cm−1) 488, 478. The 1H and 13C NMR data are given 2, F-3 by two methods, one involving a ligand exchange reaction with
in Table S1, Supporting Information. Anal. Calcd for C18H16FeN2: C: the fac-[99mTc(H2O)3(CO)3]+ precursor, and the second a double
68.38%, H: 5.10%, N: 8.86%. Found: C: 68.12%, H: 5.35%, N: 8.92%. ligand transfer (DLT) reaction. For the ligand exchange reaction, each
HPLC: tR = 15.5 min. ferrocenyl derivative (1.0 mg) in 0.5 mL of dimethylformamide was
Benzo[d]thiazole-2-(cyclopentadienyl)tricarbonylrhenium (Re- added to the fac-[99mTc(H2O)3(CO)3]+ precursor (0.1 mL, 74 MBq).
1). To a solution of [Re(CO)3Br3][NEt4]2 (35 mg, 0.047 mmol) Subsequent heating in an oil bath under nitrogen flow at 120 °C for 3
and the corresponding ferrocenyl derivatives Fe-1 (32 mg, 0.098 h afforded the respective 99mTc complex with radiochemical yield of
mmol) in DMF (2.5 mL), a solution of 0.1 N HCl (1.5 mL) was approx. 50% as shown by HPLC. For the DLT reaction, each
added in a 5 mL glass vial. The mixture was purged with argon for 5 ferrocenyl derivative (1.0 mg) and Mn(CO)5Br (1.0 mg) were
min and the vial was sealed with a Teflon cap. The reaction mixture dissolved in 0.5 mL of dimethylformamide in a 10 mL glass tube, and
was vigorously stirred for 2 h at 160 °C. After cooling, the cap was 0.1 mL Na[99mTcO4] (74 MBq) saline solution was added. The vial
carefully removed and the solution diluted with dichloromethane (10 was sealed and purged with nitrogen for 2 min and heated in an oil
mL). The mixture was washed with water (3 × 10 mL), and the bath at 110 °C for 90 min to afford the corresponding 99mTc complex
organic phase was dried over Na2SO4, filtered and evaporated in with quantitative radiochemical yield of 98% as shown by HPLC. In
vacuo. The crude product was purified by flash column chromatog- both methods, the identity of the 99mTc complexes was established by
raphy on silica gel (eluent hexane/ethyl acetate 95:5) to afford the comparative HPLC using the analogous Re complexes as a reference
desired Re(CO3)Cp complex as a beige powder. Yield 13 mg (59%). (Figure S9 (Supporting Information), tR 16.8 min for 99mTc-1, tR 14.9
IR (cm−1) 2020, 1920. 1H and 13C NMR are given in Table S2, min for 99mTc-2 and tR 16.2 min for 99mTc-3). The retention time of
Supporting Information. High-resolution mass spectrometry (HRMS) each 99mTc complex was sufficiently different from that of the
(ESI) [M + H]+ calcd for C15H9NO3S187Re, 469.9861; found, corresponding ferrocenyl precursor allowing their separation on
469.9852. Anal. Calcd for C15H8NO3ReS: C: 38.46%, H: 1.72%, N: HPLC through careful collection of the radioactive peak to
2.99%. Found: C: 38.28%, H: 1.78%, N: 2.77%. HPLC: tR = 16.4 min. completely exclude the ferrocenyl precursor.
Crystals suitable for X-ray crystallography were obtained by slow Stability of 99mTc Complexes. For the stability studies against
evaporation from a mixture of CH2Cl2/CH3OH 3:1. cysteine and histidine each of the HPLC-purified 99mTc complexes
Benzo[d]imidazole-2-(cyclopentadienyl)tricarbonylrhenium (Re- (0.5 mL, approx. 10 MBq) was mixed with a solution of histidine or
2). Re-2 was synthesized from the corresponding ferrocenyl derivative cysteine (2 mM) in 0.1 M PBS, pH 7.4 (0.5 mL). The mixtures were
Fe-2 following the procedure given for Re-1. The crude product was incubated at 37 °C and analyzed by HPLC after 1, 3, and 6 h (Table
purified by flash column chromatography on silica gel (eluent S5). The 99mTc complexes showed high resistance to the presence of
dichloromethane/ethyl acetate 90:10) to afford Re-2 as a beige histidine or cysteine even after incubation for 6 h (>95% intact
powder. Yield 15 mg (70%). IR (cm−1) 2024, 1909. 1H and 13C NMR complex). For the stability studies of 99mTc-1−3 in rat plasma in vitro,
are given in Table S2, Supporting Information. HRMS (ESI) [M + blood from male Wistar rats was collected in heparinized tubes,
H]+ calcd for C15H10N2O3187Re, 453.0169; found, 453.0246. Anal. centrifuged at 2000g at room temperature for 10 min, and plasma was

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collected. An aliquot of each of the 99mTc complexes (50 μL, 1 MBq), Preparation of Aβ Stocks and Solutions. Aβ42 was gently
isolated by HPLC, was mixed with 450 μL of rat plasma and the final dissolved without vortexing in type 1 (Milli-Q) water to prepare a 100
mixture was incubated at 37 °C. After 15 min and 90 min, 250 μL μM stock solution for CD, ThT, and competitive binding studies and
aliquots of the mixture were withdrawn and mixed with 500 μL of 10 μM for cell viability and ROS measurements. For the CD and ThT
absolute ethanol, followed by centrifugation at 14 000 rpm for 30 min. studies, solutions of Aβ42 in phosphate-buffered saline (PBS, 10 mM,
The supernatant was separated from the pellet, and the radioactivity pH 7.4) were prepared by adding equal volumes of PBS to aliquots of
was measured on a γ-counter. The percentage of 99mTc complex the stock to achieve a final concentration of 50 μM. Appropriate
binding to plasma proteins was calculated as amounts of the Re complexes (stock concentration of 10 mM in
DMSO) were added to the Aβ42 solutions to achieve final
pellet radioactivity concentrations of 50 and 100 μM.
