Abstract
Purpose
Our objectives were to develop a targeted microbubble with an anti-P-selectin aptamer and assess its ability to detect bowel inflammation in two murine models of acute colitis.
Procedures.
Lipid-shelled microbubbles were prepared using mechanical agitation. A rapid copper-free click chemistry approach (azide-DBCO) was used to conjugate the fluorescent anti-P-selectin aptamer (Fluor-P-Ap) to the microbubble surface. Bowel inflammation was chemically induced using 2,4,6-trinitrobenzenesulfonic acid (TNBS) in both Balb/C and interleukin-10-deficient (IL-10 KO) mice. Mouse bowels were imaged using non-linear contrast mode following an i.v. bolus of 1 × 108 microbubbles. Each mouse received a bolus of aptamer-functionalized and non-targeted microbubbles. Mouse phenotypes and the presence of P-selectin were validated using histology and immunostaining, respectively.
Results
Microbubble labelling of Fluor-P-Ap was complete after 20 min at 37 ̊C. We estimate approximately 300,000 Fluor-P-Ap per microbubble and confirmed fluorescence using confocal microscopy. There was a significant increase in ultrasound molecular imaging signal from both Balb/C (p = 0.003) and IL-10 KO (p = 0.02) mice with inflamed bowels using aptamer-functionalized microbubbles in comparison to non-targeted microbubbles. There was no signal in healthy mice (p = 0.4051) using either microbubble.
Conclusions
We constructed an aptamer-functionalized microbubble specific for P-selectin using a clinically relevant azide-DBCO click reaction, which could detect bowel inflammation in vivo. Aptamers have potential as a next generation targeting agent for developing cost-efficient and clinically translatable targeted microbubbles.
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References
Ng SC et al (2017) Worldwide incidence and prevalence of inflammatory bowel disease in the 21st century: a systematic review of population-based studies. The Lancet 390(10114):2769–2778
Kaplan GG (2015) The global burden of IBD: from 2015 to 2025. Nat Rev Gastroenterol Hepatol 12(12):720–727
Rameshshanker R, Arebi N (2012) Endoscopy in inflammatory bowel disease when and why. World J Gastrointest Endosc 4(6):201–211
Maaser C et al (2019) ECCO-ESGAR guideline for diagnostic assessment in IBD Part 1: initial diagnosis, monitoring of known IBD, detection of complications. J Crohns Colitis 13(2):144–164
Panes J et al (2013) Imaging techniques for assessment of inflammatory bowel disease: joint ECCO and ESGAR evidence-based consensus guidelines. J Crohns Colitis 7(7):556–585
Kim M, Jang HJ (2016) The role of small bowel endoscopy in small bowel Crohn’s disease: when and how? Intest Res 14(3):211–217
Dambha F, Tanner J, Carroll N (2014) Diagnostic imaging in Crohn’s disease: what is the new gold standard? Best Pract Res Clin Gastroenterol 28(3):421–436
Yoon HM et al (2017) Diagnostic performance of magnetic resonance enterography for detection of active inflammation in children and adolescents with inflammatory bowel disease: a systematic review and diagnostic meta-analysis. JAMA Pediatr 171(12):1208–1216
Goodsall TM et al (2021) Systematic review: patient perceptions of monitoring tools in inflammatory bowel disease. J Can Assoc Gastroenterol 4(2):e31–e41
Allocca M et al (2019) Noninvasive multimodal methods to differentiate inflamed vs fibrotic strictures in patients with Crohn’s disease. Clin Gastroenterol Hepatol 17(12):2397–2415
Bryant RV et al (2018) Gastrointestinal ultrasound in inflammatory bowel disease: an underused resource with potential paradigm-changing application. Gut 67(5):973–985
Allocca M et al (2021) Point-of-care ultrasound in inflammatory bowel disease. J Crohns Colitis 15(1):143–151
Alkim C et al (2015) Angiogenesis in inflammatory bowel disease. Int J Inflam 2015:970890
