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. Author manuscript; available in PMC: 2016 Jan 1.
Published in final edited form as: Magn Reson Med. 2014 Jan 29;73(1):367–375. doi: 10.1002/mrm.25120

Combining Perfluorocarbon and Superparamagnetic Iron-oxide Cell Labeling for Improved and Expanded Applications of Cellular MRI

T Kevin Hitchens 1,*, Li Liu 1, Lesley M Foley 1, Virgil Simplaceanu 1,2, Eric T Ahrens 1,2,, Chien Ho 1,2
PMCID: PMC4115051  NIHMSID: NIHMS565491  PMID: 24478194

Abstract

Purpose

The ability to detect the migration of cells in living organisms is fundamental in understanding biological processes and important for the development of novel cell-based therapies to treat disease. MRI can be used to detect the migration of cells labeled with superparamagnetic iron-oxide (SPIO) or perfluorocarbon (PFC) agents. In this study, we explored combining these two cell-labeling approaches to overcome current limitations and enable new applications for cellular MRI.

Methods

We characterized 19F-NMR relaxation properties of PFC-labeled cells in the presence of SPIO and imaged cells both ex vivo and in vivo in a rodent inflammation model to demonstrate selective visualization of cell populations.

Results

We show that with UTE3D, RARE and FLASH 19F images one can uniquely identify PFC-labeled cells, co-localized PFC- and SPIO-labeled cells, and PFC/SPIO co-labeled cells.

Conclusion

This new methodology has the ability to improve and expand applications of MRI cell tracking. Combining PFC and SPIO strategies can potentially provide a method to quench PFC signal transferred from dead cells to macrophages, thereby eliminating false positives. In addition, combining these techniques could also be used to track two cell types simultaneously and probe cell-cell proximity in vivo with MRI.

Keywords: Cell Tracking, MRI, Superparamagnetic Iron-oxide, Perfluorocarbon

Introduction

The ability to observe cell migration in living organisms is key to understanding biological processes and developing novel cellular therapies for a large number of diseases that continue to elude traditional therapeutic approaches. There are several imaging modalities that are able to track cells in vivo, such as MRI, single-photon emission tomography (SPECT), or bioluminescence and fluorescence imaging (14). Of these, MRI has the broadest application because it is useful clinically, is not limited by depth of penetration, has a moderately high resolution, and does not rely on a radioactive tracer.

To make cells visible by MRI, they are labeled with an agent that provides image contrast or a unique magnetic resonance signal. In principle, any agent expressed or loaded into a cell that can affect the signal or relaxation properties of the surrounding water can be used for cellular MRI. Many studies rely on nanometer-sized or micron-sized superparamagnetic iron-oxide (SPIO) particles to track cells by MRI. SPIO loaded into cells can affect the surrounding water T1 and T2, but often T2* contrast is used because the magnetic-field gradients generated by the SPIO can extend far beyond the boundary of the cell, causing a so-called “blooming effect”. In fact, in some cases, single cells can be detected in images collected at far less than cellular resolution (57).

Recently, there has been increased interest in the use of perfluorocarbon (PFC) nanoemulsions as tracer agents for MRI cell tracking (8). Fluorine-19 (19F) is the only abundant and stable isotope of fluorine. It is an NMR active, spin-1/2 nucleus that has a gyromagnetic ratio similar to 1H. In biological systems, fluorine has a very low natural abundance, mainly in the form of fluoride; thus, any fluorine-containing molecules introduced can provide a unique signal for magnetic resonance spectroscopy and imaging. For cell tracking, PFC molecules with a large number of chemically equivalent fluorine atoms are formulated into nanoemulsions for cell labeling (9). Because there is a lack of background signal, the presence of even low fluorine signal intensity (SNR>2) can be used to localize the labeled cells in vivo, and, importantly, the magnitude can be directly related to the number of cells (10). A standard 1H image can then be used to place the labeled cells in anatomical context.

Current MRI cell tracking methods using labeling agents have several limitations. One limitation is the inability to distinguish live cells from dead cells that have transferred their labeling agent to macrophages in vivo (11, 12), thereby giving rise to the possibility of false positive signals. Another limitation is that, in general, only a single labeled cell type (or cell population) can be uniquely tracked in the same image voxel with MRI. By combining PFC and SPIO labeling, we aimed to develop a methodology able to overcome these limitations in order to improve and expand the applications of cellular MRI.

In this study, we explored the effects of SPIO cellular contrast agents on properties of PFC reagents used for cell labeling. We found that an intracellular co-label of SPIO nanoparticles significantly reduced the PFC 19F T2. However, when cell populations were labeled with a single agent, the 19F T2 of PFC-labeled cells was largely unaffected by adjacent SPIO-labeled cells. By taking advantage of the 19F relaxation properties, we demonstrated that by combining PFC and SPIO reagents, one can uniquely detect PFC-labeled cells, PFC-labeled cells co-localized with SPIO-labeled cells, and SPIO/PFC co-labeled cells. This methodology has the potential to provide a way to quench PFC signal released to macrophages from dead cells in vivo, and provide a method to track two (or more) cell populations simultaneously.

