[18F]tetrafluoroborate as a PET tracer for the sodium/iodide symporter: the importance of specific activity

Alex Khoshnevisan, Maite Jauregui-Osoro, Karen Shaw, Julia Baguña Torres, Jennifer D. Young, Nisha K. Ramakrishnan, Alex Jackson, Gareth E. Smith, Antony D. Gee, Philip J. Blower*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

34 Citations (Scopus)
346 Downloads (Pure)

Abstract

Background: [18F]BF4 , the first 18F-labelled PET imaging agent for the sodium/iodide symporter (NIS), was produced by isotopic exchange yielding a product with limited specific activity (SA, ca. 1 GBq/μmol) posing a risk of sub-optimal target-to-background ratios (TBR) in PET images due to saturation of NIS in vivo. We sought to quantify this risk and to develop a method of production of [18F]BF4 with higher SA. 

Methods: A new radiosynthesis of [18F]BF4 was developed, involving reaction of [18F]F with boron trifluoride diethyl etherate under anhydrous conditions, guided by 11B and 19F NMR studies of equilibria involving BF4 and BF3. The SA of the product was determined by ion chromatography. The IC50 of [19F]BF4 as an inhibitor of [18F]BF4 uptake was determined in vitro using HCT116-C19 human colon cancer cells expressing the human form of NIS (hNIS). The influence of [19F]BF4 dose on biodistribution in vivo was evaluated in normal mice by nanoPET imaging and ex vivo tissue counting. 

Results: An IC50 of 4.8 μΜ was found in vitro indicating a significant risk of in vivo NIS saturation at SA achieved by the isotopic exchange labelling method. In vivo thyroid and salivary gland uptake decreased significantly with [19F]BF4 doses above ca. 10 μg/kg. The new radiosynthesis gave high radiochemical purity (>99 %) and moderate yield (15 %) and improved SA (>5 GBq/μmol) from a starting activity of only 1.5 GBq. 

Conclusions: [18F]BF4 produced at previously reported levels of SA (1 GBq/μmol) can lead to reduced uptake in NIS-expressing tissues in mice. This is much less likely in humans. The synthetic approach described provides an alternative for production of [18F]BF4 at higher SA with sufficient yield and without need for unusually high starting activity of [18F]fluoride, removing the risk of NIS saturation in vivo even in mice. 

Trial registration: ISRCTN75827286.

Original languageEnglish
Article number34
JournalEJNMMI Research
Volume6
Issue number1
DOIs
Publication statusPublished - 1 Dec 2016

Keywords

  • Fluorine-18
  • PET
  • Sodium/iodide symporter
  • Specific activity
  • Tetrafluoroborate
  • Thyroid

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