1. Magnetic Resonance Imaging Contrast Agent Targeted Toward Activated Platelets Allows In Vivo Detection of Thrombosis and Monitoring of Thrombolysis
- Author
-
Karlheinz Peter, Robin P. Choudhury, J.A. Moeller, Christoph E. Hagemeyer, Manfred Olschewski, Nicole Bassler, A. K. Becker, Meike Schwarz, Irene Neudorfer, Dominik Paul, Christoph Bode, C. von zur Muhlen, and D. von Elverfeldt
- Subjects
Carotid Artery Diseases ,Male ,Pathology ,medicine.medical_specialty ,medicine.medical_treatment ,Contrast Media ,Signal void ,Platelet Glycoprotein GPIIb-IIIa Complex ,In Vitro Techniques ,Ligands ,Ferric Compounds ,Mice ,In vivo ,Physiology (medical) ,medicine ,Animals ,Humans ,Thrombolytic Therapy ,Platelet ,Platelet activation ,Particle Size ,Thrombus ,Binding Sites ,medicine.diagnostic_test ,business.industry ,Thrombosis ,Magnetic resonance imaging ,Thrombolysis ,Atherosclerosis ,Platelet Activation ,medicine.disease ,Magnetic Resonance Imaging ,Mice, Inbred C57BL ,Drug Monitoring ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background— 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. Methods and Results— Anti-LIBS antibody or control antibody was conjugated to 1-μm 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 P Conclusions— 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.
- Published
- 2008
- Full Text
- View/download PDF