Methods

Cellular MRI Reagents

PFC cell labeling reagents were obtained from a commercial source (Celsense, Inc., Pittsburgh, PA). Two PFC reagents were used in this study, both containing the same MRI-active molecule; one is an emulsion formulated for cell labeling in culture (Cell Sense, product # CS-1000-ATM), and the other formulated for direct intravenous administration for labeling immune cells in situ (V-Sense, product # VS-1000 H). Two different SPIO nanoparticles were also used in this study. Molday ION was obtained from BioPal (Worchester, MA), and is comprised of 30 nm dextran-coated SPIO particles with a transverse relaxivity (r2) of 70.6 mM−1·sec−1 for water at 0.47 T. For cell labeling in culture, Molday ION C6Amine was used. ITRI-IOP was a gift from Shian-Jy Wang (Industrial Technology Research Institute, Hsinchu, Taiwan), and is comprised of a polyethylene glycol coated SPIO particle with a hydrodynamic diameter of 70 nm and an r2 of 240 mM−1 sec−1 at 0.47 T (13, 14). Micron-sized iron-oxide particles (MPIO), product number MC03F, were obtained from Bangs Laboratories (Fishers, IN). These particles consist of a 0.9 µm styrene-divinylbenzene polymer sphere loaded with SPIO. These particles have a relatively low r2, of 35 mM−1 sec−1 (13), but have a very high r2*, i.e. similar particles are reported to have r2* of 356 mM−1 sec−1 at 4.7 T (15).

NMR and MRI equipment

All 19F NMR and MRI measurements were made at 7 Tesla. 19F NMR measurements of cell preparations were performed at 282 MHz on a Bruker DRX300WB spectrometer (Bruker Biospin, Billerica MA) with a 10 mm dual 19F/1H probe at ambient temperature. Imaging was carried out using a 7 Tesla, 21 cm, Bruker Biospec AVANCE 3 scanner equipped with a 12 cm B-GA12S2 gradient set and a 35-mm 1H/19F double-resonance birdcage coil (Rapid International, Columbus, OH).

19F-NMR relaxation properties of PFC/SPIO nanoparticle mixtures

Aqueous mixtures of 20% VS-1000 and Molday ION were prepared with iron concentrations of 0, 0.4, 2.0, 4.0, and 20 µg/mL. The effect of SPIO concentration on 19F T1 and T2 relaxation was demonstrated by MRI. The 19F T1 was determined using a DESPOT1 analysis (16) by fitting signal intensities obtained from eleven 3-dimensional Ultra-short TE (UTE3D) images with different flip angles, ranging from 2° to 22°. Other parameters included a 3D matrix of 80 points, a resolution of 0.75×0.75×1.5 mm, TR/TE = 8 ms/20 µs, and NA = 24. T2 was estimated from a monoexponential fit of the signal decay from a series of RARE (Rapid Acquisition with Relaxation Enhancement) images with echo times ranging from 10 to 150 ms, TR = 1000, RARE Factor = 2, NA = 8, and the same resolution as above.

Preparation of PFC- and USPIO-labeled Cells

To demonstrate 19F nuclear relaxation properties and selective imaging of PFC-labeled cell populations, a fetal skin-derived dendritic cell (FSDC) line was labeled with PFC and/or SPIO reagents. FSDCs were a gift from Ricciardi-Castagnoli (17). FSDCs were cultured as a monolayer in 10 cm plates in complete RPMI 1640 medium containing 10% fetal bovine serum (FBS), 100 µg/mL streptomycin, 100 U/mL penicillin, and 2 mM glutamine at 37 °C, as described elsewhere (18). At ~90% confluence, FSDCs were incubated with the SPIO particles, PFC emulsion, or a mixture of both SPIO and PFC in culture medium for 18 hr. The concentrations of the MRI contrast agents were as follows: ITRI-IOP (10 or 25 µg Fe/mL), Molday ION (35 or 70 µg Fe/mL), MPIO (10 or 20 µg Fe/mL), and PFC (CS-1000ATM at 8 mg/mL). After the incubation, FSDCs were washed 3x with phosphate-buffered saline (PBS) to remove any excess labeling agent. FSDCs were then incubated with 5 mL of trypsin-EDTA at 37 °C for 5 min and harvested by centrifugation (300×g for 7 min). The cells were then washed twice with PBS. The cells were counted and the number of dead cells was determined to be less than 10% using the Trypan Blue exclusion assay. The intracellular iron concentrations were determined analytically by inductively coupled plasma mass spectrometry (ICP-MS) (PerkinElmer NexION300X, Waltham, MA) with a known number of cells compared to a calibration curve. The cells were fixed with 2% paraformaldehyde for 24 hr, then stored in PBS.

