 Open Access Article
 Open Access Article
      
        
          
            Tanja 
            Gambino
          
        
       a, 
      
        
          
            Laura 
            Valencia
a, 
      
        
          
            Laura 
            Valencia
          
        
       b, 
      
        
          
            Paulo 
            Pérez-Lourido
b, 
      
        
          
            Paulo 
            Pérez-Lourido
          
        
       b, 
      
        
          
            David 
            Esteban-Gómez
b, 
      
        
          
            David 
            Esteban-Gómez
          
        
       c, 
      
        
          
            Moritz 
            Zaiss
c, 
      
        
          
            Moritz 
            Zaiss
          
        
       de, 
      
        
          
            Carlos 
            Platas-Iglesias
de, 
      
        
          
            Carlos 
            Platas-Iglesias
          
        
       *c and 
      
        
          
            Goran 
            Angelovski
*c and 
      
        
          
            Goran 
            Angelovski
          
        
       *a
*a
      
aMR Neuroimaging Agents, MPI for Biological Cybernetics, Tuebingen, Germany. E-mail: goran.angelovski@tuebingen.mpg.de
      
bDepartamento de Química Inorgánica, Facultad de Ciencias, Universidade de Vigo, As Lagoas, Marcosende, 36310 Pontevedra, Spain
      
cCentro de Investigacións Científicas Avanzadas (CICA) and Departamento de Química, Facultade de Ciencias, Universidade da Coruña, 15071 A Coruña, Spain. E-mail: carlos.platas.iglesias@udc.es
      
dHigh-Field Magnetic Resonance, MPI for Biological Cybernetics, Tuebingen, Germany
      
eDepartment of Neuroradiology, University Clinic Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
    
