COMPOSITIONS _____ METHODS FOR MAGNETIC RESONANCE
IMAGING, X-RAY IMAGING AND R__DIOP___ __A(____ I_______
Field Of The Invention
The invention relates to magnetic resonance imaging,
(MRI) , x-ray imaging, and radiopharmaceuticals. More particularly the invention relates to methods and compositions for enhancing MRI, x-ray imaging and radiopharmaceuticals.
BACKGROUND OF THE INVENTION The technique of MRI encompasses the detection of certain atomic nuclei (those possessing magnetic dipole moments) utilizing magnetic fields and radio-frequency radiation. It is similar in some respects to X-ray computed tomography ("CT") in providing a cross-sectional display of the body organ anatomy with excellent resolution of soft tissue detail. The technique of MRI is advantageously non- invasive as it avoids the use of ionizing radiation.
The hydrogen atom, having a nucleus consisting of a single unpaired proton, has the strongest magnetic dipole moment of any nucleus. Since hydrogen occurs in both water and lipids, it is abundant in the human body. Therefore, MRI is most commonly used to produce images based upon the distribution density of protons and/or the relaxation times of protons in organs and tissues. Other nuclei having a net magnetic dipole moment also exhibit a nuclear magnetic resonance phenomenon which may be used in MRI, MRS, and MRSI applications. Such nuclei include carbon-13 (six protons and seven neutrons) , fluorine-19 (9 protons and 10 neutrons) , sodium-23 (11 protons and 12 neutrons) , and phosphorus-31 (15 protons and 16 neutrons) .
While the phenomenon of NMR was discovered in 1945, it is only relatively recently that it has found application as a means of mapping the internal structure of the body as a result of the original suggestion of Lauterbur (Nature , 242. 190-191 (1973)) . The fundamental lack of any known hazard associated with the level of the magnetic and radio- frequency fields that are employed renders it possible to make repeated scans on vulnerable individuals. Additionally, any scan plane can readily be selected, including transverse, coronal, and sagittal sections.
In an MRI experiment, the nuclei under study in a sample (e.g. protons, 19F, etc.) are irradiated with the appropriate radio-frequency (RF) energy in a controlled gradient magnetic field. These nuclei, as they relax, subsequently emit RF energy at a sharp resonance frequency. The resonance frequency of the nuclei depends on the applied magnetic field.
According to known principles, nuclei with appropriate spin when placed in an applied magnetic field (B, expressed generally in units of gauss or Tesla (104 gauss) ) align in the direction of the field. In the case of protons, these nuclei precess at a frequency, F, of 42.6 MHz at a field strength of 1 Tesla. At this frequency, an RF pulse of radiation will excite the nuclei and can be considered to tip the net magnetization out of the field direction, the extend of this rotation being determined by the pulse, duration and energy. After the RF pulse, the nuclei "relax" or return to equilibrium with the magnetic field, emitting radiation at the resonant frequency. The decay of the emitted radiation is characterized by two relaxation times, T_L and T2. T___ is the spin-lattice relaxation time or longitudinal relaxation time, that is, the time taken by the nuclei to return to equilibrium along the direction of the externally applied magnetic field. T2 is the spin-spin
relaxation time associated with the dephasing of the initially coherent precession of individual proton spins.
These relaxation times have been established for various fluids, organs, and tissues in different species of mammals. In MRI, scanning planes and slice thicknesses can be selected. This selection permits high quality transverse, coronal and sagittal images to be obtained directly. The absence of any moving parts in MRI equipment promotes a high reliability. It is believed that MRI has a greater potential than CT for the selective examination of tissue characteristics. The reason for this being that in CT, X- ray attenuation and coefficients alone determine image contrast, whereas at least four separate variables (T-^ T2, proton density, and flow) may contribute to the MRI signal. For example, it has been shown (Damadian, Science. 171, 1151 (1971) ) that the values of the T1 and T2 relaxation in tissues are generally longer by about a factor of two (2) in excised specimens of neoplastic tissue compared with the host tissue. By reason of its sensitivity to subtle physicochemical differences between organs and/or tissues, it is believed that MRI may be capable of differentiating different tissue types and in detecting diseases which induce physicochemical changes that may not be detected by X-ray or CT which are only sensitive to differences in the electron density of tissue.
