Abstract
To monitor the release of cargo molecules from nanocarriers, a novel MRI/MRS technique is developed and tested here. This novel approach uses a simultaneous encapsulation of superparamagnetic iron oxide (SPIO) nanoparticles and either a Gd-based paramagnetic contrast agent, GdDTPA-BMA, for MRI, or an anticancer agent, 5-fluorouracil (5-FU), for MRS. These agents have significantly different diffusion properties due to their different molecular sizes. Strong negative signal enhancement due to the T2 effects of SPIO dominates the positive T1 contrast generated by GdDTPA-BMA when SPIO and GdDTPA-BMA are in close proximity (intact form). Positive T1 contrast becomes evident upon release of GdDTPA-BMA from the carrier once the distance between GdDTPA-BMA and SPIO molecules is beyond the T2 enhancement range. Similarly, intact nanocarriers loaded with 5-FU and SPIO have a broad 19F resonance line because line-width is inversely proportional to T2*, while free 5-FU appears as a narrow resonance line once it is released from the liposomes. This technique allowed monitoring of the release of cargo molecules from liposomes encapsulating both SPIO and either GdDTPA-BMA or 5-FU by MRI/MRS in vitro using 2% agarose gel phantoms. Experimental results demonstrate successful demarcation of the released cargo molecules vs. encapsulated molecules.
Keywords: MRI, MRS, Dual contrast technique, Fe-based contrast agents, Gd-based contrast agents, 5-Fluorouracil, Activated MR contrast agent
Nanocarriers play a significant role in targeted cancer chemotherapy both pre-clinically and clinically. Drug release is one of the key factors that determine the success of targeted cancer chemotherapy because undesirable bursts of drug release in the systemic circulation cause adverse effects, while incomplete drug release reduces the efficacy of encapsulated drugs. The noninvasive monitoring of drug release from nanocarriers is an ideal way to assess in vivo release characteristics. To date, no in vivo noninvasive imaging techniques have been developed to visualize the release of cargo molecules from nanocarriers. As cancer therapy typically requires long-term and repeated treatment protocols, nuclear imaging is not suitable to monitor the release in this situation. Activated optical imaging probes have been developed, but, as yet, these agents are not feasible in clinical settings due to low spatial resolution and depth penetration limits. Magnetic resonance imaging (MRI) is one imaging modality that is clinically feasible for longitudinal monitoring. Here, we demonstrate that MR can also be used to monitor the release of encapsulated compounds from carriers.
Two complementary approaches to visualize the release of encapsulated cargo from liposomal carriers were studied. In the first approach, MR imaging of two contrast agents coencapsulated in the liposome was used to monitor the release. In this experiment, a low molecular weight GdDTPA contrast agent was used as a surrogate imaging probe for encapsulated therapeutic compounds. In the second approach, direct MR spectroscopy of the encapsulated compound was used to monitor the release.
Clinical applications for contrast-enhanced MRI include diagnostic and functional imaging of diseased tissue. Gadolinium (Gd)-based contrast agents (such as GdDTPA) are representative of positive contrast agents, while superparamagnetic iron oxide (SPIO) nanoparticles are categorized as negative contrast agents. Both types of agents have been used extensively as a single agent, and concomitant use has also been attempted pre-clinically (1) and clinically (2) to improve the contrast in diagnostic MR images. In this study, a novel strategy for MRI/MR spectroscopy (MRS) has been developed to visualize the release of cargo molecules from nanocarriers by encapsulating both a negative contrast agent and either a positive contrast agent or an anticancer drug within a single carrier. This is the first technical report about monitoring the release of cargos using the dual-contrast technique.
For direct monitoring of cargo release from liposomal carriers, an MR-detectable anticancer drug, 5-Fluorouracil (5-FU), was used. 5-FU is a broad-spectrum antimetabolic agent that plays an important role in combination chemotherapeutic regimens for many types of cancer. As 5-FU has a fluorine atom that is detectable by 19F MRS, in vivo MRS of 5-FU has been explored (3–6). 19F is a preferred nucleus for in vivo MRS due to: i) high NMR sensitivity, second only to hydrogen; ii) lack of background from endogenous compounds; iii) intense NMR signals with a wide chemical shift range; and iv) availability of many fluorinated drugs for clinical use.
