Nanoscale materials have increasingly become subject to intense investigation for use in cancer diagnosis and therapy. However, there is a fundamental dearth in cellular-level understanding of how nanoparticles interact within the tumor environment in living subjects. Adopting quantum dots (qdots) for their excellent brightness, photostability, monodispersity, and fluorescent yield, we link arginine-glycine-aspartic acid (RGD) peptides to target qdots specifically to newly formed/forming blood vessels expressing α v β 3 integrins. Using this model nanoparticle system, we exploit intravital microscopy with subcellular (∼0.5 μm) resolution to directly observe and record, for the first time, the binding of nanoparticle conjugates to tumor blood vessels in living subjects. This generalizable method enabled us to show that in this model qdots do not extravasate and, unexpectedly, that they only bind as aggregates rather than individually. This level of understanding is critical on the path toward ensuring regulatory approval of nanoparticles in humans for disease diagnostics and therapeutics. Equally vital, the work provides a platform by which to design and optimize molecularly targeted nanoparticles including quantum dots for applications in living subjects.Quantum dots (qdots) are single nanocrystal colloidal semiconductors with exceptional fluorescent properties. This makes them highly conducive to preclinical optical imaging. [1][2][3][4][5][6][7][8] Qdots have been used in living subjects to target tissue-specific vascular biomarkers 3 and cancer cells 1,2,4,5,8 and to identify sentinel lymph nodes in cancer 9-12 with the potential for © Copyright 2008 by the American Chemical Society * Corresponding author: mail, Sanjiv S. Gambhir, MD, PhD, Director, Molecular Imaging Program at Stanford (MIPS), Head, Division of Nuclear Medicine, Professor, Department of Radiology and Bio-X Program, The James H. Clark Center, 318 Campus Dr., East Wing, first Floor, Stanford, CA 94305-5427; phone, 650-725-2309; fax, 650-724-4948; sgambhir@stanford.edu. Supporting Information Available: Videos showing RGD-qdot injection and binding, RGD-qdots in normal mouse vasculature and tumor vasculature, Cy5.5-RGD block of RGD-qdots in tumor, unconjugated qdots entering the tumor vasculature, and Cy5.5 and Cy5.5-RGD leaking out of the tumor neovasculature and descriptions of nanoparticle conjugates, the tumor model, intravital microscopy, statistics, electron microscopy, and U87MG cells incubated with RGD-qdots. This material is available free of charge via the Internet at http://pubs.acs.org. In this work, we exploited intravital microscopy (IV-100, Olympus, Center Valley, PA) to examine the binding of neovascularly targeted fluorescent nanoparticles to tumor neovasculature via direct cellular-level visualization in living mice ( Figure 1a). Arginineglycine-aspartic acid (RGD) and control peptide qdot conjugates were prepared as previously described with some modifications 5 (see Figure 1b and Supporting Information for protocols)...