MRI with magnetic nanoparticles monitors downstream anti-angiogenic effects of mTOR inhibition

Alexander R Guimaraes1, Robert Ross, Jose L Figuereido

  • 1Center for Molecular Imaging Research, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, USA. aguimaraes1@partners.org

Abstract

Insights

Magnetic resonance imaging (MRI) noninvasively monitored anti-angiogenic effects of mammalian target of rapamycin (mTOR) inhibition in tumors. This technique accurately assessed changes in vascular volume fraction, correlating with tumor microvascular density.

Area of Science:

  • Oncology
  • Radiology
  • Pharmacology

Background:

  • Angiogenesis is crucial for tumor growth and a target for cancer therapies.
  • Mammalian target of rapamycin (mTOR) inhibitors and vascular endothelial growth factor (VEGF) inhibitors are key anti-angiogenic treatments.
  • Noninvasive monitoring of anti-angiogenic treatment efficacy is essential for optimizing cancer therapy.

Purpose of the Study:

  • To evaluate the efficacy of magnetic resonance imaging (MRI) in monitoring the anti-angiogenic effects of mammalian target of rapamycin (mTOR) inhibition.
  • To assess the correlation between MRI-derived vascular volume fraction (VVF) and histological microvascular density (MVD).
  • To compare the anti-angiogenic effects of an mTOR inhibitor with a VEGF inhibitor using MRI.

Main Methods:

  • Subcutaneous renal cell carcinoma xenografts were established in nude mice.
  • Tumor-bearing mice were treated with rapamycin (mTOR inhibitor), sorafenib (VEGF inhibitor), or saline control for 4 weeks.
  • Weekly MRI was performed using magnetic iron oxide nanoparticles (MNP) to quantify VVF, which was then compared to MVD via histology.

Main Results:

  • A strong correlation was observed between MRI-derived VVF and histological MVD (R² = 0.95).
  • All treatment groups showed a significant reduction in VVF compared to the control group (p < 0.05).
  • The anti-angiogenic effect of rapamycin was comparable to high-dose sorafenib, as assessed by VVF changes.

Conclusions:

  • MRI with MNP provides a noninvasive method for in vivo monitoring of anti-angiogenic therapy targeting mTOR.
  • This imaging technique can accurately quantify treatment-induced changes in tumor vascularity.
  • MRI-based monitoring holds promise for guiding and optimizing anti-angiogenic cancer treatments.