分子磁共振成像中靶向肿瘤血管的对比剂的药代动力学。
Pharmacokinetics of contrast agents targeted to the tumor vasculature in molecular magnetic resonance imaging.
机构信息
Department of Radiology, Maastricht University Medical Centre (MUMC), Maastricht, The Netherlands.
出版信息
Contrast Media Mol Imaging. 2010 Jan-Feb;5(1):9-17. doi: 10.1002/cmmi.361.
Molecular magnetic resonance imaging (MRI) is increasingly used to investigate tumor angiogenic activity non-invasively. However, the pharmacokinetic behavior and tumor penetration of the often large contrast agent particles is thus far unknown. Here, pharmacokinetic analysis of cyclic asparagine-glycine-arginine (cNGR) labeled paramagnetic quantum dots (pQDs) was developed to quantify the contrast agent's homing efficacy to activated endothelial cells of angiogenic tumor vessels using dynamic contrast-enhanced (DCE) MRI. cNGR homes to CD13, an overexpressed aminopeptidase on angiogenic tumor endothelial cells. First, a two-compartment pharmacokinetic model, comprising the blood space and endothelial cell surface, was compared with a three-compartment model additionally including the extravascular-extracellular component. The resulting extravasation parameter was irrelevantly small and was therefore neglected. Next, the association constant K(a), the dissociation constant k(d) and the fractional plasma volume v(P) were determined from the time-series data using the two-compartment model. Magnitude and spatial distribution of the parameters were compared for cNGR-labeled and unlabeled pQDs. The tumor area with significant K(a) values was approximately twice as large for cNGR-pQDs compared with unlabeled pQDs (p < 0.05), indicating more contrast agent binding for cNGR-pQDs. Using cNGR-pQDs, a two-fold larger area with significant K(a) was also found for the angiogenic tumor rim compared with tumor core (p < 0.05). It was furthermore found that both contrast agents perfused the tumor at all depths, thereby providing unequivocal evidence that rim/core differences can indeed be ascribed to stronger angiogenic activity in the rim. Summarizing, molecular DCE-MRI with pharmacokinetic modeling provides unique information on contrast agent delivery and angiogenic activity in tumors.
分子磁共振成像(MRI)越来越多地用于无创性研究肿瘤血管生成活性。然而,目前尚不清楚通常较大的对比剂颗粒的药代动力学行为和肿瘤穿透性。在这里,开发了循环天冬酰胺-甘氨酸-精氨酸(cNGR)标记顺磁量子点(pQDs)的药代动力学分析,以使用动态对比增强(DCE)MRI 定量对比剂对血管生成肿瘤血管中激活的内皮细胞的归巢效率。cNGR 与 CD13 结合,CD13 是血管生成肿瘤内皮细胞中过度表达的氨肽酶。首先,将包含血液空间和内皮细胞表面的两室药代动力学模型与另外包含血管外-细胞外成分的三室模型进行比较。所得的外渗参数非常小,因此被忽略。接下来,使用两室模型从时间序列数据中确定关联常数 K(a)、解离常数 k(d)和血浆体积分数 v(P)。比较 cNGR 标记和未标记 pQDs 的参数的大小和空间分布。与未标记的 pQDs 相比,cNGR-pQDs 的肿瘤区域的 K(a)值显著增大(p < 0.05),表明 cNGR-pQDs 具有更多的对比剂结合。使用 cNGR-pQDs,与肿瘤核心相比,血管生成肿瘤边缘的 K(a)值显著增大的区域也增大了两倍(p < 0.05)。此外,还发现两种对比剂均在所有深度处灌注肿瘤,从而明确证明边缘/核心差异确实可以归因于边缘处更强的血管生成活性。总之,具有药代动力学建模的分子 DCE-MRI 提供了关于对比剂输送和肿瘤血管生成活性的独特信息。