Targeted molecular probes for imaging atherosclerotic lesions with magnetic resonance using antibodies that recognize oxidation-specific epitopes.
Karen C Briley-Saebo1, Peter X Shaw, Willem J M Mulder
1Imaging Science Laboratory, Department of Radiology, Mount Sinai School of Medicine, New York, NY 10029, USA.
Circulation
|June 11, 2008
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Summary
Magnetic resonance imaging using targeted micelles can visualize oxidized low-density lipoprotein in atherosclerotic plaques. This technique shows high specificity and image quality for detecting oxidation-specific epitopes in lesions.
Area of Science:
- Cardiovascular Research
- Medical Imaging
- Nanotechnology
Background:
- Oxidized low-density lipoprotein (oxLDL) is crucial in atherosclerotic plaque development and instability.
- oxLDL is found within macrophages and lipid pools in atherosclerotic lesions.
Purpose of the Study:
- To evaluate the feasibility of magnetic resonance imaging (MRI) for atherosclerotic lesions.
- To utilize micelles containing gadolinium and oxidation-specific antibodies for targeted imaging.
Main Methods:
- Preparation and characterization of targeted micelles (MDA2, E06, IK17) and control micelles.
- Pharmacokinetic and biodistribution studies in wild-type and apolipoprotein E-deficient (apoE(-/-)) mice.
- 9.4 T MRI performed over 96 hours post-micelle administration.
Main Results:
- Targeted micelles (MDA2, E06, IK17) showed longer plasma half-lives in apoE(-/-) mice compared to controls.
- Maximal arterial wall uptake observed between 72-96 hours, with 125-231% signal enhancement.
- Confocal microscopy confirmed micelle accumulation within atherosclerotic lesions and macrophages.
- Specific targeting was validated by reduced signal after pre-injection of free antibody.
Conclusions:
- MRI with gadolinium-loaded micelles and oxidation-specific antibodies enables specific targeting of atherosclerotic lesions.
- The technique provides excellent image quality for visualizing oxidation-rich atherosclerotic plaques.