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Molecular imaging is the non-invasive and targeted visualization of biological processes at the cellular, subcellular, and molecular levels1. Molecular imaging permits a specimen to remain in its native microenvironment while its endogenous pathways and mechanisms are assessed in real-time. Typically, molecular imaging involves the administration of an exogenous imaging agent in the form of a small molecule, macromolecule, or nanoparticle to visualize, target, and trace relevant physiological processes being studied2. The various imaging modalities that have been explored in molecular imaging include MRI, CT, PET, SPECT, ultrasound, photoacoustics, Raman spectroscopy, bioluminescence, fluorescence, and intravital microscopy3. Multimodal imaging is the combination of two or more imaging modalities where the combination enhances the ability to visualize and characterize various biological processes and events4. Multimodal imaging exploits the strengths of the individual imaging techniques, while compensating for their individual limitations3.
This article presents the protocol for the synthesis of biofunctionalized Prussian blue nanoparticles (PB NPs) - a novel class of multimodal, molecular imaging agents. The PB NPs are utilized for fluorescence imaging and molecular MRI. PB is a pigment consisting of alternating iron (II) and iron (III) atoms in a face-centered cubic network (Figure 1). The PB lattice is comprised of linear cyanide ligands in a FeII- CN - FeIII linkage that incorporates cations to balance charges within its three-dimensional network5. The ability of PB to incorporate cations into its lattice is exploited by separately loading gadolinium and manganese ions into the PB NPs for MRI contrast.
The rationale for pursuing a nanoparticle design for MRI contrast is because of the advantages this design offers relative to current MRI contrast agents. The vast majority of US FDA-approved MRI contrast agents are gadolinium chelates that are paramagnetic in nature and provide positive contrast by the spin-lattice relaxation mechanism6,7,8. As compared to a single gadolinium-chelate that provides low signal intensity on its own, the incorporation of multiple gadolinium ions within the PB lattice of the nanoparticles provides enhanced signal intensity (positive contrast)3,9. Further, the presence of multiple gadolinium ions within the PB lattice increases the overall spin density and the magnitude of paramagnetism of the nanoparticles, which disturbs the local magnetic field in its vicinity, thereby generating negative contrast by the spin-spin relaxation mechanism. Thus the gadolinium-containing nanoparticles function both as T1 (positive) and T2 (negative) contrast agents10,11.
In a subset of patients with impaired renal function, the administration of gadolinium-based contrast agents has been linked to the development of nephrogenic systemic fibrosis8,12, 13. This observation has prompted investigations into the use of alternative paramagnetic ions as contrast agents for MRI. Therefore, the versatile design of the nanoparticles is adapted to incorporate manganese ions within the PB lattice. Similar to gadolinium-chelates, manganese-chelates are also paramagnetic and are typically used to provide positive signal intensity in MRI7,14. As with gadolinium-containing PB NPs, the manganese-containing PB NPs also function as T1 (positive) and T2 (negative) contrast agents.
To incorporate fluorescence imaging capabilities, the nanoparticle “cores” are coated with a “biofunctional” shell consisting of the fluorescently-labeled glycoprotein avidin (Figure 1). Avidin not only enables fluorescence imaging, but also serves as a docking platform for biotinylated ligands that target specific cells and tissue. The avidin–biotin bond is one of the strongest known, non-covalent bonds characterized by extremely strong binding affinity between avidin and biotin15. The attachment of biotinylated ligands to the avidin-coated PB NPs confers molecular targeting capabilities to the PB NPs.
The motivation for pursuing fluorescence and MR imaging using PB NPs is because these imaging modalities possess complementary features. Fluorescence imaging is one of the most widely used optical molecular imaging techniques, and allows for the simultaneous visualization of multiple objects at high sensitivities1,16,17. Fluorescence imaging is a safe, non-invasive modality but is associated with low depths of penetration and spatial resolutions1,3,16. On the other hand, MRI generates high temporal and spatial resolution non-invasively and without a need for ionizing radiation1,3,16. However MRI suffers from low sensitivity. Therefore fluorescence imaging and MRI were selected as the molecular imaging techniques due to their complementary features of depth penetration, sensitivity, and spatial resolution.
This article presents the protocol for the synthesis and biofunctionalization of the PB NPs, gadolinium-containing PB NPs (GdPB), and manganese-containing PB NPs (MnPB)10,11. The following methods are described: 1) measurement of size, charge, and temporal stability of the nanoparticles, 2) evaluation of cytotoxicity of the nanoparticles, 3) measurement of MRI relaxivities, and 4) utilization of the nanoparticles for fluorescence and molecular MR imaging of a population of targeted cells in vitro. These results demonstrate the potential of the NPs for use as multimodal, molecular imaging agents in vivo.