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University of Groningen

Metallodrugs for therapy and imaging: investigation of their mechanism of action

Spreckelmeyer, Sarah

IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below.

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Publication date: 2018

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Spreckelmeyer, S. (2018). Metallodrugs for therapy and imaging: investigation of their mechanism of action. University of Groningen.

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Chapter A4

Overcoming the Limitations in Thrombosis

Treatment:

A Bifunctional Chelator as Positron Emission

Tomography-Imaging Probe for Detecting Blood

Clots

Sarah Spreckelmeyer,a,b Frank M. Lee;c Ed Pryzdialc and Chris Orviga

a Medicinal Inorganic Chemistry Group, Department of Chemistry, University of British

Columbia, 2036 Main Mall, Vancouver, British Columbia, V6T 1Z1, Canada

b Department of Pharmacokinetics, Toxicology and Targeting, Groningen Research

Institute of Pharmacy, University of Groningen, Antonius Deusinglaan 1, Groningen 9713 AV, The Netherlands

c Centre for Blood Research, Life Science Centre, 2350 Health Sciences Mall, Vancouver,

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1. Abstract

Nuclear imaging techniques such as Positron Emission Tomography (PET) are useful tools for the non-invasive detection of low concentrations of radiotracers in the body. We aimed to design a bifunctional chelator that contains the well-studied 68Ga chelator

H2dedpa and a thiol reactive group for conjugation to the coagulation

factor FXa in order to detect and localize blood clots to facilitate surgical removal. In total, four different approaches to obtain the bifunctional chelator were investigated, three approaches using maleimide derivatives for thiol-coupling and one approach using an acrylate derivate. The maleimide functional group obtained in 2 reactions was found to be unstable under basic conditions. Moreover when we tried to synthesize a cyclic maleimide group, ring closure of the maleimide did not occur presumably due to steric hindrance of the carboxylic acids from the picolinic acid moieties. Reaction 4 yielded a promising acrylate analogue of H2dedpa, which showed good reactivity

with the thiol group of glutathione. Further experiments have to be conducted to confirm this reactivity and subsequently Ga3+ chelation,

radiolabeling experiments with 68Ga3+, stability experiments in human

serum as well as phospholipid binding experiments need to be performed to obtain a successful diagnostic for blood clots.

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2. Introduction

Blood clots are a serious health risk due to their ability to block blood flow and cause heart attacks and stroke. These debilitating and life threatening events are the largest healthcare burden on the globe. Several pharmaceuticals for the treatment of blood clots, based on the physiological clot-dissolving protein tissue plasmin activator (tPA) have been developed; however, these FDA-approved drugs exceed the physiological concentration of tPA by many orders of magnitude, which leads to unfavorable systemic effects and haemorrhagic risk. Despite the development of several potential new drugs, which were tested in major clinical trials, advances have been disappointing and the trend has been toward surgical extraction of the clot. Thrombectomy also has limitations, such as bleeding and difficulties in identification of clot location.1

The hemostasis of blood has a complex mechanism for maintaining blood fluidity and conversion to insoluble gel in sites of vascular injury. Blood coagulation (Figure 1) and fibrinolysis are usually in equilibrium, constantly repairing trivial lesions in the body. Upon endothelium injury, loss of the endothelial layer activates platelets to change shape and adhesion properties to form the primary hemostatic plug. Platelets also release key clotting proteins, such as Factor V, von Willebrand Factor (vWF) and fibrinogen to promote stronger adhesion of platelets to the site of injury.2 An additional flip-flop reaction that

exposes negatively charged phospholipids to the outer membrane of platelets provides a surface for the generation of thrombin and fibrin. This mechanism is called secondary hemostasis, which is a carefully controlled proteolytic cascade that forms a clot. The coagulation cascade consists of an intrinsic and extrinsic pathway (not discussed in detail here, but shown for completeness in Figure 1) that both lead to activation of a key serine protease FXa. FXa cleaves prothrombin zymogen in two places, yielding its active form thrombin. Importantly, this process is facilitated by the prothrombinase complex that consists of FXa and FVa assembled on negatively charged phospholipid membranes in the presence of calcium ions. Thrombin then converts

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fibrinogen to fibrin, the building block of a haemostatic plug. In addition, thrombin activates more platelets with FXIII and consequently more FXa is synthesized locally at the side of injury (Figure 1). When the concentration of FXa surpasses the threshold of physiological anticoagulants, fibrin can generate a clot.3 Due to its key role in

coagulation, FXa is a prominent drug target for therapeutic anticoagulants and its mechanism of action is well studied.4

Fibrinolysis is the counterpart of blood coagulation that breaks down the cross-linked fibrin by plasmin. Plasminogen is the zymogen of plasmin and is produced in the liver. It has an affinity for clots and is incorporated into them. Plasminogen is activated to plasmin by tissue plasminogen activator (tPA) or urokinase. tPA is released slowly into the blood stream by damaged endothelium. Additionally, plasmin stimulates the production of tPA and urokinase via a positive feedback mechanism.