As noted above, two of the principal imaging parameters are the relaxation times, T and T2. For protons and other suitable nuclei, these relaxation times are influenced by the environment of the nuclei (e.g., viscosity, temperature, and the like) . These two relaxation phenomena are essentially mechanisms whereby the initially imparted radio- frequency energy is dissipated to the surrounding
environment . The rate of this energy loss or relaxation can be influenced by certain other nuclei which are paramagnetic. Chemical compounds incorporating these paramagnetic nuclei may substantially alter the Tj. and T2 values for nearby nuclei having a magnetic dipole moment . The extent of the paramagnetic effect of the given chemical compound is a function of the environment within which it finds itself.
A need continues to exist for contrast agents that will enhance images of body organs and tissues. Such agents are disclosed and claimed in this document.
SUMMARY OF THE INVENTION The present invention provides methods and compositions for improved magnetic resonance imaging, spectroscopy, and radiopharmaceuticals. The compositions are of the general formula:
Cn LVGV
wherein n is about 60-about 1000; L is a bifunctional linker; x is from about 0 to about 12; G is a chelator; and Y is from about 0 to about 12. Also provided are compositions of the general formula:
C„ Lx Gy M2
wherein n is about 60 to about 1000; L is a bifunctional linker; x is from 0 to about 12; G is a chelator; Y is from 0 to about 12; M is a paramagnetic ion, radioactive
metal ion or x-ray absorbing ion; and z is from about 1 to about 12.
Also disclosed are diagnostic compositions and methods of performing diagnostic procedures which involve administering to a warm-blooded animal (including humans) a diagnostically effective amount of the compositions of the invention and then exposing the warm-blooded animal to an imaging procedure.
DETAILED DESCRIPTION OF THE INVENTION
Stable C60 closed carbon shells have recently been isolated from vaporized graphite. The highly stable C60 compound is marked by an icosahedral-cage structure, a polygon with -60 equivalent vertices, 32 faces, 12 of which are pentagonal and 20 hexagonal. The icosahedral structure is typified by a soccer ball. The C60 structure has been given the name "buckminsterfullerene" due to its similarity to the geodesic domes of Buckminster Fuller. The class of closed cage, carbon clusters is commonly referred to as "fullerenes. " C60 is the prototypical fullerene. A number of methods for the formation and purification of C60 have been developed and are known in the art. Generally, pure graphitic carbon is vaporized in an inert atmosphere, and C60 is extracted from the deposited soot with benzene, toluene, carbon disulfide, or carbon tetrachloride. The extract consists primarily of C60 and C70. Other stable low molecular weight fullerenes have also been identified, such as C24, C28, C32, and C50. The existence of high
molecular weight fullerenes, such as C240 and C540, is theoretically predicted.
C60 exhibits extended aromaticity and has been found to be a sensitizer. Chemical modification of the C60 structure is necessary to prepare compositions suitable for in vivo applications. Hydrogenation of fullerenes is achieved using known techniques, such as catalytic hydrogenation or dissolving metal reduction. The partially hydrogenated compounds, C60H36 and C60H18/ are readily formed. Complete hydrogenation to C60H60 by catalytic hydrogenation may be accomplished using higher pressures of H2 and variation of catalyst. In addition to hydrogenated species, fluorinated, heterocyclic, and other functionalized derivatives of the C60 structure have been prepared.
By vaporizing graphite impregnated with a suitable paramagnetic metal species, it is possible to produce fullerene cages containing a paramagnetic metal species. The term paramagnetic metal species as used herein includes within its scope both paramagnetic atoms and ions. Also, the presence of a paramagnetic metal species may enhance MRI, MRS, and MRSI. It is also believed that incorporating a paramagnetic metal species into the center of the fullerene cage will increase the dipole moment of the entire cage. This may render the cluster water soluble and reduce in vivo toxicity of the paramagnetic metal species.
