The Significant Role of Nitrogen Protonation in the Rational Design of Tau-PET Tracers

26 June 2025, Version 1
This content is a preprint and has not undergone peer review at the time of posting.

Abstract

As an important biomarker in Alzheimer’s disease (AD), abnormal Tau accumulation is closely associated with neurodegeneration and cognitive impairment. Positron emission tomography (PET) imaging of Tau offers a non-invasive and precise diagnostic tool. In this study, we demonstrate for the first time that electrostatic interactions significantly enhance the binding of protonated tracers to hyper-phosphorylated Tau aggregates through comprehensive investigations of radiolabeled diarylamine derivatives. This finding provides new insights into the rational design of Tau-PET tracers. Guided by this insight, we identified a promising candidate, [18F]FPPA-1, which features desirable nitrogen protonation and exhibits high affinity and selectivity for Tau aggregates, a clean off-target profile, and favorable brain kinetics in rodents, warranting further clinical evaluations in humans.

Keywords

Hyper-phosphorylation
N-Protonation
Electrostatic interaction
Selectivity
Tau-PET tracers

Supplementary materials

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Title
The Significant Role of Nitrogen Protonation in the Rational Design of Tau-PET Tracers
Description
General information, chemical and radiochemical synthesis, immunohistochemistry, in vitro blocking study on AD brain sections, in vitro autoradiography at different pH conditions, binding properties of [125I]PPA-12 and [18F]FPPA-1, in vitro binding affinity, ex vivo biodistributions, micro-PET studies, in vitro stability studies, and NMR and MS spectra of synthesized compounds.
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