% protein binding = × 100 Binding Studies Using Aβ42 Fibrillar Aggregates. Solutions
pellet radioactivity + supernatant
of Aβ42 (50 μM) were allowed to age for 15 days to form Aβ fibrils as
The stability of the complexes was estimated by radio-reversed-phase shown by CD and the ThT assay to be used in the competitive
(RP)-HPLC analysis of the supernatants. The supernatant was filtered binding studies. The studies were performed in 1 mL solutions in PBS
with a membrane filter (0.22 μm), and 500 μL of the solution was in 12 mm × 75 mm borosilicate glass tubes according to a published
injected into the HPLC system. For all 99mTc preparations, the procedure with modifications.10 Each 1 mL solution contained
appropriate volumes from a 10 mM stock solution of each Re complex
recovery of radioactivity from the RP-HPLC column after the
(Re-1, Re-2, and Re-3) to achieve concentrations ranging between
injections was monitored and was found to be quantitative.
10−4 and 10−10 M, 50 nM of the previously prepared Aβ42 fibrils and
Determination of Partition Coefficient of 99mTc Complexes.
7 kBq of the corresponding 99mTc complex (99mTc-1, 99mTc-2, and
The partition coefficient of 99mTc complexes was determined by the 99m
Tc-3, respectively). The solutions were incubated for 3 h at room
shake-flask method as previously reported.67 In a centrifuge tube,
containing 1.5 mL of n-octanol and 1.5 mL of phosphate-buffered temperature and the bound radioactivity was separated from the free
saline (PBS, 0.1 M, pH 7.4), 50 μL of each of the 99mTc complex by Millex-GV syringe filters (0.22 μm, Millipore) followed by 2 × 2
solution (1 MBq) isolated by HPLC was added, and the mixture was mL washes with PBS at room temperature. Filters containing the
vortexed for 1 min and finally centrifuged at 5000 rpm for 10 min. bound 99mTc complexes were measured for radioactivity in a γ-
counter. Binding studies were performed in triplicate. The data were
The radioactivity of three aliquots (0.2 mL) of both 1-octanol and
analyzed using GraphPad Prism software with the IC50 value
PBS phases was counted in a γ-counter. The partition coefficient was
calculated using a one-site competitive binding linear regression.69
calculated as the mean value of each cpm/mL of octanol layer divided
The Ki value was calculated using the Cheng−Prusoff equation70 Ki =
by that of the buffer (Poct/water) and was expressed as log Poct/water. A
IC50/(1 + [radioligand]/Kd). In the case of homologous competitive
sample (0.5 mL) from the n-octanol layer was subsequently
binding, we assume that the Re and 99mTc complexes bind to Aβ with
repartitioned in octanol/buffer until constant values were obtained.
identical affinities so that Kd and Ki are the same and the above
This was usually achieved with the third repartition.
equation is simplified to Ki = IC50 − [radioligand]. As the
Biodistribution Studies of 99mTc Complexes. Biodistribution
[radioligand] was calculated in all experiments to be in the range
studies were performed according to the previously reported
10−12−10−13 M, orders of magnitude smaller than the IC50 value,
procedure with small modifications27 using healthy Swiss albino essentially Ki = IC50.
(male, 5 week old, 20−30 g) mice. Three groups of mice (four Circular Dichroism Measurements. Circular dichroism (CD)
animals per group) were injected in the tail vein with HPLC-purified studies with Aβ42 were performed for a time period of 15 days to
99m
Tc complexes (70 kBq in 0.1 mL, ethanol/saline 1:9). The mice monitor the secondary structural changes of Aβ42 that lead to the
were sacrificed at various time points (2, 15, 90 min) post injection. formation of Aβ fibrils. During this period, the solutions remained at
The organs of interest were excised and weighed, and the radioactivity the incubator at 33 °C without stirring. CD spectra were recorded on
was recorded in an automatic γ-counter. The stomach and intestines a JASCO J-715 spectropolarimeter (Jasco Co., Japan), at 33 °C in the
were not emptied of food contents prior to radioactivity measure- range of 190−260 nm with a 1 mm path length quartz cuvette. Each
ments. The percentage of injected dose per organ (% ID/organ) was spectrum was the average of three scans at a speed of 100 nm/min
calculated by comparison of sample radioactivity to that of standard and a resolution of 0.5 nm. The analysis of the CD data was
solutions that contained 10% of the injected dose. The percentage of performed using OriginPro 9 program.
