Preparation of ^99mTc-PQQE and preliminary biological evaluation for the NMDA receptor

Preparation of 99m Tc-PQQE and preliminary biological evaluation for the NMDA receptor 1 corresp first-author Corresponding author. E-mail address: zhouxingqin@jsinm.org Corresponding author. E-mail address: zhouxingqin@jsinm.org zhouxingqin@jsinm.org 1 1 1 1 Key Laboratory of Nuclear Medicine, Ministry of Health, Jiangsu Key Laboratory of Molecular Nuclear Medicine, Jiangsu Institute of Nuclear Medicine, Wuxi 214063, China Key Laboratory of Nuclear Medicine, Ministry of Health, Jiangsu Key Laboratory of Molecular Nuclear Medicine, Jiangsu Institute of Nuclear Medicine, Wuxi 214063, China The 4,5-dioxo-4,5-dihydro-1H-pyrrolo(2,3-f)quinoline-2,7,9-tricarboxylic acid 2-ethyl ester 7,9-dimethyl ester (PQQE) was synthesized on the basis of Pyrroloquinoline quinine (PQQ). 99m Tc-PQQE was prepared using stannous fluoride (SnF2) as reducing agent. Biological characteristics of 99m Tc-PQQE include lipophilic and the charge properties were compared to 99m Tc-PQQ. The biodistributions of 99m Tc-PQQE in mice and brain regional distribution were performed. In vivo distribution of 99m Tc-PQQE in mice indicates that the concentration ratio of drug and blood increases steadily over time. The major radioactivity may be metabolized by the hepatic and renal system. The elimination-phase half-time (t1/2β) results indicate that the residence time of 99m Tc-PQQE (203.92) in the body is twice as long as 99m Tc-PQQ (100.45). The uptake of 99m Tc-PQQE in brain was improved due to the ameliorating of charge and lipophilicity. The highest total regional brain uptake of 99m Tc-PQQE was in the frontal lobe and hippocampus, where the NMDA receptor is very abundant. 99m Tc-PQQE had a good target to nontarget ratio (hippocampus/cerebellum) which preserved a higher value (peak 4.0 at 120 min) from 60 min to 180 min after injection. In vitro autoradiographic results are in close agreement with the regional brain map. The enrichment can be blocked by N-methyl-D-aspartate receptor (NMDAR) redox modulatory site antagonists-ebselen (EB). This work suggests that 99m Tc-PQQE has some specific targeting to the NMDA receptor. PQQE 99m Tc-PQQE NMDA receptor Bodistribution in vitro autoradiography assay 1 Introduction 1 Previous studies reported that electron-rich aromatic and poly-anionic compounds are the potential drugs for the mental because they can inhibit the replication of protein PrP-res [ 1 1 , 2 2 ] . Representative compounds are anthracene helix (co-conjugate quinone) and Congo red (poly-anionic). Pyrroloquinoline quinine (PQQ, 4,5-dihydro-4,5-dioxo-1H-pyrrolo [2,3-f] quinoline- 2,7,9-tricarboxylic acid) is a redox cofactor and is found in plants and animal tissues [ 3 3 , 4 4 , 5 5 , 6 6 ] . It also has very similar functional groups (conjugated quinone and anions) with the two types of compounds. It is an aromatic heterocyclic anionic orthoquinone that can readily react with different functional groups, such as amino acids, alcohols, and nucleophiles [ 7 7 , 8 8 ] . Recently, PQQ and its derivative have received attention for their ability to inhibit amyloid fibril formation [ 9 9 ] , to protect the brain against oxidative damage [ 10 10 , 11 11 ] . Moreover, in human fibroblast cultures, PQQ and imidazolopyrroloquinoline, a derivative of PQQ, enhance cell growth and proliferation when added to cultures at nmol/L concentrations [ 12 12 ] . In the brain, N -methyl-D-aspartate receptor (NMDAR) is considered to be among the most critical molecular regulators of cognition, memory, motor control and synaptic plasticity. As an electron donor or NMDAR redox reaction site, PQQ readily reacts with nucleophiles to form stable condensation products [ 13 13 ] . 