Figure 1. Pathways of the blood coagulation cascade (reproduced with

permission from Haematology, 2nd edition (C.J.Pallister and M.S. Watson), © Scion Publishing Ltd.

Early detection of blood clots, and particularly at low concentrations, is challenging with the imaging techniques available

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nowadays: Magnetic resonance imaging (MRI), ultrasound (US) and computed tomography (CT). These techniques only look at one part of the body at a time, thereby delaying subsequent treatment and increasing the risk for complications. Nuclear imaging techniques (SPECT, PET) have a high sensitivity for the detection of low concentrations of a radiotracer and single whole-body scans can be obtained. Conjugation of radiotracers to biomolecules, which target to the object to be imaged, is a widely established method.5 Applying this

approach to the detection of blood clots will help to develop new thrombolytic agents and to pinpoint clots for thrombectomy, thus improving the safety and efficacy of the treatment. Investigation of radiolabeled proteins that bind to blood clotting proteins for tracking blood clots is therefore a worthy endeavour with a great deal of potential for life-saving developments.

Thus far, different tracers have been studied for the diagnosis of blood clots. Most prominent, peptides targeting fibrin or platelet receptors were investigated with 99mTc (e.g. 99mTc-HYNIC-CGPRPPC in

Figure 2)6 or 111In for SPECT imaging. In the past 10 years, tracers for

PET imaging such as 18F-Fluorodeoxyglucose (18FDG) and most

recently 64Cu-fibrin-binding probe 8 (64Cu-FBP8) coupled to

1,4,7-triazacyclononanetriacetic acid (NOTA)7,8 were investigated to detect

arterial thrombosis (Figure 2). In the search for a highly localized target other than fibrin, FXa is a promising target, since FXa highly accumulates at the site of clots at the side of endothelial injury due to anionic phospholipid-binding.

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Figure 2. Radiotracers discussed in this work.

To our knowledge, there is no literature published on the synthesis of an imaging tracer linked to FXa. Our group has developed numerous ligands with the ability to chelate various radiometals for different purposes. H2dedpa-p-Bn-NH2 (Figure 2) is well studied as a 67Ga chelator for SPECT imaging; Ga3+ has another radioisotope,

positron emitter 68Ga, which makes it suitable for PET imaging.

The aim of this study was to design a bifunctional chelator consisting of the 68Ga chelator H

2dedpa with a thiol reactive group, in

order to conjugate it to the coagulation factor FXa via a thiol functional group inserted on FXa as published by Pryzdial et al.9 for the detection

and localization of blood clots to facilitate surgical removal. Thus, we present here the synthesis approaches of bifunctional H2dedpa that

bears a thiol reactive functional group. Different reactions were considered, as summarized in Table 1. We selected to use reaction #5 and #8 from Table 1, since they are well known reactions in biochemistry as they can occur under physiological conditions, whereas the other reactions are only used in basic chemistry under non-physiological conditions. Furthermore the maleimide-linkers have been applied frequently and they are commercially available.10,11 The

O N O N O HN O NH H2N N O O HN O O OH S S N N HN Tc99m L L L L L [99mTc]-HYNIC-CGPRPPC (L= tricine/EDDA)6 N N N O HO O O HO OH O (AGADON)2Pep N N N O OH O O OH HO O [64Cu]-FBP8 64Cu 64Cu O H HO H HO OH OH 18F H H OH [18F]-FDG NH HN H2N N N OH OH O O H2dedpa-p-Bn-NH2

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thiol reaction with the electron-withdrawing group (EWG) looks promising in the literature as well and is discussed below in more detail.

Table 1. Summarized thiol-reaction with R1-SH as thiol12 (EWG = electron

withdrawing group, X= halide)

# Functional

group Product # Functional group Product

1 6 2 7 3 8 4 9 5 R X R S R1 R R S R1 S R1 R X O R S O R1 S O O R S O O R S R1 F F F F F F F S F F R1 R N O O R N O O S R1 R R SR1 S S N R S S HN R R 1 S EWG EWG S R1

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3. Results and Discussion 3.1 Synthesis

Figure 3. Approaches for the linkage of H2dedpa to a thiol reactive funtional

group.

Four different approaches to synthesize a thiol-reactive H2dedpa analogue were attempted, summarized in Figure 3. In the

following, the rationale of the different approaches is described and the results are presented.

Approach 1 was aimed to conjugate the linker smPEG4 that contains a maleimide functional group to H2dedpa-p-Bn-NH2. The linker

bears an activated N-hydroxysuccinimide (NHS) ester that can easily NH HN N O OH NH2 N O OH O O N O O NH N O O O O O O O O NH N O O O O O O O NH HN N O OH NH N O OH NH HN N O OH NCS N O OH O NH N O O O O O O O HN OH O H2N O NH N O O O O O O O NH OH O NH NH HN N O OH NH N O OH S NH HN N O OH N N O OH O O N N N O OH NH N O OH O #1 #2 #3 #4 NH HN N O OH NH2 N O OH N N N O OH NH2 N O OH Cl O O O O DMAP, DIPEA dry DMSO dry DMSO AcOH H2O, acetone H2dedpa-p-Bn-NH2 smPEG4 H2dedpa-p-Bn-NCS smTEGK

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react with a primary amine to form an amide bond. The product was synthesized, the obtained structure was confirmed by ESI-MS and 1H

NMR spectroscopy (Figure S 1) and further tested for maleimide reactivity (see DTNB assay below).

