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method involved the CuAAC between the free
-azido glucose and the homopropar-
gyl [
18
F]fluoride
52
prepared from the corresponding tosylate
51
by treatment with
K[
18
F]F, K
222
in acetonitrile at 100
◦
C for 20 minutes. The biological evaluation of
compound
50
showed a good
in vitro
stability but was not a substrate of hexokinase,
the enzyme responsible for the phosphorylation of [
18
F]FDG, for example. Moreover,
in contrast to [
18
F]FDG, compound
50
was not taken up by human colon carcinoma
cells limiting its use in PET.
7.3.3.2 Nucleosides
Among labeled carbohydrates, 3
-deoxy-3
-[
18
F]fluoro-
thymidine (FLT) is currently the most widely used proliferation imaging agent in
PET. The uptake of this tracer is dependent on the presence of thymidine kinase-1
(TK1), an enzyme implicated in the salvage pathway of nucleotides. In cells FLT
is monophosphorylated by TK1 and this phosphate accumulates in the cell. TK1
activity can be upregulated by treatment and FLT could be of interest in the treatment
assessment of tumor response to treatment. However, high FLT uptake in the liver
and bone marrow limits its use in cancer diagnostic and prompted the search for new
analogs [62, 63].
New thymidine derivatives have recently been prepared taking advantage of the
CuAAC reaction (Scheme 7.11). New analogs of FLT have been described in the
patent literature [64]. The synthesis has recently been improved and the compound
used in testings [65]. The known uridine derivative
53
[66] was submitted to CuAAC
with 2-[
18
F]fluoroethylazide to provide the labeled thymidine derivative
54
in about
75% radiochemical yield. The reaction was carried out in the presence of copper
iodide and ascorbic acid in water at 80
◦
C for 10 minutes. Compound
54
was stable in
human plasma but is taken up by myocardis suggesting
in vivo
metabolism. It should
be a useful probe for tumor cell proliferation.
The CuAAC reaction has been developed for the labeling of glucose and 3-azido-
thymidine as model reactions. As shown in Scheme 7.12, Chi and coworkers proposed
the labeled acetylenic derivative
56
as a prosthetic group [67]. This compound, pre-
pared from mesylate
55
, reacted in good yields with acetylated or free azidoglucose,
to provide the expected adducts
58
within 10 minutes. Classic reaction conditions,
18
F
N
O
O
N
N
HN
HN
18
F
N
3
O
N
O
N
HO
HO
O
O
HO
HO
54
53
SCHEME 7.11
Synthesis of
18
F labeled triazolyl-thymidine.
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