99m Tc-PQQ was previously prepared in our laboratory and found to potentially accumulate predominantly in the hippocampus and cortex, which have a high density of NMDAR [ 14 14 ] . However, 99m Tc-PQQ is water-soluble and negatively charged and has chelating groups that further limit its ability to pass through the blood-brain barrier (BBB). Therefore, our research goal became to improve the structure of the 99m Tc-PQQ to make it through the BBB. In this work, 4,5-dioxo-4,5-dihydro-1H-pyrrolo(2,3-f)quinoline-2,7,9-tricarboxylic acid 2-ethyl ester 7,9-dimethyl ester (PQQE) ( Fig.1 Fig.1 ) was synthesized on the basis of PQQ, labeled with 99m Tc. Biological characteristics of 99m Tc-PQQE including lipophilic and the charge properties were compared with that of 99m Tc-PQQ. The biodistributions of 99m Tc-PQQE in mice and brain regional distribution were studied. In addition, in vitro autoradiography assay was further performed. 2 Experimental section 1 2.1 Materials 2 The free ligand, PQQE, was synthesized in our lab. SnF 2 , EDTA-2Na, Na 2 HPO 4 , KH 2 PO 4 and other reagents were of analytical grade. Ebselen (EB) was purchased from Sigma-Aldrich (USA). Polyamide thin-film was from Taizhou Luqiao Sijia Bio-chemical Plastic Factory (China). 99m Tc pertechnetate obtained from locally produced fission based 99 Mo/ 99m Tc generator system was used for PQQE labeling. 2.2 Instruments 2 Wizard 1470 γ-automatic counting device (Perkin Elmer, USA), AC22105 and AC2105-type analytical balance (Sartorius, Germany), J2-HS Centrifuge (Beckman, USA), Quantitative bleeding vessel (Nantong Futura Medical Equipment Co., Ltd., China), C431200 Cyclone Storage Phosphor System (Perkin Elmer, USA), 99 Mo- 99m Tc generator (Chengdu Nuclear Isotope Qualcomm Inc., China) and Frozen section machine (Microtome-Cryostat MNT, Germany ) were used in experiments. High performance liquid chromatography (HPLC) (600 system, Waters, USA) equipped with UV detector (2487, Waters, USA) and radiomatic 610TR detector (Perkin Elmer, USA) was also used. 2.3 Preparation of 99m Tc-PQQE 2 PQQE was synthesized and characterized as previously reported in Ref.[ 15 15 ]. The purity of PQQE was assayed by HPLC. The content of PQQE was above 99.5%. 99m Tc-PQQE was prepared using stannous fluoride (SnF 2 ) as reducing agent. 50 μl of EDTA-2Na (1 mg/mL) solution, 50 μL of SnF 2 solution (1 mg/mL, in 0.1 mol/L hydrochloric acid solution), 0.05 mL of PQQE (1 mg/mL) and 74 MBq Na 99m TcO 4 were added into a penicillin vial, then to which the phosphate buffer (pH 6.5) were added till the total volume reached 1mL. The reaction vial was left at boiling water for 30 min, then cooling to room temperature. Radiochemical purity of 99m Tc-PQQE was tested by thin layer chromatography (TLC) and HPLC equipped with a gamma ray radiodetector and ultraviolet UV/Vis detector. 99m Tc-PQQ was prepared as our previous experiments shown in Ref.[ 14 14 ]. 2.4 Quality control of 99m Tc-PQQE 2 2.4.1 TLC 3 The labeling yield of 99m Tc-PQQE was assessed by TLC method using Polyamide thin-film as stationary phase while acetone: N-hexane: triethylamine (3:1:1) as the mobile phase. 