Md Kamrul Islam1, Soyeon Kim1, Hee-Kyung Kim2,3, Garam Choi1, Ah Rum Baek1, Taekwan Lee4, DongKyu Kim4, Hoe Su Jung4, and Yongmin Chang1,2,5
1Medical and Biological Engineering, Kyungpook National University, Daegu, Republic of Korea, 2Department of Molecular Medicine & BK21 Plus KNU Biomedical Convergence Program, Kyungpook National University, Daegu, Republic of Korea, 3Institute of Biomedical Engineering Research, Kyungpook National University, Daegu, Republic of Korea, 4Laborstory Animal Center, Daegu Gyeongbuk Medical Innovation Foundation, Daegu, Republic of Korea, 5Department of Radiology, Kyungpook National University, Daegu, Republic of Korea
Synopsis
The
purpose of the current study is to design and synthesis of novel Mn2+
complex as an alternative to well-established Gd3+ chelates for use as
a liver-targeting MR imaging agent. This new complex exhibits high R1 relaxivity (2.3 mM−1 s−1) than
clinically approved Mn-DPDP® (1.6
mM−1 s−1) at
1.5 T. It is also kinetically much inert than that of Magnevist®. In
vivo MRI enhancement pattern compares well with those of liver-specific MRI CAs
such as Primovist® and Multihance®. It shows greater
tumor detection in a
liver tumor model with negligible toxicity in a clinical dose.
Introduction
Magnetic resonance
imaging (MRI) is a non-invasive powerful diagnostic technique. The contrast of
the resulting image often can be enhanced by injection of paramagnetic agents. Though,
gadolinium (Gd) is the
popular choice amongst the paramagnetic metals due to its suitable magnetic
properties. However, Gd based
imaging probes are associated to the initiation of nephrogenic systemic
fibrosis (NSF).1 In addition, recently a number of reports demonstrated
that intravenously administered Gd accumulates
in the brains of the patients with normal renal function.2 In this context, progressive
approaches have been made based on non-lanthanide metals, particularly less toxic and bio-friendly
manganese are receiving special attention. Herein, we
report the design of a novel Mn2+ complex based on an ethylenediaminetetraacetic acid (EDTA) coordination cage comprising an ethoxybenzyl (EOB) moiety with high chelation stability for use as a hepatobiliary
agent.Materials and Methods
All reagents were
purchased from commercial sources and used without further
purification unless otherwise stated. Solvents were purified and dried using standard
procedures. Deionized water was used for all experiments. T1 measurements
were carried out using an inversion recovery method with a variable inversion
time (TI) at 1.5 T (64MHz, GE Healthcare, Milwaukee, WI, USA). For T2 measurements, the CPMG
(Carr-Purcell-Meiboon-Gill) pulse sequence was adapted for multiple spin-echo
measurements. T1 and T2 relaxation times were obtained from
the non-linear least squares fit of the mean pixel values for the multiple
spin-echo measurements at each TI value and echo time. Relaxivities (R1 and R2)
were then calculated as an inverse of relaxation time per mM. MR images of
anaesthetized mice were obtained pre- and post-Mn-EDTA-EOB (0.05 mmol Mn/kg)
injection by tail vein with a 1.5 T MR unit (GE Healthcare, Milwaukee, WI, USA)
using home-made small animal RF coil. The imaging parameters for SE (Spin echo)
were as follows: repetition time (TR) = 300 ms; echo time (TE) = 12 ms; 8 mm
field of view (FOV); 192×128 matrix size; 1.2 mm slice thickness; number of
acquisition (NEX) = 8.Results and Discussion
The synthesis method of Mn-EDTA-EOB complex are
depicted in Scheme 1. The formation of new compounds was confirmed by microanalysis and spectroscopic methods
such as, 1H NMR,
HR-FAB-MS. Its
R1 relaxivity (6.3 mM-1s-1) in human serum
albumin (HSA) solution is higher than MRI CAs such as MnDPDP® (5.2 mM-1s-1) indicating an
interaction between HSA and Mn-EDTA-EOB chelate. The kinetic inertness
of Mn-EDTA-EOB complex is much higher than that of commercially available MRI
contrast agent Gd-DTPA. T1-weighted
MR images were obtained by 8-week-old male Institute of Cancer Research (ICR)
mice after a bolus injection of Mn-EDTA-EOB through tail vein (Figure 1). It
shows strong signal enhancement in liver, kidney, gallbladder and heart. In combination with bio distribution study,
in vivo MR images confirm that Mn-EDTA-EOB is
excreted through both the liver and kidneys, which is similar to that of the
clinically used liver-specific agent Gd-DTPA-EOB and Gd-BOTPA.3 In the hepatobiliary pathway, Mn-EDTA-EOB is
taken up by varying degrees of functioning hepatocytes and excreted via the
biliary trees, confirming
hepatobiliary uptake. Finally, In a liver
cancer model, Mn-EDTA-EOB shows significantly improved tumor detection and characterization, suggesting this
new complex can be a prominent MR imaging agent for liver cancer (Figure 2).Conclusions
In this study, we
successfully synthesized and biological evaluation of Mn-EDTA-EOB chelate
as a new family of stable hepatobiliary MRI contrast agent. This
new complex can be suitable MR imaging agent for liver cancer.Acknowledgements
No acknowledgement found.References
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