Three types of cell phantom samples were prepared: PFC-labeled cells as control, mixed populations of PFC-labeled and SPIO-labeled cells, and co-labeled PFC/SPIO cells. In the latter two cases, a few samples with different intracellular concentrations of iron were made. For all samples, a total of 6×106 labeled FSDCs were prepared as a cell pellet in a 0.4 mL narrow microcentrifuge tube (FisherBrand Cat. #02-681-229). For the mixed population, equal number of cells were evenly mixed (3×106 SPIO-labeled cells and 3×106 PFC-labeled cells) prior to centrifugation.

19F-MRI of Cell Pellets

The cell pellets were imaged with 19F MRI using 3 different sequences: a UTE3D, RARE, and FLASH (Fast Low-Angle snapSHot), for spin density-weighted images, T2-weighted images and T2*-weighted images, respectively. The UTE3D was collected with the following parameters: TR/TE = 10/0.015 ms, 10° FA, 28,733 projections, NA = 48, and an isotropic matrix of 96 points with a resolution 0.5×0.5×2 mm. The RARE images were collected with TR/TE = 2000/6 ms, 96×96 matrix, 4.8 cm FOV, 8mm slice thickness (to contain the entire cell pellet), NA = 64, RARE factor = 2, and 8 echo images for effective echo times of 12, 36, 60, 84, 108, 156, and 180 ms. FLASH imaging used a TR/TE = 100/1 ms, 48×16 matrix, 4.8 cm FOV, 30° FA, and NA = 1024. For illustration of cell population selection, images from cell pellets with PFC-only labeled cells, a mixed population of PFC and ITRI-IOP-labeled cells (0.45 pg Fe/cell) and PFC/ITRI-IOP co-labeled cells (0.56 pg Fe/cell) were selected. The decay in signal intensity versus TE was plotted from the series of RARE images to measure the signal decay in the co-labeled population.

19F-NMR Spectroscopy and Relaxometry

Following imaging, cell pellets were subjected to 19F NMR spectroscopy. NMR spectra were collected on each sample to measure linewidth and peak position. Inhomogeneous line broadening in the cell pellets prevented accurate measurement of intracellular 19F relaxation rates by spectroscopy, so cell pellets (~20 µL in volume) were then uniformly suspended in 80 µL of 1.0% low-melting-temperature agarose (Thermo Fisher Scientific Inc, Waltham, MA) and placed in shortened 5 mm borosilicate glass NMR tubes. For the 1D spectra, a 10 µs 45° pulse was used to collect 4 k points of the FID with a 120 ppm spectral width, using 8 to 32 averages and a recycle delay of 1 sec. T2 was measured using the CPMG sequence (19, 20) with 9 µs 90° and 18 µs 180° pulses, and echo time of 1 ms; echoes were collected at multiples of 4 ms up to 800 ms. A 2-sec recycle delay was used to collect 8–32 averages depending on the sample. T2 was determined with a 3-parameter monoexponential decay using XWIN NMR software (Bruker). T1 was measured by saturation recovery using an aperiodic pulse train for saturation. For the samples with higher iron concentrations, rapid relaxation precluded the measurement of T2 because the signal decayed before the formation of the first echo at 4 ms.

Electron Microscopy

Labeled FSDCs were fixed in 1% OsO4 buffered with PBS for 15 minutes. The cells were washed with distilled water three times. The samples were dehydrated using a gradient series of ethanol and embedded in an Epon-Araldite resin. The samples were sectioned using a diamond knife on a Reichert-Jung Ultracut-E ultramicrotome. 100 nm sections were mounted onto copper grids and coated with carbon. The sections were imaged on a Hitachi 7100 transmission electron microscope.

Demonstration of in vivo feasibility

A mouse injury-inflammation model was used to demonstrate feasibility of generating and detecting different PFC/SPIO-labeled cell combinations in vivo. Male C57BL6 mice were obtained from Jackson Laboratories (Bar Harbor, ME) and allowed water and food ad libitum. Mice were induced with 2% isoflurane in air then intubated and mechanically ventilated with 70/30 O2/N20 and 2% isoflurane. A femoral cut-down was then performed and sutured for the injury-induced inflammation model. By direct i.v. injection, we labeled macrophages in situ to generate three different cell populations: PCF-labeled cells, a mixture of PFC-labeled cells in proximity to SPIO-labeled cells, and PFC/SPIO co-labeled cells. One mouse was injected with 0.2 mL PFC (VS-1000) via the tail vein and imaged 5 days later to observe PFC-labeled cells. Imaging was followed with an injection of Molday ION (6 mg/kg) and scanned 48 hrs later (i.e., day 7 after injury) to observe PCF labeled cells in proximity to SPIO labeled cells. A second scheme was used to create a population of co-labeled PFC/SPIO cells. Following surgical injury, both the PFC (0.2 mL) and Molday ION (6 mg Fe/kg) were injected simultaneously via the tail vein. The mouse was allowed to recover and scanned 48 hrs later to match the time following SPIO injection from the above experiment.