2.4.2 HPLC 3 The Radiochemical (RCP) yield of 99m Tc-PQQE was determined by a RHPLC performed on C18 column (Lichropher, C18, 4.6×250 mm, HanBang, China) using a flow rate of 0.8 mL·min -1 and UV detected at 249 nm ( Fig.2 Fig.2 ). The solvent system consisted of 0.1% (v/v) trifluoroacetic acid (TFA) in acetonitrile (eluent A) and 0.1% (v/v) TFA in water (eluent B). The initial mobile phases composition was held at 5/95 (A/B) for 5 min followed by a linear gradient to 75/25 (A/B) from 5 to 20 min and then to 5/95 (A/B) from 20 to 25 min. The eluted radioactivity was monitored on line using a NaI probe and collected fractions were also measured by the gamma counter. Data were collected and processed with Waters Empower software. 2.4.3 Stability study 3 The stability of 99m Tc-PQQE was studied at 25℃ for 6 h ( Fig.3 Fig.3 ). The RCP of 99m Tc-PQQE was determined by HPLC at various time points (0, 1, 2, 3, 4, 5, 6 h). 2.5 Octanol/water partition coefficients and plasma protein binding 2 2.5.1 Octanol/water partition coefficient 3 The octanol/water partition coefficients were measured by the following procedure: 1 mL PBS (pH=7.4) saturated with 1-octanol and 1 mL 1-octanol saturated with PBS were added to a centrifuge tube containing 0.2 mL 99m Tc-PQQE (0.37 MBq). The tube was capped and vigorously vortexed for 5 min at room temperature and then allowed to stand for 5 min. After reaching equilibrium, the tube was centrifuged at 2400 r/min for 10 min. Aliquots were taken from each phase and radioactivity counted. The partition coefficient was calculated by dividing the radioactivity of the 1-octanol layer with that of the water layer. The partition coefficient (log P ) was calculated using the following equation: P =(activity in octanol−background activity)/(activity in aqueous layer−background activity). All experiments were performed in triplicate ( Table 1 Table 1 ). The charge of 99m Tc-PQQE was determined by paper electrophoresis according to the previous methods [ 14 14 ] . 2.5.2 Plasma protein binding 3 A mixture of 0.1 mL of the 99m Tc-PQQE (1.55 MBq, 0.16 MBq, 0.016 MBq) in 0.2 mL plasma was incubated for 3 h at 37°C. Following equilibrium, 1 mL 15% trichloroacetic acid was added to each tube, followed by vortexing and centrifuging at 2400 r/min for 10 min. The supernatant was collected and the steps were repeated four times. The radioactivity of the supernatant and residue was counted using a gamma counter. Plasma protein binding was calculated by the relationship: plasma protein binding =[(residue counts)/(residue counts+supernatant counts)] ×100% ( Table 1 Table 1 ). 2 2 Test items 2 1   99m Tc -memantine derivatives 1 1 99m Tc-PQQ 1 1 99m Tc-PQQE 1 3 Plasma protein binding (%) 1 1 High (1.55 MBq) 1 1 6.02 1 1 5.19 1 1 Middle (0.16 MBq) 1 1 5.43 1 1 5.88 1 1 Low (0.016MBq) 1 1 6.15 1 1 6.36 2 1 P O/W value 1 1 –1.46±0.16 1 1 0.72±0.11 2 1 Electric charge 1 1 negative electrode 1 1 neutral 2.6 Biodistribution in mice 2 The biodistribution of 99m Tc-PQQE was studied in normal Kunming mice (20±2) g to evaluate pharmacokinetic properties. A volume of 0.2 mL of the purified radiotracer solution (~10 MBq) was injected into the mice via the tail vein. The mice ( n =5) were sacrificed at 5, 15, 30, 60, 120, 180, 240, and 360 min after injection. Organs and brain regions of interest were dissected, weighed, and counted for radioactivity. The percentage of injected dose per gram (%ID/g) was calculated ( Table 2 Table 2 , Table 4 Table 4 ) [ 16 16 ] . 