Nuclear Medicine and Biology 31 (2004) 1087–1095 Novel www.elsevier.com/locate/nucmedbio 99m Tc radiolabeled quinazolinone derivative [Qn-In]: synthesis, evaluation and biodistribution studies in mice and rabbit Saroj Kumaria, Neetu Kalraa, Pushpa Mishrab, Krishna Chutanib, Anil Mishrab,1, Madhu Chopraa,* a b Dr. B. R. Ambedkar Center for Biomedical Research, University of Delhi, Delhi 110007, India Institute of Nuclear Medicine and Allied Sciences, Brigadier Mazumdar Road, Timar Pur, Delhi 110054, India Received 6 September 2003; received in revised form 9 March 2004; accepted 22 March 2004 Abstract A quinazolinone derivative as a novel non-peptidic CCK-B receptor antagonist designated as Qn-In, was synthesized, characterized by spectroscopic techniques and evaluated for radiopharmaceutical potential. The efficiency of labeling with 99mTc was greater than 98% and the complex was stable for about 7 hours at 37°C in presence of serum. Affinity of Qn-In was determined to be in nanomolar range by competitive binding studies on cancer cell line MDA-MB-468. Bio-distribution of 99mTc labeled Qn-In in mice was examined by intravenous administration and time-activity curves were generated. The ligand showed binding to most of the organs, known to express CCK-B receptor. The lack of uptake in brain may be due to the inability of the complex to cross the blood-brain barrier. Our results show that 99mTc labeled Qn-In ligand provides a new template for further development of non-peptidic ligands for diagnosis and therapy of diseases related with CCK-B receptor. © 2004 Elsevier Inc. All rights reserved. Keywords: Cholecystokinin; Cholecystokinin-B/gastrin receptors; Nonpeptidic ligand 1. Introduction The gastrointestinal peptides gastrin and/or CCK have been implicated in various regulatory functions; as neurotransmitters in the brain and as regulators of various functions of the gastrointestinal tract, primarily at the level of the stomach, pancreas, and gallbladder [1]. In addition, they can act as physiological growth factors in most parts of the gastrointestinal tract [2– 4]. Gastrin and CCK possess the same five amino acids at their COOH terminus, which is biologically active site; their actions are mediated by two different receptor types, CCK-A and CCK-B/gastrin [5,6]. CCK-B/gastrin receptors are present in the gut mucosa and in the brain [1,7,8], whereas CCK-A receptors are present in the gallbladder, pancreas and brain [1,9]. Several human tumors over express receptors for small regulatory peptides [10], an observation, which has led to a * Corresponding author. Tel.: ⫹91-011-2766 6272; fax: ⫹91-0112766 6248. E-mail address: [email protected] (M. Chopra). 1 Current affiliation: Maxplanck Institute for Biological Cybernetics, Tuebingen, Germany. 0969-8051/04/$ – see front matter © 2004 Elsevier Inc. All rights reserved. doi:10.1016/j.nucmedbio.2004.03.014 99m Tc labeled Qn-In; Breast cancer; Biodistribution number of clinical applications in the diagnosis [11] and treatment of tumors [12]. Receptor autoradiograhic studies have shown that cholecystokinin CCK-B/gastrin receptors are expressed not only in more than 90% of medullary thyroid carcinomas (MTC) [13] but also in high percentage of small cell lung cancer, some ovarian cancer, astrocytomas, and potentially a variety of adenocarcinomas, gastrointestinal tumor, and colorectal cell lines [14]. The development of agonists or antagonists as tools to visualize and more recently to treat malignant tumors has been an important focus of interest over the past years. Somatostatin analogues such as 123I-Tyr- or 111In- DTPAD-Phe-Octreotide for human hepatocellular carcinomas [11,15], gastroenteropancreatic tumors and neuroendocrine tumors; Substance P [16] for hepatocellular carcinomas, Vasoactive intestinal peptide [17] for localization of intestinal adenocarcinomas and endocrine tumors, 131I labeleledgastrin and related peptide [14] for human medullary thyroid cancer have emerged as potentially useful candidates for in vivo scintigraphy and radiotherapy. However, a number of problems remained to be solved, such as molecular characteristics that render these peptide ligands as optimal candidates for in vivo targeting of tumors 1088 S. Kumari et al. / Nuclear Medicine and Biology 31 (2004) 1087–1095 Fig. 1. Design of novel quinazolinone