First published on 16th March 2020
We report on a macrocyclic platform based on an 18-membered macrocycle that forms kinetically highly inert paramagnetic complexes and possesses an excellent outlook for the development of bioresponsive paraCEST (paramagnetic chemical exchange saturation transfer) contrast agents. The investigated europium(III) chelate is non-hydrated and contains four amide groups, each possessing two paramagnetically shifted proton resonances distant from bulk water. The X-ray crystal structure and solution studies indicate that the metal ion is ten-coordinated, being directly bound to the six N atoms of the macrocycle and the four amide O atoms of the pendant arms. The complex presents an excellent inertness with respect to dissociation, being stable under a variety of harsh conditions, including highly acidic and basic media or elevated temperatures. The amide protons are in slow-to-intermediate exchange with bulk water, which gives rise to the generation of a strong CEST effect at low probe concentration and saturation powers (∼25% at 5 mM, B1 = 5 μT, 37 °C). We demonstrate the potential of this platform for mapping pH in its microenvironment and foresee potential for the development of diverse paraCEST probes and sensors.
Chemical exchange saturation transfer (CEST) is an emerging MRI methodology appreciated due to a few advantageous features that circumvent the current shortcomings of other existing methods.11 CEST takes advantage of the magnetization transfer between the exchanging species operating at two different frequencies (most frequently a pool of protons from the CEST probe and bulk water), thus reducing the magnetization of the latter once the former species is irradiated with a radiofrequency (RF) pulse of defined energy. The great advantage of this strategy is the ability of providing signal response at will: the CEST effect or image will be generated only with the application of desired saturation pulses. Moreover, the existence of at least two separate exchange processes (e.g. two separate pools of protons in exchange with protons from bulk water) paves the way for highly specific, multifrequency and consequently multicolour CEST measurements. It also favours ratiometric approaches, i.e. exploitation of these separate exchange processes for providing information on the influence of an ion or a molecule in the probe microenvironment, but independent on probe concentration.12 Finally, since the exchange rates are intrinsically tied to the resulting intensity of CEST, any alteration on the exchange rates will ultimately modulate the recorded CEST effect. For instance, pH changes in the microenvironment of the CEST pair(s) affect the saturation transfer process and thus the CEST MR image.
Several useful approaches have been reported in attempts to develop CEST probes and methods enabling pH mapping in tissue,13–21 or for development of bioresponsive agents that can help observing various biological processes.22–25 For instance, a recent report demonstrated the use of ratiometric CEST MRI to map renal pH using a diaCEST agent in vivo.26
Irrespective if they are comprised of diamagnetic molecules or those with paramagnetically shifted protons (dia- or paraCEST probes, respectively), their common feature is the presence of the CEST-active pool sufficiently distant from bulk water frequency. This ensures effective magnetization transfer (MT) and adjustment of the exchange rates in the slow exchange regime, thus allowing low energy saturation pulses to produce detectable CEST effects. In fact, this is a critical aspect for the use of any CEST-based probe in vivo: due to the specific absorption rate (SAR) limitations, i.e. the energy deposition in tissue, it is essential to use low energy saturation pulses (low B1 fields).27,28 Despite an advantageous feature of the currently available paraCEST agents to shift the CEST frequency sufficiently away from the semi-solid MT (tissue background CEST), most of them still lack the optimal exchange regimes to provide the most efficient labelling efficiency (α) and hence to be used at reduced probe concentrations at low B1 fields. These limitations of the currently available probes are certainly the main obstacle for the translation of CEST agents to clinical practice, in spite of the intense research efforts in this field during the last two decades.29–31
Taking these demands into consideration, we developed a paramagnetic platform that encompasses the majority of the parameters necessary for a prospective paraCEST probe. We built upon the previous work on the 18-membered macrocyclic molecule that provides exceptionally inert Pr3+, Eu3+ or Yb3+ complexes and exhibits the paraCEST effect.32 We improved the previous system by incorporating amide instead of hydroxyl groups (Fig. 1), thus obtaining 8 instead of 4 exchanging protons. Furthermore, being geometrically oriented in a different manner, we anticipated their grouping into two pairs of protons. This opens the possibility of getting two CEST effects at two different frequencies. An additional favourable property of this 18-membered macrocycle platform is the formation of Ln3+ complexes that lack coordinated water molecules.32–35 The presence of coordinated water molecules in exchange with bulk water shortens the longitudinal relaxation times of the bulk water signal, which is detrimental to the CEST effect.36 Concurrently, this feature increases the number of coordination bonds between the multidentate chelator and the metal ion, thus significantly improving inertness of the obtained chelate.
