Hao Zeng C&EN Article Assignment 1 Title of C&EN Article: Imaging agent combines diagnostic and therapeutic potential. Complex incorporates F-18 for PET imaging and Sc-47 for radiotherapy Author: Celia Henry Arnaud (January 10, 2022) Reference from original journal article: Jennifer N. Whetter, Brett A. Vaughn, Angus J. Koller, and Eszter Boros; “An Unusual Pair: Facile Formation and In Vivo Validation of Robust Sc–18F Ternary Complexes for Molecular Imaging”. Angew. Chem. Int. Ed. 10.1002/anie.202114203 Summary and Analysis: Celia Henry Arnaud reported to C&EN news (Jan. 10, 2022) on the synthesis of a novel compound containing 18F and scandium (47Sc) radiolabels as a theranostic pair, which can be used for both diagnostic positron emission tomography (PET) imaging (with 18F) and radiotherapy (with 47Sc). The desired complex was formed by reacting the Sc-18F precursor with a macrocyclic chelator system. The advantages of the new PET complex include stronger bonding of fluorine (18F) to scandium, and easier in vitro preparation. In vivo mice experiment has demonstrated that the 18F-Sc complex targets tumors expressing prostate specific membrane antigen (PSMA). This article is pertinent to inorganic chemistry because it focuses on the chemistry of establishing a new complex molecule with dual radiolabels for theranostic purposes. The research project was conducted by Dr. Eszter Boros group in the Department of Chemistry, Stony Brook University. Specifically, from the original article report, Dr. Boros’ lab first established a Sc-18F complex [18F][ScF(mpatcn)]− employing direct fluorination of the open coordination site of [Sc(mpatcn)(H2O)] complex with NH4F, followed by purification using reverse-phase chromatography. In addition to conventional 1H NMR, the research group also utilized 19F and 45Sc NMR spectroscopy to characterize the [ScF(mpatcn)]- complex, and obtained similar data compared to the previously published literature reports on Sc-F complex. However, due to the low yield of product (<5%) using direct fluorination method, the final compound was achieved by the in situ preformation of the [18F][Sc-F] species followed immediately by the addition of macrocyclic chelating ligand mpatcn, which produced high yield (>20%) of desired complex at mild conditions (pH 4.5, 600C) without the need for organic solvents. While [18F][AlF] remains to be the most common clinical PET agent for cancer diagnosis, the recent interest arises in searching for matched isotopic pairs for both diagnosis and subsequent radiotherapy, the socalled theranostic strategy. In the original paper of C&EN report, Dr. Boros’ group described an elegant synthesis of [18F][Sc-F] complex under mild aqueous conditions. The compound was found to be chemically stable, exhibiting inertness against defluorination in vivo. Furthermore, preclinical studies using small molecule peptide conjugate [18F]Sc-F(picaga)-DUPA in mice models demonstrated good targeting of radiochemicals to the tumor sites, as well as excellent direct biodistribution correlation with that of [47Sc]Sc(picaga)-DUPA, which revealed the ideal suitability of the ternary complex [18F]Sc-F(mpatcn)]- as a diagnostic tool for the 47Sc therapeutic isotope. Therefore, the 18F/47Sc isotope pair can be used together as chemically matched, viable theranostic pair in positron emission tomography (PET) imaging and radiotherapy with significant clinical indications and applications.