derivative with heteroatom as linker in place of ethylene. expressing CCK-B receptor expressing tumors considering in vivo stability, affinity and selectivity for CCK-B receptor; or the potentially unfavorable accretion in normal organs such as liver, bowel, and kidney. The aim and objectives of present study was to develop a suitable non-peptidic ligand for targeting CCK-B receptors in vivo and evaluation of the synthesized ligand for biodistribution in CCK receptor expressing organs to be developed ultimately for diagnosis and treatment of malignant tumors. Asperlicin 1 (Fig.1), a week and non-selective CCK ligand, has been used as a lead for designing distinct series of novel non-peptidic CCK ligands by many research groups [18 –25]. Asperlicin has an inhibitory binding constant in the micro molar range for the pancreatic CCKreceptor [25]. The natural ligand possesses elements of 1,4-benzodiazepine ring and also contains a 3-hydroxyindole with similarities to L-Trp, a key amino acid of the bioactive region of CCK. Computer-assisted modeling was used to design benzodiazepine derivative L 365,260 which was selective antagonist of brain cortex CCK-B. Biodistribution of Carbon–11 labeled non-peptidic CCK receptor antagonists, [11C]L-365,260 and its enantiomer [11C]L365,246, have been evaluated in vivo for use in CCK receptor imaging with PET [26]. These radio-ligands show high selectivity in vivo to the two distinct CCK receptors. [11C]L-365,260, however, had no potential as a PET tracer for imaging brain CCK-B receptors because of its very low BBB permeability, [11C]L-365,246 on the other hand, may be useful for imaging peripheral CCK-A receptors with PET. Researchers at Eli-Lilly Company, using the molecular framework of Asperlicin, detected the presence of a 3-phenyl-4(3H)-quinazoline nucleus common to mecloqualone and methaqualone, both sedatives and hypnotic drugs. Using quinazoline as a template, a large series of compounds were synthesized of which LY 262691 (compound 2 in Fig. 1) demonstrated a high selectivity for brain cortex and gastrin CCK-B receptors [22,23]. On the basis of previous studies a series of CCK-B antagonists have been designed and synthesized [25]. It was shown that linker between the two aromatic moieties was critical for CCK-B receptor binding affinity. Compound 2 (Fig. 1) with a methylene group as a linker showed a moderate binding affinity and selectivity for CCK-B receptors. We predicted that an optimal linker between the two key moieties, the quinazolinone ring and the aryl ring, would bring them into preferred orientation, thus might provide more potent CCK-B antagonist. As a part of a search for an optimal linker we examined the effect of a heteroatom as a linker and an indole ring as aryl moiety (Fig. 2) linked to the quinazolinone ring. In this paper we present the synthesis, in vitro and in vivo studies of this novel compound. 2. Material and methods 2.1. Chemicals and reagents used The compound (3Z)-1H-indole-2,3-dione 3-{[3-(4-methylphenyl)-4-oxo-3,4-dihydroquinazolin-2-yl]hydrazone} (QnIn) was synthesized in our laboratory. Cholecystokinin (CCK) fragment 26 –33 was synthesized at Dr. T.P. Singh’s Laboratory at All India Institute of Medical Sciences (AIIMS), New Delhi. The peptide was stored as a lyophilized powder at ⫺20°C. All other chemicals were of analytical grade purchased from Sigma, Aldrich, Fluka and Merck Chemical Co. All the solvents were used after distillation. 2.2. Instrumentation Melting points were determined by using Thomas Hoover apparatus and are uncorrected. The 1H NMR spectra were obtained by using Brucker spectro spin DPS 300 MHz. S. Kumari et al. / Nuclear Medicine and Biology 31 (2004) 1087–1095 1089 Fig. 2. Scheme for the synthesis of 3-(4-methylphenyl)-2-[2-(2-oxo-2,3-dihydro-1H-indol-3-yl)hydrazino]quinazolin-4(3H)-one (Qn-In). at IIT Delhi and tetramethylsilane was used as internal standard. I.R. spectra were recorded by using Shimadzu instrument model no. 8300 and MASS spectra on AP 1, PE SCEIX, LC/MS/MS. Radio imaging and biodisrtibution studies were done using GE HAWKEYE Dual Head ␥ camera with CT and ␥ scintillation counter (GRS230, ECIL). 2.3. Synthesis of quinazolinone derivatives (Qn-In): (Fig.2) NMR, DMSO-d6, ␦: 7.9250 –7.8995 (d, 1H, J⫽7.65 Hz), 7.7874 –7.7615 (t, 1H, J⫽7.77, Hz), 7.3890 –7.3361 (t, 3H, J⫽7.92 Hz), 7.1871–7.1615 (d, 3H, J⫽7.68 Hz), 6.7874 (brs, 1H), 4.3913 (brs, 2H), 2.3935 (s, 3H). 