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使用基于双膦酸盐的骨靶向造影剂对骨肉瘤进行磁共振成像。

Magnetic resonance imaging of osteosarcoma using a bis(alendronate)-based bone-targeted contrast agent.

作者信息

Ge Pingju, Sheng Fugeng, Jin Yiguang, Tong Li, Du Lina, Zhang Lei, Tian Ning, Li Gongjie

机构信息

Department of Pharmaceutical Sciences, Beijing Institute of Radiation Medicine, 27 Taiping Road, Beijing 100850, China; Pharmaceutical College of Henan University, Kaifeng 475004, China.

Department of Radiology, Affiliated Hospital of Academy of Military Medical Sciences, Beijing 100071, China.

出版信息

Biomed Pharmacother. 2016 Dec;84:423-429. doi: 10.1016/j.biopha.2016.09.061. Epub 2016 Sep 25.

Abstract

Magnetic resonance (MR) is currently used for diagnosis of osteosarcoma but not well even though contrast agents are administered. Here, we report a novel bone-targeted MR imaging contrast agent, Gd-diethylenetriaminepentaacetate-bis(alendronate) (Gd-DTPA-BA) for the diagnosis of osteosarcoma. It is the conjugate of a bone cell-seeking molecule (i.e., alendronate) and an MR imaging contrast agent (i.e., Gd-DTPA). Its physicochemical parameters were measured, including pK, complex constant, and T relaxivity. Its bone cell-seeking ability was evaluated by measuring its adsorption on hydroxyapatite. Hemolysis was investigated. MR imaging and biodistribution of Gd-DTPA-BA and Gd-DTPA were studied on healthy and osteosarcoma-bearing nude mice. Gd-DTPA-BA showed high adsorption on hydroxyapatite, the high MR relaxivity (r) of 7.613mMs (2.6 folds of Gd-DTPA), and no hemolysis. The MR contrast effect of Gd-DTPA-BA was much higher than that of Gd-DTPA after intravenous injection to the mice. More importantly, the MR imaging of osteosarcoma was significantly improved by Gd-DTPA-BA. The signal intensity of Gd-DTPA-BA reached 120.3% at 50min, equal to three folds of Gd-DTPA. The bone targeting index (bone/blood) of Gd-DTPA-BA in the osteosarcoma-bearing mice was very high to 130 at 180min. Furthermore, the contrast enhancement could also be found in the lung due to metastasis of osteosarcoma. Gd-DTPA-BA plays a promising role in the diagnoses of osteosacomas, including the primary bone tumors and metastases.

摘要

磁共振成像(MR)目前用于骨肉瘤的诊断,但即便使用了造影剂,效果仍不尽人意。在此,我们报告一种新型的骨靶向MR成像造影剂,钆-二乙烯三胺五乙酸-双(阿仑膦酸盐)(Gd-DTPA-BA),用于骨肉瘤的诊断。它是一种趋骨细胞分子(即阿仑膦酸盐)与一种MR成像造影剂(即Gd-DTPA)的共轭物。我们测量了其理化参数,包括pK、络合常数和T弛豫率。通过测量其在羟基磷灰石上的吸附来评估其趋骨细胞能力。研究了其溶血情况。在健康裸鼠和荷骨肉瘤裸鼠上研究了Gd-DTPA-BA和Gd-DTPA的MR成像及生物分布。Gd-DTPA-BA在羟基磷灰石上显示出高吸附性、高MR弛豫率(r)为7.613 mM/s(是Gd-DTPA的2.6倍)且无溶血现象。静脉注射给小鼠后,Gd-DTPA-BA的MR造影效果远高于Gd-DTPA。更重要的是,Gd-DTPA-BA显著改善了骨肉瘤的MR成像。Gd-DTPA-BA在50分钟时的信号强度达到120.3%,相当于Gd-DTPA的三倍。荷骨肉瘤小鼠中Gd-DTPA-BA的骨靶向指数(骨/血)在180分钟时非常高,达到130。此外,由于骨肉瘤转移,在肺部也能发现造影剂增强。Gd-DTPA-BA在骨肉瘤的诊断中,包括原发性骨肿瘤和转移瘤,发挥着有前景的作用。

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