Imaging monocytes with iron oxide nanoparticles targeted towards the monocyte integrin MAC-1 (CD11b/CD18) does not

C von zur Muhlen1, A Fink-Petri, J Salaklang

  • 1Department of Cardiology and Angiology, University of Freiburg, Freiburg, Germany. constantin.vonzurmuehlen@uniklinik-freiburg.de

Insights

Targeted superparamagnetic iron oxide particles (SPIOs) showed improved in vitro macrophage uptake but failed to enhance in vivo atherosclerotic plaque detection in mice. Further development of plaque-specific contrast agents is encouraged for vulnerable plaque imaging.

Area of Science:

  • Biomedical Imaging
  • Molecular Imaging
  • Cardiovascular Research

Background:

  • Atherosclerotic plaque inflammation is a key driver of cardiovascular events.
  • Molecular magnetic resonance imaging (MRI) using superparamagnetic iron oxide particles (SPIOs) offers potential for detecting plaque inflammation.
  • Targeting macrophage-specific markers like CD11b can enhance SPIO uptake in inflammatory cells.

Purpose of the Study:

  • To develop and evaluate CD11b-targeted SPIOs for improved macrophage detection in atherosclerotic plaques.
  • To assess the in vitro and in vivo efficacy of CD11b-SPIOs compared to non-targeted SPIOs for molecular MRI.

Main Methods:

  • Generation of CD11b-targeted SPIOs (CD11b-SPIOs) and non-targeted control SPIOs (control-SPIOs).
  • In vitro incubation of CD11b-SPIOs and control-SPIOs with human monocytes/macrophages, followed by MRI assessment of iron uptake.
  • In vivo MRI of ApoE(-/-)-knockout mouse aortas before and after contrast agent injection, correlated with histology (CD68 staining and Prussian-blue staining).

Main Results:

  • In vitro studies showed significantly higher intracellular iron content in monocytes/macrophages incubated with CD11b-SPIOs compared to control-SPIOs.
  • In vivo MRI revealed similar SPIO-induced signal extinction between CD11b-SPIO and control-SPIO groups in atherosclerotic mouse models.
  • Histological analysis confirmed the MRI findings, showing no significant improvement in plaque detection with targeted SPIOs in vivo.

Conclusions:

  • CD11b-targeted SPIOs did not improve in vivo detection of stable atherosclerotic plaques in the ApoE(-/-)-knockout mouse model.
  • While in vitro data suggested enhanced uptake, in vivo results indicate limitations for this specific targeting strategy in stable plaques.
  • The strong correlation between MRI and histology supports continued research into developing effective inflammation- and plaque-specific contrast agents for vulnerable plaque imaging.

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