2.3.3. Step 3: Synthesis of (3Z)-1H-indole-2,3-dione 3-{[3(4-methylphenyl)-4-oxo-3,4-dihydroquinazolin-2yl]hydrazone} (Qn-In) (5) An equimolar mixture of 2,3-dioxoindole (0.499 g, 0.0034 mol) and 2-hydrazino-3-(4-methylphenyl)quinazolin-4(3H)-one (1 g, 0.0034 mol) was refluxed in 50 mL of absolute ethanol for 2 hours. The precipitate thus formed was filtered, washed with cold ethanol and dried to give title compound. Yield 0.6 g (68%), m.p. 280°C; IR, max, cm⫺1: 3184.3 (NH), 1708.8 (C⫽O) 1H NMR, DMSO-d6, ␦: 11.53 (s, 1H), 10.43 (s, 1H), 8.0068 –7.9811 (d, 1H, J⫽8.19 Hz), 7.8791–7.8486 (d, 1H, J⫽7.38 Hz), 7.7688 –7.7442 (t, 1H, J⫽7.38 Hz), 7.4076 –7.3809 (d, 2H, J⫽8.01 Hz), 7.3106 – 7.2557 ( t, 2H, J⫽8.22 Hz), 7.1543–7.1046 (t, 2H, J⫽7.44 Hz), 6.8393– 6.8143 (d, 1H, J⫽7.50 Hz), 6.7406 – 6.7150 (d, 1H, J⫽7.68 Hz), 6.5013– 6.4515 (t, 1H, J⫽7.47 Hz), 2.45 (s, 3H); MASS: m/e M⫹ 395 [calculated 395.414]. 2.3.1. Step 1: Synthesis of 3-(4-methylphenyl)-2-thioxo2,3-dihydroquinazolin-4(1H)-one (3) Anthranilic acid (3.0 g, 0.021 mol) and 4-methylphenylisothiocynate (3.26 g, 0.021 mol) were refluxed in 75 ml acetic acid for 16 hours. The white lustrous crystals was separated by filtration and washed with water until the washings showed neutral pH. The crystalline product was dried and checked for purity using TLC (ethyl acetate: petroleum ether) yield was 4.5g (85%), m.p. ⬎300°C ; IR, max, cm⫺1: 3245.02 (NH), 1662.43 (C⫽O), 1200.05 (C⫽S) 1H NMR, DMSO-d6, ␦: 12.965 (Brs, 1H), 7.953– 7.927 (d, 1H, J⫽7.8 Hz), 7.797–7.4699 (t, 1H, J⫽8.4 Hz), 7.4507–7.4238 (d, 1H, J⫽8.07 Hz), 7.3591–7.2547 (m, 4H), 7.1401–7.1201 (m, 1H), 2.3641 (s, 3H). 2.4. 99mTc radio labeling of the compound Qn-In and determination of in vitro serum stability 2.3.2. Step 2: Synthesis of 2-hydrazino-3-(4methylphenyl)quinazolin-4(3H)-one (4) A mixture of thioxoquinazolinone (3, 3.0 g, 0.0117 mol) and anhydrous hydrazine (9 ml, 0.12 mol) in 100 ml of methanol was refluxed for 18 hours. The solid was separated by filtration, washed with cold methanol and was dried. Yield 2.2 g (71%), m.p. 193–194°C; IR, max, cm⫺1: 3497.67, 3311.65, 3209.05 (NH’s), 1673.02 (C⫽O) 1H 100 l of 0.02 nM solution of the compound Qn-In (in PEG 600:ethanol::4:6) was taken in a vial. 50 l of 1⫻10⫺2 M SnCl2.H2O dissolved in 10 % acetic acid was added to the compound. pH was adjusted to 6.5 by using sodium bicarbonate buffer 100 l of 0.02 nM 99mTcO4⫺ was added to the reaction mixture and incubated for 15 minutes at room temperature. Labeling of the compound and Rf were checked by ITLC-SG (Table 1). Labeled complex was in- 1090 S. Kumari et al. / Nuclear Medicine and Biology 31 (2004) 1087–1095 Table 1 Rf values Complexes Saline (Rf) Acetone (Rf) PAW (Rf) Qn–ln Na99mTcO4 Reduced 99mTc 99m Tc labeled Qn–ln 0 1 0 0.2 0.7 1 0 0.2 ND ND 0 1 cubated at 37°C in fresh rabbit serum at a concentration of 1 nM mL⫺1. Serum stability was assessed by ITLC. 2.5. Determination of the composition of the labeled Qn-In 99m Tc Number of the ligand (Qn-In) molecules involved in complexation with 99mTc was determined by ascending thin layer chromatography on ITLC-SG (Paul Gelman, Ann Arbor, MI, USA) strips using 100% acetone as developing solvent and simultaneously in pyridine, acetic acid and water (PAW) (3:5:1.5). Each TLC was cut in 0.5-cm segments and counts of each segment were taken. By using this method percentage of free Na99mTcO4⫺, reduced 99mTc and the complex formed between 99mTc and Qn-In could be calculated (Tables 1 and 2). with trypsin (0.05%) in HBSS. The cells were then suspended in 500 L of HBSS and counts were taken in gamma scintillation counter. Bound and free drug concentration was calculated and data were analyzed using software EQUILIBRATE from graph pad. 2.7. Scintigraphic studies in rabbits and biodistribution in mice Albino New-Zealand rabbits and albino mice strain A were used for the imaging and tissue distribution studies respectively. Animal handling and experimentation was carried out as per the guidelines of the Institutional Animal Ethics Committee. 2.7.1. Scintigraphic studies Scintigraphic studies of the 99mTc labeled Qn-In were done in presence and absence of the CCK, the natural agonist. 