[ 125 I]INFT: Synthesis and Evaluation of a New Imaging Agent for Tau Protein in Post-Mortem Human Alzheimer's Disease Brain.

Aggregation of Tau protein into paired helical filaments causing neurofibrillary tangles (NFT) is a neuropathological feature in Alzheimer's disease (AD). This study aimed to develop and evaluate the effectiveness of a novel radioiodinated tracer, 4-[ 125 I]iodo-3-(1H-pyrrolo[2,3-c]pyridine-1-yl)pyridine ([ 125 I]INFT), for binding to Tau protein in postmortem human AD brain. Radiosynthesis of [ 125 I]INFT was carried out using electrophilic destannylation by iodine-125 and purified chromatographically. Computational modeling of INFT binding on Tau fibril was compared with IPPI. In vitro, autoradiography studies were conducted with [ 125 I]INFT for Tau in AD and cognitively normal (CN) brains. [ 125 I]INFT was produced in >95% purity. Molecular modeling of INFT revealed comparable binding energies to IPPI at site-1 of the Tau fibril with an affinity of IC 50 = 7.3 × 10 -8 M. Binding of [ 125 I]INFT correlated with the presence of Tau in the AD brain, confirmed by anti-Tau immunohistochemistry. The ratio of average grey matter (GM) [ 125 I]INFT in AD versus CN was found to be 5.9, and AD GM/white matter (WM) = 2.5. Specifically bound [ 125 I]INFT to Tau in AD brains was displaced by IPPI (>90%). Monoamine oxidase inhibitor deprenyl had no effect and clorgyline had little effect on [ 125 I]INFT binding. [ 125 I]INFT is a less lipophilic imaging agent for Tau in AD.