Fullerenes, in particular C60, have much higher reactivity than might be expected based on their inherent stability resulting from an aromatic-type structure consisting of twenty 6-membered rings fused to twelve 5- membered rings. Buckyball (Cso) is insoluble in water and most organic solvents except for benzene (1.44 mg/mL) ,
toluene (2.15 mg/mL) , and carbon disulfide (5.16 mg/mL) ; reduced fullerenes are highly soluble in THF, however. Examples of some types of reactions that C60 undergoes are: nucleophilic and electrophilic and radical additions, Friedel-Crafts, Diels-Alder, electrocyclic, hydroboration, cycloaddition, electrophilic aromatic substitution, reductive alkylation, and halogenation. In addition, C60 has been shown to react with organometallic transition metal complexes (Balch, A. J., et al . -Tnorg. Che . 1991, 30, 3980 and Fagan, P. J., et al . Ace. Chem. Res. 1992, 25, 134) . It is important to note that upon functionalization of C60, in many cases, the resulting C60 derivatives are water soluble or can be derivatized to be such; moreover, by boiling an aqueous solution of γ- cyclodextrin with a solid mixture of C60 and C70, researchers have been able to extract C60 from the mixture into the aqueous solution (Andersson, T., et al . ) .
Treatment of buckyball (C60) or higher homologues (Cn,n>60) with chelators for paramagnetic metal ions
(e.g., Gd(III) or Mn(II)) bearing pendant nucleophilic groups should afford {C60 (chelator)..} , where X = 1-12 (referred to as fuzzyball) . Appropriate nucleophilic groups include amines, alkoxides, thiolates, and carbanions derived from carbonyl compounds. In an alternative formulation, attachment of chelators to C60 could be effected through a linker group.
Functionalization of C60 with a linker group (e.g., sodium diethyl malonate, followed by decarboxylation and esterification) and subsequent reaction with a chelator bearing a suitable pendant nucleophilic group (e.g., primary amine) also leads to fuzzyball. Reaction of fuzzyball with a paramagnetic metal, such as those
mentioned in this document, affords a compound with a potentially large (6-14) number of paramagnetic metal ions . High relaxivity results not only because of the large number of paramagnetic metal ions, but also because of the exceptionally slow tumbling of fuzzyball. Minimal osmolarity (compared to an equivalent concentration of similar free chelators) results from combination of free complexes into a single particle in solution. Potential MRI applications include use as a contrast agent for extracellular fluid or the blood pool, or for attachment to targeting groups (especially monoclonal antibodies) . In the latter case exceptionally high relaxivity is critical to successful contrast enhancement at a practical loading of the MAb with the contrast agent. Fuzzyball with Gd(III) might also find application as a non- conventional X-ray contrast agent.
In general, paramagnetic ions of elements with an atomic number of 21 to 29, 42 to 44, and 58 to 70 have been found effective as MRI contrasting agents. Examples of suitable paramagnetic ions for use with the invention include chromium(III) , manganese (II) , manganese (III) , iron(III) , iron(II), cobalt (II), nickel (II), copper(II) , praseodymium(III) , neodymium(III) , samarium(III) and ytterbium(III) . Due to their very strong magnetic moments, gadolinium(III) , terbium(III) , dysprosium(III) , holmium(III) and erbium(III) are preferred. Gadolinium(III) ions have been particularly preferred as MRI contrasting agents.
Examples of suitable bifunctional linkers for use with the invention include ethylenediamine, ethanolamine, B-alanine, 1,4-diaminobutane, allyl amine,
mercaptoethylamine, propylenediamine, mercaptoethanol, 3- mercaptoprionic acid, allyl mercaptan, 1, 2-propanedithiol, 1,2-ethanedithiol, allyl magnesium bromide, phenyl magnesium bromide, phenyl lithium, and diethylmalonate. Generally nucleophilic groups work well . Examples of nucleophilic groups include amines, amides, alcohols, phenols, thiols and hydrazines. The more linkers used generally increases the chances of getting a larger number of chelators attached, and therefore a greater number of metals bound. With radiopharmaceuticals, however, only one bound metal is generally necessary.