injected dose per gram (% ID/g) was calculated by dividing the % Thioflavin T Assay. For the ThT assay, the complexes Re-1−3
ID/organ by the weight of the organ or tissue. The calculation for (50 μM) were incubated at 33 °C with Aβ in PBS (10 mM, pH 7.4)
blood and muscle was based upon measured activity, sample weight, at 1:1 and 1:2 Aβ/complex ratios. The solution of plain Aβ that
and body composition data according to which blood comprises 7% served as control was monitored over time with CD, whereas the
and muscle 43% of body weight.67 Analogous biodistribution studies monitoring of the solutions of Aβ with the complexes was not possible
at 15 min p.i. took place with Tg 5×FAD mice (four animals, 11 due to the high absorbance of the complexes. After 15 days, 100 μL of
month old, 20−30 g) as well as with their corresponding wild-type the aged (15 days) 50 μM solutions of Aβ42 (with or without Re
littermates. complexes) was diluted to half with PBS to obtain 200 μL of Aβ
In Vitro Binding of Re Complexes to Aβ Plaques. solution (25 μM). To these solutions, a stock solution of ThT in PBS
Deparaffinization of AD patient sections (6 μm thick) from temporal (10 mM, pH 7.4) was added to achieve a final ThT concentration of 5
cortex mounted on glass slides was carried out in xylene (2 × 5 min), μM. The mixture was well agitated with pipetting, and immediately
followed by tissue rehydration (soaking for 3 min successively in 100, after this, its fluorescence was recorded after excitation at 440 nm
80, 60, 0% ethanol/water v/v). The slides were subsequently washed (EM slit, 2.5 nm; photomultiplier tube voltage, 700 V; and response,
for 10 min in running tap water and then incubated in phosphate- 0.4 s) with a Hitachi F-2500 spectrofluorometer. The analysis of the
buffered saline (PBS) solution (0.1 M, pH 7.4) for 30 min. Brain fluorescence data was performed with OriginPro 9 program.
tissue from Tg mice were fixed in 4% paraformaldehyde in PBS at 4 Cell Cultures. Hippocampal neuronal cultures were obtained from
°C. Brains were cut into 10 μm sagittal sections from the genu of the postnatal day 0−3 (P0−3) mice, which were euthanized, and their
corpus callosum to the most caudal hippocampus using a vibratome, hippocampi were isolated. Briefly, after being dissected, each
and sections were washed in PBS following a published procedure.68 hippocampus was enzymatically digested with 0.25% trypsin for 20
The tissue preparations were treated with Re complexes as well as min at 37 °C. The hippocampi were then rinsed in 10 mL of
thioflavin S (ThS, for confirmation of Aβ plaque localization) Hibernate-A medium containing 10% (v/v) heat-inactivated fetal
solutions (0.5 mg/mL) in dimethyl sulfoxide (DMSO) for 1 h. The bovine serum (FBS) to remove any traces of serum. After proper
sections were finally washed with 40% ethanol for 2 min, and the trituration, the cells were seeded on poly-D-lysine 96-well plates at a
observation was performed using fluorescence confocal microscopy. density of 2 × 104 per well. Cultures were maintained in Neurobasal-

2647 DOI: 10.1021/acs.jmedchem.8b01949


J. Med. Chem. 2019, 62, 2638−2650
Journal of Medicinal Chemistry Article

A medium containing 2% B-27 supplement, 0.5 mM GlutaMAX, and one-way analysis of variance and Student’s t-tests, using GraphPad
1% penicillin/streptomycin at 37 °C and 5% CO2, until proper Prism 5.0 software. For each experiment, data are expressed as the
differentiation. Half of the medium was replaced twice a week. After 7 mean ± standard error of the mean (SEM), *p ≤ 0.05, **p ≤ 0.01,
days of incubation in culture well plates, the primary hippocampal ***p ≤ 0.001, and not significant (ns) > 0.05 compared with Aβ42 (1
neurons were used for cell rescue from Aβ toxicity and ROS μM) treatment and #p < 0.01, ##p < 0.01, and ###p < 0.001 compared
measurements. with control (untreated cells).


Stability of Re Complexes in Cell Culture Medium. The
stability of Re complexes in cell culture medium at 37 °C was checked ASSOCIATED CONTENT
by HPLC to ensure that complexes are not subjected to any potential
decomposition in our experimental conditions. Complexes were *
S Supporting Information

incubated in cell culture medium (described above) at 37 °C, and The Supporting Information is available free of charge on the
after 24 h, an aliquot was removed, centrifuged at 1000 rpm for 10 ACS Publications website at DOI: 10.1021/acs.jmed-
min in a refrigerated centrifuge, and examined by HPLC. chem.8b01949.