|  | ||
| Fig. 1 Chemical structure of the complex studied in this work. NMR-equivalent protons on amides were deliberately marked with same colour. | ||
UV-Vis absorption spectra were recorded on a Jasco V-650 spectrometer using 1 cm quartz cells. The excitation and emission spectra in the UV-Vis region were obtained with a Horiba FluoroMax Plus-P spectrofluorometer equipped with a 150 W ozone-free xenon arc lamp and a R928P photon counting emission detector. All spectra were corrected for the instrumental response provided by the manufacturer. An integration time of 0.1 s was used in all steady state measurements. Luminescence decays were measured on the same instrument working in the phosphorescence mode using a xenon flash lamp. Emission lifetimes were obtained by least-squares fits of the decay data using monoexponential decay functions. The emission quantum yield of EuL was obtained with optically diluted solutions using the trisdipicolinate complex Cs3[Eu(pic)3] (Φ = 13.5% in TRIS buffer, pH 7.4) as reference.38,39
![[double bond, length as m-dash]](https://www.rsc.org/images/entities/char_e001.gif) C) and ν(C
C) and ν(C![[double bond, length as m-dash]](https://www.rsc.org/images/entities/char_e001.gif) N)py], 1676 (s) [ν(C
N)py], 1676 (s) [ν(C![[double bond, length as m-dash]](https://www.rsc.org/images/entities/char_e001.gif) O)], 3165 (m) [ν(NH)]. MS (ESI-MS, m/z, found (calculated)): 555.3 (555.3) [L + H]+. 1H NMR (CD3OD, δ, ppm): H1 7.70 (t, 2H), H2 7.25 (d, 4H, 3J = 7.7 Hz), H4 3.37 (b, 8H), H5 2.75 (b, 8H), H6 3.14 (b, 8H).
O)], 3165 (m) [ν(NH)]. MS (ESI-MS, m/z, found (calculated)): 555.3 (555.3) [L + H]+. 1H NMR (CD3OD, δ, ppm): H1 7.70 (t, 2H), H2 7.25 (d, 4H, 3J = 7.7 Hz), H4 3.37 (b, 8H), H5 2.75 (b, 8H), H6 3.14 (b, 8H).
        ![[double bond, length as m-dash]](https://www.rsc.org/images/entities/char_e001.gif) C) and ν(C
C) and ν(C![[double bond, length as m-dash]](https://www.rsc.org/images/entities/char_e001.gif) N)py], 1651 (s) [ν(C
N)py], 1651 (s) [ν(C![[double bond, length as m-dash]](https://www.rsc.org/images/entities/char_e001.gif) O)], 3262 (m), 3162 (m) ν(NH2), 1314 (s), 829 (m) [ν(NO3−)] cm−1. Crystals suitable for X-ray diffraction were obtained by slow evaporation of an aqueous solution of the complex.
O)], 3262 (m), 3162 (m) ν(NH2), 1314 (s), 829 (m) [ν(NO3−)] cm−1. Crystals suitable for X-ray diffraction were obtained by slow evaporation of an aqueous solution of the complex.
        ![[double bond, length as m-dash]](https://www.rsc.org/images/entities/char_e001.gif) C) and ν(C
C) and ν(C![[double bond, length as m-dash]](https://www.rsc.org/images/entities/char_e001.gif) N)py], 1661 (s) [ν(C
N)py], 1661 (s) [ν(C![[double bond, length as m-dash]](https://www.rsc.org/images/entities/char_e001.gif) O)], 3169 (m) ν(NH2), 1321 (s), 888 (m), 747 (m) [ν(NO3−)] cm−1. Crystals with formula [YL](NO3)3·3H2O suitable for X-ray diffraction were obtained by slow evaporation of an aqueous solution of the complex.
O)], 3169 (m) ν(NH2), 1321 (s), 888 (m), 747 (m) [ν(NO3−)] cm−1. Crystals with formula [YL](NO3)3·3H2O suitable for X-ray diffraction were obtained by slow evaporation of an aqueous solution of the complex.
        For each temperature, data were collected by varying the saturation power whilst the saturation time remained constant (5 s for experiments reported in Fig. 4, or 15 s for the experiments reported in Fig. 5, ESI Fig. S8–11† and Table 1). The saturation field strengths used were: 2.5, 3, 5, 6, 7.5, 10 and 15 μT for experiments reported in the Fig. 4, or 1, 2.5, 5, 7.5, 10, 12.5 and 15 μT for the experiments reported in Fig. 5, S8–11† and Table 1. Longitudinal relaxation times were obtained in an independent experiment using the standard inversion-recovery method with 1% gradient to eliminate the radiation damping effect. The CEST experiments at variable pH (experiments reported in Fig. 5, ESI Fig. S8–11† and Table 1) were performed using a 5 mm NMR tube with EuL dissolved in a 9![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) :
:![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 1 mixture H2O
1 mixture H2O![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) :
:![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) D2O (v/v). The CEST experiments with shorter saturation (5 s) were performed using a 5 mm NMR tube filled with an aqueous solution of EuL or iopamidol and a smaller 2 mm NMR tube (1.6 mm inner diameter) filled with D2O. For data evaluation, Z-spectra were normalized by an unsaturated fully relaxed water signal M0. The CEST effect was calculated employing the inverse asymmetry analysis of the normalized Z-magnetization. The inverse difference of the magnetization transfer, MTRind, was calculated according to eqn (1), where M0 is the unsaturated water magnetization, while Mz+ and Mz− are magnetizations of the on-resonance at the frequency +Δω and of the off-resonance at the frequency −Δω relative to bulk water, respectively.46
