Atherosclerosis and matrix metalloproteinases: experimental molecular MR imaging in vivo

Vardan Amirbekian1, Juan Gilberto S Aguinaldo, Smbat Amirbekian

  • 1Translational and Molecular Imaging Institute, Department of Radiology, Zena and Michael A. Wiener Cardiovascular Institute, Mount Sinai Schoolof Medicine, New York, NY 10029, USA.

Radiology
|February 20, 2009
PubMed
Abstract

Insights

A novel magnetic resonance imaging contrast agent, P947, effectively targets matrix metalloproteinases (MMPs) in atherosclerotic lesions. This MMP-specific agent significantly enhances imaging, aiding in the identification of unstable atherosclerosis.

Area of Science:

  • Biomedical Imaging
  • Cardiovascular Research
  • Molecular Imaging

Background:

  • Atherosclerosis involves matrix metalloproteinases (MMPs) that degrade extracellular matrix.
  • Accurate imaging of MMPs is crucial for identifying vulnerable atherosclerotic plaques.

Purpose of the Study:

  • To assess P947, a novel MR imaging contrast agent targeting MMPs, for detecting MMPs in atherosclerotic lesions.
  • To compare the specificity of P947 with a non-targeted agent (P1135).
  • To investigate MMP expression and distribution in atherosclerotic vessels and the in vivo localization of P947.

Main Methods:

  • Synthesis of P947 (MMP-targeting) and P1135 (scrambled control) contrast agents.
  • MR imaging of atherosclerotic mice after injection of P947, P1135, or gadoterate meglumine.
  • Analysis of aortic MR imaging enhancement using ANOVA.
  • MMP expression analysis via immunostaining and zymography.
  • In vivo distribution studies using fluorescent Eu-P947.

Main Results:

  • P947 significantly increased MR signal intensity in atherosclerotic lesions by 93% (CNR 17.7).
  • Non-targeted P1135 and gadoterate meglumine showed lesser enhancement (33% and 5%, respectively).
  • Fluorescent Eu-P947 colocalized with MMPs in plaques, particularly in the fibrous cap region.

Conclusions:

  • P947 enhances MR imaging of atherosclerosis through specific MMP targeting.
  • These findings support P947 as a promising tool for identifying unstable atherosclerotic lesions.