CCR2 Positron Emission Tomography for the Assessment of Abdominal Aortic Aneurysm Inflammation and Rupture Prediction

The monocyte chemoattractant protein-1/CCR2 (chemokine receptor 2) axis plays an important role in abdominal aortic aneurysm (AAA) pathogenesis, with effects on disease progression and anatomic stability. We assessed the expression of CCR2 in a rodent model and human tissues, using a targeted positr...

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Veröffentlicht in:Circulation. Cardiovascular imaging 2020-03, Vol.13 (3), p.e009889-e009889
Hauptverfasser: English, Sean J., Sastriques, Sergio E., Detering, Lisa, Sultan, Deborah, Luehmann, Hannah, Arif, Batool, Heo, Gyu Seong, Zhang, Xiaohui, Laforest, Richard, Zheng, Jie, Lin, Chieh-Yu, Gropler, Robert J., Liu, Yongjian
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container_title Circulation. Cardiovascular imaging
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creator English, Sean J.
Sastriques, Sergio E.
Detering, Lisa
Sultan, Deborah
Luehmann, Hannah
Arif, Batool
Heo, Gyu Seong
Zhang, Xiaohui
Laforest, Richard
Zheng, Jie
Lin, Chieh-Yu
Gropler, Robert J.
Liu, Yongjian
description The monocyte chemoattractant protein-1/CCR2 (chemokine receptor 2) axis plays an important role in abdominal aortic aneurysm (AAA) pathogenesis, with effects on disease progression and anatomic stability. We assessed the expression of CCR2 in a rodent model and human tissues, using a targeted positron emission tomography radiotracer ( Cu-DOTA-ECL1i). AAAs were generated in Sprague-Dawley rats by exposing the infrarenal, intraluminal aorta to PPE (porcine pancreatic elastase) under pressure to induce aneurysmal degeneration. Heat-inactivated PPE was used to generate a sham operative control. Rat AAA rupture was stimulated by the administration of β-aminopropionitrile, a lysyl oxidase inhibitor. Biodistribution was performed in wild-type rats at 1 hour post tail vein injection of Cu-DOTA-ECL1i. Dynamic positron emission tomography/computed tomography imaging was performed in rats to determine the in vivo distribution of radiotracer. Biodistribution showed fast renal clearance. The localization of radiotracer uptake in AAA was verified with high-resolution computed tomography. At day 7 post-AAA induction, the radiotracer uptake (standardized uptake value [SUV]=0.91±0.25) was approximately twice that of sham-controls (SUV=0.47±0.10;
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We assessed the expression of CCR2 in a rodent model and human tissues, using a targeted positron emission tomography radiotracer ( Cu-DOTA-ECL1i). AAAs were generated in Sprague-Dawley rats by exposing the infrarenal, intraluminal aorta to PPE (porcine pancreatic elastase) under pressure to induce aneurysmal degeneration. Heat-inactivated PPE was used to generate a sham operative control. Rat AAA rupture was stimulated by the administration of β-aminopropionitrile, a lysyl oxidase inhibitor. Biodistribution was performed in wild-type rats at 1 hour post tail vein injection of Cu-DOTA-ECL1i. Dynamic positron emission tomography/computed tomography imaging was performed in rats to determine the in vivo distribution of radiotracer. Biodistribution showed fast renal clearance. The localization of radiotracer uptake in AAA was verified with high-resolution computed tomography. At day 7 post-AAA induction, the radiotracer uptake (standardized uptake value [SUV]=0.91±0.25) was approximately twice that of sham-controls (SUV=0.47±0.10; &lt;0.01). At 14 days post-AAA induction, radiotracer uptake by either group did not significantly change (AAA SUV=0.86±0.17 and sham-control SUV=0.46±0.10), independent of variations in aortic diameter. Competitive CCR2 receptor blocking significantly decreased AAA uptake (SUV=0.42±0.09). Tracer uptake in AAAs that subsequently ruptured (SUV=1.31±0.14; &lt;0.005) demonstrated uptake nearly twice that of nonruptured AAAs (SUV=0.73±0.11). Histopathologic characterization of rat and human AAA tissues obtained from surgery revealed increased expression of CCR2 that was co-localized with CD68 macrophages. Ex vivo autoradiography demonstrated specific binding of Cu-DOTA-ECL1i to CCR2 in both rat and human aortic tissues. 