For in vivo imaging, mice were re-anesthetized, intubated and mechanically ventilated as above. A reference standard containing PFC was placed near the injection site and the mouse was positioned in the magnet. Anatomical 1H images were collected using a RARE sequence with the following parameters, TR/TE = 4000/7 ms, RARE Factor = 8, 256×256 matrix, NA = 2, FOV = 48×48 mm, with a 2 mm slice thickness. As with the fixed cell samples, three different imaging sequences were used to collect the 19F images, including RARE, with TR/TE = 4000/7 ms, RARE Factor = 4, 96×96 matrix, FOV = 48×48 mm, 8-echo images (effective echo times = 14, 42, 70, 98, 126, 154, 182, 210 ms), NA = 24, 15 slices with a 2 mm slice thickness, TA = 38 min, a FLASH sequence with TR/TE = 500/3 ms, 96×64 matrix, FOV = 48×32, NA = 48 and FA = 45°, TA = 25 min, and a 3D UTE with TR/TE = 8/0.02 ms, 80×80×80 matrix, 19,932 projections, FOV = 40×40×80 with a 1 mm effective slice resolution, TA = 63 min.

Results

19F-NMR relaxation Properties of PFC/SPIO mixtures

The effect of SPIO nanoparticles on the PFC nanoemulsion 19F nuclear magnetic relaxation is shown in Figure 1. Figures 1a and 1b show T2 and spin-density-weighted images, respectively. For T2-weighted scans, the signal intensity is clearly reduced for higher concentrations of SPIO, but signal from the UTE (Fig. 1b) appears constant. Figure 1C shows a plot of the relaxation rates (1/TN) versus iron concentration. Longitudinal relaxation (1/T1) is independent of iron concentration; however, transverse relaxation is strongly dependent. The 19F transverse relaxivity (r2) for Molday ION was measured to be 316 sec−1 mM−1 (5.56 sec−1 µg−1 mL) up to 4 µg Fe per mL. Rapid transverse relaxation in the 20 µg Fe/mL sample (98 ± 24 sec−1) increased the error in the R2 fit from a few percent to 24%. Including this value provides a similarly good linear regression (R2=0.998) and yields an r2 of 4.73 sec−1 µg−1 mL.

Figure 1.

Figure 1

19F images and relaxation rates for PCF/ Molday ION mixtures. Panel a shows a 19F T2-weighted spin-echo (TE = 70 ms) image of PFC phantoms containing SPIO at concentrations of 0, 0.4, 2, 4, and 20µg Fe/mL (left to right). 19F images are shown in pseudo color (hot iron scale) to distinguish them from standard 1H images. Panel b shows a 19F UTE3D image (TE = 20µs) for the same phantoms. Panel c shows a plot of relaxation rates, R2 (circles) and R1 (triangles), versus iron concentration. A regression of R2 versus iron concentration for these 4 points gives a slope of 5.65 sec−1 µg−1 mL (R=0.999). Data for the phantom containing 20 µg Fe /mL is not shown on the plot. The R1 was measured to be 2.08 sec−1 and R2 was rapid, estimated to be approximately 166 sec−1.

19F-NMR PFC and SPIO labeled cells

To test the effects of intracellular SPIO particles and distant SPIO particles (in nearby cells) on the 19F-NMR properties of PFC-labeled cells, we prepared PFC-labeled, SPIO labeled, and PFC/SPIO co-labeled cells with different SPIO particles and iron concentrations. For SPIO labeling, the cells were incubated with different concentrations of particles to prepare different labeling concentrations. The PFC 19F T1 in labeled cells was measured to be 495 ± 20 ms, and as with the mixtures of PFC and SPIO particles shown in Figure 1, there was no significant difference with the addition of SPIO-labeled cells or in co-labeled cells. The average 19F T1 of all the samples containing SPIO was 502 ± 27 ms. The other NMR properties of labeled cell mixtures suspended in agarose are shown in Table 1. For all samples containing SPIO, a small down-field shift in the resonance line was observed. The presence of SPIO in the samples also leads to inhomogeneous line broadening of the 19F resonance. The broadening was modest for mixed populations of cells, increasing the initial 19F linewidth of 200 Hz by 2- to 3-fold, with only a weak dependence on iron-concentration. For PFC/SPIO co-labeled cells, the 19F linewidth increased significantly, to greater than 1 kHz, for the lowest iron concentration. The linewidth was also greatly dependent on the intracellular iron concentration, increasing the linewidth up to 7–8 kHz for the highest concentrations studied.

Table 1.

