A Novel Site-Targeted Ultrasonic Contrast Agent With Broad Biomedical Application
Abstract
Background In this work, we report a novel targetable ultrasonic contrast agent with the potential to noninvasively define and localize myriad pathological tissues for diagnosis or therapy. The agent is a biotinylated, lipid-coated, perfluorocarbon emulsion that has low inherent echogenicity unless bound to a surface or itself. Methods and Results In study 1, emulsions with and without biotin were suspended in buffered saline and imaged with a 7.5-MHz linear-array transducer. Neither emulsion manifested significant ultrasonic backscatter until avidin was added. Avidin-induced aggregation produced a marked enhancement in backscatter from the biotinylated but not from the control emulsion. In study 2, porcine fibrin clots in vitro were pretargeted with biotinylated antifibrin monoclonal antibodies and then exposed to avidin and then to biotinylated or control perfluorocarbon emulsions. The basal acoustic reflectivity of clots imaged with a 7.5-MHz linear-array transducer was uniformly low and was increased substantially by exposure to the targeted biotinylated emulsion. In study 3, partially occlusive arterial thrombi were created in dogs and then exposed to antifibrin antibodies and avidin in situ. Biotinylated or control emulsion was administered either in situ or systemically. At baseline, all thrombi were undetectable with a 7.5-MHz linear-array transducer. Thrombi exposed to antifibrin-targeted contrast exhibited increased echogenicity ( P <.05); control thrombi remained acoustically undetectable. Conclusions These data provide the first in vivo demonstration of a site-specific ultrasonic contrast agent and have potential for improved sensitivity and specificity for noninvasive diagnosis of thrombi and other pathological diseases.
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Nanoparticle-targeted imaging using transvascular ultrasound has been deemed possible.
“Nevertheless, nanoparticle-targeted imaging using transvascular ultrasound has been deemed possible154.”
From Perspectives and opportunities for nanomedicine in the management of atherosclerosis (2011) · cites this paper as [154]
Cites
Echocardiography of the Aortic Root
Gramiak, R., & Shah, P. M. (1968) · Investigative Radiology · doi:10.1097/00004424-196809000-00011 · Cited by 935 · see citing works
de Jong, N., Hoff, L., Skotland, T., et al. (1992) · Ultrasonics · doi:10.1016/0041-624x(92)90041-j · Cited by 500 · see citing works
Contrast agents in diagnostic ultrasound
Ophir, J., & Parker, K. J. (1989) · Ultrasound in Medicine & Biology · doi:10.1016/0301-5629(89)90044-6 · Cited by 323 · see citing works
Three-step monoclonal antibody tumor targeting in carcinoembryonic antigen-positive patients.
Paganelli, G., Magnani, P., Zito, F., et al. (1991) · PubMed · Cited by 247 · see citing works
Principles and recent developments in ultrasound contrast agents
de Jong, N., ten Cate, F. J., Lancée, C. T., Roelandt, J. R. T. C., & Bom, N. (1991) · Ultrasonics · doi:10.1016/0041-624x(91)90030-c · Cited by 235 · see citing works
Pharmacokinetics and Side Effects of Perfluorocarbon-Based Blood Substitutes
Flaim, S. F. (1994) · Artificial Cells Blood Substitutes and Biotechnology · doi:10.3109/10731199409138801 · Cited by 174 · see citing works
Romson, J. L., Haack, D. W., & Lucchesi, B. R. (1980) · Thrombosis Research · doi:10.1016/0049-3848(80)90249-2 · Cited by 168 · see citing works