1 1 Regions 1 1 5 min 1 1 15 min 1 1 30 min 1 1 60 min 1 1 120 min 1 1 180 min 1 1 240 min 1 1 360 min 1 1 Heart 1 1 3.20±0.53 1 1 2.68±0.13 1 1 2.65±0.71 1 1 0.65±0.13 1 1 0.58±0.23 1 1 0.45±0.06 1 1 0.36±0.06 1 1 0.25±0.08 1 1 Liver 1 1 6.04±0.60 1 1 9.94±0.66 1 1 28.29±0.71 1 1 41.54±6.61 1 1 58.70±2.32 1 1 38.58±6.22 1 1 38.34±4.15 1 1 27.26±0.82 1 1 Spleen 1 1 3.76±0.47 1 1 3.66±0.57 1 1 3.30±0.34 1 1 2.67±0.14 1 1 2.48±0.39 1 1 2.17±0.26 1 1 1.52±0.08 1 1 1.42±0.28 1 1 Lung 1 1 8.95±0.46 1 1 6.11±0.81 1 1 5.00±0.42 1 1 2.26±0.92 1 1 1.88±0.47 1 1 1.46±0.23 1 1 1.62±0.63 1 1 0.65±0.19 1 1 Kidney 1 1 5.58±0.78 1 1 5.39±0.10 1 1 5.22±0.95 1 1 3.30±0.34 1 1 3.14±0.55 1 1 3.59±0.54 1 1 3.66±0.22 1 1 3.75±0.96 1 1 Stomach 1 1 35.71±2.52 1 1 33.44±1.57 1 1 30.35±1.44 1 1 27.07±1.42 1 1 20.95±1.22 1 1 19.40±4.72 1 1 14.36±1.87 1 1 6.39±1.73 1 1 Intestine 1 1 2.49±0.58 1 1 3.33±0.77 1 1 4.22±0.60 1 1 2.48±0.65 1 1 2.04±0.84 1 1 1.73±0.15 1 1 1.47±0.15 1 1 0.88±0.26 1 1 Gonads 1 1 1.62±0.39 1 1 2.03±0.16 1 1 2.17±0.59 1 1 0.83±0.28 1 1 0.85±0.75 1 1 0.47±0.29 1 1 0.32±0.18 1 1 0.13±0.01 1 1 Muscle 1 1 1.16±0.29 1 1 1.15±0.11 1 1 0.97±0.09 1 1 0.27±0.10 1 1 0.23±0.11 1 1 0.25±0.11 1 1 0.13±0.06 1 1 0.09±0.03 1 1 Skeleton 1 1 1.54±0.27 1 1 2.28±0.62 1 1 2.12±0.28 1 1 0.62±0.10 1 1 0.60±0.22 1 1 0.76±0.33 1 1 0.56±0.22 1 1 0.32±0.10 1 1 Blood 1 1 12.64±1.23 1 1 7.70±0.34 1 1 6.33±0.26 1 1 2.20±0.38 1 1 1.29±0.15 1 1 0.93±0.36 1 1 0.64±0.12 1 1 0.46±0.18 1 1 Brain 1 1 0.61±0.09 1 1 0.34±0.05 1 1 0.25±0.03 1 1 0.12±0.05 1 1 0.08±0.03 1 1 0.08±0.02 1 1 0.06±0.02 1 1 0.04±0.01 2.7 Blood kinetic tests 2 99m Tc-PQQE (0.2 mL, 10 MBq) was injected through the tail vein into mice (20 g±2 g, n =5). At different times (2, 5, 10, 15, 30, 60, 120, 180, 240 and 360 min), 10 μl blood was taken from the tail vein by quantitative vessel bleeding. The samples were counted and the data were expressed as percentage of administered dose at each time interval (% ID·g –1 ). The data were analyzed using 3p87 pharmacokinetic software to fit the appropriate compartment model. 2.8 In vitro autoradiography 2 Visualization of 99m Tc-PQQE binding to NMDAR was performed by autoradiography of brain sections using storage phosphor images. The brains were excised and sliced to 20 µm horizontal sections from healthy Sprague-Dawley (SD) rat of (250±10) g. The slides were divided into two groups and operated as previously reported [ 14 14 ] . 0.01 mol/L EB was added to the slide in incubated solution as control group. The experimental group was pretreated with saline. The phosphor plate was exposured for 60 min and scanned in the Cyclone Storage Phosphor System for approximately 30 min. The hippocampus and cortex were chosen as the interested sections where the NMDA receptor is abundant. The data were carried out using region of interest (ROI)-analysis and recorded as digital light intensity units (DLU) / mm 2 , which were proportional to the radioactivity of the measured samples. 3 Results and discussion 1 3.1 Radiochemistry 2 99m Tc-PQQE was characterized by HPLC ( Fig.2 Fig.2 ). Under the selected chromatographic conditions, it was possible to separate the peaks corresponding to the complex 99m Tc-PQQE ( t R =3.6 min) from 99m Tc-colloid ( t R =2.2 min) and [TcO 4 ] – ( t R =2.5 min). In TLC test, 99m TcO 4 – and 99m Tc-PQQE moved towards the solvent front ( 99m TcO 4 – , Rf=1.0; 99m Tc-PQQE, Rf=0.6~0.7), while 99m Tc-colloid remained at the point of spotting (Rf=0) in control group without PQQE. 3.2 Partition coefficients and plasma protein binding % (compared to 99m Tc-PQQ) 2 One important factor that determines whether a drug penetrates the blood-brain barrier is its lipid-water partition coefficient. From Table 1 Table 1 , it can be seen that 99m Tc-PQQE is lipophilic. However, 99m Tc-PQQ is water-soluble. The electric charge and plasma protein binding were also listed in Table1 Table1 . 