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Cardiovascular imaging, 2020-03, Vol.13 (3), p.e009889-e009889</ispartof><rights>American Heart Association, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4599-9ba98c5a422d4d181d08c48a4b4754108312eb4ba07444af52b482ce81529f9f3</citedby><cites>FETCH-LOGICAL-c4599-9ba98c5a422d4d181d08c48a4b4754108312eb4ba07444af52b482ce81529f9f3</cites><orcidid>0000-0002-1118-1535</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,3687,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32164451$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>English, Sean J.</creatorcontrib><creatorcontrib>Sastriques, Sergio E.</creatorcontrib><creatorcontrib>Detering, Lisa</creatorcontrib><creatorcontrib>Sultan, Deborah</creatorcontrib><creatorcontrib>Luehmann, Hannah</creatorcontrib><creatorcontrib>Arif, Batool</creatorcontrib><creatorcontrib>Heo, Gyu Seong</creatorcontrib><creatorcontrib>Zhang, Xiaohui</creatorcontrib><creatorcontrib>Laforest, Richard</creatorcontrib><creatorcontrib>Zheng, Jie</creatorcontrib><creatorcontrib>Lin, Chieh-Yu</creatorcontrib><creatorcontrib>Gropler, Robert J.</creatorcontrib><creatorcontrib>Liu, Yongjian</creatorcontrib><title>CCR2 Positron Emission Tomography for the Assessment of Abdominal Aortic Aneurysm Inflammation and Rupture Prediction</title><title>Circulation. Cardiovascular imaging</title><addtitle>Circ Cardiovasc Imaging</addtitle><description>The monocyte chemoattractant protein-1/CCR2 (chemokine receptor 2) axis plays an important role in abdominal aortic aneurysm (AAA) pathogenesis, with effects on disease progression and anatomic stability. We assessed the expression of CCR2 in a rodent model and human tissues, using a targeted positron emission tomography radiotracer ( Cu-DOTA-ECL1i). AAAs were generated in Sprague-Dawley rats by exposing the infrarenal, intraluminal aorta to PPE (porcine pancreatic elastase) under pressure to induce aneurysmal degeneration. Heat-inactivated PPE was used to generate a sham operative control. Rat AAA rupture was stimulated by the administration of β-aminopropionitrile, a lysyl oxidase inhibitor. Biodistribution was performed in wild-type rats at 1 hour post tail vein injection of Cu-DOTA-ECL1i. Dynamic positron emission tomography/computed tomography imaging was performed in rats to determine the in vivo distribution of radiotracer. Biodistribution showed fast renal clearance. The localization of radiotracer uptake in AAA was verified with high-resolution computed tomography. At day 7 post-AAA induction, the radiotracer uptake (standardized uptake value [SUV]=0.91±0.25) was approximately twice that of sham-controls (SUV=0.47±0.10; &lt;0.01). At 14 days post-AAA induction, radiotracer uptake by either group did not significantly change (AAA SUV=0.86±0.17 and sham-control SUV=0.46±0.10), independent of variations in aortic diameter. Competitive CCR2 receptor blocking significantly decreased AAA uptake (SUV=0.42±0.09). Tracer uptake in AAAs that subsequently ruptured (SUV=1.31±0.14; &lt;0.005) demonstrated uptake nearly twice that of nonruptured AAAs (SUV=0.73±0.11). Histopathologic characterization of rat and human AAA tissues obtained from surgery revealed increased expression of CCR2 that was co-localized with CD68 macrophages. Ex vivo autoradiography demonstrated specific binding of Cu-DOTA-ECL1i to CCR2 in both rat and human aortic tissues. CCR2 positron emission tomography is a promising new biomarker for the noninvasive assessment of AAA inflammation that may aid in associated rupture prediction.