Alzheimer's disease (AD) is the leading cause of dementia in individuals over the age of 65 and the prevalence in the United States this year is estimated at 5.2 million. 83,494 Americans died from the disease in 2010 and an estimated 70,000 more will die from AD this year, and it remains without a cure. Empirical data strongly suggest that amyloid-? (A?) deposition and blood-brain barrier (BBB) compromise may precede clinical manifestation of the disease by over 20 years. Methods to quantify A? in vivo are therefore actively investigated by the medical research community as a means of early detection. Our long term goal is to develop a magnetic resonance imaging (MRI) contrast agent for visualization of A? plaques in vivo. We recently showed that fluorescent A?-targeted liposomes cross the BBB and avidly label A? pathologies in the brains of APP/PSEN1 mice. In a second generation formulation, we loaded similar particles with a gadolinium contrast agent and obtained MRI data which confirm that they cross the BBB of Tg2576 mice. However, the contrast-to-noise ratio of this agent does not allow unequivocal interpretation of images due to the background signal that exists in proton-based MRI. 19F MRI presents an alternative to address this problem because there is no endogenous 19F MRI detectable signal in soft tissue. Current 1H MRI hardware can be used for 19F MRI with little modification and 19F is a stable atom with 100% natural abundance, easily available, non-radioactive, and inexpensive. Unfortunately, almost all 19F-based agents currently under use for biomedical applications utilize perfluorocarbons (PFCs) which have low aqueous solubility and not amenable to aqueous core liposome formulations protocols. We have designed and synthesized two new hydrophilic fluorinated molecules with this capacity. In this application, we propose to prepare a A?-targeted liposome formulation bearing one of the molecules as a 19F contrast payload and explore its potential as a tool to define and quantify noninvasively, the longitudinal accumulation of amyloid plaques (using 5, 7, 9 and 12-month old APP/PSEN1 mice) by 19F MRI. Completion of this work will result in a potential novel MRI platform for noninvasive detection and quantification of amyloid plaque burden in vivo and a potential contrast agent to other molecular imaging applications.

Public Health Relevance

Alzheimer's disease (AD) is the leading cause of dementia in individuals over the age of 65 and the prevalence in the United States this year is estimated at 5.2 million. The disease remains without a cure and there is consensus that by the time it is diagnosed in the clinic, irreversible damage may have already occurred in the brains of the patients. In this application, we propose use mice (genetically modified to mimic early stages of the disease) to develop an imaging agent that may help in early diagnosis of the disease by MRI.

Agency
National Institute of Health (NIH)
Institute
National Institute of Biomedical Imaging and Bioengineering (NIBIB)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21EB020153-02
Application #
9349496
Study Section
Clinical Molecular Imaging and Probe Development (CMIP)
Program Officer
Wang, Shumin
Project Start
2016-09-08
Project End
2018-06-30
Budget Start
2017-07-01
Budget End
2018-06-30
Support Year
2
Fiscal Year
2017
Total Cost
Indirect Cost
Name
Baylor College of Medicine
Department
Radiation-Diagnostic/Oncology
Type
Schools of Medicine
DUNS #
051113330
City
Houston
State
TX
Country
United States
Zip Code
77030
Tanifum, Eric A; Patel, Chandreshkumar; Liaw, Matthew E et al. (2018) Hydrophilic fluorinated molecules for spectral 19F MRI. Sci Rep 8:2889