Haskel, E. J., Prager, N. A., Sobel, B. E., et al. (1991) · Circulation · doi:10.1161/01.cir.83.3.1048 · Cited by 151 · see citing works
Kerber, R. E., Kioschos, J. M., & Lauer, R. M. (1974) · The American Journal of Cardiology · doi:10.1016/0002-9149(74)90163-5 · Cited by 129 · see citing works
Galactose-based intravenous sonographic contrast agent: experimental studies
Goldberg, B. B., Liu, J., Burns, P. N., et al. (1993) · Journal of Ultrasound in Medicine · doi:10.7863/jum.1993.12.8.463 · Cited by 118 · see citing works
Ultrasonic characterization of AlbunexR, a new contrast agent
Bleeker, H. J., Shung, K. K., & Barnhart, J. L. (1990) · The Journal of the Acoustical Society of America · doi:10.1121/1.399428 · Cited by 98 · see citing works
Gas-Filled Lipid Bilayers as Ultrasound Contrast Agents
Unger, E. C., Shen, D., Fritz, T., et al. (1994) · Investigative Radiology · doi:10.1097/00004424-199406001-00044 · Cited by 42 · see citing works
Gas Emulsions as Ultrasound Contrast Agents Preliminary Results in Rabbits and Dogs
Mattrey, R. F., Wrigley, R. H., Steinbach, G. C., et al. (1994) · Investigative Radiology · doi:10.1097/00004424-199406001-00046 · Cited by 36 · see citing works
Pretargeting of Carcinomas with the Avidin-Biotin System
Paganelli, G., Magnani, P., & Fazio, F. (1993) · The International Journal of Biological Markers · doi:10.1177/172460089300800304 · Cited by 35 · see citing works
Pulmonary complications after Fluosol administration to patients with life-threatening blood loss
Police, A. M., Waxman, K., & Tominaga, G. T. (1985) · Critical Care Medicine · doi:10.1097/00003246-198502000-00008 · Cited by 33 · see citing works
McGoron, A. J., Pratt, R. G., Zhang, J., et al. (1994) · Artificial Cells Blood Substitutes and Biotechnology · doi:10.3109/10731199409138822 · Cited by 25 · see citing works
Quantitation of myocardial perfusion with contrast echocardiography.
Kaul, S. (1991) · PubMed · Cited by 25 · see citing works
Modorati, G. M., Brancato, R., Paganelli, G., et al. (1994) · British Journal of Ophthalmology · doi:10.1136/bjo.78.1.19 · Cited by 24 · see citing works
Clark, L. C., Hoffmann, R. E., & Davis, S. L. (1992) · Artificial Cells Blood Substitutes and Biotechnology · doi:10.3109/10731199209119767 · Cited by 24 · see citing works
Enhancement of the Echogenicity of Flowing Blood by the Contrast Agent Perflubron
André, M. P., Steinbach, G. C., & Mattrey, R. F. (1993) · Investigative Radiology · doi:10.1097/00004424-199306000-00007 · Cited by 21 · see citing works
Three-step tumor pre-targeting in lung cancer immunoscintigraphy
Dosio, F., Magnani, P., Paganelli, G., et al. (1994) · Lung Cancer · doi:10.1016/0169-5002(94)92231-4 · Cited by 20 · see citing works
Tymkewycz, P. M., Kempsford, L. J. C., & Gaffney, P. J. (1993) · Blood Coagulation & Fibrinolysis · doi:10.1097/00001721-199304000-00002 · Cited by 20 · see citing works
Self-citationFlaim, S. F., Hazard, D. R., HOGAN, J., et al. (1991) · Investigative Radiology · doi:10.1097/00004424-199111001-00041 · Cited by 19 · see citing works
Screening for Fibrin Specific Monoclonal Antibodies: The Development of a New Procedure
Tymkewycz, P. M., Creighton-Kempsford, L. J., HOCKLEY, D. J., et al. (1992) · Thrombosis and Haemostasis · doi:10.1055/s-0038-1656316 · Cited by 14 · see citing works
Feinstein, S. B. (1989) · Echocardiography · doi:10.1111/j.1540-8175.1989.tb00287.x · Cited by 9 · see citing works
