Purpose:To compare atherosclerotic plaque uptake of a first (ferumoxtran-10) and second generation (ferumoxytol) ultrasmall superparamagnetic iron oxide (USPIO) contrast agent with different pharmacokinetic/pharmacodynamic properties.
Materials and Methods:New Zealand White rabbits maintained on a high cholesterol/fat diet were subjected to balloon injury to the abdominal aorta. Ferumoxtran-10 or ferumoxytol (500 mol/kg) was administered at 2, 4, and 8 weeks following injury. In vivo magnetic resonance imaging (MRI) was performed immediately prior to, immediately after, and 6 days post-contrast administration. Ex vivo MRI, histologic, and inductively coupled plasma-mass spectrometry (ICP-MS) iron analyses were performed on the excised vessels.
Results:The blood pool clearance of ferumoxytol (t 1 ⁄2 Յ 6 hours) was more rapid than that of ferumoxtran-10 (t 1 ⁄2 Յ 48 hours). Decreased in vivo MRI signal intensity in the abdominal aorta was observed at 2, 4, and 8 weeks following injury with ferumoxtran-10, but not with ferumoxytol. Consistent with these observations, ex vivo MRI signal intensity was decreased in the ferumoxtran-10 vessels, and to a lesser degree in the ferumoxytol vs. control vessels (-contrast agent). In contrast, in vitro macrophage phagocytosis of USPIO was four to six fold greater with ferumoxytol than with ferumoxtran-10. Additionally, the absolute iron content correlated with ex vivo MRI signal intensity in all vessels (r ϭ -0.86, P Ͻ 0.0001).
PROTOCOL REVIEWcant, who should be available to attend the meeting if and when required. Quite often these final questions can be resolved much more concisely face-to-face during the meeting, giving the whole Committee and the applicant a sense of achievement, because all issues, including welfare-related and scientific design, have been fairly and professionally addressed, allowing more expedient approval of the protocol.
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