Kinetically Inert MRI/PET Probes with Myeloperoxidase-Triggered Covalent Capture for Quantitative Imaging of Acute

Tiantian Luo1,2, Lu Liu3, Jie Yang1

  • 1Medical Imaging Key Laboratory of Sichuan Province, School of Medical Imaging, North Sichuan Medical College, Nanchong, Sichuan 637000, China.

Insights

Researchers developed a novel manganese chelate, Mn-TyrCDTA, for imaging myeloperoxidase (MPO)-driven inflammation. This agent enables quantitative assessment of oxidative tissue injury by linking enzyme activity to a sustained imaging signal.

Area of Science:

  • Biomedical Imaging
  • Chemical Biology
  • Molecular Imaging

Background:

  • Myeloperoxidase (MPO) is a key enzyme in oxidative stress and inflammatory tissue injury.
  • Current imaging methods struggle to selectively and sustainably detect MPO activity.
  • Developing targeted imaging agents for MPO is crucial for understanding and managing inflammatory diseases.

Purpose of the Study:

  • To design and characterize a novel manganese chelate, Mn-TyrCDTA, for MPO-mediated oxidative stress imaging.
  • To couple kinetic inertness with MPO-triggered activation and retention for enhanced imaging.
  • To validate Mn-TyrCDTA's efficacy in quantitative disease severity stratification.

Main Methods:

  • Synthesized Mn-TyrCDTA, a manganese chelate with a rigidified CDTA scaffold and a tyramine-derived phenolic moiety.
  • Evaluated kinetic inertness of Mn-TyrCDTA under Zn2+ challenge.
  • Assessed MPO/H2O2-mediated oxidation, covalent protein anchoring, and relaxivity enhancement.
  • Utilized rat models of acute pancreatitis for in vivo imaging studies.
  • Performed complementary 68Ga-TyrCDTA Positron Emission Tomography (PET) studies.

Main Results:

  • Mn-TyrCDTA demonstrated 3-fold improved kinetic inertness compared to EDTA-based chelates.
  • MPO/H2O2-mediated oxidation led to a 3.6-fold relaxivity enhancement and sustained retention in inflamed tissues.
  • In acute pancreatitis models, contrast enhancement strongly correlated with tissue MPO activity (R2 = 0.83).
  • 68Ga-TyrCDTA PET showed enzyme-dependent tracer accumulation, with MPO inhibition reducing signal by 85% (R2 = 0.98).

Conclusions:

  • Mn-TyrCDTA serves as an effective agent for quantitative imaging of MPO-driven oxidative tissue injury.
  • The developed agent enables accurate disease severity stratification in inflammatory conditions.
  • This study provides a rational design framework for developing targeted imaging agents for neutrophil-driven inflammation.