3.3 Stability studies 2 The stability of the radiolabeled compound was also investigated over time. The radiochemical purity of 99m Tc-PQQE was above 95% at room temperature for 6 hours (Fig. 3). 3.4 In vivo biodistribution 2 In vivo distribution of 99m Tc-PQQE in mice is shown in Table 2 Table 2 . Stomach had a significantly greater uptake than all other tissues ( p < 0.05), followed by lung, and then by liver. The uptake of 99m Tc-PQQE in liver significantly increased from 5 min to 120 min and decreased from 180 min to 360 min in the study. There was more 99m Tc-PQQE uptake in liver than in kidney all the time. The major radioactivity may be metabolized by the hepatic other than renal system. The uptake of 99m Tc-PQQE in brain was improved due to the ameliorating of charge and lipophilicity ( Table 1 Table 1 ). From Table 2 Table 2 , it can be seen that the uptake of 99m Tc-PQQE in brain is 2.3 times of 99m Tc-PQQ at 5 min [ 14 14 ] . 3.5 Blood kinetic studies 2 The compartment model of 99m Tc-PQQE was a two-compartment model by the regression analysis. The blood kinetic curve was shown in the Fig.4 Fig.4 . A dual-exponential equation, Y =38.68e –0.027 t +7.25e –0.003 t was used. Here Y is %ID · g –1 in blood and t is the time after injection. The distribution-phase half-time ( t 1/2α ) and elimination-phase half-time ( t 1/2β ) were calculated from the simulated dual-exponential curves. The pharmacokinetic parameters of 99m Tc-PQQE were summarized in Table 3 Table 3 . The t 1/2α results show that 99m Tc-PQQ (18.16 min) slightly rapid distributed in vivo than 99m Tc-PQQE (25.443 min). Moreover, the t 1/2β results clearly indicate that the residence time of 99m Tc-PQQE (203.916) in the body is twice as long as 99m Tc-PQQ (100.45). The distribution of 99m Tc-PQQ and 99m Tc-PQQE in vivo are both quickly. However, the clearance of 99m Tc-PQQ in vivo is much fast than 99m Tc-PQQE. In vivo distribution of 99m Tc-PQQE in mice indicate that the concentration ratio of drug to blood increase steadily over time. 1 1 Parameter 1 1 99m Tc-PQQE 1 1 99m Tc-PQQ 1 1 t 1/2a / min 1 1 25.4 1 1 18.16 1 1 t 1/2β / min 1 1 203.92 1 1 100.45 1 1 K 12 / min –1 1 1 0.011 1 1 0.013 1 1 K 21 / min –1 1 1 0.007 1 1 0.017 1 1 K e / min –1 1 1 0.013 1 1 0.016 1 1 AUC / ID%g –1 min 1 1 3553.6 1 1 1040.78 1 1 CL / mL·min –1 1 1 0.028 1 1 0.096 1 1 Regions 1 1 5 min 1 1 15 min 1 1 30 min 1 1 60 min 1 1 120 min 1 1 180 min 1 1 240 min 1 1 360 min 1 1 Striatum 1 1 0.26±0.03 1 1 0.21±0.03 1 1 0.21±0.01 1 1 0.12±0.01 1 1 0.09±0.02 1 1 0.09±0.04 1 1 0.07±0.01 1 1 0.05±0.01 1 1 Hippocampus 1 1 0.51±0.01 1 1 0.39±0.02 1 1 0.26±0.01 1 1 0.22±0.01 1 1 0.20±0.03 1 1 0.16±0.02 1 1 0.12±0.01 1 1 0.09±0.02 1 1 Frontal lobe 1 1 0.45±0.04 1 1 0.39±0.03 1 1 0.30±0.04 1 1 0.18±0.02 1 1 0.17±0.04 1 1 0.14±0.02 1 1 0.12±0.02 1 1 0.11±0.01 1 1 Parietal lobe 1 1 0.35±0.03 1 1 0.39±0.03 1 1 0.26±0.05 1 1 0.15±0.02 1 1 0.09±0.01 1 1 0.10±0.02 1 1 0.09±0.01 1 1 0.06±0.01 1 1 Temporal lobe 1 1 0.23±0.02 1 1 0.22±0.01 1 1 0.18±0.04 1 1 0.08±0.02 1 1 0.06±0.01 1 1 0.08±0.03 1 1 0.06±0.00 1 1 0.06±0.02 1 1 Occipital lobe 1 1 0.29±0.02 1 1 0.21±0.02 1 1 0.16±0.03 1 1 0.11±0.02 1 1 0.08±0.01 1 1 0.08±0.01 1 1 