Leung Kam
National for Biotechnology Information, NLM, NIH, Bethesda, MD
Magnetic resonance imaging (MRI) maps information about tissues spatially and functionally. Protons (hydrogen nuclei) are widely used to create images because of their abundance in water molecules, which comprise >80% of most soft tissues. The contrast of proton MRI images depends mainly on the density of nuclear (proton spins), the relaxation times of the nuclear magnetization (T1, longitudinal; T2, transverse), the magnetic environment of the tissues, and the blood flow to the tissues. However, insufficient contrast between normal and diseased tissues requires the use of contrast agents. Most contrast agents affect the T1 and T2 relaxation of the surrounding nuclei, mainly the protons of water. T2* is the spin–spin relaxation time composed of variations from molecular interactions and intrinsic magnetic heterogeneities of tissues in the magnetic field (1). Cross-linked iron oxide (CLIO) and other iron oxide formulations affect T2 primarily and lead to a decreased signal. Endothelial cells are important cells in inflammatory responses (2, 3). Bacterial lipopolysaccharide (LPS), virus, inflammation, and tissue injury increase tumor necrosis factor α (TNFα), interleukin-1 (IL-1), and other cytokine and chemokine secretion. Leukocyte emigration from blood is dependent on their ability to roll along endothelial cell surfaces and subsequently adhere to endothelial cell surfaces. Inflammatory mediators and cytokines induce chemokine secretion from endothelial cells and other vascular cells and increase their expression of cell surface adhesion molecules, such as intracellular adhesion molecule-1 (ICAM-1), vascular cell adhesion molecule-1 (VCAM-1), integrins, and selectins. Chemokines are chemotactic toward leukocytes and toward sites of inflammation and tissue injury. The movements of leukocytes through endothelial junctions into the extravascular space are highly orchestrated through various interactions with different adhesion molecules on endothelial cells (4). VCAM-1 is found in very low amounts on the cell surface of resting endothelial cells and other vascular cells, such as smooth muscle cells and fibroblasts (5-9). VCAM-1 binds to very late antigen-4 (VLA-4) integrin on the cell-surface of leukocytes. IL-1 and TNFα increase expression of VCAM-1 and other cell adhesion molecules on the vascular endothelial cells, which leads to leukocyte adhesion to the activated endothelium. Furthermore, VCAM-1 expression was also induced by oxidized low-density lipoproteins under atherogenic conditions (10). Over-expression of VCAM-1 by atherosclerotic lesions plays an important role in their progression towards vulnerable plaques, which may erode and rupture. CLIO nanoparticles targeted with anti-VCAM-1 antibody are being developed as a noninvasive agent for VCAM-1 expression in vascular endothelial cells during different stages of inflammation in atherosclerosis (11). A linear peptide (VHPKQHR) homologous to VLA-4 bound to and was internalized by VCAM-1-expressing cells (12, 13). VHPKQHRGGSKGC was synthesized and conjugated to liquid perfluorocarbon (PFC) nanoparticles to form VCAM-1-targeted nanoparticles (14). MR imaging was performed utilizing the multiple F moieties for quantification.
磁共振成像(MRI)能在空间和功能上描绘组织信息。质子(氢原子核)因在水分子中含量丰富而被广泛用于成像,水分子占大多数软组织的80%以上。质子MRI图像的对比度主要取决于核(质子自旋)密度、核磁化的弛豫时间(T1,纵向;T2,横向)、组织的磁环境以及组织的血流情况。然而,正常组织与病变组织之间对比度不足需要使用造影剂。大多数造影剂会影响周围核的T1和T2弛豫,主要是水分子的质子。T2*是由分子相互作用和磁场中组织的固有磁不均匀性引起的自旋 - 自旋弛豫时间(1)。交联氧化铁(CLIO)和其他氧化铁制剂主要影响T2并导致信号降低。内皮细胞是炎症反应中的重要细胞(2,3)。细菌脂多糖(LPS)、病毒、炎症和组织损伤会增加肿瘤坏死因子α(TNFα)、白细胞介素 - 1(IL - )和其他细胞因子及趋化因子的分泌。白细胞从血液中渗出取决于它们沿内皮细胞表面滚动并随后黏附于内皮细胞表面的能力。炎症介质和细胞因子诱导内皮细胞和其他血管细胞分泌趋化因子,并增加其细胞表面黏附分子的表达,如细胞间黏附分子 - 1(ICAM - 1)、血管细胞黏附分子 - 1(VCAM - 1)、整合素和选择素。趋化因子对白细胞以及炎症和组织损伤部位具有趋化作用。白细胞通过内皮连接进入血管外空间的过程是通过与内皮细胞上不同黏附分子的各种相互作用精心协调的(4)。VCAM - 1在静息内皮细胞和其他血管细胞(如平滑肌细胞和成纤维细胞)的细胞表面含量极低(5 - 9)。VCAM - 1与白细胞细胞表面的极晚期抗原 - 4(VLA - 4)整合素结合。IL - 1和TNFα会增加血管内皮细胞上VCAM - 1和其他细胞黏附分子的表达,导致白细胞黏附于活化的内皮。此外,在动脉粥样硬化条件下,氧化型低密度脂蛋白也可诱导VCAM - 1表达(10)。动脉粥样硬化病变中VCAM - 1的过度表达在其向易损斑块发展过程中起重要作用,易损斑块可能会侵蚀和破裂。靶向抗VCAM - 1抗体的CLIO纳米颗粒正被开发为一种无创剂,用于在动脉粥样硬化炎症不同阶段检测血管内皮细胞中VCAM - 1的表达(11)。一种与VLA - 4同源的线性肽(VHPKQHR)能与表达VCAM - 1的细胞结合并被内化(12,13)。合成了VHPKQHRGGSKGC并将其与液态全氟化碳(PFC)纳米颗粒偶联,形成靶向VCAM - 1的纳米颗粒(14)。利用多个F部分进行定量的磁共振成像。