Medellin A, Merrill C, Wilson SR (2018) Role of contrast-enhanced ultrasound in evaluation of the bowel. Abdom Radiol (NY) 43(4):918–933
Cosgrove D, Lassau N (2010) Imaging of perfusion using ultrasound. Eur J Nucl Med Mol Imaging 37(Suppl 1):S65-85
Ripolles T et al (2009) Crohn disease: correlation of findings at contrast-enhanced US with severity at endoscopy. Radiology 253(1):241–248
Ripolles T et al (2011) Contrast-enhanced ultrasound (CEUS) in Crohn’s disease: technique, image interpretation and clinical applications. Insights Imaging 2(6):639–652
Ripolles T et al (2013) Effectiveness of contrast-enhanced ultrasound for characterisation of intestinal inflammation in Crohn’s disease: a comparison with surgical histopathology analysis. J Crohns Colitis 7(2):120–128
Kucharzik T, Kannengiesser K, Petersen F (2017) The use of ultrasound in inflammatory bowel disease. Ann Gastroenterol 30(2):135–144
Kucharzik T, Maaser C (2018) Intestinal ultrasound and management of small bowel Crohn’s disease. Therap Adv Gastroenterol 11:1756284818771367
Klibanov AL (2007) Ultrasound molecular imaging with targeted microbubble contrast agents. J Nucl Cardiol 14(6):876–884
Deshpande N, Needles A, Willmann JK (2010) Molecular ultrasound imaging: current status and future directions. Clin Radiol 65(7):567–581
James ML, Gambhir SS (2012) A molecular imaging primer: modalities, imaging agents, and applications. Physiol Rev 92(2):897–965
Willmann JK et al (2008) Targeted microbubbles for imaging tumor angiogenesis: assessment of whole-body biodistribution with dynamic micro-PET in mice. Radiology 249(1):212–219
Willmann JK et al (2008) Dual-targeted contrast agent for US assessment of tumor angiogenesis in vivo. Radiology 248(3):936–944
Willmann JK et al (2008) US imaging of tumor angiogenesis with microbubbles targeted to vascular endothelial growth factor receptor type 2 in mice. Radiology 246(2):508–518
Wang S et al (2016) Ultra-low-dose ultrasound molecular imaging for the detection of angiogenesis in a mouse murine tumor model: how little can we see? Invest Radiol 51(12):758–766
Slagle CJ et al (2018) Click conjugation of cloaked peptide ligands to microbubbles. Bioconjug Chem 29(5):1534–1543
Zhang H et al (2015) Ultrasound molecular imaging of tumor angiogenesis with a neuropilin-1-targeted microbubble. Biomaterials 56:104–113
Bachmann C et al (2006) Targeting mucosal addressin cellular adhesion molecule (MAdCAM)-1 to noninvasively image experimental Crohn’s disease. Gastroenterology 130(1):8–16
Deshpande N et al (2012) Quantification and monitoring of inflammation in murine inflammatory bowel disease with targeted contrast-enhanced US. Radiology 262(1):172–180
El Kaffas A et al (2017) Molecular Contrast-enhanced ultrasound imaging of radiation-induced p-selectin expression in healthy mice colon. Int J Radiat Oncol Biol Phys 97(3):581–585
Ahmed M et al (2019) Molecular imaging of a new multimodal microbubble for adhesion molecule targeting. Cell Mol Bioeng 12(1):15–32
Lindner JR et al (2001) Ultrasound assessment of inflammation and renal tissue injury with microbubbles targeted to P-selectin. Circulation 104(17):2107–2112
Lindner LR et al (2000) Noninvasive ultrasound imaging of inflammation using microbubbles targeted to activated leukocytes. Circulation 102:2745–2750
Tlaxca JL et al (2013) Ultrasound-based molecular imaging and specific gene delivery to mesenteric vasculature by endothelial adhesion molecule targeted microbubbles in a mouse model of Crohn’s disease. J Control Release 165(3):216–225
Machtaler S et al (2015) Assessment of inflammation in an acute on chronic model of inflammatory bowel disease with ultrasound molecular imaging. Theranostics 5(11):1175–1186
Xie F et al (2009) Diagnostic ultrasound combined with glycoprotein IIb/IIIa-targeted microbubbles improves microvascular recovery after acute coronary thrombotic occlusions. Circulation 119(10):1378–1385