10 Ci of the labeled compound was injected intravenously into the animal through ear vein. Results are shown in Fig. 3. Simultaneously in another animal CCK-8 (1 mg/kg) was injected 10 minutes before injection of the radio labeled test compound. Serial images of whole body were taken at different time intervals under the gamma camera to find out the specificity of labeled products and a representative image taken after 30 minutes is shown in Fig. 3. 2.6. Affinity determination Competitive binding studies of the 99mTc labeled ligands were performed on breast cancer cell line viz. MDA-MB468. The cell lines has been shown to express CCK-B/ gastrin receptor mRNA [27] by RT-PCR technique in our laboratory. Approximately 1⫻106 cells per plate in Growth medium DMEM and 10% FCS were incubated for 40 minutes at different concentrations of the labeled ligand in absence and presence of CCK-8 (10 M, pre-incubation for 10 minutes at 30°C). The cells were washed three times with buffer HBSS (HEPES/NaOH 7.4 pH) and then treated Table 2 Determination of composition of the compound Qn–ln with the 99m Tc S. No. Molar ratio (Qu–ln: 99mTc ) % Labeling 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 1:1 0.8:1 0.6:1 0.4:1 0.2:1 0:1. 1.2:1 1.4:1 1.6:1 1.8:1 2.0:1 98.69 81.02 62.15 38.00 20.77 100% reduced 98.39 98.23 97.77 96.58 78.65 2.7.2. Biodistribution studies For biodistribution studies albino mice strain (A) was used as animal model and complex of 99mTc labeled Qn–In was used. An equal dose of 10 Ci of labeled test compound was injected in mice through tail vein of each animal. Similarly in another group of animals CCK-8 (1 mg/kg) was injected 10 minutes before injection of the radio labeled test compound and biodistribution was studied under receptor saturation conditions. At different time intervals mice were sacrificed, blood was collected and different tissues and organs were dissected and analyzed. The radioactivity was measured in a solid gamma counter. The actual amount of radioactivity administered to each animal was calculated by subtracting the activity left in the tail from the activity injected. Radioactivity accumulated in each organ was expressed as percent administered dose per gram of tissue. Total volume of the blood was calculated as 7% of the body weight. 2.8. Blood kinetics studies The blood clearance study was performed in albino NewZealand rabbits weighing approximately 2.5–3.0 kg after administration of 30 Ci of the 99mTc labeled Qn-In in 0.3 mL via the ear vein. At different time intervals about 0.5 mL blood samples were withdrawn from the dorsal vein of other ear and radioactivity was measured in the gamma counter. S. Kumari et al. / Nuclear Medicine and Biology 31 (2004) 1087–1095 1091 Fig. 3. Saturation analysis of the in vitro binding of 99mTc labeled Qn-In to breast cancer cell line, MDA-MB-468 (I). The specific binding is expressed as a function of total radio ligand in the incubate. (II) is the representative Scatchard plot of the specific binding data to ratio of bound to free (B/F). Data shown are the mean of three different experiments. The data from the experiment were expressed as percentage of administered dose at each time interval. 3. Results 3.1. Synthesis, labeling, and serum stability of the quinazolinone derivative The synthesized compound was characterized by IR, NMR, and MASS spectroscopic studies. Table 1 shows the Rf values of the relevant 99mTc complexes. Labeling efficiencies were more than 98%. Results of serum stability studies showed that the metal ion was intact under physiological conditions. Unbound radioactivity was less than 0.5% in 7 h. 3.2. Composition of the complex between 3.3. In vitro binding affinity determination Competitive binding affinity constant was determined in cell suspension using breast cancer cell line (MDA-MB468). Bound and free ligand concentration was calculated and specifically bound [ligand] was plotted against total [ligand] (Fig. 4). Each data point is average of three readings. Specific binding increased with increase in concentration and reached saturation. The specific [bound] and free [ligand] concentration data were analyzed using the software “EQUILIBRATE” from Graph Pad and Scatchard analysis was done. The plots and result are shown in Fig. 4. Kd was calculated to be 17.382 nM. 3.4. Biodistribution studies in mice and scintigraphic studies in rabbits 99m Tc and