Therefore, to achieve the main goal of this study, the development of a noninvasive MR-based method to detect the release of cargo molecules, we have prepared and characterized liposomes encapsulating both SPIO and either gadolinium diethylenetriamine pentaacetic acid bismethylamide (GdDTPA-BMA) or 5-FU. We hypothesize that intact liposome generates strong negative signal enhancement due to the dominant T2/T2* effects of SPIO over T1 effect of GdDTPA-BMA in MRI and provides a broad resonance line of 5-FU due to the T2* effect of SPIO in MRS. Upon the release of GdDTPA-BMA and/or 5-FU from the liposome and their diffusion beyond the range of T2/T2* effects of a relatively immobile SPIO, positive T1 contrast of GdDTPA-BMA and a narrow resonance line of 5-FU are apparent. To prove our hypothesis, we also have demonstrated the visualization of the release of GdDTPA-BMA and 5-FU from liposomes by MRI and 19F MRS, respectively, in a model in vitro system.
MATERIALS AND METHODS
Chemicals
Omniscan® (GdDTPA-BMA) was obtained from GE Healthcare (Chalfont St. Giles, Buckinghamshire, U.K.). Feridex® (SPIO) was obtained from Bayer Healthcare Pharmaceuticals, AG (Leverkusen, Germany). Fluorouracil Injection (5-FU) was purchased from APP Pharmaceuticals, Inc. (Schaumburg, IL). Distearoyl phosphatidylcholine (DSPC; M.W. 790.15), distearoyl phosphatidylethanolamine methoxypolyethylene glycol conjugate (DSPE-PEG; M.W. 2748), cholesterol (Cho; M.W. 386.65), agarose (type XI), Triton® X-100, Sephadex® G-50, and Sepharose® CL-2B were purchased from Sigma-Aldrich Co. (St. Louis, MO, U.S.A.).
Preparations of Liposomes Encapsulating GdDTPA-BMA/SPIO (Lip-Gd/Fe) and 5-FU/SPIO (Lip-FU/Fe)
Liposomes were prepared by the sonication method, followed by the extrusion method. The composition of liposomes prepared in this study was as follows: liposome membrane, DSPC/DSPE-PEG/Cho = 6.3/0.7/5.2 (µmol); and encapsulation media, 200 mM SPIO suspension and either 50 mM GdDTPA-BMA or 50 mg/mL 5-FU. Extrusion was performed using polycarbonate membranes (Avestin Inc., Ottawa, Canada) with a 200 nm pore-size, followed by a 100 nm pore-size (7,8). To remove unencapsulated SPIO particles (about 50 nm diameter) from 100–150 nm liposomes, the preparation was initially centrifuged at 500×g for 30 min twice and the supernatant was collected. Further, the liposomes were purified using a Sepharose® CL-2B column (H: 11.5 cm × d: 1.5 cm) with diluted PBS as the mobile phase. Free GdDTPA-BMA and 5-FU were removed by running the sample through a Sepharose® CL-2B column. Either way, 1 mL of the liposome fraction was collected. As controls, liposomes encapsulating either GdDTPA-BMA alone (Lip-Gd), 5-FU alone (Lip-FU), or SPIO alone (Lip-Fe) were also prepared.
In Vitro Characteristics of Liposomes
To determine particle size, size distribution, and ζ-potential of the resultant liposomes, dynamic laser-light scattering (DLS) measurements were performed using a Zetasizer Nano-ZS90 (Malvern Instruments Ltd., Worcestershire, U.K.).