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Sorted by citations
Winter, P. M., Morawski, A. M., Caruthers, S. D., Fuhrhop, R. W., Zhang, H., Williams, T. A., Allen, J. S., Lacy, E. K., Robertson, J. D., Lanza, G. M., et al. (2003) · Circulation · doi:10.1161/01.cir.0000093185.16083.95 · Cited by 696 · see citing works
Self-citationFlacke, S., Fischer, S., Scott, M. J., Fuhrhop, R. J., Allen, J. S., McLean, M., Winter, P., Sicard, G. A., Gaffney, P. J., Wickline, S. A., et al. (2001) · Circulation · doi:10.1161/hc3601.094303 · Cited by 515 · see citing works
Self-citationZhang, C., Yan, K., Fu, C., Peng, H., Hawker, C. J., & Whittaker, A. K. (2022) · Chemical Reviews · doi:10.1021/acs.chemrev.1c00632 · Cited by 493 · see citing works
Perspectives and opportunities for nanomedicine in the management of atherosclerosis
Lobatto, M. E., Fuster, V., Fayad, Z. A., & Mulder, W. J. M. (2011) · Nature Reviews Drug Discovery · doi:10.1038/nrd3578 · Cited by 423 · see citing works
Application of Light Scattering Techniques to Nanoparticle Characterization and Development
Carvalho, P. M., Felício, M. R., Santos, N. C., Gonçalves, S., & Domingues, M. M. (2018) · Frontiers in Chemistry · doi:10.3389/fchem.2018.00237 · Cited by 402 · see citing works
Engineered nanoparticles for biomolecular imaging
Mahmoudi, M., Serpooshan, V., & Laurent, S. (2011) · Nanoscale · doi:10.1039/c1nr10326a · Cited by 262 · see citing works
Computed Tomography in Color: NanoK‐Enhanced Spectral CT Molecular Imaging
Pan, D., Roessl, E., Schlomka, J., Caruthers, S. D., Senpan, A., Scott, M. J., Allen, J. S., Zhang, H., Hu, G., Gaffney, P. J., et al. (2010) · Angewandte Chemie International Edition · doi:10.1002/anie.201005657 · Cited by 178 · see citing works
Self-citationMolecular imaging of cardiovascular disease with contrast-enhanced ultrasonography
Lindner, J. R. (2009) · Nature Reviews Cardiology · doi:10.1038/nrcardio.2009.77 · Cited by 111 · see citing works
- Authors
- Lanza, G. M., Wallace, K. D., Scott, M. J., Cacheris, W. P., Abendschein, D. R., Christy, D. H., Sharkey, A. M., Miller, J. G., Gaffney, P. J., & Wickline, S. A.
- Affiliations
- Barnes-Jewish Hospital (US)
- Venue
- Circulation
- Published
- 1996-12-15
- Volume
- 94
- Issue
- 12
- Pages
- 3334-3340
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2037253046
- Cited by
- 406
- References
- 25
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 1 · 2021: 8 · 2020: 3 · 2019: 8 · 2018: 6 · 2017: 5 · 2016: 7 · 2015: 7 · 2014: 16 · 2013: 19 · 2012: 17
- FWCI
- 6.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01hl042950-17)
- National Heart, Lung, and Blood Institute (HL 42950)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Ultrasound and Hyperthermia Applications
- Physical Sciences › Engineering › Biomedical Engineering › Photoacoustic and Ultrasonic Imaging
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Ultrasound Imaging and Elastography
- Keywords
- ultrasound contrast agents, targeted imaging, avidin-biotin binding, perfluorocarbon emulsions, fibrin clot, thrombus localization, non-invasive diagnosis
- MeSH terms
- Animals, Antibodies, Monoclonal, Avidin, Biotin, Contrast Media, Dogs, Emulsions, Femoral Artery, Fibrin, Fluorocarbons, Phosphatidylethanolamines, Scattering, Radiation, Swine, Thrombosis, Ultrasonography, Ultrasonic Therapy
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