Conny F. Waschkies1,2, Fatma Kivrak Pfiffner3, Yinghua Tian1, Maurizio Calcagni3, Pietro Giovanoli3, Markus Rudin2, and Johanna Buschmann3
1Division of Visceral and Transplantation Surgery, University Hospital Zurich, Zurich, Switzerland, 2Institute for Biomedical Engineering, ETH and University Zurich, Zurich, Switzerland, 3Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland
Synopsis
MRI has been presented as a
nondestructive in vivo readout to
report perfusion capacity in biomaterials planted on the CAM in the living
chick embryo in ovo. Perfusion capacity was assessed through
changes in T1 relaxation pre and post injection of a paramagnetic contrast
agent, Gd-DOTA (Dotarem®, Guerbet S.A.). Hence local contrast agent
concentration was dependent on perfusion, vascular permeability and
extravascular compartment size.
In the present study we explore intravascular SPIO particles of 30-40 nm size (FeraSpin
series M, Viscover™, Miltenyi Biotec, Germany) that stay in the vasculature to
deliver a more direct measure of vascularization. Introduction
Tissue-engineered biomaterials
in regenerative medicine provide a matrix for cells to attach and proliferate,
stimulate angiogenesis and sustain long-term function and survival of the
implant. The chorioallantoic membrane (CAM) of the chick embryo is a model for
studying vascularization in vivo and effects
of the scaffolds size, pore size and pore interconnectivity on its vascularization
can be studied. We recently presented
MRI as a nondestructive in vivo
readout to report perfusion capacity in biomaterials planted on the CAM in the
living chick embryo in ovo [1]. Perfusion capacity was assessed in various
scaffold materials through changes in T1 relaxation pre and post injection of a
paramagnetic contrast agent, Gd-DOTA (Dotarem®, Guerbet S.A.). Hence local contrast agent concentration was
dependent on perfusion, vascular permeability and extravascular compartment
size. In the present study we explore intravascular
SPIO particles of 30-40 nm size (FeraSpin series M, Viscover™, Miltenyi Biotec,
Germany) that stay in the vasculature to deliver a more direct measure of
vascularization.
Methods
Fertilized Lohman white LSL chick eggs were incubated at 37°C
and 65% relative humidity. After 3.5 days a hole was excised into the eggshell
and on incubation day (ID) 7 Matricel® collagen scaffolds were placed onto the
CAM (Fig. 1). MRI was conducted on ID 14 in 2 samples. The chick embryos were
sedated with 0.3 mg/kg medetomidine (diluted 1:100, volume 0.3 ml) dripped onto
the CAM, and antagonized after completion of the MRI. T1- and T2-weighted MR
images were acquired from a sagittal slice through the scaffold with a FOV 55 x
20 mm, spatial resolution 200 x 200 um2, slice thickness 1 mm, total
scan time 13 min with a RARE sequence of variable TR and TE for quantitative T1
and T2 mapping (TR 200/400/800/1500/3000/ 4500ms, TE 9.3/27.9/46.5/65.1/83.7
ms, RARE-factor 2) pre and 8 and 140 min post i.v. injection of SPIOs at a dose
of 40 umol/kg Fe (blood concentration 0.22 mM) in sample 1 and 80 umol/kg Fe
(0.44 mM in blood) in the sample 2. Furthermore, in a ‘dose escalation’ test,
sample 2 received a second 80 umol/kg Fe dose 3h after the first dose.
Results and Discussion
In accordance with our
previous study MR images were
obtained from one sagittal slice positioned through the scaffold on the CAM in
two chick embryos in ovo. Our medetomidine
anesthesia protocol optimized for this special application [2] offered proper
sedation of the chick embryo throughout the MRI acquisition so that MR images
devoid of motion artifacts were obtained and the scaffold was clearly and
reproducibly depicted in all MRI sessions (Fig. 2). No signal change was
observed within the egg yolk, consistent with the SPIO remaining in the
vasculature. Consequently, T1 positive signal enhancement (reduction in T1) and
T2 negative contrast (reduction in T2) were observed only in the vasculature
and hence were restricted mainly to the surface of the CAM (Fig. 2, arrowheads).
Effect upon T2 was stronger than in T1. Interestingly, no change in contrast
was observed inside the scaffold, which might relate to our observation that
the slightly viscous contrast agent did not distribute easily but rather slowly
within the finer segments of the vasculature, like the vessels penetrating the
scaffold. Consistent with this notion is the observation that T1 as well as T2
reduction was more prominently seen at 140 min than 8 min post injection of the
SPIOs. Dose escalation from a second SPIO injection did not result in notable
further contrast enhancement, possibly for the same reason.
Conclusion
This initial experiment
demonstrates that SPIO-enhanced MRI is feasible in and well-tolerated by the
chick embryo. For studying vascularization of tissue-engineered scaffolds,
however, smaller sized SPIOs (e.g. XS series with 10-20 nm size) may be even better
suited for future experiments due to their stronger (positive) T1 effect. With
our next experiments we aim to provide measures of vascularization
non-destructively based on intravascular contrast in biomaterials connected to
the CAM, in ovo on the living chick
embryo.
Acknowledgements
No acknowledgement found.References
[1] Kivrak Pfiffner et al. (2015)
Tissue Eng Part C Methods 21(4): 339-46
[2] Waschkies et al. (2015)
Sci Rep. 5: 15536