D2O (v/v). The CEST experiments with shorter saturation (5 s) were performed using a 5 mm NMR tube filled with an aqueous solution of EuL or iopamidol and a smaller 2 mm NMR tube (1.6 mm inner diameter) filled with D2O. For data evaluation, Z-spectra were normalized by an unsaturated fully relaxed water signal M0. The CEST effect was calculated employing the inverse asymmetry analysis of the normalized Z-magnetization. The inverse difference of the magnetization transfer, MTRind, was calculated according to eqn (1), where M0 is the unsaturated water magnetization, while Mz+ and Mz− are magnetizations of the on-resonance at the frequency +Δω and of the off-resonance at the frequency −Δω relative to bulk water, respectively.46
|  | (1) | 
| pH | Peak at 8 ppm | Peak at 14 ppm | 
|---|---|---|
| 6.0 | 138 ± 19 | 66 ± 23 | 
| 6.4 | 321 ± 30 | 162 ± 31 | 
| 6.8 | 941 ± 75 | 487 ± 69 | 
| 7.2 | 2631 ± 130 | 1364 ± 101 | 
| 7.6 | 5631 ± 225 | 2977 ± 150 | 
| 8.0 | 15 ![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 481 ± 1792 | 7368 ± 1002 | 
Simultaneous multi-B1 Z-spectra fitting was performed as described previously,47 using the tool published online.48
Theoretically, the CEST effect that can be acquired with a B1 of 10 μT (2π·400 Hz ≅ 2700 Hz) directly depends on the exchange rate by the labeling efficiency relation (eqn (2)):
|  | (2) | 
It is also well known and easy to calculate that this function has a maximum of 0.5 for k = γ × B1. Thus for the limit of B1 = 10 μT, the optimal CEST effect can be achieved with a CEST exchange rate of k = γ × 10 μT = 2700 Hz.
For mimicking a grey brain matter environment of the paraCEST agents, the water and semisolid MT pool were added to the CEST simulation using a water longitudinal relaxation time T1w = 1.67 s, and a transverse relaxation time T2w = 0.043 s. The semisolid MT pool (Super-Lorentzian lineshape) was defined by its fractional concentration χMT = 0.05, transverse relaxation time T2MT = 9.1 μs, exchange rate kex(MT) = 40 Hz; the chemical shift was set to δMT = 0 ppm for simplicity.49 The reported CEST effects were obtained by subtracting the simulated Z-spectrum that assumed the water, MT and one or two paraCEST pools with the simulated Z-spectrum that assumed the water and MT pools only.
Z-spectra were acquired at room temperature (∼22 °C) with 139 irradiation offsets ranging from 20 to −20 ppm, saturation pulse duration of 5 s, and five different radiofrequency field strengths, B1 = 3, 4, 5, 6 and 7.5 μT.
Presaturated MR images were acquired using the rapid acquisition with relaxation enhancement (RARE) imaging protocol with the following parameters: repetition time (TR)/echo time (TE) = 15![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 316.18/3.26 ms, field of view (FOV) = 48 × 48 mm, matrix size (MTX) = 96 × 96, slice thickness 2 mm, rare factor = 96, number of excitation (NEX) = 1, acquisition time (TA) = 35 min 28 s 948 ms.
316.18/3.26 ms, field of view (FOV) = 48 × 48 mm, matrix size (MTX) = 96 × 96, slice thickness 2 mm, rare factor = 96, number of excitation (NEX) = 1, acquisition time (TA) = 35 min 28 s 948 ms.
Image analysis was performed in MATLAB (MathWorks, USA). Z-spectrum images were interpolated by splines and shifted to the centre frequency in order to remove B0 inhomogeneity artefacts.
pH evaluation using the ratiometric method was done using the inverse matrix approach, as described above in eqn (1). For generating pH maps, the pH values were plotted as a function of the corresponding MTRind ratio values. The obtained values were fitted using an exponential function according to eqn (3), yielding a monotonic function pH(MTRind ratio). This function was then applied pixel-wise to MTRind ratio maps to generate the pH maps.
| pH = c − a × e−b×MTRind ratio | (3) | 
The [EuL]3+ cations present ten-coordinate metal ions that are directly bonded to the six donor atoms of the macrocyclic skeleton and the four oxygen atoms of the acetamide pendants (Fig. 2). While ten coordination is relatively uncommon for lanthanide complexes in aqueous solution, similar ten-coordinated structures were observed previously for complexes based on the same macrocyclic platform functionalized with acetate,33 methynenepyridine34 or hydroxyethyl32,35 pendant arms. The ligand L adopts a twist-wrap conformation in which the angles involving the two pyridyl nitrogen atoms and the metal ion are nearly linear (>179°). The two pyridyl units are twisted with respect to each other, so that the least-squares planes intersect at angles of ca. 19–20°. The coordination polyhedron can be best described as a sphenocorona, as confirmed by performing shape measures with the SHAPE program.51,52 A sphenocorona is a 1![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) :
:![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 5
5![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) :
:![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 4 polyhedron (Fig. 2) relatively common in the chemistry of the lanthanide ions.53,54 In the present case the least-squares containing 5 and 4 donor atoms present rather large mean deviations from planarity (0.27 and 0.21 Å, respectively, Fig. 2).
4 polyhedron (Fig. 2) relatively common in the chemistry of the lanthanide ions.53,54 In the present case the least-squares containing 5 and 4 donor atoms present rather large mean deviations from planarity (0.27 and 0.21 Å, respectively, Fig. 2).