In approach 2 smTEGK, containing a maleimide group, was conjugated to H2dedpa-p-Bn-NCS. However this approach failed. No

product formation was observed. The reason for that might have been lack of product formation, or loss of the product during purification processes that included extraction and HPLC. However, we could not further investigate this due to a limited amount of starting material.

For approach 3, H2dedpa-p-Bn-NH2 was used to synthesize the

maleimide functional group directly on the primary aromatic amine without a linker (Scheme 1). H2dedpa-p-Bn-NH2 was synthesized using

an established protocol13 (Scheme S1). First a model reaction was

used to probe the reaction conditions, using glycine as starting material (Scheme 2). Given successful product formation of the model reaction, the same conditions were used for the reaction between H2dedpa-p-Bn-NH2 and maleic anhydride. The intermediate formation

was successful, as indicated by ESI-MS and NMR spectroscopies (Figure S2, Figure S3 and Figure S4), but the ring closure to obtain a maleimide functional group did not occur, presumably because of steric hindrance of the carboxylic acids from the picolinic acid moieties. Two approaches were carried out to solve this problem, refluxing the reaction mixture in H2O, and adding concentrated H2SO4 to protonate

the carbonyl group as a catalyst, but neither approaches resulted in ring closure (Scheme 1).

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Scheme 1. Synthesis of H2dedpa-p-Bn-maleimide #3

Scheme 2 . Model reaction for ring closure for maleimide synthesis.

With approach 4 we succeeded to get promising results. In Scheme 3, the synthesis route of H2dedpa-p-Bn-acrylate is illustrated.

This approach was based on the synthesis of intermediate f (Scheme S1) as published by Boros et al. 13 who evaluated the differences on 67Ga radiochemical yield as well as apo-transferrin binding stability

between H2RGD-1 and H2RGD-2 and found high radiochemical yields

(RCYs) with 67Ga with both ligands. These ligands bear the cyclic RGD

peptide either on the ethylenediamine backbone or on the secondary nitrogens, respectively.13 It was found, that for both ligands,

quantitative labeling could be achieved, with [67Ga(RGD-1)]+ being more

stable after 2h (92 %) than [67Ga(RGD-2)]+ (72%) assessed in transferrin

stability experiments. NH HN H2N N N OH OH O O NH HN NH N N OH OH O O O O HO NH HN N N N OH OH O O O O maleic anhydride H2O reflux AcOH H2dedpa-p-Bn-NH2 H2dedpa-p-Bn-maleimide NH2 NH O O HO N O O H2O reflux AcOH, argon O O O O HO O HO O HO

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Here, the nitro functional group of intermediate f was reduced with Pd/C 20% loading and hydrogen for 2 h to yield compound 1 (Scheme 2). The N-benzyl groups stayed intact due to the short reaction time and less Pd/C loading compared to the established protocol. The N-benzyl protection groups were kept intact in order to prevent side-reactions with acryloyl chloride on the secondary amines. After that, the amine functional group was functionalized with acryloyl chloride to an acrylate 2. Deprotection of the methyl esters of the picolinic acids yielded product 3.

Scheme 3. Synthesis of H2dedpa-N,N'dibenzyl acrylate #4

The product 3 was analyzed by 1H NMR (Figure 4), 13C NMR

(Figure S5), 2D-HSQC (Figure S6) spectroscopy and HR ESI-MS. Concerning the 1H NMR spectrum, double bond protons usually show

chemical shifts between 4-7 ppm; here, we observed three peaks in that N N O2N N N O O O O N N H2N N N O O O O N N HN N N O O O O O N N HN N N OH OH O O O Pd/C, H2 MeOH Cl O K2CO3, H2O : acetone (1:4) LiOH THF : H2O (1:3) H2dedpa-N,N-dibenzyl-acrylate, 3 f 1 2

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proton (Figure 4). These peaks represent the acrylate double bond. In the 13C NMR spectrum (Figure S5), alkenes usually have a chemical

shift between 115-140 ppm. Here, 127.1 ppm, 128.7 ppm and 129.1 ppm are the chemical shifts for the acrylate alkene protons. This is due to the negative inductive effect of the carbonyl group. The other peaks are difficult to assign, but the integrations of the hydrogens correspond with the theoretical number of hydrogens.

Figure 4. 1H NMR spectrum of compound 3 (400MHz, MeOD, 25°C).

