Dynamic contrast-enhanced MRI measurements of passive permeability through blood retinal barrier in diabetic rats

Bruce A Berkowitz1, Robin Roberts, Hongmei Luan

  • 1Department of Anatomy and Cell Biology, and Kresge Eye Institute, Wayne State University, Detroit, Michigan 48201, USA. baberko@med.wayne.edu

Abstract

Insights

Dynamic contrast-enhanced MRI (DCE-MRI) accurately measures blood retinal barrier permeability (BRB PS) in experimental diabetes. This noninvasive method avoids artifacts, offering a sensitive tool for assessing BRB PS and potential drug efficacy.

Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Physiology

Background:

  • Diabetic retinopathy is a leading cause of vision loss.
  • Assessing blood retinal barrier (BRB) permeability is crucial for understanding and treating diabetic retinopathy.
  • Current methods for measuring BRB permeability may involve artifacts due to animal death or tissue isolation.

Purpose of the Study:

  • To evaluate dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) as an in vivo method for measuring passive blood retinal barrier permeability surface area product (BRB PS).
  • To test the hypothesis that DCE-MRI can accurately quantify BRB PS in experimental models of diabetic retinopathy.

Main Methods:

  • BRB PS was measured using DCE-MRI with Gd-DTPA in control rats and rats with experimentally induced diabetic retinopathy or vascular endothelial growth factor (VEGF/VPF) induced leakage.
  • Measurements were taken in rats at various time points of diabetes (2, 4, 6, 8 months) and after specific treatments.

Main Results:

  • Sodium iodate-induced retinopathy showed an eightfold increase in BRB PS.
  • VEGF/VPF treatment led to a threefold increase in BRB PS compared to human serum albumin (HSA) controls.
  • Significant increases in BRB PS were observed after 8 months of diabetes, but not at earlier time points.
  • DCE-MRI indicated BRB leakage occurs just before death, highlighting potential artifacts in other methods.

Conclusions:

  • DCE-MRI offers a sensitive, noninvasive, and linear assay for measuring passive BRB PS in experimental diabetes.
  • This technique accurately quantifies BRB PS without the artifacts associated with enucleation or animal death.
  • DCE-MRI BRB PS measurements are proposed as a valuable surrogate marker for evaluating the efficacy of therapeutic interventions in diabetic retinopathy.