This revised proposal describes the mechanism of binding in ex vivo, and in vivo models between small molecules and negatively charged polysaccharides, and applies its findings to the development of new X- ray computed tomography (CT) contrast agents for imaging articular cartilage. Specifically, we expand on our recent reports (J. Am. Chem. Soc., 2009, 131, 2469-2471;Osteoarthritis and Cartilage, 2010, 18, 184- 191;J. Orthopaedic Res., 2011, 29, 704-709;Osteoarthritis and Cartilage, 2011, in press/on line) of using cationic iodinated contrast agents for CT imaging of negatively-charged glycosaminoglycans (GAGs) in articular cartilage. Clinically today, cartilage is not imaged using CT and several research groups are exploring the use of known CT contrast agents, which possess an overall anionic charge, to image GAGs. We hypothesize that the use of a cationic contrast agent will result in a more sensitive technique for imaging cartilage due to its affinity or the negatively-charged GAGs. Importantly, we have preliminary data demonstrating that these cationic iodinated contrast agents bind GAG in a GAG concentration dependent manner and can be used for ex vivo and in vivo imaging of cartilage via X-ray CT.
The specific aims of this proposal are:
Aim 1 : Synthesize a series of cationic, anionic, and neutral iodinated CT contrast agents, Aim 2: Determine the kinetics and binding affinities of the CT contrast agents to GAGs present in ex vivo cartilage tissue, Aim 3: Ascertain the correlation of CT attenuation vs. GAG concentration and develop a quantitative relationship, Aim 4: (A) Perform serial in vivo contrast enhanced computed tomography (CECT) imaging of rabbit knees before and after anterior cruciate ligament (ACL) transection to demonstrate the ability of CECT using cationic contrast agents to measure progressive changes in cartilage GAG compared to direct measurements after sacrifice, (B) Perform pharmacokinetic/toxicity studies in New Zealand White rabbits. Successful completion of these studies will result in: 1) the development of structure-activity relationships and design requirements for highly sensitive cartilage CT imaging agents for quantitative measurements of GAG;2) imaging of healthy and degraded cartilage in vivo;3) the pharmacokinetic profile of the contrast agent after administration;and 4) collection of robust data for analysis, discussion, and further hypothesis generation.
The study of the binding of small molecules to biologics is of fundamental importance, and the results of such studies are applicable to many areas of medicine - including medical imaging. This proposal investigates the design, synthesis and characterization of novel computed tomography contrast agents for binding and imaging of the glycosaminoglycans present in cartilage.
|Honkanen, Juuso T J; Turunen, Mikael J; Freedman, Jonathan D et al. (2016) Cationic Contrast Agent Diffusion Differs Between Cartilage and Meniscus. Ann Biomed Eng 44:2913-21|
|Freedman, Jonathan D; Lusic, Hrvoje; Wiewiorski, Martin et al. (2015) A cationic gadolinium contrast agent for magnetic resonance imaging of cartilage. Chem Commun (Camb) 51:11166-9|
|Lakin, B A; Ellis, D J; Shelofsky, J S et al. (2015) Contrast-enhanced CT facilitates rapid, non-destructive assessment ofÂ cartilage and bone properties of the human metacarpal. Osteoarthritis Cartilage 23:2158-66|
|Freedman, Jonathan D; Lusic, Hrvoje; Snyder, Brian D et al. (2014) Tantalum oxide nanoparticles for the imaging of articular cartilage using X-ray computed tomography: visualization of ex vivo/in vivo murine tibia and ex vivo human index finger cartilage. Angew Chem Int Ed Engl 53:8406-10|
|Lakin, Bejamin A; Grasso, Daniel J; Stewart, Rachel C et al. (2013) Contrast enhanced CT attenuation correlates with the GAG content of bovine meniscus. J Orthop Res 31:1765-71|
|Lusic, Hrvoje; Grinstaff, Mark W (2013) X-ray-computed tomography contrast agents. Chem Rev 113:1641-66|
|Lakin, B A; Grasso, D J; Shah, S S et al. (2013) Cationic agent contrast-enhanced computed tomography imaging of cartilage correlates with the compressive modulus and coefficient of friction. Osteoarthritis Cartilage 21:60-8|
|Kuo, W; Nimeskern, L; MartÃnez Ãvila, H et al. (2013) Developing staining protocols for visualization of tissue-engineering scaffolds using micro computed tomography in native wet state. Biomed Tech (Berl) :|
|Stewart, Rachel C; Bansal, Prashant N; Entezari, Vahid et al. (2013) Contrast-enhanced CT with a high-affinity cationic contrast agent for imaging ex vivo bovine, intact ex vivo rabbit, and in vivo rabbit cartilage. Radiology 266:141-50|