3.1.1. Thiol bioconjugation of compound 3

In the next step, a model reaction was designed to test the thiol bioconjugation reaction ability to the acrylate functional group of compound 3. Glutathione a tripeptide of glutamate, cysteine and

2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.0 8.5 9.0 f1 (ppm) 3. 31 C D 3O D

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glycine was chosen as a thiol-containing protein analogue, due to its structural similarity to proteins. The reaction scheme is given in Figure 5. As starting material, the tri-acrylate functionalized H2dedpa 4 was

used that was synthesized from a by-product during the synthesis of intermediate 2. The product 5 precipitated due to its insolubility in hexylamine. Furthermore, during purification with HPLC, the picolinic esters appeared to be cleaved by trifluoroacetic acid (TFA), as suggested by ESI-MS. The product was analyzed by ESI-MS and 1H

NMR (Figure 6, where differences between the starting material and the final product are indicated by arrows), 13C NMR and 2D HSQC

spectroscopy. The 1H NMR spectrum clearly showed the

disappearance of the alkene signals and appearance of additional peaks in the alkyl region for the glutathione protons. The integrations fit to the theoretical values of the number of protons.

To test the reactivity of the acrylate group of compound 3, the compound was incubated with bovine serum albumin (BSA), a thiol-containing protein, and the remaining thiol groups were analysed using DTNB using the same protocol for assessing the reactivity of attempt 1 (see below). Unfortunately, the BSA precipitated in the solvent of the model reaction, making the measurement of the absorbance of DTNB impossible. In the future, the addition of a water/methanol mixture may help to dissolve the BSA. Alternative methods should be developed to validate the reactivity of the acrylate groups with thiol functional groups.

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Figure 5. Model reaction for approach 4. N N NH N N O O O O O O O N N HN N N OH OH O O S O O O HN O HN COOH O COOH H2N S NH O HN HOOC O HOOC NH2 S HN O NH COOH O COOH H2N hexylamine/H2O 4:1 SH HN O HN COOH O COOH H2N 4 5 glutathione 2.4 2.8 3.2 3.6 4.0 4.4 4.8 5.2 5.6 6.0 6.4 6.8 7.2 7.6 8.0 8.4 f1 (ppm) 3. 31 C D 3O D 3. 31 C D 3O D H2O H2O

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Figure 6. 1H NMR spectra of model reaction of glutathione with #4; starting

material (top), product (bottom) (400 MHz, MeOD, 25°C); arrows indicate the differences between the two compounds changes.

3.2 DTNB Assay

The product of attempt 1 was further characterized by determining the maleimide reactivity of H2dedpa-smPEG4 compared to

the positive control smTEGK (Figure 7). BSA was used as a thiol-containing probe to conjugate to the maleimide functional group of H2dedpa-smPEG4. Unreacted thiol groups of BSA then reacted with

5,5′-dithiobis(2-nitrobenzoic acid) (DTNB) to form a colored compound with absorbance measurable at 412 nm. Thus, a high absorbance indicates a high concentration of unreacted thiols. As seen in Figure 8A, the absorbance decreases with increasing the concentration of the positive control smTEGK until about 75 µM smTEGK, where the concentration of smTEGK is equal to the concentration of the free thiol groups on BSA. When iodoacetamide (IAA), which also reacts with free thiol groups, was added at the highest concentration of smTEGK, no further decrease was observed indicating that all reactive thiols of BSA have been coupled to smTEGK. Figure 8B shows that the absorbance did not decrease with increasing concentration of H2dedpa-smPEG4.

This result suggests that the maleimide functional group on H2

dedpa-smPEG4 is not functional. This could be due to the presence of impurities or instability of the maleimide functional group. From these results we conclude, that either the synthesis was not successful or the product is not stable under the applied conditions.

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Figure 7. Structure of positive control smTEGK used in the DTNB assay.

Figure 8. DTNB results of approach 1 (A: positive control, B: H2

dedpa-smPEG4). O NH N O O O O O O O HN OH O H2N smTEGK 0 25 50 75 100 125 150 0.00 0.05 0.10 0.15 0.20 0.25 smTEGK [µM] Absorbance A + IAA 0 25 50 75 100 125 150 0.00 0.05 0.10 0.15 0.20 0.25 [mTEGdedpa] (µM) Absorbance B + IAA

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4 Conclusions

Several approaches were conducted to synthesize a H2dedpa

derivative that contains a thiol reactive functional group for functionalization with FXa for detecting blood clots in small concentrations. Unfortunately, the use of the well-studied thiol-reactive maleimide functional group was not successful. However, the synthesis of a H2dedpa-acrylate derivative was achieved and

characterized by 1H NMR, 13C NMR and 2D NMR spectroscopies. In

addition, a model reaction with the thiol containing glutathione showed promising results concerning thiol-reactivity. In the near future, functionalization with FXa needs to be performed as well as in vitro phospholipid binding studies.

5. Experimental

Materials and Methods

1H and 13C nuclear magnetic resonance (NMR) spectra were

recorded on Bruker AV400, instrument at ambient temperature; the NMR spectrawere expressed on the δ scale and referenced to residual solvent peaks. Electrospray ionization mass spectrometry (ESI-MS) spectra were recorded on a Micromass LCT instrument also at the Department of Chemistry, University of British Columbia. High-performance liquid chromatography (HPLC) analysis of cold compounds was done on a Phenomenex Synergi 4-μm Hydro-RP 80A column (250 mm x 21.2 mm) on a Waters WE 600 HPLC system equipped with a 2478 dual-wavelength absorbance UV detector run using the Empower software package.

