Abstract
Background— Noninvasive imaging of adhesion molecules such as vascular cell adhesion molecule-1 (VCAM-1) may identify early stages of inflammation in atherosclerosis. We hypothesized that a novel, second-generation VCAM-1–targeted agent with enhanced affinity had sufficient sensitivity to enable real-time detection of VCAM-1 expression in experimental atherosclerosis in vivo, to quantify pharmacotherapy-induced reductions in VCAM-1 expression, and to identify activated cells in human plaques. Methods and Results— In vivo phage display in apolipoprotein E–deficient mice identified a linear peptide affinity ligand, VHPKQHR, homologous to very late antigen-4, a known ligand for VCAM-1. This peptide was developed into a multivalent agent detectable by MRI and optical imaging (denoted VINP-28 for VCAM-1 internalizing nanoparticle 28, with 20 times higher affinity than previously reported for VNP). In vitro, VINP-28 targeted all cell types expressing VCAM-1. In vivo, MRI and optical imaging in apolipoprotein E–deficient mice (n=28) after injection with VINP-28 or saline revealed signal enhancement in the aortic root of mice receiving VINP-28 ( P <0.05). VINP-28 colocalized with endothelial cells and other VCAM-1–expressing cells, eg, macrophages, and was spatially distinct compared with untargeted control nanoparticles. Atheromata of atorvastatin-treated mice showed reduced VINP-28 deposition and VCAM-1 expression. VINP-28 enhanced early lesions in juvenile mice and resected human carotid artery plaques. Conclusions— VINP-28 allows noninvasive imaging of VCAM-1–expressing endothelial cells and macrophages in atherosclerosis and spatial monitoring of anti–VCAM-1 pharmacotherapy in vivo and identifies inflammatory cells in human atheromata. This clinically translatable agent could noninvasively detect inflammation in early, subclinical atherosclerosis.
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Dates
Type | When |
---|---|
Created | 18 years, 11 months ago (Sept. 25, 2006, 9:03 p.m.) |
Deposited | 1 year, 3 months ago (May 13, 2024, 12:29 a.m.) |
Indexed | 1 week, 1 day ago (Aug. 29, 2025, 6:20 a.m.) |
Issued | 18 years, 11 months ago (Oct. 3, 2006) |
Published | 18 years, 11 months ago (Oct. 3, 2006) |
Published Print | 18 years, 11 months ago (Oct. 3, 2006) |
@article{Nahrendorf_2006, title={Noninvasive Vascular Cell Adhesion Molecule-1 Imaging Identifies Inflammatory Activation of Cells in Atherosclerosis}, volume={114}, ISSN={1524-4539}, url={http://dx.doi.org/10.1161/circulationaha.106.646380}, DOI={10.1161/circulationaha.106.646380}, number={14}, journal={Circulation}, publisher={Ovid Technologies (Wolters Kluwer Health)}, author={Nahrendorf, Matthias and Jaffer, Farouc A. and Kelly, Kimberly A. and Sosnovik, David E. and Aikawa, Elena and Libby, Peter and Weissleder, Ralph}, year={2006}, month=oct, pages={1504–1511} }