Nitric oxide improves molecular imaging of inflammatory atheroma using targeted echogenic immunoliposomes

Kim, H; Kee, PH; Rim, Y; Moody, MR; Klegerman, ME; Vela, D; Huang, SL; Mcpherson, DD; Laing, ST

HERO ID

2232380

Reference Type

Journal Article

Year

2013

Language

English

PMID

24267236

HERO ID 2232380
In Press No
Year 2013
Title Nitric oxide improves molecular imaging of inflammatory atheroma using targeted echogenic immunoliposomes
Authors Kim, H; Kee, PH; Rim, Y; Moody, MR; Klegerman, ME; Vela, D; Huang, SL; Mcpherson, DD; Laing, ST
Journal Atherosclerosis
Volume 231
Issue 2
Page Numbers 252-260
Abstract <strong>OBJECTIVE: </strong>This study aimed to demonstrate whether pretreatment with nitric oxide (NO) loaded into echogenic immunoliposomes (ELIP) plus ultrasound, applied before injection of molecularly targeted ELIP can promote penetration of the targeted contrast agent and improve visualization of atheroma components.<br /><br /><strong>METHODS: </strong>ELIP were prepared using the pressurization-freeze method. Atherosclerosis was induced in Yucatan miniswine by balloon denudation and a hyperlipidemic diet. The animals were randomized to receive anti-intercellular adhesion molecule-1 (ICAM-1) ELIP or immunoglobulin (IgG)-ELIP, and were subdivided to receive pretreatment with standard ELIP plus ultrasound, NO-loaded ELIP, or NO-loaded ELIP plus ultrasound. Intravascular ultrasound (IVUS) data were collected before and after treatment.<br /><br /><strong>RESULTS: </strong>Pretreatment with standard ELIP plus ultrasound or NO-loaded ELIP without ultrasound resulted in 9.2 ± 0.7% and 9.2 ± 0.8% increase in mean gray scale values, respectively, compared to baseline (p &lt; 0.001 vs. control). Pretreatment with NO-loaded ELIP plus ultrasound activation resulted in a further increase in highlighting with a change in mean gray scale value to 14.7 ± 1.0% compared to baseline (p &lt; 0.001 vs. control). These differences were best appreciated when acoustic backscatter data values (RF signal) were used [22.7 ± 2.0% and 22.4 ± 2.2% increase in RF signals for pretreatment with standard ELIP plus ultrasound and NO-loaded ELIP without ultrasound respectively (p &lt; 0.001 vs. control), and 40.0 ± 2.9% increase in RF signal for pretreatment with NO-loaded ELIP plus ultrasound (p &lt; 0.001 vs. control)].<br /><br /><strong>CONCLUSION: </strong>NO-loaded ELIP plus ultrasound activation can facilitate anti-ICAM-1 conjugated ELIP delivery to inflammatory components in the arterial wall. This NO pretreatment strategy has potential to improve targeted molecular imaging of atheroma for eventual true tailored and personalized management of cardiovascular diseases.
Doi 10.1016/j.atherosclerosis.2013.09.026
Pmid 24267236
Wosid WOS:000327537700015
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword Molecular imaging; Atherosclerosis; Contrast agent; Nitric oxide; Ultrasound