Cyclooxygenase (COX) is the crucial enzyme in the conversion of arachidonic acid to prostaglandins. It exists at least in two isoforms, a constitutive form (COX-1) and an inducible form (COX-2), 1-3) although a third distinct COX isozyme has also been reported.4) The COX-1 enzyme is responsible for maintaining homeostasis whereas COX-2 is induced during inflammation by various stimuli and, in some tissues including the brain, kidney and placenta, is also constitutively expressed. Recent studies indicate that elevated expression of COX-2 has been implicated in many pathological events, including rheumatoid arthritis, cancer, heart disease, and neurodegenerative disorders.
5)In the brain, COX-2 is mainly expressed in the cortex, hypothalamus, and hippocampus, 6) and is upregulated in neurological disorders such as Parkinson's disease and Alzheimer's disease, [7][8][9] although the functions of COX-2 in pathophysiological processes are not yet well-understood. There is great potential that COX-2-targeted imaging by positron emission tomography (PET) may provide useful information on the role of this enzyme, especially in various neurological disorders, and also may help to evaluate the efficacy of selective COX-2 inhibitors. 10) Thus, many COX-2 inhibitors have been labeled with a suitable radionuclide for mapping the enzymes in vivo. However, previously evaluated PET radiotracers, including 11 C-labeled COX inhibitors of the diarylheterocyclic class which were synthesized by us, 11,12) have only achieved limited success, due to a lack of sufficient specific-binding to the COX-2 enzyme and/or sufficient brain penetration, in spite of promising in vitro pharmacological data. [13][14][15][16][17][18] There is a need for systematic studies correlating the physicochemical properties of agents with their in vivo behavior for a better design of COX-2 imaging probes.Currently, many selective COX-2 inhibitors with various structural features, as exemplified by vicinal diaryl heterocycles such as celecoxib and refecoxib, have been developed as non-steroidal anti-inflammatory drugs (NSAIDs) with improved gastric safety profiles.19) Most of them have high lipophilicity. Indomethacin is a traditional non-selective inhibitor of the COX isozyme which is widely used as a NSAID, but with poor brain penetration largely due to the presence of the carboxylic acid moiety. 20) Interestingly, recent studies concerning ester and amide derivatives of indomethacin have found very high COX-2 inhibition potency and a high degree of COX-2-selectivity.21-23) Marnett and colleagues synthesized 123 I-labeled N-iodobenzyl-containing amide derivative of indomethacin as a COX-2 imaging agent, which exhibited sufficient stability in COX-2 expressing nude mouse tumor.24) More recently, using organic fluorophores tethered to indomethacin through an amide linkage, the feasibility of specific in vivo targeting of COX-2 in inflammatory lesions in mice has been demonstrated by the same group.
25)The purpose of this study is to find suitable radioligands ...