Atherosclerotic Plaque Composition: Analysis with Multicolor CT and Targeted Gold Nanoparticles
Open accessAbstract
PURPOSE: To investigate the potential of spectral computed tomography (CT) (popularly referred to as multicolor CT), used in combination with a gold high-density lipoprotein nanoparticle contrast agent (Au-HDL), for characterization of macrophage burden, calcification, and stenosis of atherosclerotic plaques. MATERIALS AND METHODS: The local animal care committee approved all animal experiments. A preclinical spectral CT system in which incident x-rays are divided into six different energy bins was used for multicolor imaging. Au-HDL, an iodine-based contrast agent, and calcium phosphate were imaged in a variety of phantoms. Apolipoprotein E knockout (apo E-KO) mice were used as the model for atherosclerosis. Gold nanoparticles targeted to atherosclerosis (Au-HDL) were intravenously injected at a dose of 500 mg per kilogram of body weight. Iodine-based contrast material was injected 24 hours later, after which the mice were imaged. Wild-type mice were used as controls. Macrophage targeting by Au-HDL was further evaluated by using transmission electron microscopy and confocal microscopy of aorta sections. RESULTS: Multicolor CT enabled differentiation of Au-HDL, iodine-based contrast material, and calcium phosphate in the phantoms. Accumulations of Au-HDL were detected in the aortas of the apo E-KO mice, while the iodine-based contrast agent and the calcium-rich tissue could also be detected and thus facilitated visualization of the vasculature and bones (skeleton), respectively, during a single scanning examination. Microscopy revealed Au-HDL to be primarily localized in the macrophages on the aorta sections; hence, the multicolor CT images provided information about the macrophage burden. CONCLUSION: Spectral CT used with carefully chosen contrast agents may yield valuable information about atherosclerotic plaque composition.
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Multicolour CT imaging allows identification of macrophage-rich atherosclerotic lesions in APOE-knockout mice.
“A gold-core version of the nanocrystal HDL platform mentioned above, which was previously shown — using MRI — to accumulate in plaques137, and an iodine-based blood-pool agent were injected simultaneously into APOE-knockout mice and clearly showed that multicolour CT imaging allows the identification of macrophage-rich atherosclerotic lesions142 (FIG. 6a).”
From Perspectives and opportunities for nanomedicine in the management of atherosclerosis (2011) · cites this paper as [142]
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- Authors
- Cormode, D. P., Roessl, E., Thran, A., Skajaa, T., Gordon, R. E., Schlomka, J.-P., Fuster, V., Fisher, E. A., Mulder, W. J. M., Proksa, R., & Fayad, Z. A.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- Philips (Germany) (DE)
- Mount Sinai Hospital (US)
- New York University (US)
- Venue
- Radiology
- Published
- 2010-09
- Volume
- 256
- Issue
- 3
- Pages
- 774-782
- ISSN
- 0033-8419 (ISSN-L)
- 1527-1315
- PMC
- PMC2923725
- OpenAlex
- W2105050495
- Cited by
- 479
- References
- 43
- Citations by year
- 2026: 6 · 2025: 17 · 2024: 21 · 2023: 34 · 2022: 27 · 2021: 37 · 2020: 41 · 2019: 31 · 2018: 36 · 2017: 37 · 2016: 28 · 2015: 30 · 2014: 40 · 2013: 34 · 2012: 33
- FWCI
- 17.74
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Radiology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL061814, R01 HL 71021, R01HL078667, R01HL071021, R01 HL61814, R01 HL 78667)
- National Institute of Biomedical Imaging and Bioengineering (R01EB009638, K99EB012165)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Advanced X-ray and CT Imaging
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Cardiac Imaging and Diagnostics
- Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
- Keywords
- atherosclerotic plaque composition, spectral computed tomography, gold nanoparticles, plaque calcification, iodinated contrast media, calcium phosphate, ApoE-deficient mice, atherosclerosis imaging
- MeSH terms
- Animals, Aortic Diseases, Color, Contrast Media, Gold, Iodine, Microscopy, Electron, Tomography, X-Ray Computed, Mice, Knockout, Microscopy, Confocal, Phantoms, Imaging, Atherosclerosis, Mice, Nanoparticles
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