Additional experiments were carried out to assess the inertness of EuL in phosphate buffer at pH 7.0 upon addition of one equivalent of Zn2+. These conditions were proposed to study the stability of Gd-based contrast agents.56 The 1H NMR spectra of EuL (5 mM, 25 °C) recorded in phosphate buffer (67 mM) before and after addition of one equivalent of Zn2+ are identical, and confirm the stability of the complex under these conditions. The spectra did not show signals due to diamagnetic species and the solution did not show visible presence of precipitate due to insoluble EuPO4. Moreover, the 1H NMR spectrum remained unchanged upon incubation of the mixture at 40 °C for 72 h. 1H NMR experiments were also recorded at variable temperatures of up to 73 °C (ESI Fig. S4†). Again no dissociation of the complex was observed, nor signs of fluxional behaviour, which shows that the complex presents a very rigid structure in solution. The only noticeable change observed upon increasing temperature is the decrease of the observed paramagnetic shifts, as expected due to the 1/T and 1/T2 dependencies of the contact and pseudocontact contributions, respectively.57 The 1H NMR spectrum also remains unchanged upon increasing the pH to 10.0 (ESI Fig. S5†). Finally, the EuL complex was challenged with 10 equivalent of the DTPA chelator (DTPA – diethylenetriamine pentaacetic acid) in phosphate buffer at pH 7.0. The luminescence steady-state emission spectrum of the solution did not experience any noticeable changes upon addition of DTPA over a period of 72 h (ESI Fig. S6†). Furthermore, the luminescence emission decay curves recorded before and after addition of DTPA are virtually superimposable, demonstrating that the EuL complex remains intact under these conditions (ESI Fig. S7†). These experiments confirm the astonishing kinetic inertness of the complex, which appears to be related to the efficient protection from the environment of the metal ion in the ten-coordinate structure.
![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 000 M−1 cm−1) characteristic of the pyridyl group,58 and this band can be used to sensitized Eu3+ luminescence emission. The absorption and excitation spectra are almost identical, which indicates that Eu3+ sensitization occurs via energy transfer from excited states of the ligand to Eu3+ excited states. The luminescence emission spectrum consists of the 5D0 → 7FJ bands typical for Eu3+. The integrated and corrected relative intensities of the 5D0 → 7FJ transitions represent 0.21, 15.8, 25.7, 5.5, 39.5, 2.5 and 10.8% of the overall emission intensity for J = 0, 1, 2, 3, 4, 5 and 6, respectively. Thus, the overall emission intensity is dominated by the 5D0 → 7F4 transition, while the intensities of the 5D0 → 7F1 and 5D0 → 7F2 transitions are rather similar.
000 M−1 cm−1) characteristic of the pyridyl group,58 and this band can be used to sensitized Eu3+ luminescence emission. The absorption and excitation spectra are almost identical, which indicates that Eu3+ sensitization occurs via energy transfer from excited states of the ligand to Eu3+ excited states. The luminescence emission spectrum consists of the 5D0 → 7FJ bands typical for Eu3+. The integrated and corrected relative intensities of the 5D0 → 7FJ transitions represent 0.21, 15.8, 25.7, 5.5, 39.5, 2.5 and 10.8% of the overall emission intensity for J = 0, 1, 2, 3, 4, 5 and 6, respectively. Thus, the overall emission intensity is dominated by the 5D0 → 7F4 transition, while the intensities of the 5D0 → 7F1 and 5D0 → 7F2 transitions are rather similar.
        |  | ||
| Fig. 3 UV-Vis absorption (dashed green line), excitation (solid blue line) and emission (solid red line) spectra of EuL recorded in water (10−5 M). λexc = 268 nm, λem = 613 nm. | ||
Furthermore, the 5D0 → 7F0 transition is very weak and the 5D0 → 7F1 transition displays only two of the maximum 2J + 1 components. This emission pattern is characteristic of a rather symmetric crystal field around the metal coordination environment,59 which is attributed to the D2 symmetry observed both in the solid state and in solution. The emission spectrum exhibits unusually intense ΔJ = 5 and ΔJ = 6 transitions, a rare feature that is characteristic of this type of coordination.34 Further investigations indicated that the excited 5D0 state presents a monoexponential decay with a lifetime of 0.914 ms and a modest luminescence quantum yield of ΦEu = 0.11, which can be attributed to the presence of amide NH oscillators and possibly water molecules in the second-hydration sphere that provide a rather efficient vibrational deactivation of the 5D0 excited state of Eu3+.60 The emission lifetime determined in D2O solution amounts to 1.902 ms, which results in a hydration number of q = 0 by using the method proposed by Beeby including the correction associated to the presence of four amide NH oscillators.60
|  | (4) | 
The Z-spectra of EuL were recorded at 25 and 37 °C and a magnetic field of 7 T (Fig. 4). Already at the chelate concentration of 5 mM and low saturation pulse power (5 μT), the advantageous CEST properties of this complex became obvious. Namely, two paramagnetically shifted and well resolved resonances at 15 and 9.5 ppm from bulk water exhibited CEST effect of ∼25% at 25 °C, which corresponds to a proton transfer enhancement (PTE) of 5550.61 Upon heating to 37 °C, the intensity of CEST effect remained similar, while the shift of the resonances decreased by ∼1 ppm along with a broadening of the peak closer to bulk water, suggesting an increase in the exchange rates due to higher temperature. For comparison, we recorded the Z-spectra of iopamidol (Isovue™ or Solutrast™) under the same conditions (5 mM, pH 7.4, 25 and 37 °C).
|  | ||