Qn-In The composition of the complex formed between 99mTc and quinazolinone derivative [Qn-In] was determined by using ITLC method (Table 2). Different molar ratios of the Qn-In and 99mTcO4⫺ were incubated and ITLC was run simultaneously in two different solvent systems. Difference between Rf values in acetone medium to that in pyridine medium could be used to determine the percentage labeling of the compound. It was observed that on increasing the concentration of Qn-In in the reaction mixture percentage labeling increased up to nearly 1:1 molar ratio. Beyond this ratio percentage of radiolabeling remained almost constant. Each value is mean of three different test reactions. This suggested the formation of 1:1 complex between the compound and 99mTc. Solvent molecules might occupy rest of the valency of the 99mTc. The 99mTc radiolabeled Qn-In was injected intravenously into mice and biodistribution was determined as a function of time (Fig. 5) differentiating those tissues which are known or expected to express CCK receptors [Fig. 5, upper panel], organs involved in blood pool and excretion of the ligand [Fig. 5, lower panel]. Highest tracer uptake was observed in liver after 1 hour p.i. The uptake decreased with time but showed appreciable retention and accretion. Significantly higher uptake and long retention time was observed in stomach. Stomach uptake of the ligand increased initially and was maximized at 1 hour, thereafter-decreased upto 24 hours with considerable retention as compared to intestine. This is also reflected by an external scintigraphic visualization of these tissues in rabbit (Fig. 3). The external Scientigraphic image depicts high activity regions in stomach and intestine region. The radioactivity decreased in 1092 Fig. 4. Biodistribution of (lower panel). S. Kumari et al. / Nuclear Medicine and Biology 31 (2004) 1087–1095 99m Tc labeled Qn-In in CCK-B receptor expressing tissues (upper panel) and organs involved in excretion and blood pool organs rabbit pretreated with 1 mg/kg of CCK-8, 10 min before the injection of the radio- ligand. In the case of intestine (Fig. 5) the uptake was highest at 1 hour and thereafter decreased up to 24 hour. Very low activity was observed in brain which could be due to the inability of the complex to cross the blood-brain barrier. Spleen showed highest uptake after 4 hour where as uptake in blood decreased in 24 hours. There was uptake in heart also, which cleared after 24 hour. The rapid blood clearance was also evident from the blood kinetics study shown in Fig. 6. 3.5. Inhibition of in vivo 99m Tc labeled Qn-In The results of pretreatment studies of 99mTc labeled Qn-In are shown in Fig. 7. Blocking with 1 mg/kg of CCK-8, 10 minutes before the injection of the radio-ligand reduced the accumulation in stomach to about 30% of control where as the activity in the intestine was reduced to 50% at 1 hour p.i. There was increased accumulation of activity in liver, but reduction in case of rest of the organs studied. 4. Discussion A variety of biologically active neuropeptides are known to exist in the mammalian brain and to have neurotransmitterlike properties. It is also well established that most neuropeptides coexist with classical low molecular weight neurotransmitters, like dopamine, within neurons in the brain. S. Kumari et al. / Nuclear Medicine and Biology 31 (2004) 1087–1095 Fig 5. Whole body scintigraphic images of rabbit after injection of 10 Ci 99m Tc labeled Qn-In (dorsoventral) at 30 min (a) untreated rabbit b) pretreatment using 1 mg/kg CCK-8, injection given 10 minutes before 99m Tc labeled Qn-In. Functional studies of these neuropeptides, however, are less advanced from those of classical transmitters because of lack of potent agonists and antagonists for these peptide receptors, especially the non-peptide analogs that have the ability to cross blood brain barrier. Recently, based on the development of novel CCK antagonists such as MK-329 and L-365, 260, the central role of CCK in several processes has been elucidated. Further, the modulation of dopamine functions, by CCK, through the two distinct CCK receptors have been reported in mammalian dopamine neurons [26]. Reubi and Waser [13] have been able to show the presence of CCK-B receptors in more that 90% of Medullary thyroid cancers with the help of receptor