Common starting materials such as 6-bromomethylpyridine-2-carboxylic acid methyl ester14, H

2dedpa-p-Bn-NH2 and H2

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Approach 1: H2dedpa-p-Bn-smPEG4

H2dedpa-p-Bn-NH213 (0.008 g, 18.9 mmol, 1.9 eq.) was dissolved in dry

DMSO (1 mL) and smPEG4 (0.005 g, 9.9 mmol), N,N-diisopropylethylamine (DIPEA) (0.005 mL, 29.9 mmol, 3 eq) and 4-dimethylaminopyridine (DMAP) (0.003, 29.9 mmol, 3 eq) were added. After 2 h stirring the reaction mixture at room temperature, the crude was purified via semi-prep reverse-phase HPLC (10mL/ min, gradient A: 0.1% TFA in deionized water, B: acetonitrile, A: 95% to B: 100% for 25 min) to obtain the product as a yellow oil (0.005 g, 74.6 %). 1H NMR

(D2O, 400MHz) = 8.00-7.98 (d, 2H), 7.93-7.82 (m, 2H), 7.71-7.70 (d, 1H),

7.41-7.39 (d, 2H), 6.96-6.94 (d, 1H), 6.87-6.86 (d, 1H), 6.72-7.71 (d, 1H), 4.22-4.06 (m, 4H), 3.66-6.59 (m, 9H), 3.19 (s, 4H), 3.02 (s, 4H), 2.90 (s. 2H), 2.86 (s. 2H), 2.65 (s, 2H), 2.55 (s, 2H). ESI-MS calcd. for [C41H51N7O12+H]+: 834.3674; found 834.5 [M+H]+

Approach 2: H2dedpa-p-Bn-smTEGK

H2dedpa-p-Bn-NCS13 (0.003 g, 7.2 mmol, 1.2 eq) was dissolved in dry

DMSO (1 mL). mTEGLys (0.003 g, 6.0 mmol) was added to the solution and the reaction mixture was stirred for 16 h. The crude was purified via semi-preparative reverse-phase HPLC (10mL/ min, gradient A: 0.1% TFA in deionized water, B: acetonitrile, A: 95% to B: 100% for 25 min). No product formation was observed.

Approach 3: H2dedpa-p-Bn-maleimide

Model reaction15

Glycine (0.10 g, 1.33 mmol) was dissolved in glacial acetic acid (10 mL) and maleic anhydride (0.14 g, 1.47 mmol, 1.1 eq) was added under argon atmosphere. After confirmation of the intermediate by ESI-MS, the solvent was removed in vacuo and dist. water (5 mL) was added to the crude solid. After heating the reaction mixture to 60°C for 10 min, the suspension became clear and was refluxed overnight. The product

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was isolated as a white precipitate after cooling the solution down (0.19 g, 81.5 %).

1H NMR (DMSO-d

6, 400MHz) = 6.06 (s, 2H), 3.68 (s, 2H). 13C NMR

(DMSO-d6, 101MHz) = 169.1, 167.2, 135.4 and 39.9. ESI-MS calcd. for

[C6H5NO4+H]+: 156.0297; found 156.1 [M+H]+

H2dedpa-p-Bn-maleimide

H2dedpa-p-Bn-NH2 (0.007 g, 0.02 mmol) was dissolved in glacial acetic

acid (2 mL) and maleic anhydride (0.002 g, 0.02 mmol, 1.1 eq), was added to the reaction mixture. After 16 h stirring of the reaction mixture at room temperature, the intermediate was confirmed via ESI-MS and NMR spectroscopy. The maleimide ring closure reaction (in 2 mL water, refluxing overnight) was unsuccessful.

1H NMR (MeOD, 400MHz) = 8.18-8.13 (m, 4H), 7.84-8.83 (d, 1H),

7.79-7.77 (d, 1H), 7.62-7.61 (d, 2H), 7.32-7.30 (d, 2H), 6.58-6.55 (d, 1H), 6.34-6.31 (d, 1H), 4.76-4.09 (dd, 4H), 3.79-3.69 (m, 2H), 3.59-3.48 (m, 3H), 2.98-2.97 (m, 1H). 13C NMR (MeOD, 101MHz) = 167.0, 164.6, 146.0,

139.6, 133.1, 130.9, 129.7, 126.7, 125.1, 120.9, 58.2, 56.2, 52.5 and 34.3. ESI-MS calcd. for [C27H27N5O7+H]+: 534.1989; found 534.2 [M+H]+

Approach 4: H2dedpa-p-Bn-acrylate

Dimethyl 6,6'-(((3-(4-aminophenyl)propane-1,2-diyl)bis(benzylazanediyl))bis(methylene))dipicolinate, 1

Compound f (Scheme S1) (0.182 g, 0.27 mmol) was dissolved in methanol (10 mL). After adding Pd/C (0.05 g, 0.41 mmol, 1.5 eq) to the solution, the three-neck flask was charged with a H2-balloon and the

reaction mixture was stirred for 2h until ESI-MS showed the reduction product 1. After that, the crude was purified via semi-preparative reverse-phase HPLC (10mL/ min, gradient A: 0.1% TFA in deionized water, B: acetonitrile, A: 95% to B: 100% for 25 min) to yield the product as an off-white solid (0.054 g, 31 %).