19F NMR Properties of PFC labeled Cells in Agarose. Each sample contained 6 × 106 labeled FSDC cells diluted 5x in agarose to a final volume of 100 µL. Row entries 2–4, 9–10, and 13–14 had two cell populations of 3 × 106 each, with one population labeled with PFC and the other labeled with SPIO as indicated. Rows 1, 5–8, 11–12, and 15–16 show data from a single population of 19F-labeled or co-labeled cells. Iron concentration was measured with ICP-MS. The NMR shift is relative to the reference PFC-labeled cells. The shift and line width (FWHH) were estimate from the NMR spectrum and the T2 was measured with a CPMG pulse sequence. T2 was not measured in samples with very broad lines.

Cell Pop. 1
Label
Cell Pop. 2
Label
[Fe]/cell NMR Shift NMR Line
Width
T2
1 PFC --- --- 200 Hz 220 ms
2 PFC ITRI-IOP 0.45 pg 0.5 ppm 450 Hz 220 ms
3 PFC ITRI-IOP 1.8 pg 0.5 ppm 600 Hz 194 ms
4 PFC ITRI-IOP 4.2 pg 0.6 ppm 650 Hz 195 ms
5 PFC and ITRI-IOP 0.39 pg 0.5 ppm 1.7 kHz 35 ms
6 PFC and ITRI-IOP 0.59 pg 0.5 ppm 3 kHz 20 ms
7 PFC and ITRI-IOP 2.0 pg 0.65 ppm 4.6 kHz ~1ms
8 PFC and ITRI-IOP 6.2 pg 0.65 ppm 7 kHz --
9 PFC Molday ION 3.2 pg 0.3 ppm 500 Hz 220 ms
10 PFC Molday ION 5.9 pg 0.3 ppm 500 Hz 215 ms
11 PFC and Molday ION 3.0 pg 0.3 ppm 6.2 kHz --
12 PFC and Molday ION 4.9 pg 0.3 ppm 8 kHz --
13 PFC MPIO 3.2 pg 0.2 ppm 400 Hz 196 ms
14 PFC MPIO 5.0 pg 0.6 ppm 440 Hz 206 ms
15 PFC and MPIO 2.8 pg 0.25 ppm 1.2 kHz 140 ms
16 PFC and MPIO 4.2 pg 0.35 ppm 2.1 kHz 120 ms

The presence of SPIO-labeled cells, containing either nanoparticles (ITRI-IOP or Biopal Molday ION) or micron-sized particles up to 4–6 pg Fe/cell, mixed equally with PFC-labeled cells, did not significantly affect the 19F T2. However, T2 was significantly affected in the co-labeled cell populations. SPIO nanoparticles were very effective in shortening the intracellular PFC 19F T2. Only 0.59 pg Fe/cell of ITRI-IOP co-label was sufficient to reduce the relaxation time by over 90%. Molday ION had a similar effect; however, the lowest cellular concentration studied had 3 pg of iron, and, at this concentration, the transverse relaxation was too rapid to measure. Interestingly, similar iron concentrations of the MPIO co-label did not affect T2 as strongly as the nanoparticles. For MPIO, 4.2 pg of iron only reduced the T2 by half.

Electron Microscopy of PFC/SPIO Co-labeled Cells

Electron microscopy was used to examine the intracellular proximity between the PFC and either iron-oxide nanoparticles or micron-sized particles. Figure 2b shows TEM of an FSDC labeled with PFC. The PFC droplets appear as electron-sparse circular white spots that are not observed in unlabeled cells (Figure 2a). Figure 2c shows TEM of a PFC/MPIO co-labeled cell. The MPIO particle is clearly seen as a dark area of high electron density, and the MPIO particle is not in contact with the PFC droplets. Each MPIO particle contains about 0.5 pg of iron. In contrast, TEM of a co-labeled PFC/ITRI-IOP (Fig. 2d), shows the nanoparticles distributed between and in close proximity with the PFC droplets, presumably co-localized in macropinosomal compartments of the FSDCs (21).

Figure 2.

Figure 2

TEM images of FSDC’s labeled with PFC and co-labeled with either micron-sized or nano-sized SPIO particles. Panels a and b unlabeled and PFC-labeled FSDC cells, respectively. The white spots seen in B are the fluorine nanoemulsion droplets. Panel c shows TEM of a PFC/MPIO co-labeled cell. A micron-sized SPIO particle is seen in the center of the lower part of the image. Panel d shows a cell co-labeled with PFC and ITRI-IOP. Many spots of high electron density due to the nano-sized SPIO particles are seen associated with or in close proximity to the PFC droplets.