| Fig. 4 Z-spectra of EuL (lines) and iopamidol (dashes) at 25 °C (blue) and 37 °C (red) at 5 mM concentration, B1 = 5 μT and saturation time 5 s (PBS, pH 7.4). | ||
In addition to the existence of diamagnetic CEST peaks closer to the resonance of bulk water, their intensity was weaker than in EuL, reaching a maximum CEST effect of 20% (Fig. 4). We have applied quantitative CEST (qCEST) analysis to determine exchange rate values (kex),47 using the Bloch–McConnell (BM) equations and assuming a 3-pool model (bulk water and two paramagnetically-shifted exchanging pools). The qCEST procedure employing data of 7 different saturation powers resulted in kex values of 1029 ± 63 Hz and 1914 ± 78 Hz for 25 °C and 2652 ± 132 Hz and 4699 ± 229 Hz at 37 °C, with the strongly shifted peak (14–15 ppm) having an exchange rate which was roughly twice as slow as that of the peak with smaller paramagnetic shift. These kex values are just slightly higher than those reported for iopamidol also at the physiological pH and fall into the optimal region for reaching the maximal α value at the low B1 fields applied for preclinical and clinical use (see below and description of CEST experiments in Experimental section);62,63 hence, we proceeded with the characterization of the EuL complex as a potential pH-sensitive paraCEST agent. Namely, the exchange rates are expected to change significantly with variations in pH, which would give rise to different CEST effects. We therefore recorded a series of Z-spectra at variable pH values from 6.0 to 8.0, using pulses with different saturation powers ranging from 1 to 15 μT (ESI Fig. S8†); subsequently, we performed the qCEST as well as the inverse difference of opposite frequencies (asymmetry analysis) to obtain the kex values and the inverse MT ratio difference (MTRind), respectively.46
The multi-B1 experiments at variable pH values revealed advantageous exchange properties of EuL for pH sensing. The exchange rates remained roughly in 2![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) :
:![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 1 ratio throughout the studies for the peak with smaller shift (Table 1). CEST effects of at least 5% were recorded already using B1 = 2.5 μT at all pH values above 6.4; we note that this lies within the saturation power limits permitted for use at clinical settings, ensuring low SAR levels. Moreover, the increase of exchange rates along with the increase in pH additionally affected the CEST effects. When MTRind were plotted as a function of pH, the CEST signals exhibited pH dependency until pH ∼ 7.4 (ESI Fig. S9†). Above this pH the MTRind dropped, due to a decreased labelling efficiency at the given B1 level and the faster exchange.
1 ratio throughout the studies for the peak with smaller shift (Table 1). CEST effects of at least 5% were recorded already using B1 = 2.5 μT at all pH values above 6.4; we note that this lies within the saturation power limits permitted for use at clinical settings, ensuring low SAR levels. Moreover, the increase of exchange rates along with the increase in pH additionally affected the CEST effects. When MTRind were plotted as a function of pH, the CEST signals exhibited pH dependency until pH ∼ 7.4 (ESI Fig. S9†). Above this pH the MTRind dropped, due to a decreased labelling efficiency at the given B1 level and the faster exchange.
The concentration independent ratio of different MTRind was calculated either by comparing the effects at different frequencies and same saturation power, or using the so-called ratio of RF power mismatch method.15 When the obtained ratios were plotted as a function of pH, the pH-dependent effect became even more obvious (Fig. 5 and ESI Fig. S10†). The ratio of MTRind at B1 = 7.5 μT and 2.5 μT at either frequencies exhibited significant changes in the region from slightly acidic to physiological pH (6.4–7.4, Fig. 5a), as previously observed in the analysis and behaviour of iobitrol.15 Similar results were obtained when the ratio of MTRind at B1 = 7.5 μT and 14 ppm versus the signal ratio at B1 = 2.5 μT and 8.5 ppm was calculated, or when just the ratios of the signals of two peaks at B1 = 5 μT was used (Fig. 5b), as previously demonstrated for the behaviour of iopamidol.64 We stress these are very advantageous properties, highly desirable in the application of responsive probes: all results reported here were achieved with EuL at low saturation powers and probe concentrations. Next, the ratiometric analysis yields results that are independent of probe concentration.12 Finally, the existence of CEST effects at two frequencies that – for a fixed power – changes proportionally with pH due to a virtually constant ratio of kex values (Table 1 and ESI Fig. S11†) allows for a simplified analysis in which the results obtained with one experiment can be cross-checked with those at the other frequency, i.e. one CEST signal can serve as an internal reference to another one.
Thus, we attempted to combine the ample knowledge and experience collected in the field of CEST MRI in order to foresee the paraCEST agents that comprise the most promising properties and suggest the best direction for their further improvement. We summarized the majority of existing paraCEST agents by grouping them into the four groups (A to D, respectively), according to the similarities either by the exchange rate or paramagnetic shift (ESI Table S4†). We then performed the initial set of simulations to emphasize the importance of a particular physical parameter in correlation with other standard parameters and values. Finally, we combined the particular set of physical values valid for each one of the groups and made their direct comparison. In all cases, we considered two types of outputs, i.e. parameters that suit clinical or preclinical conditions and measurements.
