Microfluctuations
in a pH gradient create a harsh microenvironment
in tumors, leaving behind the most aggressive, invasive, and drug-resistant
tumor cells. Directly visualizing the spatiotemporal distribution
of pH variations and accurately quantifying the dynamic acid–base
changes during cancer treatment are critical to estimate prognosis
and to evaluate therapeutic efficacy. However, the quantification
of subtle pH variations dynamically and noninvasively remains challenging.
The purpose of this study is to determine and visualize dynamic acid–base
changes in solid tumors during anti-acid treatments by magnetic resonance
imaging (MRI) using pH-sensitive nanoparticles. We report the development
of pH-sensitive nanoparticles, MnO2@BSA, that rapidly and
strongly amplify the MR contrast signal in response to the extracellular
acidic environment of solid tumors. The spatiotemporal distribution
and dynamic fluctuations of pH heterogeneity in NCI-H460 lung tumors
were observed with MnO2@BSA at different time points after
an anti-acid treatment with esomeprazole, which directly interferes
with the acidic microenvironment of the tumor. Imaging results were
validated using a pH microsensor. MRI of pH-sensitive MnO2@BSA nanoparticles provided direct readouts of the kinetics of pH
gradient fluctuations during esomeprazole treatment. A significant
MR signal reduction was observed at the 48 h time point after treatment.
The manipulated extracellular pH changes detected noninvasively by
MRI coincided with the extracellular pH fluctuations measured with
a pH microsensor (pH 6.12–6.63). Immunofluorescence and Western
blot analyses confirmed the expression of V-ATPase in NCI-H460 lung
cancer cells, which could be inhibited by esomeprazole, as detected
by ELISA assay. Overall, these results demonstrate that MnO2@BSA MRI has great potential as a noninvasive tool to accurately
monitor pH fluctuations, thereby paving the way for the dynamic detection
of acidic microenvironments in vivo without the need
for pH microsensors.