Phosphodiesterase
5 (PDE5) is a clinically relevant biomarker and
therapeutic target for many human pathologies, yet a noninvasive agent
for the assessment of PDE5 expression has yet to be realized. Such
agents would improve our understanding of the nitric oxide (NO)/cyclic
guanosine 3′,5′-monophosphate (cGMP)/PDE5 pathway in
human pathologies and potentially lead to novel uses of PDE5 inhibitors
to manage lung conditions like SARS-CoV-2-mediated pulmonary inflammatory
responses. In this study, efforts were made to produce an
18
F-labeled analogue of the PDE5 inhibitor tadalafil to visualize PDE5
expression
in vivo
with positron emission tomography
(PET). However, during the late-stage fluorination step, quantitative
epimerization of the tadalafil
C
12a stereocenter
occurred, yielding a less active epi-isomer.
In vivo
dynamic microPET images in mice revealed that the epimerized radiotracer,
[
18
F]
epi-18
, rapidly accumulated in the liver
with negligible uptake in tissues of known PDE5 expression.