Department of Cancer Physiology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Small Animal Imaging Laboratory, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Contrast Media Mol Imaging. 2023 Jan 5;2023:1944970. doi: 10.1155/2023/1944970. eCollection 2023.
The extracellular pH (pHe) of solid tumors is often acidic, as a consequence of the Warburg effect, and an altered metabolic state is often associated with malignancy. It has been shown that acidosis can promote tumor progression; thus, many therapeutic strategies have been adopted against tumor metabolism; one of these involves alkalinization therapies to raise tumor pH to inhibit tumor progression, improve immune surveillance, and overcome resistance to chemotherapies. Chemical exchange saturation transfer-magnetic resonance imaging (CEST-MRI) is a noninvasive technique that can measure pH using pH-sensitive contrast agents. Iopamidol, an iodinated contrast agent, clinically used for computed tomography (CT), contains amide group protons with pH-dependent exchange rates that can reveal the pHe of the tumor microenvironment. In this study, we optimized intraperitoneal (IP) delivery of iopamidol to facilitate longitudinal assessments of orthotopic pancreatic tumor pHe by CEST-MRI. Following IV-infusion and IP-bolus injections, we compared the two protocols for assessing tumor pH. Time-resolved CT imaging was used to evaluate the uptake of iopamidol in the tumor, revealing that IP-bolus delivered a high amount of contrast agent 40 min postinjection, which was similar to the amounts reached with the IV-infusion protocol. As expected, both IP and IV injection protocols produced comparable measurements of tumor pHe, showing no statistically significant difference between groups (=0.16). In addition, we showed the ability to conduct longitudinal monitoring of tumor pHe using CEST-MRI with the IP injection protocol, revealing a statistically significant increase in tumor pHe following bicarbonate administration ( < 0.001). In conclusion, this study shows the capability to measure pHe using an IP delivery of iopamidol into orthotopic pancreatic tumors, which is important to conduct longitudinal studies.
肿瘤细胞外 pH 值(pHe)通常呈酸性,这是由于瓦博格效应所致,而代谢状态的改变通常与恶性肿瘤有关。已经表明,酸中毒可以促进肿瘤的进展;因此,许多治疗策略已被采用以对抗肿瘤代谢;其中之一涉及碱化疗法,以提高肿瘤 pH 值来抑制肿瘤进展、改善免疫监测并克服化疗耐药性。化学交换饱和传递磁共振成像(CEST-MRI)是一种非侵入性技术,可以使用 pH 敏感对比剂来测量 pH 值。碘帕醇是一种用于计算机断层扫描(CT)的碘造影剂,其包含酰胺基质子,具有 pH 依赖性交换率,可以揭示肿瘤微环境的 pHe。在这项研究中,我们优化了碘帕醇的腹腔内(IP)给药方式,以通过 CEST-MRI 对原位胰腺肿瘤 pHe 进行纵向评估。在静脉内输注和 IP 推注后,我们比较了两种评估肿瘤 pH 值的方案。时间分辨 CT 成像用于评估肿瘤中碘帕醇的摄取,结果表明 IP 推注在注射后 40 分钟内输送了大量的造影剂,与 IV 输注方案达到的量相似。正如预期的那样,IP 和 IV 注射方案均产生了可比的肿瘤 pHe 测量值,组间无统计学差异(=0.16)。此外,我们还展示了使用 IP 注射方案通过 CEST-MRI 进行肿瘤 pHe 纵向监测的能力,结果表明碳酸氢盐给药后肿瘤 pHe 呈统计学显著增加(<0.001)。总之,这项研究表明了使用碘帕醇的 IP 给药来测量原位胰腺肿瘤 pHe 的能力,这对于进行纵向研究很重要。
Contrast Media Mol Imaging. 2023
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