Andre F Martins1,2, Veronica Clavijo-Jordan1, Sara Chirayil1, Shanrong Zhang1, Namini Paranawithana2, and A. Dean Sherry1,2
1Advanced Imaging Research Center, UTSW Medical Center, Dallas, TX, United States, 2UT Dallas, Richardson, TX, United States
Synopsis
We report here the design of several gadolinium-based MR
contrast agents with different zinc affinities. The zinc sensors increased r1
in the presence of Zn2+ ions and more in the presence of serum albumin,
only when zinc was present. The sensors with a lower affinity for Zn2+
enhanced better the MR contrast produced by zinc release in mouse pancreas due
to reduced background signal. These lower affinity Zn2+
agents show great promise for detecting and monitoring the
pharmacological effect of drugs in diabetes.
SYNOPSIS
We report here the design of several gadolinium-based MR
contrast agents with different zinc affinities. The zinc sensors increased r1
in the presence of Zn2+ ions and more in the presence of serum albumin,
only when zinc was present. The sensors with a lower affinity for Zn2+
enhanced better the MR contrast produced by zinc release in mouse pancreas due
to reduced background signal. These lower affinity Zn2+
agents show great promise for detecting and monitoring the
pharmacological effect of drugs in diabetes.INTRODUCTION
Imbalances in tissue zinc has
been associated with diseases such as Alzheimer’s disease, diabetes, transient
neonatal zinc deficiency, and prostate cancer.1–3 In the pancreas, zinc
is packaged with crystalline insulin in beta-cell granules and co-released with
insulin in response to an increase in plasma glucose. Glucose-stimulated insulin
secretion (GSIS) is known to occur in two phases, a rapid release initial phase
followed by a more prolonged slow release phase. Development of type 2 diabetes
has been associated with a loss of the rapid release portion of insulin
secretion so it would be helpful for future drug development to have an imaging
method to monitor the rapid release phase of insulin secretion in real time in
animals.METHODS
In this work, we have synthesized
and characterized several GdDO3A-BPEN agents for zinc sensing. The biophysical
properties were determined by 17O NMR and proton relaxometry at low
and high field (0.4 and 9.4T). The equilibrium dissociation constants for some
of the possible systems in the ternary complex equilibria were determined by
fluorescent competition methods, proton relaxometry and 113Cd NMR
spectroscopy. Kinetic inertness was studied by proton relaxometry in the
presence of excess ZnCl2 and phosphate buffer. T1-weighted images of wild type
mice were recorded in vivo at 9.4T to
monitor GSIS. A complex equilibrium binding model to explain the MRI
observations was written in MatLab code.RESULTS
All zinc-responsive agents showed
an increase in r1 relaxivity upon Zn2+ binding. Upon
addition of HSA to the system, the r1
values increased even further about 4-fold (~22 s-1mM-1).
By using different spectroscopic techniques, the Zn2+ ion binding affinities
with each GdL sensors had KD values ranging from nM to mM. Biophysical NMR methods were used to
determine the parameters governing the paramagnetic properties of the systems
including the rate of water exchange (kex),
molecular tumbling rates (τR), and kinetic inertness.
The complexes showed optimized kex
and remarkable kinetic inertness when compared to GdDTPA and other previously
reported GdDOTA-diBPEN agents.4,5 T1-weighted MR images of
wild-type mice showed significant contrast enhancement in the pancreas after
co-injection (iv) of an agent plus glucose.
Importantly, a comparison of high and low Zn2+ affinity agents showed
that the low-affinity agents showed greater enhancement of the pancreas
pre- versus post-glucose administration (Figure 1). A model of the dynamic
equilibria that considers all possible GdL, Zn2+, and HSA species
predicts that an agent with lower affinity for Zn2+ results in a lower
background MR signal prior to glucose administration and this results in a
greater increase in MR signal after glucose initiates release of additional Zn2+
and insulin from the pancreas.DISCUSSION
We show here that a
developed weaker Zn2+
affinity agent may indeed be more sensitive to small changes in Zn2+
levels, especially at anticipated higher Zn2+ concentrations during
active secretion of insulin. The in
vivo MR imaging at the tail of the pancreas confirmed our hypothesis that
the reduced the background signal arising from basal Zn2+ in
plasma during constant infusion of a zinc low affinity agent results in better
detection of the Zn2+ release from β-cells.
With biophysical 113Cd NMR experiments and a theoretical model that
describes all species in this dynamic ternary-complex system we could predict
this behavior. The practical result of this calculation shows that the
background image intensity would be considerably higher when using a high
affinity Zn2+ agent. Also, the low affinity agents show a continuous
detection of the zinc release from 50-600mM,
whereas the high affinity sensors are only effective at changes of the zinc
release below 200mM.CONCLUSION
These results demonstrate
that by reducing the background signal arising from basal levels of free
Zn2+ in the plasma it is possible to design and
optimize functional MRI contrast agents that respond to local increases in the
concentration of important biological ions in
vivo. Biologically responsive MR agents such as
these could have an immediate impact in the development of new diabetes drugs
and could eventually provide clinical insights into disease processes that are simply
not available using current clinically approved MR contrast agents.Acknowledgements
The authors acknowledge partial financial support for
this work from the National Institutes of Health (CA-115531, EB-01598,
EB-00482), Harold C. Simmons Cancer Center through an NCI Cancer Center Support
Grant, 1P30 CA142543, and the Robert A. Welch Foundation (AT-584).
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