For paraCEST probes, we used the following grouping principles (definitions of slow, intermediate and fast exchange rates were simplified for the purpose of presenting these results; otherwise they depend on the NMR time scale of the applied magnetic field):
– Group A: Paramagnetic transition-metal complexes (Fe2+, Ni2+, Co2+), having slow exchange rates (kex = 200–400 Hz), high paramagnetic shift (>50 ppm) and high number of exchanging amide protons (up to 4);17,18,65–67
– Group B: Paramagnetic EuL complex from this work, characterized by intermediate exchange rates (kex = 1.3–2.6 kHz at pH 7.2), fairly small paramagnetic shift (8–15 ppm) and high number of exchanging amide protons (4);
– Group C: Paramagnetic Tm3+ complex characterized with an intermediate exchange rate (kex = 3 kHz), high paramagnetic shift (∼−50 ppm) and high number of exchanging amide protons (4).21 Here, we considered also the Yb3+ complex, which is also based on a DOTA chelator and should have similar CEST properties. This complex exhibits smaller paramagnetic shift (similar to that of group B); however, we estimate its performance to belong to this group according to the kex values reported for 25 °C only.68
– Group D: Paramagnetic Eu3+ and Tb3+ complexes characterized with fast exchange rates (kex = 10 kHz and above), high paramagnetic shift (∼50 and −550 ppm) and low number of exchanging water protons (2).20,69,70 The term fast exchange should not be related to the actual exchange regime on the NMR time scale, but rather how the exchange rate compared with those of groups A–C.
For the simulations, we used the computational method that incorporates in vivo-like water and semi-solid MT properties.71 Namely, by defining a set of different parameters for the abstract cases or existing paraCEST probes, we estimated CEST effects,72 which can be expected in the brain tissue (grey matter) at 7 T magnetic field. Also, we assumed the use of a pulse with lower SAR (B1 = 5 μT, saturation time = 0.5 s) to mimic the clinical CEST MRI limits, whereas the pulses with higher power and longer duration and thus higher SAR can be tolerated for the preclinical cases without having significant impact for welfare of the animal subject (B1 = 10 μT, saturation time = 5 s). These two conditions are important restrictions, if performance is compared without restriction for SAR, faster exchanging sites will always win. All these studies assumed cases with same concentration of the exchanging protons (10 mM); otherwise, the obtained results can be scaled by the appropriate factor, if lower or higher concentrations are used. We first performed calculations for the abstract cases, aiming to show variations of the particular physical parameter while varying only one of these parameters (Fig. 6). If fixing the exchange rate to 200, 2000 and 10![[thin space (1/6-em)]](https://www.rsc.org/images/entities/char_2009.gif) 000 Hz (slow to fast exchange rates), respectively, the results indicate that probes with the intermediate kex (up to a few kHz, see below) are the most suitable for the clinical settings, irrespective of the frequency shift of the CEST resonance (Fig. 6a). On the other hand, generally faster exchange rates are preferred for the preclinical settings, while the frequency shift of the paraCEST agent shows the following trend: a shift of at least 50 ppm is preferred, whereas at >100 pm the negative effect of the semi-solid MT is completely eliminated (Fig. 6b). We note that larger paramagnetic shifts are preferred at scanners with the lower magnetic field (e.g. at 3 T) to reach beyond the semi-solid MT, while this effect is reducing with the increase of the magnetic fields (i.e. semi-solid MT covers smaller frequency region at higher magnetic fields; hence lower paramagnetic shifts of the CEST effect on the paraCEST agent can be tolerated).73
000 Hz (slow to fast exchange rates), respectively, the results indicate that probes with the intermediate kex (up to a few kHz, see below) are the most suitable for the clinical settings, irrespective of the frequency shift of the CEST resonance (Fig. 6a). On the other hand, generally faster exchange rates are preferred for the preclinical settings, while the frequency shift of the paraCEST agent shows the following trend: a shift of at least 50 ppm is preferred, whereas at >100 pm the negative effect of the semi-solid MT is completely eliminated (Fig. 6b). We note that larger paramagnetic shifts are preferred at scanners with the lower magnetic field (e.g. at 3 T) to reach beyond the semi-solid MT, while this effect is reducing with the increase of the magnetic fields (i.e. semi-solid MT covers smaller frequency region at higher magnetic fields; hence lower paramagnetic shifts of the CEST effect on the paraCEST agent can be tolerated).73