Dayton PA et al (2004) Ultrasonic analysis of peptide- and antibody-targeted microbubble contrast agents for molecular imaging of alphavbeta3-expressing cells. Mol Imaging 3(2):125–134
Leong-Poi H et al (2003) Noninvasive assessment of angiogenesis by ultrasound and microbubbles targeted to alpha(v)-integrins. Circulation 107(3):455–460
Willmann JK et al (2010) Targeted contrast-enhanced ultrasound imaging of tumor angiogenesis with contrast microbubbles conjugated to integrin-binding knottin peptides. J Nucl Med 51(3):433–440
Bam R et al (2020) Efficacy of affibody-based ultrasound molecular imaging of vascular B7–H3 for breast cancer detection. Clin Cancer Res 26(9):2140–2150
Abou-Elkacem L et al (2016) Ultrasound molecular imaging of the breast cancer neovasculature using engineered fibronectin scaffold ligands: a novel class of targeted contrast ultrasound agent. Theranostics 6(11):1740–1752
Abou-Elkacem L et al (2018) Thy1-targeted microbubbles for ultrasound molecular imaging of pancreatic ductal adenocarcinoma. Clin Cancer Res 24(7):1574–1585
Punjabi M et al (2019) Ultrasound molecular imaging of atherosclerosis with nanobodies: translatable microbubble targeting murine and human VCAM (vascular cell adhesion molecule) 1. Arterioscler Thromb Vasc Biol 39(12):2520–2530
Yeh JS et al (2015) A targeting microbubble for ultrasound molecular imaging. PLoS ONE 10(7):e0129681
Alonso A et al (2007) Molecular imaging of human thrombus with novel abciximab immunobubbles and ultrasound. Stroke 38(5):1508–1514
Hernot S et al (2012) Nanobody-coupled microbubbles as novel molecular tracer. J Control Release 158(2):346–353
Ellington AD, Szostak JW (1990) In vitro selection of RNA molecules that bind specific ligands. Nature 346(6287):818–822
Tuerk C, Gold L (1990) Systematic evolution of ligands by exponential enrichment: RNA ligands to bacteriophage T4 DNA polymerase. Science 249(4968):505–510
Yuce M, Ullah N, Budak H (2015) Trends in aptamer selection methods and applications. Analyst 140(16):5379–5399
Bouchard PR, Hutabarat RM, Thompson KM (2010) Discovery and development of therapeutic aptamers. Annu Rev Pharmacol Toxicol 50:237–257
Zhu Q, Liu G, Kai M (2015) DNA aptamers in the diagnosis and treatment of human diseases. Molecules 20(12):20979–20997
Lakhin AV, Tarantul VZ, Gening LV (2013) Aptamers: problems, solutions and prospects. Acta Naturae 5(4):34–43
Nakatsuka MA et al (2013) In vivo ultrasound visualization of non-occlusive blood clots with thrombin-sensitive contrast agents. Biomaterials 34(37):9559–9565
Nakatsuka MA et al (2012) Aptamer-crosslinked microbubbles: smart contrast agents for thrombin-activated ultrasound imaging. Adv Mater 24(45):6010–6016
Gutsaeva DR et al (2011) Inhibition of cell adhesion by anti-P-selectin aptamer: a new potential therapeutic agent for sickle cell disease. Blood 117(2):727–735
Talu E et al (2006) Long-term stability by lipid coating monodisperse microbubbles formed by a flow-focusing device. Langmuir 22(23):9487–9490
Kaya M, Gregory TSt, and Dayton PA (2009) Changes in lipid-encapsulated microbubble population during continuous infusion and methods to maintain consistency Ultrasound Med Biol. 35(10): p. 1748-55
Seo M et al (2010) Microfluidic assembly of monodisperse, nanoparticle-incorporated perfluorocarbon microbubbles for medical imaging and therapy. Langmuir 26(17):13855–13860
Goncin U et al (2022) Rapid copper-free click conjugation to lipid-shelled microbubbles for ultrasound molecular imaging of murine bowel inflammation. Bioconjug Chem 33(5):848–857
Wirtz S et al (2007) Chemically induced mouse models of intestinal inflammation. Nat Protoc 2(3):541–546
