Staphylococcus aureus (S. aureus) is a gram-positive bacterium that can cause severe infections such as pneumonia, osteomyelitis, and endocarditis when it breaches the skin. This study aimed to enhance the chemoenzymatic radiosynthesis of 2-deoxy-2-[18F]-fluoro-sakebiose ([18F]FSK), a radiotracer potentially useful for imaging S. aureus infections. By optimizing the synthesis of 2-deoxy-2-[19F]-fluoro-sakebiose ([19F]FSK), we identified key factors—such as increased enzyme concentration and decreased precursor levels—that significantly improved the yield. Applying these optimized conditions to the synthesis of [18F]FSK resulted in a 30% increase in the radiochemical yield (RCY%) from the control experiment. In vitro evaluation showed that [18F]FSK was successfully incorporated into two strains of S. aureus, suggesting its potential utility for imaging bacterial infections in vivo. This work lays the groundwork for using [18F]FSK in PET/CT imaging to diagnose and monitor S. aureus infections.
One of the major challenges in imaging bacterial infection using Positron Emission Tomography (PET) is the insufficiency of fluorine-18 labeled probes. Several carbon-11 D-amino acid probes have been developed to mimic bacteria-specific metabolic pathways and have been translated into the clinical realm.1 However, the short half-life of carbon-11 limits its applicability and reach in examining populations of interest. Several attempts to make fluorine-18 probes through direct radiolabeling techniques have failed, and thus a pressing need to fulfill this gap exists. Click chemistry, an indirect alternative tool to tag biomolecules, has been shown to shown to tag and study molecules, including bacteria specific biomarkers such as peptidoglycan.2 Utilizing the cell’s biosynthetic machinery to incorporate essential components to peptidoglycan synthesis such as modified sugars or amino acids, these modified compounds can then selectively ligate to a second probe bearing a visible component.3 By utilizing these well-established bio-orthogonal techniques,4 we developed an optimized, high-throughput azide-alkyne click chemistry assay to indirectly label gram-positive Staphylococcus aureus and gram-negative Escherichia coli with three fluorine-18 PET tracers: [18F]FB-DBCO, [18F]PEG4-DBCO, and [18F]Sulfo-DBCO. Tracer ligation to D-azido-alanine, a modified D-alanine metabolite, via copper-free strain-promoted azide-alkyne cycloaddition (SPAAC) was quantified to determine the efficiency of the fluorine-18 PET tracer and to propose the development of the next generation of PET tracers for infection imaging.
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