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Molecular imaging of stretch-induced tissue factor expression in carotid arteries with intravascular ultrasound
G M Lanza1, D R Abendschein, C S Hall
1Department of Medicine, Washington University Medical School, Barnes-Jewish Hospital, St. Louis, Missouri 63110, USA. greg@soundlab.wustl.edu
Rationale And Objectives:
Molecular imaging with targeted contrast agents enables tissues to be distinguished by detecting specific cell-surface receptors. In the present study, a ligand-targeted acoustic nanoparticle system is used to identify angioplasty-induced expression of tissue factor by smooth muscle cells within carotid arteries.
Methods:
Pig carotid arteries were overstretched with balloon catheters, treated with tissue factor-targeted or a control nanoparticle system, and imaged with intravascular ultrasound before and after treatment.
Results:
Tissue factor-targeted emulsions bound and increased the echogenicity and gray-scale levels of overstretched smooth muscle cells within the tunica media, versus no change in contralateral control arteries. Expression of stretch-induced tissue factor in carotid artery media was confirmed by immunohistochemistry.
Conclusions:
The potential for abnormal thrombogenicity of balloon-injured arteries, as reflected by smooth muscle expression of tissue factor, was imaged using a novel, targeted, nanoparticulate ultrasonic contrast agent.