</description><subject>Aneurysm, Ruptured - diagnosis</subject><subject>Aneurysm, Ruptured - genetics</subject><subject>Aneurysm, Ruptured - metabolism</subject><subject>Animals</subject><subject>Aorta, Abdominal - diagnostic imaging</subject><subject>Aorta, Abdominal - metabolism</subject><subject>Aortic Aneurysm, Abdominal - diagnosis</subject><subject>Aortic Aneurysm, Abdominal - genetics</subject><subject>Aortic Aneurysm, Abdominal - metabolism</subject><subject>Biomarkers - metabolism</subject><subject>Fluorodeoxyglucose F18 - pharmacology</subject><subject>Gene Expression Regulation</subject><subject>Male</subject><subject>Positron-Emission Tomography - methods</subject><subject>Prognosis</subject><subject>Radiopharmaceuticals - pharmacology</subject><subject>Rats</subject><subject>Rats, Sprague-Dawley</subject><subject>Receptors, CCR2 - biosynthesis</subject><subject>Receptors, CCR2 - genetics</subject><subject>RNA - genetics</subject><issn>1942-0080</issn><issn>1941-9651</issn><issn>1942-0080</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkVtv1DAQhSMEohf4C5UfeUkZX5LYL0hR1C6RClSr8mw5jtMYknixHar993i1bbU8zej4zPFoviy7wnCNcYk_N-22ab_Vm_b7JgniGkBwLt5k51gwkgNweHvSn2UXIfwCKCkU_H12RgkuGSvwebY2zZagexds9G5BN7MNwabmwc3u0avduEeD8yiOBtUhmBBms0TkBlR3vZvtoiZUOx-tRvViVr8PM2qXYVLzrOIhRy092q67uHqD7r3prT7IH7J3g5qC-fhcL7OftzcPzdf87sembeq7XLNCiFx0SnBdKEZIz3rMcQ9cM65Yx6qCYeAUE9OxTkHFGFNDQTrGiTYcF0QMYqCX2Zdj7m7tZtPrtLtXk9x5Oyu_l05Z-f_LYkf56P7KCgOGElLAp-cA7_6sJkSZDqTNNKnFuDVIQquKUiCYJGt5tGrvQvBmeP0GgzwwkyfMkiDkkVkavDpd8nXsBVIysKPhyU3R-PB7Wp-Ml6NRUxwlYEorJnhOgABQAEjIUzT9B1UjpQg</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>English, Sean J.</creator><creator>Sastriques, Sergio E.</creator><creator>Detering, Lisa</creator><creator>Sultan, Deborah</creator><creator>Luehmann, Hannah</creator><creator>Arif, Batool</creator><creator>Heo, Gyu Seong</creator><creator>Zhang, Xiaohui</creator><creator>Laforest, Richard</creator><creator>Zheng, Jie</creator><creator>Lin, Chieh-Yu</creator><creator>Gropler, Robert J.</creator><creator>Liu, Yongjian</creator><general>American Heart Association, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1118-1535</orcidid></search><sort><creationdate>20200301</creationdate><title>CCR2 Positron Emission Tomography for the Assessment of Abdominal Aortic Aneurysm Inflammation and Rupture Prediction</title><author>English, Sean J. ; Sastriques, Sergio E. ; Detering, Lisa ; Sultan, Deborah ; Luehmann, Hannah ; Arif, Batool ; Heo, Gyu Seong ; Zhang, Xiaohui ; Laforest, Richard ; Zheng, Jie ; Lin, Chieh-Yu ; Gropler, Robert J. ; Liu, Yongjian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4599-9ba98c5a422d4d181d08c48a4b4754108312eb4ba07444af52b482ce81529f9f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aneurysm, Ruptured - diagnosis</topic><topic>Aneurysm, Ruptured - genetics</topic><topic>Aneurysm, Ruptured - metabolism</topic><topic>Animals</topic><topic>Aorta, Abdominal - diagnostic imaging</topic><topic>Aorta, Abdominal - metabolism</topic><topic>Aortic Aneurysm, Abdominal - diagnosis</topic><topic>Aortic Aneurysm, Abdominal - genetics</topic><topic>Aortic Aneurysm, Abdominal - metabolism</topic><topic>Biomarkers - metabolism</topic><topic>Fluorodeoxyglucose F18 - pharmacology</topic><topic>Gene Expression Regulation</topic><topic>Male</topic><topic>Positron-Emission Tomography - methods</topic><topic>Prognosis</topic><topic>Radiopharmaceuticals - pharmacology</topic><topic>Rats</topic><topic>Rats, Sprague-Dawley</topic><topic>Receptors, CCR2 - biosynthesis</topic><topic>Receptors, CCR2 - genetics</topic><topic>RNA - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>English, Sean J.</creatorcontrib><creatorcontrib>Sastriques, Sergio E.</creatorcontrib><creatorcontrib>Detering, Lisa</creatorcontrib><creatorcontrib>Sultan, Deborah</creatorcontrib><creatorcontrib>Luehmann, Hannah</creatorcontrib><creatorcontrib>Arif, Batool</creatorcontrib><creatorcontrib>Heo, Gyu Seong</creatorcontrib><creatorcontrib>Zhang, Xiaohui</creatorcontrib><creatorcontrib>Laforest, Richard</creatorcontrib><creatorcontrib>Zheng, Jie</creatorcontrib><creatorcontrib>Lin, Chieh-Yu</creatorcontrib><creatorcontrib>Gropler, Robert J.