Molecular imaging of fibrin deposition in deep vein thrombosis using fibrin-targeted near-infrared fluorescence.

Molecular imaging of fibrin deposition in deep vein thrombosis using fibrin-targeted near-infrared fluorescence.
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DOI:
10.1016/j.jcmg.2012.01.017
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发表时间:
2012-06
影响因子:
14
通讯作者:
Jaffer, Farouc A.
Jaffer, Farouc A.
中科院分区:
医学1区
文献类型:
--
作者:
Hara, Tetsuya;Bhayana, Brijesh;Thompson, Brian;Kessinger, Chase W.;Khatri, Ashok;McCarthy, Jason R.;Weissleder, Ralph;Lin, Charles P.;Tearney, Guillermo J.;Jaffer, Farouc A.

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To develop and validate a new fibrin targeted imaging agent that enables high-resolution near-infrared fluorescence (NIRF) imaging of deep venous thrombosis (DVT). Near-infrared fluorescence (NIRF) imaging of fibrin could enable highly sensitive and noninvasive molecular imaging of thrombosis syndromes in vivo. A fibrin-targeted peptide was conjugated to an NIR fluorophore Cy7, termed FTP11-Cy7. The NIRF peptide is based on a fibrin-specific imaging agent that has completed phase II clinical magnetic resonance imaging (MRI) trials. In vitro binding of FTP11-Cy7 to human plasma clots was assessed by fluorescence reflectance imaging (FRI). Next, FTP11-Cy7 was intravenously injected in mice with femoral DVT induced by topical 7.5% ferric chloride treatment. Intravital fluorescence microscopy (IVFM), and noninvasive fluorescence molecular tomography(FMT)-computed tomography (CT) were performed in mice (n = 32 total) with DVT, followed by histological analyses. In vitro human clot-binding analyses showed a 6-fold higher NIRF clot target-to-background ratio (TBR) of FTP11-Cy7 than free Cy7 (6.3 ± 0.34 vs. 1.2 ± 0.03, p < 0.0001). The thrombus TBR of acute and sub-acute femoral DVT with FTP11-Cy7 obtained by IVFM was >400% higher than control free Cy7. Binding of FTP11-Cy7 to thrombi was blocked by a 100-fold excess of unlabeled competitor peptide both in vitro and in vivo (p < 0.001 for each). Histological analyses confirmed that FTP11-Cy7 specifically accumulated in thrombi. Noninvasive FMT-CT imaging of fibrin in jugular DVT via FMT-CT demonstrated strong NIRF signal in thrombi compared to sham-operated jugular veins (mean TBR = 3.5 ± 0.7 vs. 1.5 ± 0.3, p < 0.05). The fibrin-targeted NIRF agent FTP11-Cy7 avidly and specifically binds human and murine thrombi, and enables sensitive, multimodal intravital and noninvasive NIRF molecular imaging detection of acute and sub-acute murine DVT in vivo.
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