Molecular Imaging of Fibrin Deposition in Deep Vein Thrombosis Using Fibrin-Targeted Near-Infrared Fluorescence

Autor: Tetsuya Hara, Ralph Weissleder, Brijesh Bhayana, Guillermo J. Tearney, Jason R. McCarthy, Ashok Khatri, Chase W. Kessinger, Brian Thompson, Farouc A. Jaffer, Charles P. Lin
Rok vydání: 2012
Předmět:
Pathology
Indoles
030204 cardiovascular system & hematology
Ferric Compounds
chemistry.chemical_compound
Mice
0302 clinical medicine
Fluorescence microscope
Tissue Distribution
Venous Thrombosis
0303 health sciences
Microscopy
Confocal

Spectroscopy
Near-Infrared

biology
medicine.diagnostic_test
Thrombosis
Imaging agent
3. Good health
Molecular Imaging
Radiology Nuclear Medicine and imaging
Injections
Intravenous

fluorescence
Cardiology and Cardiovascular Medicine
Oligopeptides
Half-Life
medicine.medical_specialty
Fluorophore
Fibrin
03 medical and health sciences
optical imaging
Chlorides
In vivo
medicine
Animals
Humans
Radiology
Nuclear Medicine and imaging

cardiovascular diseases
Radionuclide Imaging
030304 developmental biology
Fluorescent Dyes
business.industry
Magnetic resonance imaging
Phlebography
Femoral Vein
medicine.disease
Mice
Inbred C57BL

Disease Models
Animal

chemistry
Microscopy
Fluorescence

biology.protein
Molecular imaging
business
Tomography
X-Ray Computed

DVT
Zdroj: JACC: Cardiovascular Imaging. 5(6):607-615
ISSN: 1936-878X
DOI: 10.1016/j.jcmg.2012.01.017
Popis: ObjectivesThe goal of this study was to develop and validate a new fibrin-targeted imaging agent that enables high-resolution near-infrared fluorescence (NIRF) imaging of deep vein thrombosis (DVT).BackgroundNIRF imaging of fibrin could enable highly sensitive and noninvasive molecular imaging of thrombosis syndromes in vivo.MethodsA fibrin-targeted peptide was conjugated to a near-infrared fluorophore Cy7, termed FTP11-Cy7. The NIRF peptide is based on a fibrin-specific imaging agent that has completed Phase II clinical magnetic resonance imaging trials. In vitro binding of FTP11-Cy7 to human plasma clots was assessed by using fluorescence reflectance imaging. Next, FTP11-Cy7 was intravenously injected in mice with femoral DVT induced by topical 7.5% ferric chloride treatment. Intravital fluorescence microscopy and noninvasive fluorescence molecular tomography–computed tomography were performed in 32 mice with DVT, followed by histological analyses.ResultsIn vitro human clot-binding analyses showed a 6-fold higher NIRF clot target-to-background ratio (TBR) of FTP11-Cy7 than free Cy7 (6.3 ± 0.34 vs. 1.2 ± 0.03; p < 0.0001). The thrombus TBR of acute and subacute femoral DVT with FTP11-Cy7 obtained by using intravital fluorescence microscopy was >400% higher than control free Cy7. Binding of FTP11-Cy7 to thrombi was blocked by a 100-fold excess of unlabeled competitor peptide both in vitro and in vivo (p < 0.001 for each). Histological analyses confirmed that FTP11-Cy7 specifically accumulated in thrombi. Noninvasive fluorescence molecular tomography–computed tomography imaging of fibrin in jugular DVT demonstrated strong NIRF signal in thrombi compared with sham-operated jugular veins (mean TBR 3.5 ± 0.7 vs. 1.5 ± 0.3; p < 0.05).ConclusionsThe fibrin-targeted NIRF agent FTP11-Cy7 was shown to avidly and specifically bind human and murine thrombi, and enable sensitive, multimodal intravital and noninvasive NIRF molecular imaging detection of acute and subacute murine DVT in vivo.
Databáze: OpenAIRE