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1H NMR (MeOD, 400MHz) = 8.04 (d, 2H), 8.00-7.92 (m, 16H), 7.00 (d, 2H),

2.98 (s, 6H), 3.94 (s, 4H), 3.65-3.39 (m, 4H), 3.20-2.96 (m, 3H), 2.60-2.55 (m, 2H). ESI-MS calcd. for [C39H41N5O4+H]+: 644.3237; found 644.3

[M+H]+

Dimethyl 6,6'-(((3-(4-acrylamidophenyl)propane-1,2-diyl)bis(benzylazanediyl))bis(methylene))dipicolinate, 2

This synthesis was modified from the literature.16 Potassium carbonate

(0.019 g, 0.13 mmol, 1.2 eq) was placed in a three-neck flask, which was evacuated and flushed with argon. Water (1 mL) and acetone (4 mL) were added to the reaction flask and cooled to 0°C. A solution of compound 1 (0.072 g, 0,11 mmol) in 1 mL acetone was added to the suspension, followed by a slow addition of acryloyl chloride (10.8 µL, 0.13 mmol, 1.2 eq). The reaction mixture was stirred for 2h to yield a yellow oil (0.077 g, 0.11 mmol, 99 %). The solvents were removed in

vacuo and the product 2 was used without further purification since the

dominant peak in the ESI-MS was the product peak and HPLC purification was used after the final step.

ESI-MS calcd. for [C42H43N5O5+Na]+ 698.3; found: 698.4 [M+H]+

H2dedpa-p-Bn-acrylate, 3

To a solution of compound 2 (0.08 g, 0.11 mmol) in a mixture of THF (7.5 mL) and water (2.5 mL) (3:1), lithium hydroxide (0.026 g, 1.1 mmol, 10 eq.) was added and the reaction mixture was stirred for 6 h at room temperature. The solution was neutralized with 0.1 M HCl and the solvents were removed in vacuo. Compound 3 was obtained as a yellow oil (0.006 g, 0.11 mmol, 8 %) after purification with semi-prep reverse-phase HPLC (10mL/ min, gradient A: 0.1% TFA in deionized water, B: acetonitrile, A: 95% to B: 100% for 25 min) (tR= 18.8 min).

1H NMR (MeOD, 400MHz) = 8.41-6.97 (m, 20H), 6.44-6.39 (m, 1H), 6.23

(d, 1H), 5.80 (d, 1H), 4.72-4.45 (m, 4H), 4.01-3.58 (m, 4H), 3.24-2.70 (m, 5H). 13C NMR (MeOD, 101MHz) = 166.1, 144.6, 144.1, 123.2, 131.1,

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129.6, 128.0, 127.9, 122.0, 63.6, 58.3, 53.8, 53.2 and 34.8. HR-ESI-MS calcd. for [C40H39N5O5+H]+: 670.3029; found 670.3022 [M+H]+

Model reaction (glutathione)

Dimethyl 6,6'-(((3-(4-acrylamidophenyl)propane-1,2-diyl)bis(acryloylazanediyl))bis(methylene))dipicolinate

Potassium carbonate (0.046 g, 0.33 mmol, 1.2 eq) was placed into a flask, which was evacuated and flushed with argon. Water (1 mL) and acetone (4 mL) were added to the reaction flask and the mixture was cooled to 0°C. A solution of intermediate f (0.129 g, 0.28 mmol) in acetone (1 mL) was added to the suspension, followed by a slow addition of acryloyl chloride (27.1 µL, 0.33 mmol, 1.2 eq.) The reaction mixture was stirred for 2h to yield a yellow oil (0.077 g, 0.11 mmol, 99 %). The solvents were removed in vacuo and the product was purified via semi-prep reverse-phase HPLC (10mL/ min, gradient A: 0.1% TFA in deionized water, B: acetonitrile, A: 95% to B: 100% for 25 min., tR =19.12 min) to yield the product as a white solid (0.07 g, 42%). 1H NMR (MeOD, 400MHz) = 8.04-7.88 (m, 3H), 7.77-7.70 (m, 1H),

7.48-7.39 (m, 3H), 7.29-7.20 (dd, 1H), 7.07-7.00 (m, 2H), 6.81-6.02 (m, 6H), 5.78-5.59 (m, 3H), 4.80-4.57 (m, 4H), 3.98-3.90 (m, 6H), 3.68-3.64 (d, 1H), 2.98-2.92 (m, 2H), 2.66-2.60 (s, 2H). 13C NMR (MeOD, 100MHz) = 165.3,

164.6, 139.3, 139.3, 130.8, 128.1, 122.8, 119.9, 53.7, 51.5, 47.9, 39.0, 35.1. ESI-MS calcd. for [C34H35N5O7+Na]+: 648.2434; found 648.3 [M+H]+

