Inducible isozyme cyclooxygenase-2 (COX-2) is upregulated
under
acute and chronic inflammatory conditions, including cancer, wherein
it promotes angiogenesis, tissue invasion, and resistance to apoptosis.
Due to its high expression in various cancers, COX-2 has become an
important biomarker for molecular imaging and therapy of cancer. Recently,
our group applied in situ click chemistry for the
identification of the highly potent and selective COX-2 inhibitor
triacoxib. In this study, we present the radiosynthesis in
vitro and in vivo radiopharmacological validation
of [18F]triacoxib, a novel radiotracer for PET imaging
of COX-2. Radiosynthesis of [18F]triacoxib was accomplished
using copper-mediated late-stage radiofluorination chemistry. The
radiosynthesis, including radio-HPLC purification, of [18F]triacoxib was accomplished within 90 min in decay-corrected radiochemical
yields of 72% (n = 7) at molar activities exceeding
90 GBq/μmol. Cellular uptake and inhibition studies with [18F]triacoxib were carried out in COX-2 expressing HCA-7 cells.
Cellular uptake of [18F]triacoxib in HCA-7 cells reached
25% radioactivity/mg protein after 60 min. Cellular uptake was reduced
by 63% upon pretreatment with 0.1 mM celecoxib, and 90% of the radiotracer
remained intact in vivo after 60 min p.i. in mice.
[18F]Triacoxib was further evaluated in HCA-7 tumor-bearing
mice using dynamic PET imaging, radiometabolite analysis, autoradiography,
and immunohistochemistry. PET imaging revealed a favorable baseline
radiotracer uptake in HCA-7 tumors (SUV60min = 0.76 ±
0.02 (n = 4)), which could be blocked by 20% through
i.p. pretreatment with 2 mg of celecoxib. Autoradiography and immunohistochemistry
experiments further the confirmed blocking of COX-2 in vivo. [18F]Triacoxib, whose nonradioactive analogue was identified
through in situ click chemistry, is a novel radiotracer
for PET imaging of COX-2 in cancer. Despite a substantial amount of
nonspecific uptake in vivo, [18F]triacoxib
displayed specific binding to COX-2 in vivo and reinforced
the feasibility of optimal structure selection by in situ click chemistry. It remains to be elucidated how this novel radiotracer
would perform in first-in-human studies to detect COX-2 with PET.