Linkers are chosen for their reactivity with the carbon cage. One site of the linker generally reacts with the carbon cage and another site of the linker generally reacts with the site of the chelator.
Examples of suitable chelators for use with the invention include diethylenetriamine pentaacetic acid (DTPA) , ethylene diamine tetraacetic acid (EDTA) , 1, 4, 7, 10-tetraazacyclododecane tetraacetic acid (DOTA) , mercaptoacetylglycyl glycylglycine (MAG3) , 1, 4, 8, 11 tetraaza-cyclotetradecane (cyclam) , N, N'-bis(OJ- hydroxybenzyl) ethylene diamine N,N' -diacetic acid (HBED) , and 2, 2, 9, 9-tetramethyl-4, 7-diaza-l, 10-decanedithiol . The chelator should be capable of binding a desired metal. Bio olecule refers to all natural and synthetic molecules that play a role in biological systems. Biomolecules include hormones, amino acids, peptides, peptidomimetics, proteins, deoxyribonucleic acid (DNA) ribonucleic acid (RNA) , lipids, albumins, polyclonal antibodies, receptor molecules, receptor binding molecules, monoclonal antibodies and aptamers. Specific examples of biomolecules include insulins, prostaglandins, growth factors, liposomes and nucleic acid probes.
Examples of synthetic polymers include polylysine, arborols, dendrimers, and cyclodextrins. The advantages of using biomolecules includes enhanced tissue targeting through specificity and delivery. The bio olecule can be attached to a variety of places on the molecules of the invention. Coupling of the chelating moieties to biomolecules can be accomplished by several known methods (e.g., Krejcarek and Tucker Biochem. Biophys. Res. Pnmm.. 30, 581 (1977) ; Hnatowich, et al. Science. 220, 613 (1983) . For example, a reactive moiety present on the chelating moiety, fuzzyball or linker is coupled with a second reactive group located on the biomolecule. Typically, a nucleophilic group is reacted with an electrophilic group to form a covalent bond between the biomolecule and the chelate. Examples of nucleophilic groups include amines, anilines, alcohols, phenols, thiols and hydrazines. Electrophilic group examples include halides, disulfides, epoxides, maleimides, acid chlorides, anhydrides, mixed anhydrides, activated esters, imidates, isocyanates and isothiocyanates.
In addition to their utility in magnetic resonance imaging procedures, the compositions of the invention can also be employed for delivery of either radiopharmaceuticals or heavy metals for x-ray contrast into the body. For use in diagnostic and therapeutic radiopharmaceuticals the complexed metal ion must be radioactive. Radioisotopes of the elements technetium, rhenium, indium, gallium, copper, yttrium, samarium and holmium are suitable. For use as x-ray contrast applications the complexed metal ion must be able to absorb adequate amounts of the x-rays. These metal ions are generally referred to as radioopaque. Suitable
elements for use as the radioopaque metal ion include lead, bismuth, gadolinium, dysprosium and praseodymium.
Advantageously, the compositions may further contain physiologically acceptable non-toxic cations in the form of a gluconate, chloride or other suitable organic or inorganic salts, including suitable soluble complexes with a chelate/ligand to enhance safety. Examples of suitable non-toxic cations include sodium ions, calcium ions, magnesium ions, copper ions, zinc ions, and mixtures thereof.
The compositions of the invention can be formulated into diagnostic compositions for enteral or parental administration. These compositions contain an effective amount of the complex along with conventional pharmaceutical carriers and excipients appropriate for the type of administration contemplated. For example, parenteral formulations advantageously contain a sterile aqueous solution or suspension of from about 0.05 to about 1.0 M of an ion complex. Parenteral compositions may be injected directly or mixed with a large volume parenteral composition for systemic administration. Preferred parenteral formulations have a complex concentration of about 0.1M to about 0.5M. Such solutions also may contain pharmaceutically acceptable buffers and, optionally, electrolytes such as sodium chloride. The compositions may advantageously contain a slight excess (e.g., from about 0.01 to about 15.0 mole % excess) of a complexing agent or its complex with a physiologically acceptable, non-toxic cation. Such physiologically acceptable, non- toxic cations include calcium ions, magnesium ions, copper ions, zinc ions, salts of n-methylglucamine and diethanolamine, and the like. Generally, calcium ions are preferred.