GdDTPA-BMA contents in the collected 1 mL liposome fraction were determined by T1 relaxation time measurement using MRI, after destruction of liposomes. Briefly, 500 µL of 10% Triton® X-100 solution was added to an equivalent volume of liposome suspension, and incubated at 70°C for 10 min to destroy liposomes. The mixture was centrifuged at 16,000×g, for 1 hr, to remove iron particles for Lip-Gd/Fe. T1 relaxation time of the sample solution was measured with a Bruker Biospec 9.4T horizontal bore spectrometer (Bruker Biospin GmbH, Rheinstetten, Germany). Two hundred microliter of sample solution in a micro-centrifuge PCR tube was placed in the magnet. The same volumes of 5% Triton® X-100 solution and GdDTPA-BMA at different concentrations were used as standards. A saturation recovery snapshot-FLASH pulse sequence with an excitation pulse flip angle of 10 degrees, an echo time of 1.245 ms, and twelve T1 saturation recovery delays (0.01, 0.05, 0.1, 0.2, 0.4, 0.6, 0.8, 1.2, 2.0, 3.0, 5.0, and 10.0 sec) were used (9). T1 values of the samples were calculated using custom-written software in the IDL programming environment (ITT Visual Information Solutions Corp., Boulder, CO).
5-FU contents in a 1 mL liposome fraction were determined using high-performance liquid chromatography (HPLC), after destruction of liposomes in the same manner as described above. Briefly, 20 µL of the sample solution was directly injected into a Waters 1525 binary HPLC pump equipped with a Waters Symmetry® C18 reversed phase column (4.6 mm ϕ × 150 mm) and a Waters 2487 dual λ absorbance detector set at 266 nm. The mobile phase was comprised of a mixture of water and methanol (90:10, v/v), and the pH was adjusted to 3.2 with perchloric acid. The flow rate was 1.0 mL/min, and HPLC analysis was performed at room temperature. The Breeze 3.30 program (Waters Corp., Milford, MA) was used as acquisition and analysis software. 5-FU with five different known concentrations (50 ng/mL – 500 µg/mL) was used for a calibration curve.
The encapsulation of SPIO nanoparticles in liposomes was confirmed using atomic force microscopy (AFM). For AFM analysis, vesicles were deposited on mica wafers for 10 min, washed with water, and air-dried. All images were acquired in tapping mode immediately after preparation of the samples.
In Vitro Release Visualization by MRI
A total of 120 µL of 2%(w/v) agarose gel was cast in a micro-centrifuge PCR tube, and a mixture of 40 µL of liposome samples and 40 µL of either PBS (pH 7.4) or 10 mM Triton® X-100 were placed on the agarose gel layer. The same volume of Lip, Lip-Gd, and Lip-Fe were used as controls. Phantoms were imaged on a horizontal 9.4T MR scanner, using Paravision 3.0.2 software, at 1 and 6 hr following the addition of PBS or Triton® X-100. To position the PCR micro-centrifuge tubes with gel in the 10 mm RF coil (Bruker Biospin GmbH), a small plastic insert was used. A tripilot imaging sequence was used for reproducible positioning of the sample in the magnet at each MRI session. A multi-slice, multi-echo pulse sequence with an echo time of 15 ms, and six different repetition times (TR = 250, 500, 1,000, 2,000, 4,000, 8,000 ms), was used. To check the top-to-bottom T1 changes in the agarose gel layer, three sagittal slices with 1 mm slice thickness were used. Quantitative T1 maps of the samples were constructed using custom-written software in the IDL programming environment, and final analysis was performed with the ImageJ® program (National Institutes of Health, Bethesda, MD).
In Vitro Release Visualization by MRS
To detect drug release with MRS, phantom experiments were performed using a 2% agarose gel system in manner similar to that in the in vitro MRI study, as described above. MRS experiments were performed with a 9.4T MR scanner equipped with 121 mm-diameter shielded gradients and a 1H/19F RF coil, using Paravision 3.0.2 acquisition software. First, a Lip-FU/Fe suspension sample was placed in the magnet, and triplanar images were obtained to check the sample position, followed by multi-slice multi-echo sequences for a reference image. After manual shimming with 1H channel, a 19F spectrum was acquired. Then, 150 µL of 10% Triton® X-100 were added to the suspension in the upper compartment, followed by mild pipetting to disassemble liposomes, and 19F MRS was acquired five hrs after the addition of Triton® X-100. Acquisition parameters for 19F spectroscopy were as follows: number of acquisitions = 4096; number of points = 2048; sweep width = 10,000 Hz; repetition time = 1 sec; and flip angle = 90°.