Cell Rescue from Aβ Toxicity. For the cell viability studies in the
presence of Aβ, the old medium was removed and 90 μL of fresh Indicative IR and NMR spectra and 1H and 13C NMR
medium was added in each well of the 96-well plate. Solutions (10 chemical shifts for Fe-1−3 and Re-1−3; electronic
μL) of Aβ42 (10 μM) in PBS in the absence or presence of the Re spectra for Re-1−3; geometric parameters for Fe-1, Re-
complexes (1:1 and 1:2 ratios of Aβ/complexes) preincubated for 1 1; intermolecular interactions in the structures of Fe-1
day at 37 °C were added to individual wells (final Aβ concentration, 1 and Re-1; HPLC chromatograms of Re and 99mTc
μM). It should be noted that, according to our previous studies, 1 day complexes; stability studies of 99mTc and Re complexes;
preincubation of the Aβ42 solutions was necessary in order for the biodistribution of 99mTc-1 in Tg and wt mice; Aβ plaque
peptide to exert maximum neurotoxicity. Cell viability was determined
staining with Re-1; MTT studies with Re-1−3; CD
with the standard MTT assay. After 24 h exposure of cells to the Aβ42
solutions, 100 μL of a 0.5 mg/mL stock solution of MTT in spectra of Re-1−3; and CD spectra of the aggregation of
Neurobasal-A was added to each well of primary hippocampal Aβ42 (PDF)
neurons followed by a 3 h incubation at 37 °C. The medium was Molecular formula strings for Fe-1−3, Re-1−3, and
removed, the crystals formed in intact cells were solubilized in 99m
Tc-1−3 (CSV)
DMSO, and the absorbance was measured at 540 nm (Tecan well
plate reader). Results were expressed as the percentage of reduced
MTT, assuming the absorbance of control cells to be 100%, and are
the mean of three independent experiments with six replicate wells for
each condition. Graphs were analyzed using GraphPad Prism 5.0
■ AUTHOR INFORMATION
Corresponding Author
software. In each run, the effect of solutions of plain Aβ42 and each of *E-mail: pelmar@bio.demokritos.gr.
Re-1−3 complexes was independently checked to serve as internal ORCID
standard.
In Vitro Cytotoxicity of Re Complexes with MTT Assay. The
Minas S. Papadopoulos: 0000-0002-1107-027X
cytotoxicity of the Re complexes was assessed against U87MG cells Maria Pelecanou: 0000-0002-7669-2424
(human glioblastoma−astrocytoma, epithelial-like cell line). The Author Contributions
U87MG cells were grown in Dulbecco’s modified Eagle’s medium, M.S., B.M., A.S., I.P., M.S.P., and M.P. designed the
growth medium of pH 7.4, supplemented with 10% FBS, 100 U/mL compounds, executed the experiments, interpreted the results,
penicillin, 2 mM glutamine, and 100 μg/mL of streptomycin. Cell
cultures were maintained in flasks and were grown at 37 °C in a
and wrote the manuscript; C.R. and V.P. performed the X-ray
humidified atmosphere of 5% CO2 in air. Subconfluent cells were analysis and wrote the corresponding sections; and M.P.-P.
detached using a 0.05% (w/v) trypsin−0.25% (w/v) ethylenediami- provided cell lines and supervised the biological evaluation
netetraacetic acid solution, and the subcultivation ratio was 1:2−1:5. experiments involving cells.
In vitro cytotoxicity of Re-1−3 complexes was determined by the Notes
MTT colorimetric assay. Cells were seeded in 96-well plates (4 × 103 The authors declare no competing financial interest.


cells/well in 100 μL of culture medium) and grown overnight at 37
°C in a 5% CO2 incubator. Exponentially growing cells were
incubated for 72 h with various concentrations ranging between ACKNOWLEDGMENTS
10−3 and 10−8 M of each complexes, and the final DMSO The authors acknowledge support of this work by the projects
concentration never exceeded 0.2%. The medium was then removed “Target Identification and Development of Novel Approaches
and replaced with 100 μL of MTT solution (1 mg/mL). After a 4 h for Health and Environmental Applications” (MIS 5002514),
incubation, the solution was aspirated, formazan crystals were
solubilized in 100 μL of DMSO, and absorbance was recorded at
which is implemented under the Action for the Strategic
540 nm (Tecan well plate reader). Development on the Research and Technological Sectors, and
Intracellular ROS Measurements. Primary hippocampal neu- “A Greek Research Infrastructure for Visualizing and
rons were treated with Aβ42 solutions following the procedure Monitoring Fundamental Biological Processes (BioImaging-
described in the Cell Rescue from Aβ Toxicity section. After GR)” (MIS 5002755), which is implemented under the Action
incubation for 24 h, cells were washed with PBS and incubated with “Reinforcement of the Research and Innovation Infra-
10 μM DCFH-DA for 30 min at 37 °C in the incubator with 5% CO2 structure”. Both projects are funded by the Operational
The fluorescence intensity (relative fluorescence unit) of DCF was Programme “Competitiveness, Entrepreneurship and Innova-
determined using a Tecan fluorescence well plate reader at the tion” (NSRF 2014-2020) and co-financed by “Greece and the
excitation wavelength of 485 nm and emission wavelength of 528 nm.
European Union (European Regional Development Fund)”.
ROS levels are presented as arbitrary fluorescence units. Control
groups consisted of cells incubated with medium only and plain Aβ42 M.P. acknowledges financial support by HYGEIA Hospital,
or plain Re complexes. Athens, Greece, and B.M. gratefully acknowledges financial
Statistical Analysis. Data in all assays are the mean of at least support by Stavros Niarchos Foundation (SNF) through
three independent experiments. In hippocampal neuronal cultures, the implementation of the program of Industrial Fellowships at
statistical significance of changes in different groups was evaluated by NCSR “Demokritos”.
2648 DOI: 10.1021/acs.jmedchem.8b01949
J. Med. Chem. 2019, 62, 2638−2650
Journal of Medicinal Chemistry


Article

ABBREVIATIONS (18) Feng, K.; Wu, L. Z.; Zhang, L. P.; Tung, C. H. Cucurbit[7]uril-
included neutral intramolecular charge-transfer ferrocene derivatives.
