PMID- 23300273 OWN - NLM STAT- MEDLINE DCOM- 20130625 LR - 20220408 IS - 1524-4571 (Electronic) IS - 0009-7330 (Print) IS - 0009-7330 (Linking) VI - 112 IP - 5 DP - 2013 Mar 1 TI - Polymeric nanoparticle PET/MR imaging allows macrophage detection in atherosclerotic plaques. PG - 755-61 LID - 10.1161/CIRCRESAHA.111.300576 [doi] AB - RATIONALE: Myeloid cell content in atherosclerotic plaques associates with rupture and thrombosis. Thus, imaging of lesional monocytes and macrophages could serve as a biomarker of disease progression and therapeutic intervention. OBJECTIVE: To noninvasively assess plaque inflammation with dextran nanoparticle (DNP)-facilitated hybrid positron emission tomography/magnetic resonance imaging (PET/MRI). METHODS AND RESULTS: Using clinically approved building blocks, we systematically developed 13-nm polymeric nanoparticles consisting of cross-linked short chain dextrans, which were modified with desferoxamine for zirconium-89 radiolabeling ((89)Zr-DNP) and a near-infrared fluorochrome (VT680) for microscopic and cellular validation. Flow cytometry of cells isolated from excised aortas showed DNP uptake predominantly in monocytes and macrophages (76.7%) and lower signal originating from other leukocytes, such as neutrophils and lymphocytes (11.8% and 0.7%, P<0.05 versus monocytes and macrophages). DNP colocalized with the myeloid cell marker CD11b on immunohistochemistry. PET/MRI revealed high uptake of (89)Zr-DNP in the aortic root of apolipoprotein E knock out (ApoE(-/-)) mice (standard uptake value, ApoE(-/-) mice versus wild-type controls, 1.9+/-0.28 versus 1.3+/-0.03; P<0.05), corroborated by ex vivo scintillation counting and autoradiography. Therapeutic silencing of the monocyte-recruiting receptor C-C chemokine receptor type 2 with short-interfering RNA decreased (89)Zr-DNP plaque signal (P<0.05) and inflammatory gene expression (P<0.05). CONCLUSIONS: Hybrid PET/MRI with a 13-nm DNP enables noninvasive assessment of inflammation in experimental atherosclerotic plaques and reports on therapeutic efficacy of anti-inflammatory therapy. FAU - Majmudar, Maulik D AU - Majmudar MD AD - Center for Systems Biology, Massachusetts General Hospital, 185 Cambridge St., Boston, MA 02114, USA. FAU - Yoo, Jeongsoo AU - Yoo J FAU - Keliher, Edmund J AU - Keliher EJ FAU - Truelove, Jessica J AU - Truelove JJ FAU - Iwamoto, Yoshiko AU - Iwamoto Y FAU - Sena, Brena AU - Sena B FAU - Dutta, Partha AU - Dutta P FAU - Borodovsky, Anna AU - Borodovsky A FAU - Fitzgerald, Kevin AU - Fitzgerald K FAU - Di Carli, Marcelo F AU - Di Carli MF FAU - Libby, Peter AU - Libby P FAU - Anderson, Daniel G AU - Anderson DG FAU - Swirski, Filip K AU - Swirski FK FAU - Weissleder, Ralph AU - Weissleder R FAU - Nahrendorf, Matthias AU - Nahrendorf M LA - eng GR - T32 HL094301/HL/NHLBI NIH HHS/United States GR - HHSN268201000044C/HL/NHLBI NIH HHS/United States GR - R01-HL096576/HL/NHLBI NIH HHS/United States GR - R01 HL096576/HL/NHLBI NIH HHS/United States GR - T32-HL094301/HL/NHLBI NIH HHS/United States GR - R01 HL095612/HL/NHLBI NIH HHS/United States GR - R01 HL095629/HL/NHLBI NIH HHS/United States GR - R01-HL095629/HL/NHLBI NIH HHS/United States PT - Evaluation Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. DEP - 20130108 PL - United States TA - Circ Res JT - Circulation research JID - 0047103 RN - 0 (Apolipoproteins E) RN - 0 (Dextrans) RN - 0 (Radioisotopes) RN - C6V6S92N3C (Zirconium) SB - IM MH - Animals MH - Aorta/diagnostic imaging/pathology MH - Apolipoproteins E/deficiency/genetics MH - Dextrans MH - Disease Models, Animal MH - Disease Progression MH - Feasibility Studies MH - Macrophages/*diagnostic imaging/*pathology MH - Magnetic Resonance Imaging/*methods MH - Mice MH - Mice, Knockout MH - *Nanoparticles MH - Plaque, Atherosclerotic/*diagnostic imaging/*pathology MH - Positron-Emission Tomography/*methods MH - Radioisotopes MH - Sensitivity and Specificity MH - Zirconium PMC - PMC3586287 MID - NIHMS435077 EDAT- 2013/01/10 06:00 MHDA- 2013/06/26 06:00 PMCR- 2013/03/02 CRDT- 2013/01/10 06:00 PHST- 2013/01/10 06:00 [entrez] PHST- 2013/01/10 06:00 [pubmed] PHST- 2013/06/26 06:00 [medline] PHST- 2013/03/02 00:00 [pmc-release] AID - CIRCRESAHA.111.300576 [pii] AID - 10.1161/CIRCRESAHA.111.300576 [doi] PST - ppublish SO - Circ Res. 2013 Mar 1;112(5):755-61. doi: 10.1161/CIRCRESAHA.111.300576. Epub 2013 Jan 8.