Formulations for enteral administration may vary widely, as is well-known in the art. In general, such formulations are liquids which include an effective amount of the paramagnetic ion complex in aqueous solution or suspension. Such enteral compositions may optionally include buffers, surfactants, thixotropic agents, and the like. Compositions for oral administration may also contain flavoring agents and other ingredients for enhancing their organoleptic qualities. The diagnostic compositions are administered in doses effective to achieve the desired enhancement of the NMR image. Such doses may vary widely, depending upon the particular ion complex employed, the organs or tissues which are the subject of the imaging procedure, the imaging procedure, the imaging equipment being used, and the like. In general, parenteral dosages will range from about 0.001 to about 1.0 mMol of ion complex per kg of patient body weight. Preferred parenteral dosages range from about 0.01 to about 0.5mMol of ion complex per kg of patient body weight. Enteral dosages generally range from about 0.5 to about 100 mMol, preferably from about 1.0 to about 10 mMol, preferably from about 1.0 to about 20.0 mMol of ion complex per kg of patient body weight.
The diagnostic compositions of the invention are used in the conventional manner. The compositions may be administered to a patient, typically a warm-blooded animal, either systemically or locally to the organ or tissue to be imaged, and the patient then subjected to the imaging procedure. Protocols for imaging and instrument procedures are found in texts such as Stark, D.D.;
Bradley, W.G. Magnetic Resonance -Imaging; Mosby Year Book: St. Louis, MO, 1992.
Radiopharmaceutical imaging procedures are found in Fred A. Mettler, Jr., M.D. , M.P.H., Milton J. Guiberteau, M.D., Essentials of Nuclear Medicine Imaging, Grune and Stratton, Inc., New York, NY 1983) and E. Edmund Kim, M.S., M.D. and Thomas P. Haynie, M.D., (MacMillan Publishing Co. Inc., New York, NY 1987) .
XRCM imaging procedures are found in Albert A. Moss, M.D. , Gordon Gamsu, M.D. , and Harry K. Genant, M.D. , Computed Tomography of the Body. (W.B. Saunders Company, Philadelphia, Pennsylvania 1992) and M. Sovak, Editor, Radiocontrast Agents. (Springer-Verlag, Berlin 1984) .
The following examples illustrate the specific embodiments of the invention described in this document. As would be apparant to skilled artisans, various changes and modifications are possible and are contemplated within the scope of the invention described.
EXAMPLES
Example I
Preparation of C60 (ethylenediamine) 10:
Ethylenediamine is dried via azeotropic distillation with toluene. To 100 mL of this ethylenediamine is added
0.50g of C60. The reaction is allowed to stir overnight under argon. The product is extracted with
tetrahydrofuran (THF) . Following the removal of the THF, a beige solid remains.
Example 2
Preparation of C60(ethylenediamine)10(DTPA)_____:
To 1.0 g of the C60(ethanolamine)10 prepared in substantial accordance with the teachings of Example 1 is added a 10 molar equivalent of diethylenetriaminepentaacetic acid (DTPA) bis anhydride in 50 mL of DMF. The reaction mixture is heated to 40-50
C. The anhydride is cleaved by acid hydrolysis. After removal of the solvent under reduced pressure, a solid results.
Example 3
Preparation of C60(ethylenediamine)10(DTPA)10(Gd)_____:
To the solid product obtained in substantial accordance with the teaching of Example 2 is added an excess (12 molar equivalents) of GdCl3 in dimethylacetamide. Following purification on an ion- exchange resin, the major product obtained is of the formula C60(ethylenediamine)10(DTPA)____,(Gd)_____.