AD, Alzheimer’s disease; BBB, blood−brain barrier; CNS, Dalton Trans. 2007, 36, 3991−3994.
central nervous system; DCFH-DA, 2′,7′-dichlorodihydro- (19) Pomel, S.; Dubar, F.; Forge, D.; Loiseau, P. M.; Biot, C. New
fluorescein diacetate; FBS, fetal bovine serum; MTT, 3-[4,5- heterocyclic compounds: Synthesis and antitrypanosomal properties.
dimethylthiazol-2-yl]-2,5-diphenyl-tetrazolium bromide; PET, Bioorg. Med. Chem. 2015, 23, 5168−5174.
positron emission tomography; SPECT, single-photon-emis- (20) Kim, Y. H.; Roh, S. G.; Jung, S. D.; Chung, M. A.; Kim, H. K.;
sion computed tomography; ThT, thioflavin T; ThS, thioflavin Cho, D. W. Excited-state intramolecular proton transfer on 2-(2′-
S hydroxy-4′-R-phenyl)benzothiazole nanoparticles and fluorescence


wavelength depending on substituent and temperature. Photochem.
Photobiol. Sci. 2010, 9, 722−729.
REFERENCES (21) Gao, L. M.; Vera, J. L.; Matta, J.; Melendez, E. Synthesis and
(1) Pardridge, W. M. The blood-brain barrier: bottleneck in brain cytotoxicity studies of steroid-functionalized titanocenes as potential
drug development. Neurotherapeutics 2005, 2, 3−14. anticancer drugs: sex steroids as potential vectors for titanocenes. J.
(2) Pardridge, W. M. Alzheimer’s disease drug development and the Biol. Inorg. Chem. 2010, 15, 851−859.
problem of the blood-brain barrier. Alzheimer’s Dementia 2009, 5, (22) Pérez, W. I.; Rheingold, A. L.; Meléndez, E. Crystal structure of
427−432. bis[4-(1H-pyrrol-1-yl)phenyl]ferrocene-1,1′-dicarboxylate: a potential
(3) Jia, Q.; Deng, Y.; Qing, H. Potential therapeutic strategies for chemotherapeutic drug. Acta Crystallogr., Sect. E: Crystallogr. Commun.
Alzheimer’s disease targeting or beyond β-amyloid: insights from 2015, 71, 536−539.
clinical trials. BioMed Res. Int. 2014, No. 837157. (23) Khelef, A.; Terki, B.; Mahbood, M. S.; Lanez, T. N-
(4) Yeo, J. M.; Waddell, B.; Khan, Z.; Pal, S. A systematic review and Ferrocenymethyl-N-phenylpropionamide. Acta Crystallogr., Sect. E:
meta-analysis of 18F-labeled amyloid imaging in Alzheimer’s disease. Struct. Rep. Online 2012, 68, m647.
Alzheimer’s Dementia 2015, 1, 5−13. (24) Spradau, T. W.; Katzenellenhogen, J. A. Preparation of
(5) Adlard, P. A.; Tran, B. A.; Finkelstein, D. I.; Desmond, P. M.; cyclopentadienyltricarbonylrhenium complexes using a double
Johnston, L. A.; Bush, A. I.; Egan, G. F. A review of β-amyloid ligand-transfer reaction. Organometallics 1998, 17, 2009−2017.
neuroimaging in Alzheimer’s disease. Front. Neurosci. 2014, 8, 327. (25) Cesati, R. R., III; Tamagnan, G. D.; Zoghbi, S. S.; Innes, R. B.;
(6) Bateman, T. M. Advantages and disadvantages of PET and Katzenellenbogen, J. A. Synthesis of cyclopentadienyl tricarbonyl
SPECT in a busy clinical practice. J. Nucl. Cardiol. 2012, 19, 3−11. technetium phenyl-tropane derivatives by direct double ligand transfer
(7) Cui, M. Past and recent progress of molecular imaging probes for with ferrocene precursors. J. Labelled Compd. Radiopharm. 1999, 42,
β-amyloid plaques in the brain. Curr. Med. Chem. 2013, 21, 82−112. S150−152.
(8) Chen, K.; Cui, M. Recent progress in the development of metal (26) Sagnou, M.; Benaki, D.; Triantis, C.; Tsotakos, T.; Psycharis,
complexes as β-amyloid imaging probes in the brain. MedChemComm V.; Raptopoulou, C. P.; Pirmettis, I.; Papadopoulos, M.; Pelecanou,
2017, 8, 1393−1407. M. Curcumin as the OO bidentate ligand in “2+1” complexes with the
(9) Ono, M.; Saji, H. Recent advances in molecular imaging probes [M(CO)3]+ (M = Re, 99mTc) tricarbonyl core for radiodiagnostic
for β-amyloid plaques. MedChemComm 2015, 6, 391−402. applications. Inorg. Chem. 2011, 50, 1295−1303.