</creatorcontrib><creatorcontrib>Liu, Yongjian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Circulation. Cardiovascular imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>English, Sean J.</au><au>Sastriques, Sergio E.</au><au>Detering, Lisa</au><au>Sultan, Deborah</au><au>Luehmann, Hannah</au><au>Arif, Batool</au><au>Heo, Gyu Seong</au><au>Zhang, Xiaohui</au><au>Laforest, Richard</au><au>Zheng, Jie</au><au>Lin, Chieh-Yu</au><au>Gropler, Robert J.</au><au>Liu, Yongjian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CCR2 Positron Emission Tomography for the Assessment of Abdominal Aortic Aneurysm Inflammation and Rupture Prediction</atitle><jtitle>Circulation. Cardiovascular imaging</jtitle><addtitle>Circ Cardiovasc Imaging</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>13</volume><issue>3</issue><spage>e009889</spage><epage>e009889</epage><pages>e009889-e009889</pages><issn>1942-0080</issn><issn>1941-9651</issn><eissn>1942-0080</eissn><abstract>The monocyte chemoattractant protein-1/CCR2 (chemokine receptor 2) axis plays an important role in abdominal aortic aneurysm (AAA) pathogenesis, with effects on disease progression and anatomic stability. We assessed the expression of CCR2 in a rodent model and human tissues, using a targeted positron emission tomography radiotracer ( Cu-DOTA-ECL1i). AAAs were generated in Sprague-Dawley rats by exposing the infrarenal, intraluminal aorta to PPE (porcine pancreatic elastase) under pressure to induce aneurysmal degeneration. Heat-inactivated PPE was used to generate a sham operative control. Rat AAA rupture was stimulated by the administration of β-aminopropionitrile, a lysyl oxidase inhibitor. Biodistribution was performed in wild-type rats at 1 hour post tail vein injection of Cu-DOTA-ECL1i. Dynamic positron emission tomography/computed tomography imaging was performed in rats to determine the in vivo distribution of radiotracer. Biodistribution showed fast renal clearance. The localization of radiotracer uptake in AAA was verified with high-resolution computed tomography. At day 7 post-AAA induction, the radiotracer uptake (standardized uptake value [SUV]=0.91±0.25) was approximately twice that of sham-controls (SUV=0.47±0.10; &lt;0.01). At 14 days post-AAA induction, radiotracer uptake by either group did not significantly change (AAA SUV=0.86±0.17 and sham-control SUV=0.46±0.10), independent of variations in aortic diameter. Competitive CCR2 receptor blocking significantly decreased AAA uptake (SUV=0.42±0.09). Tracer uptake in AAAs that subsequently ruptured (SUV=1.31±0.14; &lt;0.005) demonstrated uptake nearly twice that of nonruptured AAAs (SUV=0.73±0.11). Histopathologic characterization of rat and human AAA tissues obtained from surgery revealed increased expression of CCR2 that was co-localized with CD68 macrophages. Ex vivo autoradiography demonstrated specific binding of Cu-DOTA-ECL1i to CCR2 in both rat and human aortic tissues. CCR2 positron emission tomography is a promising new biomarker for the noninvasive assessment of AAA inflammation that may aid in associated rupture prediction.</abstract><cop>United States</cop><pub>American Heart Association, Inc</pub><pmid>32164451</pmid><doi>10.1161/CIRCIMAGING.119.009889</doi><orcidid>https://orcid.org/0000-0002-1118-1535</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Aneurysm, Ruptured - diagnosis
Aneurysm, Ruptured - genetics
Aneurysm, Ruptured - metabolism
Animals
Aorta, Abdominal - diagnostic imaging
Aorta, Abdominal - metabolism
Aortic Aneurysm, Abdominal - diagnosis
Aortic Aneurysm, Abdominal - genetics
Aortic Aneurysm, Abdominal - metabolism
Biomarkers - metabolism
Fluorodeoxyglucose F18 - pharmacology
Gene Expression Regulation
Male
Positron-Emission Tomography - methods
Prognosis
Radiopharmaceuticals - pharmacology
Rats
Rats, Sprague-Dawley
Receptors, CCR2 - biosynthesis
Receptors, CCR2 - genetics
RNA - genetics
title CCR2 Positron Emission Tomography for the Assessment of Abdominal Aortic Aneurysm Inflammation and Rupture Prediction
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