RESULTS
Characterization of Liposomes
The hydrodynamic diameter of all liposome samples was consistently around 120–130 nm, and the ζ-potential was about −11 mV in all liposome samples, as summarized in Table 1. Liposomes contain about 0.35 and 1.5 µmol of GdDTPA-BMA and 5-FU, respectively, in each 1 mL fraction. AFM images obtained from the liposome preparation confirmed that one or two SPIO particles were typically encapsulated in a single liposome (Figure 1).
Table 1.
Diameter (nm) *1, *2 | Polydispersity Index ± S.D. |
ζ-potential (mV) ± ζ deviation *1 |
Gd or FU amount (µmol) ± S.D. *3 |
||
---|---|---|---|---|---|
Mode ± S.D. | Mean ± width | ||||
Lip | 118 ± 21 | 127 ± 28 | 0.09 ± 0.08 | −11 ± 7 | — |
Lip-Gd | 117 ± 9 | 125 ± 26 | 0.03 ± 0.02 | −9 ± 8 | 0.34 ± 0.02 |
Lip-FU | 111 ± 9 | 123 ± 27 | 0.03 ± 0.02 | −11 ± 8 | 1.30 ± 0.09 |
Lip-Fe | 129 ± 6 | 139 ± 27 | 0.04 ± 0.03 | −11 ± 8 | — |
Lip-Gd/Fe | 125 ± 6 | 138 ± 33 | 0.11 ± 0.06 | −11 ± 7 | 0.38 ± 0.10 |
Lip-FU/Fe | 129 ± 12 | 141 ± 32 | 0.04 ± 0.02 | −12 ± 8 | 1.73 ± 0.31 |
Liposomes were dispersed in PBS (pH 7.4) for the size measurement, and dispersed in 10 mM of NaCl for the ζ-potential measurement.
The hydrodynamic diameter of liposomes was calculated by the Stokes-Einstein equation.
Amount of GdDTPA-BMA or 5-FU in 1 mL liposome fraction collected using Sepharose® CL-2B gel column.
In Vitro Release Visualization
The release and distribution of GdDTPA-BMA from Lip-Gd/Fe were monitored using 2%(w/v) agarose gel phantom. As expected, intact SPIO-loaded liposomes (Lip-Gd/Fe and Lip-Fe) completely suppressed the MR signal of the suspension in the upper chamber of the platform due to significant shortening of T2/T2* relaxation times, as shown in Figure 2. We also found that free GdDTPA-BMA diffused rapidly into a 2% agarose gel layer over time, while SPIO did not diffuse into the agarose matrix, even after six hrs, due to the larger size. GdDTPA-BMA release was more pronounced when liposomes were treated with detergent Triton® X-100 solution. It is worth noting that, in the case of Lip-Gd/Fe, GdDTPA-BMA molecules released from liposomes reduced the T1 value dose-dependently of distance from the interface of the liposome suspension and agarose gel layer, once the molecules reached the areas beyond the diffusion range of SPIO, even though free SPIO particles also existed in the suspension.
In preliminary experiments to assess the diffusion of 5-FU into the agarose gel layer, the 5-FU solution (20 mg/mL) was placed on a 2% agarose gel, and removed after three hrs, and the gel surface was washed with PBS several times. The peak of 5-FU was easily detected with 64 acquisitions, indicating that 5-FU molecules freely diffused into the 2% agarose gel layer and provide sufficient sensitivity for MRS. As shown in Figure 3, intact liposomes loaded with SPIO and 5-FU did not show the peak of 5-FU due to the predominant line-broadening T2* effect of SPIO particles. Upon the release of 5-FU and diffusion away from the disrupted liposomes, a sharp peak was detected in the 19F MR spectrum of the sample.