(10) Klunk, W. E.; Wang, Y.; Huang, G. F.; Debnath, M. L.; Holt, D. (27) Sagnou, M.; Tzanopoulou, S.; Raptopoulou, C. P.; Psycharis,
P.; Mathis, C. A. Uncharged thioflavin-T derivatives bind to amyloid- V.; Braband, H.; Alberto, R.; Pirmettis, I. C.; Papadopoulos, M.;
β protein with high affinity and readily enter the brain. Life Sci. 2001, Pelecanou, M. A phenylbenzothiazole conjugate with the tricarbonyl
69, 1471−1484. fac-[M(I)(CO)3]+ (M=Re, 99Tc, 99m Tc) core for imaging of β-
(11) Noel, S.; Cadet, S.; Gras, E.; Hureau, C. The benzazole amyloid plaques. Eur. J. Inorg. Chem. 2012, 2012, 4279−4286.
scaffold: a SWAT to combat Alzheimer’s disease. Chem. Soc. Rev. (28) Choi, S. R.; Golding, G.; Zhuang, Z.; Zhang, W.; Lim, N.; Hefti,
2013, 42, 7747−7762. F.; Benedum, T. E.; Kilbourn, M. R.; Skovronsky, D.; Kung, H. F.
(12) Muñoz-Osses, M.; Godoy, F.; Fierro, A.; Gómez, A.; Metzler- Preclinical properties of 18F-AV-45: a PET agent for Aβ plaques in the
Nolte, N. New organometallic imines of rhenium(I) as potential brain. J. Nucl. Med. 2009, 50, 1887−1894.
ligands of GSK-3β: synthesis, characterization and biological studies. (29) Kung, H. F.; Choi, S. R.; Qu, W. C.; Zhang, W.; Skovronsky, D.
18
Dalton Trans. 2018, 47, 1233−1242. F stilbenes and styrylpyridines for pet imaging of Aβ plaques in
(13) Li, Z. J.; Cui, M. C.; Dai, J. P.; Wang, X. D.; Yu, P. R.; Yang, Y. Alzheimer’s disease: A miniperspective. J. Med. Chem. 2010, 53, 933−
P.; Jia, J. H.; Fu, H. L.; Ono, M.; Jia, H. M.; Saji, H.; Liu, B. L. Novel 941.
cyclopentadienyl tricarbonyl complexes of 99mTc mimicking chalcone (30) Jia, J.; Cui, M.; Dai, J.; Liu, B. 99mTc(CO)3-Labeled
as potential single-photon emission computed tomography imaging benzothiazole derivatives preferentially bind cerebrovascular amyloid:
probes for β-amyloid plaques in brain. J. Med. Chem. 2013, 56, 471− potential use as imaging agents for cerebral amyloid angiopathy. Mol.
482. Pharm. 2015, 12, 2937−2946.
(14) Jia, J. H.; Cui, M. C.; Dai, J. P.; Liu, B. L. 2-Phenyl- (31) Zhang, X.; Yu, P.; Yang, Y.; Hou, Y.; Peng, C.; Liang, Z.; Lu, J.;
benzothiazole conjugated with cyclopentadienyl tricarbonyl [CpM- Chen, B.; Dai, J.; Liu, B.; Cui, M. 99mTc-Labeled 2-arylbenzothiazoles:
(CO)3] (M = Re, 99mTc) complexes as potential imaging probes for Aβ imaging probes with favorable brain pharmacokinetics for single-
β-amyloid plaques. Dalton Trans. 2015, 44, 6406−6415. photon emission computed tomography. Bioconjugate Chem. 2016, 27,
(15) Jia, J. H.; Zhou, K. X.; Dai, J. P.; Liu, S. L.; Cui, M. C. 2- 2493−2504.
Arylbenzothiazoles labeled with [CpRe/99mTc (CO)3] and evaluated (32) Yousefi, B. H.; von Reutern, B.; Scherubl, D.; Manook, A.;
as β-amyloid imaging probes. Eur. J. Med. Chem. 2016, 124, 763−772. Schwaiger, M.; Grimmer, T.; Henriksen, G.; Forster, S.; Drzezga, A.;
(16) Kiritsis, C.; Mavroidi, B.; Shegani, A.; Palamaris, L.; Loudos, Wester, H. J. FIBT versus florbetaben and PiB: a preclinical
G.; Sagnou, M.; Pirmettis, I.; Papadopoulos, M.; Pelecanou, M. 2-(4′- comparison study with amyloid-PET in transgenic mice. EJNMMI
Aminophenyl)benzothiazole labeled with 99mTc cyclopentadienyl for Res. 2015, 5, 20.
imaging β-amyloid plaques. ACS Med. Chem. Lett. 2017, 8, 1089− (33) Yousefi, B. H.; Drzezga, A.; Von Reutern, B.; Manook, A.;
1092. Schwaiger, M.; Wester, H. J.; Henriksen, G. A Novel 18F-Labeled
(17) Gianferrara, T.; Spagnul, C.; Alberto, R.; Gasser, G.; Ferrari, S.; imidazo[2,1-b]benzothiazole (IBT) for high-contrast pet imaging of
Pierroz, V.; Bergamo, A.; Alessio, E. Towards matched pairs of β-amyloid plaques. ACS Med. Chem. Lett. 2011, 2, 673−677.
porphyrin-ReI/99mTcI conjugates that combine photodynamic activity (34) Lim, S.; Paterson, B. M.; Fodero-Tavoletti, M. T.; O’Keefe, G.
