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Submitted on July 24, 2007
Accepted on October 17, 2007
From the Department of Cardiovascular Medicine (M.A.M., J.E.S., Z.A.A., N.W., C.A.B., D.R.G., S.N., K.M.C., R.P.C.) and Sir William Dunn School of Pathology (C.v.z.M.), Oxford, University of Oxford, United Kingdom.
* To whom correspondence should be addressed. E-mail: robin.choudhury{at}cardiov.ox.ac.uk.
Objective—Microparticles of iron oxide (MPIO) distort magnetic field creating marked contrast effects far exceeding their physical size. We hypothesized that antibody-conjugated MPIO would enable MRI (MRI) of endothelial cell adhesion molecules in mouse atherosclerosis.
Methods and Results—MPIO (4.5 µm) were conjugated to monoclonal antibodies against vascular cell adhesion molecule-1 (VCAM–MPIO) or P-selectin (P-selectin–MPIO). In vitro, VCAM–MPIO bound, in dose-dependent manner, to tumor necrosis factor (TNF)-
stimulated sEND-1 endothelial cells, as quantified by light microscopy (R2=0.94, P=0.03) and by MRI (R2=0.98, P=0.01). VCAM–MPIO binding was blocked by preincubation with soluble VCAM-1. To mimic leukocyte binding, MPIO targeting both VCAM-1 and P-selectin were administered in apolipoprotein E-/- mice. By light microscopy, dual-targeted MPIO binding to endothelium overlying aortic root atherosclerosis was 5- to 7-fold more than P-selectin–MPIO (P<0.05) or VCAM–MPIO (P<0.01) alone. Dual-targeted MPIO, injected intravenously in vivo bound aortic root endothelium and were quantifiable by MRI ex vivo (3.5-fold increase versus control; P<0.01). MPIO were well-tolerated in vivo, with sequestration in the spleen after 24 hours.
Conclusions—Dual-ligand MPIO bound to endothelium over atherosclerosis in vivo, under flow conditions. MPIO may provide a functional MRI probe for detecting endothelial-specific markers in a range of vascular pathologies.
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