19F MRI of PFC and SPIO Labeled Cells

Figure 3 demonstrates the application of different imaging schemes (spin density-weighted imaging, T2-weighted imaging, and T2*-weighted imaging) to select for cell populations of PFC-labeled cells, mixtures of PFC-labeled and SPIO-labeled cells, and PFC/SPIO co-labeled cells. Only one cell pellet from each population is shown for illustration. A UTE3D (Fig. 3a) yields a PFC-density weighted image. The ultra-short TE of 20 µs provides a 19F image of all PFC containing cell populations because the rapid read-out can image samples with short T2 (or T2*). However, the signal intensity will be affected as the T2 approaches the echo time. RARE images were collected as a series of echo images with increasing echo times. The intensity can also be affected if the T1 varies significantly between samples; however we confirmed with cells diluted in agarose that the PFC 19F T1 was approximately 500 ms for all samples investigated. Figure 3b shows the fourth image in the RARE series, with an effective TE of 84 ms, demonstrating negative selection of the short T2, PFC/SPIO co-labeled, cell population. A plot of the normalized signal intensity versus effective echo time (Fig. 3d) illustrates the rapid decay of the co-labeled cell population, whereas the PFC-labeled cells and the mixture of PFC-labeled cells and SPIO-labeled cells had a similar and slower signal decay. A 3-parameter, monoexponential fit of the signal decay for the co-labeled cells yields a T2 of 23 ms. This value is in good agreement with the T2 of 20 ms obtained by NMR spectroscopy when these cells were diluted 5x in agarose (Table 1). The lower signal observed at the second echo image (TE= 36 ms) for the mixed population of PFC- and SPIO-labeled cells versus the PFC-only cell population may be a result of a small population of short T2 PFC, due to tight packing and close proximity of some PFC-labeled cells to SPIO-labeled cells in the pellet. Otherwise the T2 observed for these two samples is similar, as evidenced by similar signal decay after the second point.

Figure 3.

Figure 3

Selective 19F Imaging PFC/SPIO labeled cell pellets. Panel a shows a spin-density weighted UTE3D image (TR = 20 µs) of three cell pellets: PFC labeled (left), an equal mixture of PFC labeled cells and ITRI-IOP labeled cells with 0.45 pg Fe/cell (middle), and PFC/ITRI-IOP co-labeled cells with 0.56 pg Fe/cell (right). Panel b shows a RARE image (TE = 84 ms) of the three cell pellets, demonstrating negative selection for the co-labeled cells. Panel c shows a FLASH image (100/1 ms TR/TE) of the three cell pellet samples demonstrating negative selection for samples containing SPIO labeled cells. Panel d shows a plot of normalized signal versus echo time for a series of RARE images for the PFC-labeled cells (circles), the mixture of PFC and SPIO labeled cells (squares), and PFC/SPIO co-labeled cells (triangles). An exponential decay is plotted through the signal from the co-labeled cells showing a T2 of 23 ms.

Figure 3c demonstrates T2*-weighted imaging showing that samples containing SPIO, either co-labeled cells or mixed populations of PFC-labeled and SPIO-labeled cells, had a very short 19F T2*. Only signal from the PFC-only labeled cell population is visible. The cell pellet samples may also experience additional T2* relaxation because of an inhomogeneous Bo field resulting from difficulty in shimming the magnetic field across the very small cell pellets.

In vivo MRI Proof-of-Concept for PFC cell Population Selection

Since it is well known that immune cells, predominantly macrophages, take up cellular MRI agents in vivo (22, 23), we used a simple mouse inflammation model and direct i.v. injection of PFC and/or SPIO nanoparticles to test the feasibility of detecting different PFC-labeled cell populations in vivo. The top row of images in Figure 4 (Figs. 4a - 4d), were taken from a mouse imaged 5 days following surgical injury and i.v. injection of PFC. We interrogated the 19F images of the mouse to find clearly identifiable fluorine signal in lymph nodes and organs of the reticuloendothelial system. Figure 4a shows an overlay of a 19F UTE3D image on the anatomical image. The two fluorine hot-spots in the center of the image are from the iliac lymph nodes. These signals are strong in the short-TE RARE, long-TE RARE and FLASH images (Figs. 4b – 4d, respectively), demonstrating PFC-labeled cells with a long T2 and T2*. Following the imaging session, the mouse was given an i.v. injection of Molday ION and then imaged 2 days later. We hypothesized that the SPIO nanoparticles would label a different population of macrophages that would then co-localize with the population of PFC-labeled cells. The second row of images in Fig.4 (e - h) show the corresponding UTE3D, short-TE RARE, long-TE RARE and FLASH images, respectively. The signal from the Long-TE RARE (Fig. 4g) is strong, suggesting a long 19F T2; however, the signals were absent in the FLASH image, demonstrating a short T2*. The combination of a long 19F T2 and short T2* suggests that we were successful in generating a mixed population of PFC-labeled cells and Molday ION-labeled cells in vivo. The reference was imaged near the end of the tube, so the signals are not strong and fade with T2* weighting due to magnetic susceptibility differences at the edge of the reference.

Figure 4.