H2dedpa-triglutathione

A modified protocol was used.17,18 The starting material 4 (0.07 g, 0.11

mmol) was dissolved in 1 mL hexylamine and 200 µL of methanol were added until complete dissolution. Glutathione (0.11 g, 0.37 mmol, 3.3 eq.) was added to the solution and methanol was added again until complete dissolution. After 2h stirring of the reaction mixture, a precipitate was formed. The precipitate was filtered off, dried and purified via semi-prep reverse-phase HPLC (10mL/ min, gradient A:

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0.1% TFA in deionized water, B: acetonitrile, A: 95% to B: 100% for 25 min., tR =16.86 min) to yield the product 5 as a white solid (0.02 g, 11 %). 1H NMR (MeOD, 400MHz) = 8.03-7.82 (m, 4H), 7.48-7.33 (4H), 7.10-6.89

(m, 2H), 4.73-4.45 (m, 4H), 4.00-3.92 (m, 5H), 3.46-3.37 (m, 5H), 3.29-3.22 (m, 3H), 3.13-2.59 (m, 35H) 13C NMR (MeOD, 100MHz) = 169.2,

138.5, 127.8, 120.2, 120.7, 51.3, 40.9, 38.4, 31.3, 30.8, 29.2. ESI-MS calcd. for [C59H77N14O25S3+H]+: 1479.5260; found 1479.8 [M+H]+

DTNB assay

The reactivity of the H2dedpa functionalized compound with the

free thiol on bovine serum albumin (BSA) was assessed. BSA (50 μM) was incubated for 15 minutes with different concentrations of the synthesized compound (0, 25, 50, 75, 100 and 150 µM) using a 1 mM stock solution in DMSO of the compound in Tris buffer in a total volume of 100 µL. As a positive control, Lys-PEG4-maleimide was used under the same conditions. Lys-PEG4-maleimide bears a thiol reactive maleimide functional group. Remaining free thiol on BSA was quantified through the addition of 1 mM 5,5′-dithiobis(2-nitrobenzoic acid) (Ellmans’s reagent, DTNB) which reacts with free sulfhydryl groups to yield a mixed disulfide and 2-nitro-5-thiobenzoic acid (NTB), a measurable yellow-colored product detectable at 412 nm. Iodoacetamid (IAA) was used as a negative control that alkylates free thiols. As confirmation that BSA is maleimide reactive, commercial rhodamine-maleimide was used and irreversible incorporation into BSA was evaluated by denaturing electrophoresis.

6. References

(1) Forster, A.; Wells, P. Chest 2001, 119, 572-579.

(2) Palta, S.; Saroa, R.; Palta, A. Indian J. Anaest. 2014, 58, 515-523. (3) Versteeg, H. H.; Heemskerk, J. W. M.; Levi, M.; Reitsma, P. H.

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(4) Borensztajn, K.; Spek, C. A. Expert Opin. Ther. Targets 2011, 15, 341-349.

(5) Price, E. W.; Orvig, C. Chem. Soc. Rev. 2014, 43, 260-290.

(6) Rezaeianpour, S.; Bozorgi, A. H.; Moghimi, A.; Almasi, A.; Balalaie, S.; Ramezanpour, S.; Nasoohi, S.; Mazidi, S. M.; Geramifar, P.; Bitarafan-Rajabi, A.; Shahhosseini, S. Mol. Imaging Biol. 2017, 19, 256-264.

(7) Blasi, F.; Oliveira, B. L.; Rietz, T. A.; Rotile, N. J.; Naha, P. C.; Cormode, D. P.; Izquierdo-Garcia, D.; Catana, C.; Caravan, P. Arterioscler. Thromb.

Vasc. Biol. 2015, 35, 2114-2121.

(8) Blasi, F.; Oliveira, B. L.; Rietz, T. A.; Rotile, N. J.; Day, H.; Looby, R. J.; Ay, I.; Caravan, P. J. Nucl. Med. 2014, 55, 1157-1163.

(9) Pryzdial, E. L.; Meixner, S. C.; Talbot, K.; Eltringham-Smith, L. J.; Baylis, J. R.; Lee, F. M.; Kastrup, C. J.; Sheffield, W. P. J. Thromb.

Haemost. 2016, 14, 1844-1854.

(10) Northrop, B. H.; Frayne, S. H.; Choudhary, U. Polym. Chem. 2015, 6, 3415-3430.

(11) Fontaine, S. D.; Reid, R.; Robinson, L.; Ashley, G. W.; Santi, D. V.

Bioconjug. Chem. 2015, 26, 145-152.

(12) Stenzel, M. H. Macro. Letters 2013, 2, 14-18.

(13) Boros, E.; Ferreira, C. L.; Yapp, D. T.; Gill, R. K.; Price, E. W.; Adam, M. J.; Orvig, C. Nucl. Med. Biol. 2012, 39, 785-794.

