Publications

Discovery of N-(6-Methoxypyridin-3-yl)quinoline-2-amine Derivatives for Imaging Aggregated α-Synuclein in Parkinson’s Disease with Positron Emission Tomography

Zhao H, Huang T, Dhavale DD, O’Shea JY, Lengyel-Zhand Z, Guarino DS, Gu J, Yue X, Nai YH, Jiang H, Lougee MG, Pagar VV, Kim HJ, Garcia BA, Petersson EJ, Mathis CA, Kotzbauer PT, Perlmutter JS, Mach RH, Tu Z. Discovery of N-(6-Methoxypyridin-3-yl)quinoline-2-amine Derivatives for Imaging Aggregated α-Synuclein in Parkinson’s Disease with Positron Emission Tomography. Cells. 2025 Jul 18;14(14):1108. doi: 10.3390/cells14141108. PMID: 40710362; PMCID: PMC12293736.

Abstract

The fibrillary aggregation of α-synuclein is a hallmark of Parkinson’s disease (PD) and a potential target for diagnostics and therapeutics. Although substantial effort has been devoted to the development of positron emission tomography (PET) probes for detecting α-synuclein aggregates, no clinically suitable tracer has been reported. The design and synthesis of 43 new N-(6-methoxypyridin-3-yl)quinolin-2-amine derivatives and an evaluation of their α-synuclein binding affinity is reported here. Compounds 7f, 7j, and 8i exhibited high affinity for α-synuclein and were selected for 11C, 18F, 125I, or 3H radiolabeling. A photoaffinity variant, TZ-CLX, structurally related to 7j and 8i, demonstrated preferential binding to the C-terminal region of α-synuclein fibrils. PET brain imaging studies using [11C]7f, [18F]7j, and [11C]8i in non-human primates indicated that these three α-synuclein PET tracers penetrated the blood-brain barrier. Both [11C]7f and [18F]7j showed more favorable brain washout pharmacokinetics than [11C]8i. In vitro binding assays showed that [125I]8i is a very potent α-synuclein radioligand, with Kd values of 5 nM for both PD brain tissues and LBD-amplified fibrils; it is also selective for PD tissues versus AD or control tissues. These results strongly suggest that the PET probes based on the N-(6-methoxypyridin-3-yl)quinoline-2-amine scaffold have potential utility in detecting α-synuclein aggregates in vivo.