Boronophenylalanine
(BPA) is the dominant boron delivery agent for boron neutron capture
therapy (BNCT), and [18F]FBPA has been developed to assist
the treatment planning for BPA-BNCT. However, the clinical application
of BNCT has been limited by its inadequate tumor specificity due to
the metabolic instability. In addition, the distinctive molecular
structures between [18F]FBPA and BPA can be of concern
as [18F]FBPA cannot quantitate boron concentration of BPA
in a real-time manner. In this study, a metabolically stable boron-derived
tyrosine (denoted as fluoroboronotyrosine, FBY) was developed as a
theranostic agent for both boron delivery and cancer diagnosis, leading
to PET imaging-guided BNCT of cancer. [18F]FBY was synthesized
in high radiochemical yield (50%) and high radiochemical purity (98%).
FBY showed high similarity with natural tyrosine. As shown in in vitro
assays, the uptake of FBY in murine melanoma B16-F10 cells was L-type
amino acid transporter (LAT-1) dependent and reached up to 128 μg/106 cells. FBY displayed high stability in PBS solution. [18F]FBY PET showed up to 6 %ID/g in B16-F10 tumor and notably
low normal tissue uptake (tumor/muscle = 3.16 ± 0.48; tumor/blood
= 3.13 ± 0.50; tumor/brain = 14.25 ± 1.54). Moreover, administration
of [18F]FBY tracer along with a therapeutic dose of FBY
showed high accumulation in B16-F10 tumor and low normal tissue uptake.
Correlation between PET-image and boron biodistribution was established,
indicating the possibility of estimating boron concentration via a
noninvasive approach. At last, with thermal neutron irradiation, B16-F10
tumor-bearing mice injected with FBY showed significantly prolonged
median survival without exhibiting obvious systemic toxicity. In conclusion,
FBY holds great potential as an efficient theranostic agent for imaging-guided
BNCT by offering a possible solution of measuring local boron concentration
through PET imaging.