Example 4
Preparation of C60(1,4-diaminobutane)6:
50 mL of 1,4-diaminobutane are purified by refluxing over Na spheres followed by distillation under reduced pressure. To this liquid is added 0.50g of C60. This
reaction mixture is stirred overnight at room temperature under argon. The excess amine is removed via steam distillation. The resulting gold syrup-like product is extracted with chloroform and the chloroform-soluble layer evaporated to yield a brown solid.
Example 5
Preparation of C60 (1,4-diaminobutane) 6 (DOTA) 6: The free acid form of 1,4, 7, 10-tetraazycyclo dodecane tetraacetic acid (DOTA, 3.2g, 8.0 mmol) and triethylamine (3.2g, 32 mmol) are dissolved in 50 mL of dry dimethylsulfoxide (DMSO) by gentle warming. The homogeneous solution is cooled to room temperature and isobutyl chloroformate (l.lg, 8.0 mmol) is added dropwise, followed by the addition of 1.4 g of the C60 (1,4-diaminobutane) 6 adduct obtained in substantial accordance with the teaching of Example 4. The mixture is stirred for several hours and the DMSO is distilled off under vacuum. The residue is purified on an anion- exchange resin. The clean fractions are combined and evaporated to afford the desired product.
Example
Preparation of C60 (1,4-diaminobutane) 6 (DOTA) 6Dy6
Six molar equivalents of Dy203(PPh3)2 are suspended in 25 mL of dry CH2C12 and the solution purged with argon. To this suspension is added 1 equivalent of the
C60 (1,4-diaminobutane) 6 (DOTA) 6 product obtained in substantial accordance with the teaching of example 5. The reaction mixture is stirred at room temperature for 8
hours and the solvent removed by rotary evaporation, Following chromatographic purification the desired product is isolated.
Example 7
Preparation of C60 (1,4-diaminobutane)2
The C60 (1,4-diaminobutane) 2 adduct is prepared in substantial accordance with the teaching of Example 4, except that only 2 molar equivalent of the amine is reacted with the C60.
Example 8
Preparation of C60 (1,4-diaminobutane)2 (MAG3) (epsilon-t-Boc octreotide) :
A mixture of the C60 (1,4-diaminobutane) adduct
(1.4g, l.Ommol) and s-tetrahydropyranyl- mercaptoacetylglycylglycylglycine-N-hydroxysuccinimide active ester (MAG3, 3.1g, 1.0 mmol) in 25 mL of DMSO is stirred for 2 hours at room temperature. The remaining primary amine on the C60 moiety is reacted with N, N1- disuccinimidyl carbonate (256 mg, 1.0 mmol) followed by the addition of epsilon-t-boc-octreotide (1.0 mmol) . The solution is stirred for 2 hours at room temperature. The DMSO is removed at reduced pressure. The residue is purified using reversed-phase chromatography to afford the desired product.
Example 9
Preparation of C60(1,4-diaminobutane)2(MAG3) (octreotide) 186 Re:
A mixture of the C60(1,4- diaminobutane) (MAG3) (epsilon-t-Boc octreotide) ligand (1.0 mg) , stannous chloride (0.5 mg, 2.6 x 10"6 mol) , sodium citrate (28.8 mg, 1.5 x 10"4 mol), and 186Re perrhenate (4.25 μg, 2.3 x 10"8 mol) in 100 μL of water and 100 μL of acetonitrile is heated at 50 C for 1 hour. A volume of 0.30 mL of 1 N NaOH is added. The rhenium complex is purified via C-18 chromatography using water/methanol as the eluant to wash off impurities. The desired complex is eluted with acetonitrile then evaporated to dryness to afford the C60(1,4- diaminobutane) (MAG3) (octreotide)186Re complex.
Although the invention has been described with respect to specific modifications, the details thereof are not to be construed as limitations, for it will be apparent that various equivalents, changes and modifications may be resorted to without departing from the spirit and scope thereof, and it is understood that such equivalent embodiments are to be included therein.