5-MOP: a novel and selective colony stimulating factor-1 receptor (CSF1R) radiotracer

Iavazzo, C.; Pazarlar, B. A.; Bang-Andersen, B.; Jensen, T.; Hentzer, M.; Bastlund, J. F.; Lambertsen, K. L.; Finsen, B.; Landau, A. M.; Mikkelsen, J. D.

doi:10.64898/2026.05.12.724549

bioRxiv · 10.64898/2026.05.12.724549

5-MOP: a novel and selective colony stimulating factor-1 receptor (CSF1R) radiotracer

Iavazzo, C.·Pazarlar, B. A.·Bang-Andersen, B.·Jensen, T.·Hentzer, M.·Bastlund, J. F.·Lambertsen, K. L.·Finsen, B.·Landau, A. M.·Mikkelsen, J. D.

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Abstract

Colony stimulating factor 1 receptor (CSF1R) is a tyrosine kinase receptor that is expressed exclusively in microglia within the CNS. Its endogenous ligands, colony stimulating factor-1 (CSF1) and interleukin-34 (IL-34), are released from neurons, positioning CSF1R as a key mediator receptor of neuron-glia communication. CSF1R is considered not only a potential drug target, but also a biomarker of neuroinflammation. From that perspective, selective radioligands for neuroimaging are of great interest for imaging neuroinflammation and determining drug occupancy. In this study, we have validated the binding characteristics of a CSF1R inhibitor, 4-((5-MethOxy-6-((5-methoxypyridin-2-yl)methoxy)pyridin-3-yl)methyl)-2-(1-methyl-1H-pyrazol-4-yl)pyrimidine (5-MOP) as a novel CSF1R radioligand, by performing in vitro saturation binding experiments in human and murine tissues. 5-MOP was found to be selective for CSF1R among a broad range of kinases. Autoradiography revealed that [3H]5-MOP binds with high affinity (KD = 9.8 nM) to a single saturable binding site in human meningioma tissues, and this binding was displaced with known CSF1R inhibitors, including CPPC, sCSF1inh and GW-2580. In contrast, CPPC, which has been extensively used as a CSF1R radioligand showed substantial cross-reactivity to other brain kinases, including Trk A/B/C, and [3H]CPPC could only be displaced with CPPC itself, not by other ligands, including 5-MOP. These results identify [3H]5-MOP as the most selective radioligand currently available, enabling accurate detection of drug occupancy and activated microglia. Significance of the studyThis study identifies and validates a novel selective radioligand that binds CSF1R with high selectivity and low nanomolar affinity. Because CSF1R is selectively expressed in activated microglia, this radioligand could be useful for detecting neuroinflammatory activity.

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Iavazzo, C., Pazarlar, B. A., Bang-Andersen, B., Jensen, T., Hentzer, M., Bastlund, J. F., Lambertsen, K. L., Finsen, B., Landau, A. M., Mikkelsen, J. D.. 2026-05-14. 5-MOP: a novel and selective colony stimulating factor-1 receptor (CSF1R) radiotracer. https://doi.org/10.64898/2026.05.12.724549

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