0.08±0.03 1 1 0.06±0.01 1 1 Cerebellum 1 1 0.27±0.05 1 1 0.25±0.05 1 1 0.15±0.02 1 1 0.07±0.01 1 1 0.05±0.02 1 1 0.05±0.01 1 1 0.05±0.01 1 1 0.05±0.01 1 1 Thalamus 1 1 0.20±0.04 1 1 0.15±0.04 1 1 0.11±0.02 1 1 0.07±0.02 1 1 0.06±0.02 1 1 0.04±0.01 1 1 0.03±0.00 1 1 0.03±0.01 1 1 Hippocampus/Cerebellum 1 1 1.89 1 1 1.56 1 1 1.73 1 1 3.14 1 1 4.00 1 1 3.20 1 1 2.40 1 1 2.25 1 1 Frontal /Cerebellum 1 1 1.67 1 1 1.56 1 1 2.00 1 1 2.57 1 1 3.40 1 1 2.80 1 1 2.40 1 1 2.20 3.6 Brain regional distribution of 99m Tc-PQQE 2 The brain regional distribution of 99m Tc-PQQE was evaluated by measuring uptake in the region of interest including the striatum, hippocampus, thalamus, cerebellum, and cortex (frontal, occipital, parietal, and temporal lobes). The frontal lobe and hippocampus were used as the target regions since they have the highest density of NMDA receptors, and the cerebellum was used as a non-target region since it has the lowest density of NMDA. The brain regional distribution and the ratios of the target to nontarget counts for 99m Tc-PQQE are showed in Table 4 Table 4 . The highest total regional brain uptake of 99m Tc-PQQE was in the frontal lobe and hippocampus, where the NMDA receptor is very abundant. 99m Tc-PQQE had a good target to nontarget ratio (hippocampus/ cerebellum) which preserved a higher value (peak 4.0 at 120 min) from 60 min to 180 min after injection. The ratio Frontal/cerebellum reached 3.4 at 120 min. Significant abnormalities have been reported in the superior frontal gyrus in schizophrenia [ 17 17 ] . The prefrontal cortex was demonstrated to play a crucial role in modulating cognitive functions [ 18 18 ] . 1 1 Regions 1 1 Experimental groups (Fig.5a) 1 1 EB-pretreated group (Fig.5b) 1 1 Cortex 1 1 289010.4 1 1 198137.1 1 1 Hippocampus 1 1 267094.7 1 1 161825.5 1 1 Thalamus 1 1 250263.2 1 1 228895.4 1 1 cortex/Thalamus 1 1 1.15 1 1 0.87 1 1 Hippocampus/Thalamus 1 1 1.07 1 1 0.71 3.7 In vitro autoradiography 2 The regional distribution of 99m Tc-PQQE in rat brain was measured by autoradiograms ( Fig.5 Fig.5 ). The cortex and hippocampus were chosen as the brain area of interest, the thalamus was chosen as the reference region. Data were measured by ROI analysis on the obtained storage phosphor images and were presented for the experimental, EB-pretreated group. Obviously, the uptake of 99m Tc-PQQE in the cortex on experiment group was higher than EB-pretreated group in the cortex. The ratios of hippocampus/thalamus were calculated in Table 5 Table 5 . As has been shown, the accumulation of 99m Tc-PQQE in several brain regions, such as the hippocampus and cortex (areas known to have a high density of NMDAR), can be inhibited by EB. 4 Conclusion 1 99m Tc-PQQ was prepared and the binding between 99m Tc-PQQ and NMDAR in vitro and in vivo was characterized [ 14 14 ] . However, 99m Tc-PQQ is water soluble and negatively charged and has chelating groups that limit its amounts into brain. To resolve this problem, opening the BBB by mannitol was used to enable 99m Tc-PQQ to enter into the brain [ 19 19 ] . Furthermore, 99m Tc-PQQE was prepared to improve the lipophilic and the charge properties ( Table 1 Table 1 ). Here we characterized 99m Tc-PQQE and mapped the regional distribution of 99m Tc-PQQE in brain. It is clear that the uptake amounts of 99m Tc-PQQE in brain were significantly higher than 99m Tc-PQQ. The levels of 99m Tc-PQQE in brain were 2.3 times of 99m Tc-PQQ at 5 min. 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