Boronophenylalanine (BPA) is the dominant
boron delivery agent for
boron neutron capture therapy (BNCT), and [18F]FBPA has been developed to assist the treatment planning for BPA-BNCT. However, the clinical application of BNCT has been limited by its inadequate
tumor specificity due to the metabolic instability. In addition, the distinctive molecular structures between [18F]FBPA and BPA can be of concern as [18F]FBPA cannot quantitate
boron concentration of BPA in a real-time manner. In this study, a metabolically stable
boron-derived
tyrosine (denoted as fluoroboronotyrosine, FBY) was developed as a
theranostic agent for both
boron delivery and
cancer diagnosis, leading to PET imaging-guided BNCT of
cancer. [18F]FBY was synthesized in high radiochemical yield (50%) and high radiochemical purity (98%). FBY showed high similarity with natural
tyrosine. As shown in in vitro assays, the uptake of FBY in murine
melanoma B16-F10 cells was L-type
amino acid transporter (LAT-1) dependent and reached up to 128 μg/106 cells. FBY displayed high stability in PBS
solution. [18F]FBY PET showed up to 6 %ID/g in B16-F10
tumor and notably low normal tissue uptake (
tumor/muscle = 3.16 ± 0.48;
tumor/blood = 3.13 ± 0.50;
tumor/brain = 14.25 ± 1.54). Moreover, administration of [18F]FBY tracer along with a therapeutic dose of FBY showed high accumulation in B16-F10
tumor and low normal tissue uptake. Correlation between PET-image and
boron biodistribution was established, indicating the possibility of estimating
boron concentration via a noninvasive approach. At last, with thermal neutron irradiation, B16-F10
tumor-bearing mice injected with FBY showed significantly prolonged median survival without exhibiting obvious systemic toxicity. In conclusion, FBY holds great potential as an efficient
theranostic agent for imaging-guided BNCT by offering a possible
solution of measuring local
boron concentration through PET imaging.