Neprilysin, also known as neutral endopeptidase, is a cell surface membrane metalo-endopeptidase that cleaves various peptides. Altered neprilysin expression has been correlated with various cancers and cardiovascular diseases. In this work, we present the radiosynthesis of the novel O- C-methylated derivative of LBQ657 (a potent neprilysin inhibitor). (2R,4S)-5-(Biphenyl-4-yl)-4-[(3-carboxypropionyl)amino]-2-methylpentanoic acid [ C]methyl ester ([ C]MeOLBQ) is an analog of sacubitril where the alkyl ester is a C-methyl instead of an ethyl. [ C]MeOLBQ was produced in a one-pot two-step synthesis. The O- C-methylation of the pentanoic acid part was done with [ C]methyl triflate followed by the deprotection of the tert-butyl ester precursor in acidic conditions. [ C]MeOLBQ ([ C]7) was produced in 9.5 ± 2.5% RCY (25 ± 6% decay-corrected from [ C]CO , n = 3) high molar activity 348 ± 100 GBq/μmol (9425 ± 2720 mCi/μmol) at EOS, in high chemical (>95%) and radiochemical (>99%) purities. The total synthesis time including HPLC purification and reformulation was 29 minutes. To our knowledge, this is the first PET-labeled analog of the clinically used NEP inhibitor sacubitril.

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