DISCUSSION
The particular emphasis of this study was on the novel use of SPIO nanoparticles for the noninvasive monitoring of cargo release from nanocarriers. The strategy is based on the use of a dual MR contrast agent, which is defined as a combination of a positive and a negative contrast agent within the same carrier. Utilization of the dominant T2/T2* effects of SPIO, and diffusion differences between SPIO and GdDTPA-BMA or 5-FU, made release monitoring with MRI/MRS possible. Noninvasive release monitoring using a dual MR contrast technique can also track distribution of a Gd-based contrast agent released from nanocarriers, possibly in vivo. This would be particularly useful in tumor tissue where the vessels/matrix have a unique character that small molecules, in this case, GdDTPA-BMA, can easily leak from tumor capillary vessels and diffuse through the interstitium, whereas large particles/molecules, in this case, SPIO, mostly stay in the perivascular space (10). With regard to release monitoring, the advantage of MRS over MRI is the direct detection of cargo drug, in this case 5-FU albeit with lower sensitivity/spatial resolution; in other words, MRS does not require contrast agents as a surrogate marker. MRI contrast agents affect the relaxation properties of bulk water molecules, and can be categorized as positive or negative agents according to their effect on image intensity during the course of a standard MRI experiment. SPIO nanoparticles produce large distortions in the local magnetic field due to their extremely high magnetic moment generated by the iron-oxide core. Empirical observations indicate that a single SPIO induces local inhomogeneities detectable in gradient-echo T2*-weighted MR images at a distance of at least 50 times its size (11). Spin-echo acquisition sequences completely refocus stationary inhomogeneities of the local magnetic field, and therefore, T2 effects depend on the diffusion of water molecules during the evolution time (or echo time) of the imaging sequence. For a typical diffusion coefficient of the fast-diffusing extracellular water in breast tumors in vivo with a D ≅ 10−3 mm2/sec (12), and an echo time (TE) of 30 ms, the average radius of the area with strong T2 contrast generated by SPIO nanoparticles can be estimated as R ≅ (6DT)1/2 ≈ 15 µm, which is at least an order of magnitude smaller than the currently available spatial resolution of MRI in vivo.
The mechanism of visualization of cargo release involves the diffusion of a low molecular weight GdDTPA or 5-FU from the areas of negative signal enhancement generated by massive SPIO nanoparticles (evaluated above) upon decomposition of the carrier vesicle. Estimating the diffusion coefficient of GdDTPA in tissue from the water self-diffusion coefficient using the Stockes-Einstein relation, D = kBT/6πηR, where kB is the Boltzmann’s constant, T is the absolute temperature, η is the viscosity of the medium, and R is the radius of the particle, we obtain DGdDTPA ≅ 2.5 × 10−5 mm2/sec. The typical time required for a GdDTPA molecule to diffuse 100 µm in the tissue can be estimated as tGdDTPA ≅ 60 sec, which is well within a reasonable experimental time. The low molecular weight Gd-based MR contrast agent can also be used as a surrogate marker for other small molecular agents, assuming their diffusion rates are similar. Strong negative signal enhancement, due to the T2/T2* effects of iron oxide nanoparticles, dominates the positive T1 contrast generated by a Gd-based contrast agent when these agents are in close proximity, such as within an intact nanocarrier encapsulating GdDTPA/SPIO. Positive T1 contrast becomes evident upon release of a Gd-based contrast agent from the carrier, once the distance between Gd-based contrast agents and SPIO molecules is beyond the T2 enhancement range. This phenomenon is based on a significant restriction of the free diffusion of massive SPIO nanoparticles due to their large sizes (40–70 nm), which results in a significantly shorter diffusion range over the same experimental time. Similar to the dual-contrast technique described above, the principle of release monitoring of 5-FU by MRS is that intact liposomes encapsulating 5-FU have a broad resonance line by co-encapsulation with SPIO, since line-width is inversely proportional to T2* (13). Free 5-FU, however, appears as a narrow resonance line, once released, because the T2* effects of SPIO on free 5-FU diminishes in regions beyond the diffusion range of SPIO.