Figure 4

Preliminary study for detecting PFC labeled cells in the presence of SPIO labeled cells and PFC/SPIO co-labeled cell populations in vivo. Each row shows images collected during the same session. Columns are 19F images from UTE3D (TE = 20 µs), a short-TE RARE (TE = 14 ms), a long-TE RARE (TE = 98 ms), and FLASH (TE = 4 ms), left to right, respectively. Panel a shows a 19F/1H composite image 5 days following surgical injury and injection of PFC. The 19F image was collected with a UTE3D. The surgical injury (inj), bladder (blad) iliac lymph nodes (ln) and fluorine reference tube (ref) are labeled as indicated. The short-TE RARE (b), long-TE RARE (c) and FLASH (d) demonstrate that the PFC has a long T2 and long T2*. Panels in the second row (e-h) show the corresponding images two days following a subsequent MOLDAY ION injection. Observation of the strong signal from the lymph nodes in the long-TE RARE (g) and not in the FLASH (h) demonstrates that the PFC has a long T2, but short T2*. Panels in the 3rd row (i-l) are from a mouse give PFC and SPIO simultaneously following surgical injury. In the composite image (i), the surgical injury site, reference tube, signal from the iliac bone marrow (ilbm) are indicated. The short-TE RARE image (j) shows reduced signal. Fluorine signal is also absent in the long-TE RARE (k) and FLASH (l) images, demonstrating that the PFC has a short T2 and short T2*.

To generate a co-labeled cell population in vivo, we repeated the experiment, but followed the surgical injury with a simultaneous injection of PFC and Molday ION (Fig.4i – 4l). In this experiment, we identified signal in the iliac bone marrow as shown in the composite 19F UTE3D/anatomical image (Fig 4i). This signal was found in a short-TE RARE (Fig. 4j); however, it was not seen in the long-TE RARE (Fig. 4k) nor in the FLASH image (Fig. 4l). This combination of short T2 and short T2* suggests that we were successful in generating a co-labeled cell population in vivo. There is a smaller area of PFC signal observed for the surgical injury site in Fig 4i compared to Fig 4j, this discrepancy is due to the smaller slice thickness for the UTE3D (1mm vs. 2 mm for the RARE) and the image slice displayed being at the anterior edge of the surgical injury site.

Discussion

The use of MRI for tracking cell transplants in vivo is well established for preclinical studies and is gaining increased interest for clinical research and development. Both 19F MRI to detect PFC-labeled cells and 1H MRI image contrast techniques to detect the effect of SPIO-labeled cells on the surrounding water signal are powerful techniques to visualize the migration and accumulation of cells in deep tissues. However, they both share the potential problem of generating a false positive result if the label is transferred from dead cell transplants to macrophages in situ. This study was motivated by the need to find a solution to this major problem facing all MRI cell-tracking studies. Our approach was to explore the ability of SPIO to quench the PFC signal in a similar manner that SPIO is used to generate 1H image contrast for cell tracking and we systematically tested this in solution, with labeled cell preparations, and in vivo using a mouse model.

There are several important findings in this work. First, we observed that the 19F T1 of PFC in the cell labeling nanoemulsion is not affected by iron concentration when mixed with SPIO nanoparticles. Second, we observed that the 19F PFC T2 is greatly reduced when the two reagents are closely coupled, for example in the case of a co-labeled cell. Further, we found that the PFC 19F T2 is largely unaffected when the SPIO-label is distant, as in the case of adjacent SPIO-labeled cells and PFC-labeled cells, but T2* contrast can be used to detect cell-cell proximity in this case. Not only did our findings demonstrate the ability to achieve our goal of quenching PFC signal in SPIO co-labeled cells, these findings allowed us to detect and distinguish different mixtures of PFC and SPIO-labeled populations with 19F MRI using UTE3D for 19F-density weighted imaging, RARE for 19F T2-weighted imaging, and FLASH for 19F T2*-weighted imaging.

We found that the response of the PFC T1 and T2 relaxation rates to SPIO concentration is different than that found for water. For Molday ION, the reported T1 and T2 water relaxivities are 36.4 sec−1 mM−1 and 70.6 sec−1 mM−1 at 0.47 T, respectively. Since SPIO magnetization is known to saturate at low field strength (24) and 1H and 19F have similar gyromagnetic ratios, we expected similar relaxivities for the PFC formulation. We found that the 19F PFC T1 was independent of SPIO concentration and the T2 relaxivity was over 4-times greater that that of water. We also confirmed that the 1H relaxivity of Molday ION at 7 T (75.7 sec−1 mM−1) is similar to the low field measurement (data not shown). We hypothesize that, since the PFC is formulated as a nanoemulsion, molecular diffusion is limited by the droplet size, as opposed to rapid and freely diffusing bulk water. Hussain, et al., used an outer sphere relaxation model to describe the effect of molecular diffusion on magnetic-particle related changes to nuclear relaxation (25). They demonstrated that, in viscous systems, slow molecular diffusion enhances the SPIO nanoparticle contribution to the transverse relaxation rate, but reduces the particle contribution to longitudinal relaxation. These results are important for combining SPIO and PFC for cell tracking. First of all, T1-weighted UTE scans can be used for PFC quantification since T1 is independent of SPIO concentration. Also, enhanced SPIO T2 relaxivity facilitates filtering out co-labeled cells in T2-weighted scans.