with fluorescence and radio imaging. ChemMedChem 2014, 9, 1231− J.; Cappai, R.; Barnham, K. J.; Villemagne, V. L.; Donnelly, P. S. A
1237. copper radiopharmaceutical for diagnostic imaging of Alzheimer’s

2649 DOI: 10.1021/acs.jmedchem.8b01949


J. Med. Chem. 2019, 62, 2638−2650
Journal of Medicinal Chemistry Article

disease: a bis(thiosemicarbazonato)copper(II) complex that binds to (52) Hayne, D. J.; North, A. J.; Fodero-Tavoletti, M.; White, J. M.;
amyloid-β plaques. Chem. Commun. 2010, 46, 5437−5439. Hung, L. W.; Rigopoulos, A.; McLean, C. A.; Adlard, P. A.;
(35) Kung, M. P.; Hou, C.; Zhuang, Z. P.; Cross, A. J.; Maier, D. L.; Ackermann, U.; Tochon-Danguy, H.; Villemagne, V. L.; Barnham,
Kung, H. F. Characterization of IMPY as a potential imaging agent for K. J.; Donnelly, P. S. Rhenium and technetium complexes that bind to
β-amyloid plaques in double transgenic PSAPP mice. Eur. J. Nucl. amyloid-β plaques. Dalton Trans. 2015, 44, 4933−4944.
Med. Mol. Imaging 2004, 31, 1136−1145. (53) Yamin, G.; Ono, K.; Inayathullah, M.; Teplow, D. B. Amyloid
(36) Selkoe, D. J.; Hardy, J. The amyloid hypothesis of Alzheimer’s β-protein assembly as a therapeutic target of Alzheimer’s disease.
disease at 25 years. EMBO Mol. Med. 2016, 8, 595−608. Curr. Pharm. Des. 2008, 14, 3231−3246.
(37) Datki, Z.; Juhasz, A.; Galfi, M.; Soos, K.; Papp, R.; Zadori, D.; (54) Belluti, F.; Rampa, A.; Gobbi, S.; Bisi, A. Small-molecule
Penke, B. Method for measuring neurotoxicity of aggregating inhibitors/modulators of amyloid-β peptide aggregation and toxicity
polypeptides with the MTT assay on differentiated neuroblastoma for the treatment of Alzheimer’s disease: a patent review (2010-2012).
cells. Brain Res. Bull. 2003, 62, 223−229. Expert Opin. Ther. Pat. 2013, 23, 581−596.
(38) Matis, I.; Delivoria, D. C.; Mavroidi, B.; Papaevgeniou, N.; (55) Banks, W. A. Drug delivery to the brain in Alzheimer’s disease:
Panoutsou, S.; Bellou, S.; Papavasileiou, K. D.; Linardaki, Z. I.; Consideration of the blood-brain barrier. Adv. Drug Delivery Rev.
Stavropoulou, A. V.; Vekrellis, K.; Boukos, N.; Kolisis, F. N.; Gonos, 2012, 64, 629−639.
E. S.; Margarity, M.; Papadopoulos, M. G.; Efthimiopoulos, S.; (56) Mehta, D. C.; Short, J. L.; Hilmer, S. N.; Nicolazzo, J. A. Drug
Pelecanou, M.; Chondrogianni, N.; Skretas, G. An integrated bacterial access to the central nervous system in Alzheimer’s disease: preclinical
system for the discovery of chemical rescuers of disease-associated and clinical insights. Pharm. Res. 2015, 32, 819−839.
protein misfolding. Nat. Biomed. Eng. 2017, 1, 838−852. (57) Liu, H.; Qu, Y. W.; Wang, X. H. Amyloid β-targeted metal
(39) Bastianetto, S.; Quirion, R. Natural extracts as possible complexes for potential applications in Alzheimer’s disease. Future
protective agents of brain aging. Neurobiol. Aging 2002, 23, 891−897. Med. Chem. 2018, 10, 679−701.
(40) Dumont, M.; Beal, M. F. Neuroprotective strategies involving (58) Hayne, D. J.; Lim, S.; Donnelly, P. S. Metal complexes designed
ROS in Alzheimer disease. Free Radicals Biol. Med. 2011, 51, 1014− to bind to amyloid-β for the diagnosis and treatment of Alzheimer’s
1026. disease. Chem. Soc. Rev. 2014, 43, 6701−6715.
(41) Zhao, C. H.; Lv, C.; Li, H.; Du, S. J.; Liu, X. L.; Li, Z.; Xin, W. (59) Bolognesi, M. L.; Gandini, A.; Prati, F.; Uliassi, E. From
F.; Zhang, W. S. Geniposide protects primary cortical neurons against companion diagnostics to theranostics: a new avenue for Alzheimer’s
oligomeric Aβ(1-42)-induced neurotoxicity through a mitochondrial disease? J. Med. Chem. 2016, 59, 7759−7770.
pathway. PloS One 2016, 11, No. e0152551. (60) Aulic, S.; Bolognesi, M. L.; Legname, G. Small-molecule
(42) Stefani, M.; Rigacci, S. Protein folding and aggregation into theranostic probes: a promising future in neurodegenerative diseases.
amyloid: the interference by natural phenolic compounds. Int. J. Mol. Int. J. Cell Biol. 2013, No. 150952.