Our in vitro results and the principles of release monitoring of both GdDTPA-BMA and 5-FU by MRI/MRS are summarized in Table 2. The findings obtained here provide direct support for our hypotheses: i) the T2 effects of SPIO particles dominated the positive T1 contrast of GdDTPA-BMA, as long as liposomes were in an intact form, which produced strong negative signal enhancement, while positive T1 contrast became evident upon release of GdDTPA-BMA from the liposomes because the T2 effects of SPIO diminished in regions beyond the diffusion range of SPIO; and ii) intact 5-FU-loaded liposomes showed a broad resonance line by co-encapsulation with SPIO because line-width was inversely proportional to T2*, while a narrow resonance line was apparent upon release of 5-FU from the liposome because the T2* effects of SPIO diminished in regions beyond the diffusion range of SPIO.
Table 2.
Molecular weight / size | Diffusion | MRI signal enhancement | MRS peak | |
---|---|---|---|---|
Intact liposome | ≈ 120 nm | ± | − *1 | Broad *2 |
Released GdDTPA-BMA | ≈ 591 Da | +++ | +++ | N/A |
Released 5-FU | 130 Da | +++ | N/A | Narrow |
SPIO nanoparticle | 40–70 nm | ± | − *1 | N/A *2 |
T2 effect of SPIO particles dominates the positive T1 contrast of GdDTPA, thus intact forms generate strong negative signal enhancement.
T2* effect of SPIO broadens 5-FU peak, thus intact forms generate a broad resonance line.
Images acquired with AFM indicated that it was difficult to remove free SPIO nanoparticles from the liposomes using current technology, such as gel filtration and centrifugation, because SPIO nanoparticles also have nanometer-range sizes. Martina et al. used a Sephacryl® S1000 superfine microcolumn (H: 5.8 cm × d: 0.4 cm) for purification of liposomes from magnetic fluid (14), which seems to have produced better separation compared to our results. Their liposome size was about 200 nm, and the iron particle size contained in the ferrofluid was 16 nm, while our liposome size was about 130 nm, and we used clinically approved Feridex® SPIO nanoparticles with a diameter of 40–70 nm. Smaller differences between liposomes and free particles make it difficult to completely remove SPIO particles. Although ideally, it would be preferable to eliminate all non-encapsulated molecules, currently, the presence of unencapsulated nanoscale iron-oxide particles will not interfere with future in vivo MR measurements. This is because it is well-established that free SPIO nanoparticles, administered systemically, predominantly accumulate in the liver (>80%) and the spleen (≈6%) due to capture by the reticuloendothelial system (15), and, since Feridex® SPIO is an FDA-approved contrast agent, and toxicity and clearance issues are relatively well understood, trace amounts of free iron-oxide particles are not associated with toxic side effects (15). In addition, due to the short diffusion range of free SPIO, the SPIO particles will most probably be localized in the sites of liposome accumulation, while small cargo molecules will diffuse to tumor tissue and generate positive MR contrast enhancement or a narrow resonance line, as implied by the in vitro phantom studies. Inherent difficulty in discriminating cargo release is encountered when spatial separation between Feridex® and GdDTPA-BMA is insufficient.