(14) Zeng, X.; Coquiere, D.; Alenda, A.; Garrier, E.; Prange, T.; Li, Y.; Reinaud, O.; Jabin, I. Chemistry 2006, 12, 6393-6402.

(15) Song, H. Y.; Ngai, M. H.; Song, Z. Y.; MacAry, P. A.; Hobley, J.; Lear, M. J. Org. Biomol. Chem. 2009, 7, 3400-3406.

(16) Chanthamath, S.; Takaki, S.; Shibatomi, K.; Iwasa, S. Angew. Chem.

Int. Ed. 2013, 52, 5818-5821.

(17) Li, G.-Z.; Randev, R. K.; Soeriyadi, A. H.; Rees, G.; Boyer, C.; Tong, Z.; Davis, T. P.; Becer, C. R.; Haddleton, D. M. Polym. Chem. 2010, 1, 1196-1204.

(18) Chan, J. W.; Hoyle, C. E.; Lowe, A. B.; Bowman, M. Macromolecules

2010, 43, 6381-6388.

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199

Supporting Information

Chapter A4

Overcoming the Limitations in Thrombosis

Treatment:

A Bifunctional Chelator as Positron Emission

Tomography-Imaging Probe for Detecting Blood

Clots

Sarah Spreckelmeyer,a,b Frank M. Lee;c Ed Pryzdialc and Chris Orviga

a Medicinal Inorganic Chemistry Group, Department of Chemistry, University of British

Columbia, 2036 Main Mall, Vancouver, British Columbia, V6T 1Z1, Canada

b Department of Pharmacokinetics, Toxicology and Targeting, Groningen Research

Institute of Pharmacy, University of Groningen, Antonius Deusinglaan 1, Groningen 9713 AV, The Netherlands

c Centre for Blood Research, Life Science Centre, 2350 Health Sciences Mall, Vancouver,

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Figure S 1. 1H NMR spectra of #1 (400 MHz, D2O (top) MeOD (bottom), 25°C). 4. 79 D 2O 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.0 8.5 f1 (ppm) 4. 79 D 2O H2dedpa-p-Bn-NH2 H2dedpa-p-Bn-smPEG4

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201

Scheme S 1. Synthesis of H2dedpa-p-Bn-NH2.

Figure S 2. 1H NMR spectrum of #3 (400 MHz, MeOD, 25°C).

NH2 OH O NH2 OH O O2N NH2 O O O2N NH2 NH2 O O2N NH2 NH2 O2N

H2SO4, HNO3 MeOH, sat. HCl (g) MeOH, NH3 (g)

THF, 1M diborane N H N H O2N N N O2N N N O O O O NH HN H2N N N O O O O NH HN H2N N N OH OH O O Pd/C, H2 AcOH 1. benzaldehyde 2. NaBH4 EtOH picolinic acid LiOH CH3CN THF/H2O 3:1 a b c d e f g h 2.8 3.0 3.2 3.4 3.6 3.8 4.0 4.2 4.4 4.6 4.8 5.0 5.2 5.4 5.6 5.8 6.0 6.2 6.4 6.6 6.8 7.0 7.2 7.4 7.6 7.8 8.0 8.2 8.4 f1 (ppm) 1. 3 1. 1 1. 6 1. 7 3. 4 2. 9 4. 3 1. 0 0. 9 2. 0 1. 5 1. 0 1. 2 3. 9 2. 98 3. 28 3. 31 C D 3O D 3. 35 3. 48 3. 52 3. 55 3. 59 3. 73 3. 87 3. 89 6. 31 7. 32 7. 60

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Figure S 3. 13C NMR spectrum of #3 (101 MHz, MeOD, 25°C). Figure S 4. 2D-HSQC spectrum of #3. -10 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 f1 (ppm) 34 .3 3 52 .4 6 56 .2 1 58 .2 1 12 0. 86 12 5. 08 12 6. 72 12 9. 74 13 0. 86 13 3. 05 13 9. 55 14 6. 00 16 4. 62 16 7. 00 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.0 8.5 9.0 f2 (ppm) 30 40 50 60 70 80 90 100 110 120 130 140 f1 (p pm ) {8.05,139.52} {6.58,133.26} {6.32,130.44} {7.83,127.39} {8.18,125.02} {7.62,122.13} {4.03,60.52} {3.89,52.46} {3.74,48.86} {3.60,48.69} {4.97,48.58} {5.08,47.95} {4.76,46.73} {3.00,34.36} {3.52,33.91}

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203

Figure S 5. 13C NMR spectrum of compound 3 (101MHz, MeOD, 25°C).

Figure S 6. 2D-NMR HSQC spectrum of compound 3.

30 40 50 60 70 80 90 100 110 120 130 140 150 160 170 180 190 200 210 f1 (ppm) 49 .0 0 C D 3O D 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.0 8.5 9.0 f2 (ppm) 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 f1 ( pp m ) {8.41,142.82} {6.40,129.09} {7.31,129.09} {6.24,128.65} {5.77,127.13} {7.80,125.78} {8.29,122.85} {4.70,53.65} {3.89,52.26} {2.90,49.88} {2.86,34.40}

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