Next, we checked the optimal B1 fields (saturation powers) for the maximal labelling efficiency for these three types of exchange rates (slow, intermediate and fast), at the fixed resonance frequency that corresponds to EuL (δB = 15 ppm). At both the clinical and preclinical settings, intermediate exchange rate (groups B–C) has the maximal α in suitable regions of B1 that match the requirements (B1 < 5 or 10 μT, respectively). For groups A and D (low and high kex, respectively) it is obvious that labelling exists; however, it is less efficient (Fig. 6c and d).
Finally, when the value for CEST resonance frequency is fixed against the variable kex values, one concludes that an intermediate exchange rate of just a few kHz is optimal for the best labelling; furthermore, the large paramagnetic shift of the CEST resonance(s) is advantageous, although the differences are not significant at the clinical settings (Fig. 6e). However, highly shifted CEST resonances are very advantageous for preclinical conditions (Fig. 6f).
Another set of simulations was performed using the specific set of parameters valid for each of the A–D groups of molecules (ESI Table S4†). The most important matter in these calculations was including the difference in the abundance of exchanging protons that cause CEST effect. Namely, the calculations assumed same concentrations of molecules (5 mM), in which the clear advantage went in direction of those having higher number of exchanging protons per molecule (groups A–C).
Furthermore, we included two examples for each group A and D, aiming to provide better comparison between structurally and behaviourally different systems. In specific, we included a macrocyclic Fe2+ complex,65 an acyclic Co2+ complex,18 macrocyclic Eu3+ and Tb3+ complexes20,69,70 as group A1, A2, D1 and D2 probes, respectively (ESI Table S4†). In this calculation, we did not consider faster T1 relaxation noticed for the group A and C probes; this effect will reduce the maximal CEST effects that is based on their other physical properties presented here (kex, paramagnetic shift, number of exchanging protons).
The obtained results were expressed either in the form of simulated Z-spectra (Fig. 7a and b) or CEST effects (Fig. 7c and d), again for clinical and preclinical settings (Fig. 7a, c and b, d, respectively). They again showed the advantageous properties of the paramagnetic EuL platform.74 Although the other three groups of probes possess CEST effects that are well paramagnetically shifted, their other features result in similar magnitude of the signal as EuL. Indeed, EuL has excellent properties for the clinical settings: it is not only that its effects are comparable to those of group A and C probes – indeed, only EuL together with group A2 probe exhibit two strong CEST signals (Fig. 7c) suitable for ratiometric investigations. Also, while other compounds show increased CEST effects for preclinical settings, EuL shows almost the same effect size in both settings.
|  | ||
| Fig. 7 Simulated (a and b) z-spectra and (c and d) CEST effects of selected paraCEST probes at 7 T magnetic field at a, (c) clinical (B1 = 5 μT, sat. time = 0.5 s) and (b and d) preclinical settings (B1 = 10 μT, sat. time = 5 s), respectively. Water and semisolid MT parameters were chosen to mimic grey brain matter, in specific: water relaxation times, T1w = 1.67 s and T2w = 0.043 s; fractional concentration, transverse relaxation time, exchange rate and chemical shift of the MT pool: χMT = 0.05, T2MT = 9.1 μs, kex(MT) = 40 Hz, δMT = 0 ppm; Super-Lorentzian lineshape.74 | ||
The results presented here show some further aspects that should be considered in future design and application of paraCEST probes. Group A2 and C probes also display strong signals at both clinical/preclinical settings, mainly due to possession of high number of exchanging protons, optimal or slightly slower exchange rates and high paramagnetic shift (Fig. 7d). Finally, the group D probes show limitations for further applications under clinical settings. Here, lower number of exchanging protons clearly has a major impact on the final CEST effect, while fairly fast exchange rates make them suitable for possible investigations at preclinical settings (Fig. 7d and ESI Fig. S12†).
We want to highlight that this promising platform likely requires additional chemical modifications to be used for in vivo applications. For instance, it has been shown that tri-cationic DOTA-tetraamide complexes are toxic, while negatively charged analogues are well tolerated at much higher doses.77 Nevertheless, the chemical nature of this platform envisions an immense number of potential chemical transformations and the development of a great variety of structures that, combined with a number of chelated paramagnetic metals, can further improve on the already excellent features to result in probes sensitive to different types of targets. For instance, functionalization of the acetamide pendants with negatively charged groups at the α-carbon would result in negatively charged complexes that should maintain the D2 symmetry of the complex and two resonances for the amide groups. Ultimately, this macrocyclic platform could pave the way to many exciting advances in the field of responsive paraCEST agents with high potential for clinical applications.
| Footnote | 
| † Electronic supplementary information (ESI) available: Mass spectrum, additional crystal structures, kinetic inertness studies, further details of CEST simulations and experiments. CCDC 1886847 and 1886848. For ESI and crystallographic data in CIF or other electronic format see DOI: 10.1039/c9qi01612k | 
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