Although these in vitro experiments support the concept behind our strategy for noninvasive monitoring of drug release, the in vivo application of this technique will be challenging. Practical limitations include: i) the concentration of cargo molecules in tumor; and ii) a tumor microenvironment that is different from an in vitro agarose gel system. Our preliminary experiments showed that the dual MR contrast technique could noninvasively monitor liposome delivery, and cargo release after i.v. administration of liposomes up to 48 hr post-contrast, but could not visualize intratumoral distribution due to insufficient concentration to visualize this distribution in the tumor using quantitative T1 mapping. Intratumoral administration of liposomes, however, allowed visualization of intratumoral spatial distribution of the intact contrast agent on T2-weighted images, as well as the release of gadolinium contrast agent using quantitative T1 mapping due to a sufficient concentration of GdDTPA-BMA in tumor (unpublished data). Similar to our in vitro experiments, in vivo MRS of 5-FU will most likely be limited to single-voxel detection due to the limited sensitivity of 19F MRS; the intratumoral spatial distribution of 5-FU would be difficult to measure. With regard to molecular diffusion in the tumor, intratumoral delivery of larger molecules is restricted due to the short diffusion distance from the vascular surface, compared to smaller molecules, as reported by Dreher et al. (10). In addition to our observation, this report also supports our novel concept that diffusion differences between small cargo molecules and large Fe-based negative contrast agents can be utilized to monitor drug release using this technique. In fact, SPIO particles were retained in the capillary vessels or in the perivascular space, and were not diffused into the interstitium after intravenous administration of Lip-Gd/Fe (unpublished data), in accordance with the results observed in an in vitro agarose gel system.
Aside from the limitation of this technique for in vivo use, this technique is versatile enough to provide i) traditional diagnostic imaging (1,2), ii) MRI/MRS signal activation reported here, and iii) double labeling of biomolecules with MR contrast agents that is currently underway. Although we have demonstrated here only monitoring of GdDTPA and 5-FU from conventional liposomes, this technique can also be used for other nanocarriers, such as nanospheres, micelles, polymeric carriers, etc., as well as for specific release monitoring, such as conjugates of SPIO with GdDTPA via oligo peptide spacers and smart nanocarriers including pH- or thermo-responsive nanocarriers.
Our in vitro experiments confirmed that diffusion differences play an important role in the emergence of the MRI/MRS signal, and thus, can be used as a novel mechanism for noninvasive monitoring of drug release. Although the in vivo application of this technique still faces technological obstacles, this report is an important first step toward the noninvasive MRI monitoring of release of cargo molecules.
Previously proposed techniques for “activated” MR contrast agents were based on the modulation of T1 or T2 relaxivity following changes in the molecular structure of the agent (16–18). The major limitation of this approach is the low dynamic range of the effect and dependence on the concentration of the agent. The new technique described in this paper involves the emergence of the MRI/MRS signal, in the sense that the MR signal goes from “low/no” (negative T2 enhancement with SPIO on MRI, or a broad 19F resonance line of SPIO with the T2* effect of SPIO for MRS) to “high” (positive T1 enhancement by GdDTPA-BMA for MRI or narrow 19F resonance line of 5-FU for MRS). By combining T2- and T1-weighted imaging or MR spectroscopy, it is possible to simultaneously detect the presence of the intact agent, characterized by a negative T2/T2* enhancement signature, and to monitor the release of the cargo molecules by positive T1 enhancement or the appearance of a narrow resonance line in the MR spectrum.
CONCLUSION
In this study, we have explored a novel method of specific MRI/MRS signal emergence, using a combination of SPIO nanoparticles and GdDTPA-BMA or 5-FU, and have successfully demonstrated the application of this method to monitor release from liposomes in vitro in an agarose gel system with MRI and MRS. The technique reported here can be applied to other controlled-release carrier systems, including nanoparticles and polymeric nanocarriers, and thus, can be used for drug development in preclinical models, as well as clinical settings, to monitor the release characteristics and subsequent distribution of drug molecules in the tumor in vivo. This novel method of modulation of MRI/MRS signals can provide important new opportunities for preclinial and clinical molecular imaging using MRI/MRS.
ACKNOWLEDGMENT
The authors thank Dr. Jan H. Hoh for assistance with atomic force microscopy, and Ms. Mary McAllister for editing this manuscript. This work was supported by The Nagai Foundation, Tokyo, NIH R21 EB008162, and in part by NIH P50 CA103175 (JHU ICMIC Program).
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