Sci. 2013, 14, 12411−12457. (61) Morais, G. R.; Paulo, A.; Santos, I. Organometallic complexes
(43) Butterfield, D. A.; Lauderback, C. M. Lipid peroxidation and for SPECT imaging and/or radionuclide therapy. Organometallics
protein oxidation in Alzheimer’s disease brain: Potential causes and 2012, 31, 5693−5714.
consequences involving amyloid β-peptide-associated free radical (62) Alberto, R.; Egli, A.; Abram, U.; Hegetschweiler, K.; Gramlich,
oxidative stress. Free Radicals Biol. Med. 2002, 32, 1050−1060. V.; Schubiger, P. A. Synthesis and reactivity of [Net4]2[ReBr3(CO)3]
(44) Top, S.; Vessieres, A.; Pigeon, P.; Rager, M. N.; Huche, M.; formation and structural characterization of the clusters [Net4]-
Salomon, E.; Cabestaing, C.; Vaissermann, J.; Jaouen, G. Selective [Re3(μ3-OH)(μ-OH)3(CO)9] and [Net4][Re2(μ-OH)3(CO)6] by
estrogen-receptor modulators (SERMs) in the cyclopentadienylrhe- alkaline titration. J. Chem. Soc., Dalton Trans. 1994, 2815−2820.
nium tricarbonyl series: Synthesis and biological behavior. Chem- (63) CrystalClear; Rigaku/MSC: The Woodlands, TX, 2005.
BioChem 2004, 5, 1104−1113. (64) Sheldrick, G. M. A short history of SHELX. Acta Crystallogr.,
(45) Arancibia, R.; Biot, C.; Delaney, G.; Roussel, P.; Pascual, A.; Sect. A: Found. Crystallogr. 2008, 64, 112−122.
Pradines, B.; Klahn, A. H. Cyrhetrenyl chalcones: Synthesis, (65) Sheldrick, G. M. Crystal structure refinement with SHELXL.
characterization and antimalarial evaluation. J. Organomet. Chem. Acta Crystallogr., Sect. C: Struct. Chem. 2015, 71, 3−8.
2013, 723, 143−148. (66) DIAMOND-Crystal and Molecular Structure Visualization,
(46) N’Dongo, H. W. P.; Raposinho, P. D.; Fernandes, C.; Santos, I.; version 3.1; Crystal Impact: Bonn, Germany, 2015.
Can, D.; Schmutz, P.; Spingler, B.; Alberto, R. Preparation and (67) Pirmettis, I. C.; Papadopoulos, M. S.; Chiotellis, E. Novel 99mTc
biological evaluation of cyclopentadienyl-based 99mTc-complexes aminobisthiolato/monothiolato “3+1” mixed ligand complexes:
[(Cp-R)99mTc(CO)3] mimicking benzamides for malignant melano- Structure-activity relationships and preliminary in vivo validation as
ma targeting. Nucl. Med. Biol. 2010, 37, 255−264. brain blood flow imaging agents. J. Med. Chem. 1997, 40, 2539−2546.
(47) Chen, X.; Cui, M. C.; Deuther-Conrad, W.; Tu, Y. F.; Ma, T.; (68) Bussière, T.; Bard, F.; Barbour, R.; Grajeda, H.; Guido, T.;
Xie, Y.; Jia, B.; Li, Y.; Xie, F.; Wang, X.; Steinbach, J.; Brust, P.; Liu, B. Khan, K.; Schenk, D.; Games, D.; Seubert, P.; Buttini, M.
L.; Jia, H. M. Synthesis and biological evaluation of a novel 99mTc Morphological characterization of Thioflavin-S-positive amyloid
plaques in transgenic Alzheimer mice and effect of passive Aβ
cyclopentadienyl tricarbonyl complex ([(Cp-R)99mTc(CO)3]) for
immunotherapy on their clearance. Am. J. Pathol. 2004, 165, 987−
sigma-2 receptor tumor imaging. Bioorg. Med. Chem. Lett. 2012, 22,
995.
6352−6357.
(69) Hulme, E. C.; Trevethick, M. A. Ligand binding assays at
(48) Alberto, R. The chemistry of technetium-water complexes
equilibrium: validation and interpretation. Br. J. Pharmacol. 2010, 161,
within, the manganese triad: challenges and perspectives. Eur. J. Inorg.
1219−1237.
Chem. 2009, 21−31.
(70) Cheng, Y.; Prusoff, W. H. Relationship between inhibition
(49) Frei, A.; Spingler, B.; Alberto, R. Multifunctional cyclo-
constant (Ki) and concentration of inhibitor which causes 50 per cent
pentadienes as a scaffold for combinatorial bioorganometallics in [(n5-
inhibition (IC50) of an enzymatic-reaction. Biochem. Pharmacol. 1973,
C5H2R1R2R3)M(CO)3] (M = Re, 99mTc) piano-stool complexes.
22, 3099−3108.
Chem. − Eur. J. 2018, 24, 10156−10164.
(50) Satpati, D.; Korde, A.; Sarma, H. D.; Banerjee, S. Synthesis and
evaluation of a phenylbenzothiazole-based 99mTc(CO)3 radiotracer
for possible application in imaging of β-amyloid plaques in
Alzheimer’s disease. J. Radioanal. Nucl. Chem. 2014, 302, 1339−1344.
(51) Jia, J. H.; Zhou, K. X.; Dai, J. P.; Liu, S. L.; Cui, M. C. 2-
Arylbenzothiazoles labeled with [CpRe/99mTc(CO)3] and evaluated
as β-amyloid imaging probes. Eur. J. Med. Chem. 2016, 124, 763−772.

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