Abstract
Purpose
Magnetic resonance imaging (MRI) with targeted contrast agents provides a promising means for diagnosis and treatment monitoring after cerebrovascular injury. Our goal was to demonstrate the feasibility of this approach to detect the neuroinflammatory biomarker intercellular adhesion molecule-1 (ICAM-1) after stroke and to establish a most efficient imaging procedure.
Procedures
We compared two types of ICAM-1-functionalized contrast agent: T 1-shortening gadolinium chelate-containing liposomes and T 2 (*)-shortening micron-sized iron oxide particles (MPIO). Binding efficacy and MRI contrast effects were tested in cell cultures and a mouse stroke model.
Results
Both ICAM-1-targeted agents bound effectively to activated cerebrovascular cells in vitro, generating significant MRI contrast-enhancing effects. Direct in vivo MRI-based detection after stroke was only achieved with ICAM-1-targeted MPIO, although both contrast agents showed similar target-specific vascular accumulation.
Conclusions
Our study demonstrates the potential of in vivo MRI of post-stroke ICAM-1 upregulation and signifies target-specific MPIO as most suitable contrast agent for molecular MRI of cerebrovascular inflammation.
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Acknowledgments
We gratefully acknowledge funding from the Netherlands Organization for Scientific Research (NWO; VIDI 917.76.347) and the European Union’s Seventh Framework Programme (FP7/2007–2013) under grant agreements no. 201024 and no. 202213 (European Stroke Network).
Conflict of Interest
The authors declare that they have no conflict of interest.
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Deddens, L.H., van Tilborg, G.A.F., van der Toorn, A. et al. MRI of ICAM-1 Upregulation After Stroke: the Importance of Choosing the Appropriate Target-Specific Particulate Contrast Agent. Mol Imaging Biol 15, 411–422 (2013). https://doi.org/10.1007/s11307-013-0617-z
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DOI: https://doi.org/10.1007/s11307-013-0617-z