Magnetic Resonance Imaging Contrast Agent Targeted Toward Activated Platelets Allows In Vivo Detection of Thrombosis and Monitoring of Thrombolysis

Platelets are the key to thrombus formation and play a role in the development of atherosclerosis. Noninvasive imaging of activated platelets would be of great clinical interest. Here, we evaluate the ability of a magnetic resonance imaging (MRI) contrast agent consisting of microparticles of iron o...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2008-07, Vol.118 (3), p.258-267
Hauptverfasser: VON ZUR MUHLEN, C, VON ELVERFELDT, D, SCHWARZ, M, BODE, C, PETER, K, MOELLER, J. A, CHOUDHURY, R. P, PAUL, D, HAGEMEYER, C. E, OLSCHEWSKI, M, BECKER, A, NEUDORFER, I, BASSLER, N
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container_title Circulation (New York, N.Y.)
container_volume 118
creator VON ZUR MUHLEN, C
VON ELVERFELDT, D
SCHWARZ, M
BODE, C
PETER, K
MOELLER, J. A
CHOUDHURY, R. P
PAUL, D
HAGEMEYER, C. E
OLSCHEWSKI, M
BECKER, A
NEUDORFER, I
BASSLER, N
description Platelets are the key to thrombus formation and play a role in the development of atherosclerosis. Noninvasive imaging of activated platelets would be of great clinical interest. Here, we evaluate the ability of a magnetic resonance imaging (MRI) contrast agent consisting of microparticles of iron oxide (MPIOs) and a single-chain antibody targeting ligand-induced binding sites (LIBS) on activated glycoprotein IIb/IIIa to image carotid artery thrombi and atherosclerotic plaques. Anti-LIBS antibody or control antibody was conjugated to 1-microm MPIOs (LIBS MPIO/control MPIO). Nonocclusive mural thrombi were induced in mice with 6% ferric chloride. MRI (at 9.4 T) was performed once before and repeatedly in 12-minute-long sequences after LIBS MPIO/control MPIO injection. After 36 minutes, a significant signal void, corresponding to MPIO accumulation, was observed with LIBS MPIOs but not control MPIOs (P
doi_str_mv 10.1161/CIRCULATIONAHA.107.753657
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Nonocclusive mural thrombi were induced in mice with 6% ferric chloride. MRI (at 9.4 T) was performed once before and repeatedly in 12-minute-long sequences after LIBS MPIO/control MPIO injection. After 36 minutes, a significant signal void, corresponding to MPIO accumulation, was observed with LIBS MPIOs but not control MPIOs (P&lt;0.05). After thrombolysis, in LIBS MPIO-injected mice, the signal void subsided, indicating successful thrombolysis. On histology, the MPIO content of the thrombus, as well as thrombus size, correlated significantly with LIBS MPIO-induced signal void (both P&lt;0.01). After ex vivo incubation of symptomatic human carotid plaques, MRI and histology confirmed binding to areas of platelet adhesion/aggregation for LIBS MPIOs but not for control MPIOs. LIBS MPIOs allow in vivo MRI of activated platelets with excellent contrast properties and monitoring of thrombolytic therapy. 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Miscellaneous ; Drug Monitoring - methods ; Ferric Compounds ; Humans ; In Vitro Techniques ; Ligands ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Mice ; Mice, Inbred C57BL ; Particle Size ; Pharmacology. 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Here, we evaluate the ability of a magnetic resonance imaging (MRI) contrast agent consisting of microparticles of iron oxide (MPIOs) and a single-chain antibody targeting ligand-induced binding sites (LIBS) on activated glycoprotein IIb/IIIa to image carotid artery thrombi and atherosclerotic plaques. Anti-LIBS antibody or control antibody was conjugated to 1-microm MPIOs (LIBS MPIO/control MPIO). Nonocclusive mural thrombi were induced in mice with 6% ferric chloride. MRI (at 9.4 T) was performed once before and repeatedly in 12-minute-long sequences after LIBS MPIO/control MPIO injection. After 36 minutes, a significant signal void, corresponding to MPIO accumulation, was observed with LIBS MPIOs but not control MPIOs (P&lt;0.05). After thrombolysis, in LIBS MPIO-injected mice, the signal void subsided, indicating successful thrombolysis. On histology, the MPIO content of the thrombus, as well as thrombus size, correlated significantly with LIBS MPIO-induced signal void (both P&lt;0.01). After ex vivo incubation of symptomatic human carotid plaques, MRI and histology confirmed binding to areas of platelet adhesion/aggregation for LIBS MPIOs but not for control MPIOs. LIBS MPIOs allow in vivo MRI of activated platelets with excellent contrast properties and monitoring of thrombolytic therapy. Furthermore, activated platelets were detected on the surface of symptomatic human carotid plaques by ex vivo MRI. This approach represents a novel noninvasive technique allowing the detection and quantification of platelet-containing thrombi.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>18574047</pmid><doi>10.1161/CIRCULATIONAHA.107.753657</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; American Heart Association; Journals@Ovid Complete
subjects Animals
Atherosclerosis - diagnosis
Binding Sites
Biological and medical sciences
Blood and lymphatic vessels
Blood. Blood coagulation. Reticuloendothelial system
Cardiology. Vascular system
Carotid Artery Diseases - diagnosis
Contrast Media
Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous
Drug Monitoring - methods
Ferric Compounds
Humans
In Vitro Techniques
Ligands
Magnetic Resonance Imaging
Male
Medical sciences
Mice
Mice, Inbred C57BL
Particle Size
Pharmacology. Drug treatments
Platelet Activation
Platelet Glycoprotein GPIIb-IIIa Complex - metabolism
Thrombolytic Therapy
Thrombosis - blood
Thrombosis - diagnosis
Thrombosis - drug therapy
title Magnetic Resonance Imaging Contrast Agent Targeted Toward Activated Platelets Allows In Vivo Detection of Thrombosis and Monitoring of Thrombolysis
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