Histology Core Facility, UoS, H&E Staining Protocol (2019). https://healthsciences.usask.ca/documents/histology-documents/HandE-April-2019.pdf
Hong H et al (2011) Molecular imaging with nucleic acid aptamers. Curr Med Chem 18(27):4195–4205
Maul TM et al (2010) Optimization of ultrasound contrast agents with computational models to improve selection of ligands and binding strength. Biotechnol Bioeng 107(5):854–864
Wang CH, Huang YF, Yeh CK (2011) Aptamer-conjugated nanobubbles for targeted ultrasound molecular imaging. Langmuir 27(11):6971–6976
Borden MA, Longo ML (2002) Dissolution behavior of lipid monolayer-coated, air-filled microbubbles: effect of lipid hydrophobic chain length. Langmuir 18(24):9225–9233
Borden MA et al (2004) Surface phase behavior and microstructure of lipid/PEG-emulsifier monolayer-coated microbubbles. Colloids Surf B Biointerfaces 35(3–4):209–223
Chen CC, Borden MA (2010) Ligand conjugation to bimodal poly(ethylene glycol) brush layers on microbubbles. Langmuir 26(16):13183–13194
Chen CC, Borden MA (2011) The role of poly(ethylene glycol) brush architecture in complement activation on targeted microbubble surfaces. Biomaterials 32(27):6579–6587
Wang H, et al (2022) Contrast Enhanced ultrasound molecular imaging of spontaneous chronic inflammatory bowel disease in an interleukin-2 receptor alpha(-/-) transgenic mouse model using targeted microbubbles. Nanomaterials (Basel). 12(2)
Wang H et al (2019) Chronic model of inflammatory bowel disease in IL-10(-/-) transgenic mice: evaluation with ultrasound molecular imaging. Theranostics 9(21):6031–6046
Dothel G et al (2013) Animal models of chemically induced intestinal inflammation: predictivity and ethical issues. Pharmacol Ther 139(1):71–86
te Velde AA, Verstege MI, Hommes DW (2006) Critical appraisal of the current practice in murine TNBS-induced colitis. Inflamm Bowel Dis 12(10):995–999
Antoniou E et al (2016) The TNBS-induced colitis animal model: an overview. Ann Med Surg (Lond) 11:9–15
Jones-Hall YL, Grisham MB (2014) Immunopathological characterization of selected mouse models of inflammatory bowel disease: comparison to human disease. Pathophysiology 21(4):267–288
Takai T (2002) Roles of Fc receptors in autoimmunity. Nat Rev Immunol 2(8):580–592
Smith KG, Clatworthy MR (2010) FcgammaRIIB in autoimmunity and infection: evolutionary and therapeutic implications. Nat Rev Immunol 10(5):328–343
Wilkens R et al (2018) Persistent enhancement on contrast-enhanced ultrasound studies of severe crohn’s disease: stuck bubbles? Ultrasound Med Biol 44(11):2189–2198
Bzyl J et al (2011) Molecular and functional ultrasound imaging in differently aggressive breast cancer xenografts using two novel ultrasound contrast agents (BR55 and BR38). Eur Radiol 21(9):1988–1995
Tardy I et al (2010) Ultrasound molecular imaging of VEGFR2 in a rat prostate tumor model using BR55. Invest Radiol 45(10):573–578
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This work was supported by a Saskatchewan Health Research Foundation Establishment Grant.
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Una Goncin: resources, conception, investigation, formal analysis, interpretation, writing — original draft, writing — review & editing, approval. Laura Curiel: investigation, interpretation, writing, review. C Ronald Geyer: resources/acquisition, conception, writing — review & editing, approval. Steven Machtaler: resources, conception, interpretation, writing — review & editing, approval.
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Goncin, U., Curiel, L., Geyer, C.R. et al. Aptamer-Functionalized Microbubbles Targeted to P-selectin for Ultrasound Molecular Imaging of Murine Bowel Inflammation. Mol Imaging Biol 25, 283–293 (2023). https://doi.org/10.1007/s11307-022-01755-9
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DOI: https://doi.org/10.1007/s11307-022-01755-9