autoradiographic studies. A high percentage of other tumor types such as lung cancer, stromal ovarian cancer, astrocytomas, gastrointestinal cell lines, colorectal, breast MCF-7, hepatocellular carcinomas also show expression of CCK–B receptor, in which the peptides appear to have growth promoting effects. Behr et al. [14] have demonstrated biodistribution of a 1093 variety of CCK-B/gastrin related peptides labeled with I-131 by iodogen or Bolten hunter reagents and In-111 by using DTPA bifunctional chelating agents in nude mice bearing subcutaneous human MTC xenografts. They proposed that CCK-B/gastrin analogues might be useful new class of receptor binding peptides for the diagnosis as well as therapy of CCK-B receptor expressing tumors. In the non-peptide category C-11 labeled L365, 260 and its enantiomer L-365, 346 have been studied for probing CCK receptors in vivo by PET. Among these two [11C]L-365, 260 a potent CCK-B receptor specific antagonist had very low brain permeability and low potential for probing brain CCK-B receptors [26]. We have been able to demonstrate the synthesis of a non-peptidic 99mTc radio labeled ligand Qn-In and evaluated its in vitro receptor binding affinity to MDA-MB-468 (Kd⫽17.38 nM) cancer cell line. Biodistribution studies of the ligand in mice showed binding to most of the organs known to express CCK-B receptor. The lack of uptake in brain is explained by the inability of the ligand to cross the blood-brain barrier. The animal distribution data showed significant targeting of the complex to CCK-B receptor expressing tissues such as stomach with long retention of activity. High non-specific activity in liver was later secreted through hepatobiliary excretion to bowel (Fig. 3) leading to uptake in intestine. The biodistribution studies showed the uptake of radiolabeled complex in the stomach and gut was decreased when the animal was pretreated with CCK-8. In this case the possibility of formation of free Tc by degradation of the complex could not be ruled out. Earlier reports using [11C]L-365, 260 and [11C]L-365, 346 showed the specific uptake in the stomach in the case of [11C]L-365, 260 and in the pancreas and gall bladder in the case of [11C]L-365, 246. In our case besides uptake of the radiolabeled complex in stomach, there was uptake in the heart also, which could not be explained. The high activity in the spleen could be attributed to possible formation of aggregates under in vivo conditions. This was also suggested by uptake in the lung observed in one of the experiments (data not shown) in external scintigraphic image using rabbit as the experimental model. Fig. 6. Blood kinetics studies in rabbit. 1094 S. Kumari et al. / Nuclear Medicine and Biology 31 (2004) 1087–1095 Fig. 7. Biodistribution of 99mTc radiolabeled Qn-In in mice after pretreatment using 1 mg/kg CCK-8, injected 10 minutes before the radio ligand (n⫽4). Data collected 60 minutes after injection. Thus the quinazolinone ring structure fused to indole ring via heteroatom as linker might provide lead for new types of compounds having CCK-B receptor affinity. But there is non-specific uptake in other organs such as intestine, liver, heart and spleen, as implicated by biodistribution results. This limitation can be overcome by changing the basic ring structure by varying the methyl substitution in the benzene ring to give more potent CCK-B receptor specific ligands. Work in this direction is underway in our laboratory. The new non-peptide CCK ligand might be useful for tumor diagnosis, although a detailed study on the uptake of 99m Tc labeled Qn-In in various human cancer cells expressing CCK-B/gastrin receptors will be required. 5. Conclusion In the context of the earlier reports where I-131 and In-111 label were utilized to carry gastrin related peptides(REF), our non-peptidic ligand labeled with 99mTc appears to be more convenient for clinical purposes because of easy labeling formulation and more favorable physical imaging characteristics of technetium as compared to iodine. The results of this study indicate that the new tracer binds CCK-B receptors in vivo in rabbit and mice. But its uptake in organs such as liver, heart and spleen suggests that its structure can be further improved to over come the nonspecific binding. 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