MPIO particles are very effective in generating T2* contrast for cellular MR; thus, it was surprising that MPIO particles were not as effective in reducing the intracellular PFC T2 as the two other SPIO nanoparticles tested. One explanation could be that MPIO has a lower r2 than the nanoparticles; however, intracellular distribution of the SPIO and PFC may also be an important factor. Only a few MPIO particles are required for a high intracellular iron content. Compared to a single MPIO particle, it is estimated that ~105 ITRI-IOP particles are needed to yield the same 0.5 pg of intracellular iron (13). The TEM images showed that the ITRI-IOP nanoparticles particles were well dispersed and closely coupled with the PFC droplets, whereas the MPIO was not closely associated. The surface chemistry of the particles may also play a role in their association with PFC droplets: MPIO particles consist of an inert polystyrene-divinylbenzene polymer microspheres and ITRI-IOP and Molday ION have PEG and dextran coatings, respectively.

Although the goal of this study was to explore quenching PFC label when cells are co-labeled with SPIO, i.e. in the case of PFC transferred from dead cells to SPIO-labeled macrophages, our findings also revealed that combining PFC and SPIO cell labeling can be used to track two cell populations simultaneously. We used compacted cell pellets to simulate tissues with high-labeled-cell densities and probed the 19F PFC NMR properties and feasibility of 19F imaging. We further diluted the cells 5-fold in agarose to compare the NMR properties in a dilute labeled cell case. In all compacted cell pellets, the fluorine resonance had a greater down-field chemical shift and greater linewidth when compared to the cells diluted 5-fold in agarose. This was expected because the increased SPIO density in the samples results in inhomogeneous line broadening. For mixed populations of PFC-labeled and SPIO nanoparticle labeled cells, the NMR linewidth and chemical shifts were 3–4 fold greater when measured in the cell pellet. For the co-labeled cells, the differences in the NMR lines were even greater for some samples. However, it’s difficult to draw conclusions about linewidths and shifts from these results, because cell packing is hard to control and is potentially heterogeneous across the samples. An important result is that the 19F signal in the co-labeled and co-localized labeled cell pellets could be distinguished, providing a basis to develop this technique for in vivo applications. A broadened 19F linewidth does not prohibit the ability to image a population of labeled cells, since fluorine imaging is generally carried out at a much lower resolution (>2x lower) than typical 1H imaging to help overcome the lower sensitivity for the dilute 19F probe (23). Thus, with voxel resolutions of greater than a ppm, anatomical localization of labeled cells should not be affected greatly.

We demonstrated in vivo imaging of different cell populations with a mouse inflammation model. By timing the injection of PFC and/or SPIO, we aimed to generate labeled macrophage populations with PFC-labeled cells, PFC-labeled cells in proximity to SPIO labeled cells, and PFC/SPIO co-labeled cells. Our imaging results revealed PFC T2 and T2* relaxation properties strongly suggesting that we were successful in generating all of these cell populations in vivo. To identify PFC-only labeled cells and a population PFC-labeled and SPIO-labeled co-localized cells, we used signal from the iliac lymph nodes. For the PFC/SPIO co-labeled cell population, we did not find PFC signal from the iliac lymph nodes as with the previous experiment. This may be due to injecting too high a dose of Molday ION and thus generating an ultra-short 19F T2. Also, since we were focusing on identifying PFC-labeled cells, we did not collect a T2*-weighted 1H image to confirm the presence of SPIO-labeled cells in the iliac lymph nodes. Instead, we used signal identified as coming from the iliac bone marrow as an example of in vivo co-labeled cells, i.e. having a short 19F T2 and short T2*.

To the best of our knowledge, this is the first study that explored combining these two cell-labeling techniques for MRI cell tracking. We are aware of only a few other studies with the purpose of detecting of two uniquely labeled cell populations in the same subject (2628). In these cases, two PFC formulations with distinct 19F chemical shifts were used to separately label cell populations.

Conclusion

Cellular MRI is a powerful technique to visualize the migration and accumulation of cells in deep tissues. Here, we demonstrated the proof-of-concept that, by combining PFC and SPIO cell labeling reagents, one can improve and expand applications of cellular MRI. Systemic labeling of macrophages could be used to quench PFC label transferred from dead cell transplants or both labels could be used to track two cell populations simultaneously and probe cell-cell proximity in vivo. Further examples in animal models will be needed to fully explore new applications of this new methodology for MRI cell tracking.

Acknowledgements

The authors gratefully acknowledge Brent Barbe for assisting with the animal experiments, Robert G. Bryant and Yijen L. Wu for helpful discussions, and Joseph Suhan for collecting the TEM images. This work was supported by grants from the National Institutes of Health (NIH), P41 EB001977 and R01-CA134633.

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