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Histologic evidence ofHistologic evidence of
SPIO accumulation inSPIO accumulation in
vulnerable plaquesvulnerable plaques
Silvio Litovsky, MDSilvio Litovsky, MD
June 7, 2002June 7, 2002
In-vitro Study of Macrophage
SPIO Uptake
 In a series of in-vitro studies we have tested
the rate of SPIO uptake by human activated
monocytes in different conditions regarding
incubation time and concentration of SPIO.
SPIO particles were labeled by a fluorescent
dye (DCFA).
FL-labeled SPIO Incubated Macrophages after 24hr
Double DAPI Staining with Fluorescence-labeled SPIO Macrophages
after 24hr Incubation
Macrophages labeled with
fluorescent microspheres adhere
to atherosclerotic plaques.
In-vivo distribution of SPIO in ApoE
deficient and wild type mice:
•For the initial study, we use the mouse model of
atherosclerosis.
•ApoE deficient mouse has similar atherosclerotic
lesions to human and the lesions are more common in
the aortic arch and thoracic aorta.
• We used ApoE deficient mice and normal variant
(C57BL mice) as control.
•Animals were sacrificed on day 3 and 5 after injection.
•Tissues from different organs including liver,
kidneys, lung, heart, spleen and aorta
(including valve region, ascending, descending
and abdominal) were obtained and stained.
• We used Hematoxyline and Eosin (H&E), Iron,
CD68 and Movat staining.
• After Iron staining, aortic walls of the ApoE
deficient mice and normal variant were
compared based on the number of Iron
particles.
ApoE k/o Mouse 5 Days AfterApoE k/o Mouse 5 Days After
Injection- LiverInjection- Liver
Histopathologic Study of the Mice Injected
with SPIO (Aortic Root)
ApoE K/O mouse, Movat staining, aortic root
Coronary
Cross section
Atherosclerotic
plaque
Histopathologic study of ApoE K/O Mouse injected
With SPIO (Aortic Root)
CD68 staining
(coronary plaque)
Iron Staining (aortic plaque) Iron Staining (coronary section)
Iron particles Iron particles
Histopathologic Study of Wild Type Mouse
Injected with SPIO (Thoracic Aorta)
H&E staining
CD68 stainingIron staining
Comparison of the Number of the Iron Particles (per
HPF) in ApoE K/O Mice Plaque vs. Normal Wall
0
5
10
15
Atherosclerotic
Aorta
Average
number of iron
particles per
sample
P <0.001
Histopathologic studies of Thoracic aorta in Watanabe
Hereditary Hypercholesterolemic rabbit after SPIO injection
H&E staining
Macrophage staining Iron staining
Iron particles
Hypercholesterolemic Rabbit, Aorta, 4 days after
SPIO injection
Perls’ Staining H&E Staining
X40 X40
Electron Microscopy Evidence of Intracellular
SPIO in the Rabbit Aorta
Endothelial cell, x7500 Foamy cell, x4000
0
10
20
30
40
50
60
0 10 20 30 40 50 60 70
macrophage (foam cell) density
SPIOpositivecell-Iron
staining
Series1
R=0.956
Correlation Between Iron Positive Cells in Iron
Staining and Foam Cell Density in H&E Staining in Rabbit
Atherosclerotic Aorta.
Plaque Iron in ApoE k/o mousePlaque Iron in ApoE k/o mouse
after SPIOafter SPIO
H&E IRON STAIN
Plaque Iron in Cytokine-TreatedPlaque Iron in Cytokine-Treated
Mice after SPIOMice after SPIO
H&E stain Iron stain
Plaque Iron in Cytokine–Treated MicePlaque Iron in Cytokine–Treated Mice
after SPIOafter SPIO
Overlying plaques Plaque-free area
Conclusion:
1) SPIO nanoparticles actively accumulate in
superficial
areas of atherosclerotic lesions in rabbits and mice.
2) There is a strong correlation between areas of foamy
cells infiltration and SPIO uptake in mice and rabbit
plaques.
3) Cytokines markedly increase the SPIO uptake by
atherosclerotic plaques, thus providing a method for
quantifying recruitment of monocytes.
4) MRI has the potential for non-invasively assessing
monocyte homing into atherosclerotic plaque.
Center for Vulnerable Plaque ResearchCenter for Vulnerable Plaque Research
Houston, TexasHouston, Texas

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053 histologic evidence of spio accumulation in vulnerable plaques

  • 1. Histologic evidence ofHistologic evidence of SPIO accumulation inSPIO accumulation in vulnerable plaquesvulnerable plaques Silvio Litovsky, MDSilvio Litovsky, MD June 7, 2002June 7, 2002
  • 2. In-vitro Study of Macrophage SPIO Uptake  In a series of in-vitro studies we have tested the rate of SPIO uptake by human activated monocytes in different conditions regarding incubation time and concentration of SPIO. SPIO particles were labeled by a fluorescent dye (DCFA).
  • 3. FL-labeled SPIO Incubated Macrophages after 24hr
  • 4. Double DAPI Staining with Fluorescence-labeled SPIO Macrophages after 24hr Incubation
  • 5. Macrophages labeled with fluorescent microspheres adhere to atherosclerotic plaques.
  • 6. In-vivo distribution of SPIO in ApoE deficient and wild type mice: •For the initial study, we use the mouse model of atherosclerosis. •ApoE deficient mouse has similar atherosclerotic lesions to human and the lesions are more common in the aortic arch and thoracic aorta. • We used ApoE deficient mice and normal variant (C57BL mice) as control. •Animals were sacrificed on day 3 and 5 after injection.
  • 7. •Tissues from different organs including liver, kidneys, lung, heart, spleen and aorta (including valve region, ascending, descending and abdominal) were obtained and stained. • We used Hematoxyline and Eosin (H&E), Iron, CD68 and Movat staining. • After Iron staining, aortic walls of the ApoE deficient mice and normal variant were compared based on the number of Iron particles.
  • 8. ApoE k/o Mouse 5 Days AfterApoE k/o Mouse 5 Days After Injection- LiverInjection- Liver
  • 9. Histopathologic Study of the Mice Injected with SPIO (Aortic Root) ApoE K/O mouse, Movat staining, aortic root Coronary Cross section Atherosclerotic plaque
  • 10. Histopathologic study of ApoE K/O Mouse injected With SPIO (Aortic Root) CD68 staining (coronary plaque) Iron Staining (aortic plaque) Iron Staining (coronary section) Iron particles Iron particles
  • 11. Histopathologic Study of Wild Type Mouse Injected with SPIO (Thoracic Aorta) H&E staining CD68 stainingIron staining
  • 12. Comparison of the Number of the Iron Particles (per HPF) in ApoE K/O Mice Plaque vs. Normal Wall 0 5 10 15 Atherosclerotic Aorta Average number of iron particles per sample P <0.001
  • 13. Histopathologic studies of Thoracic aorta in Watanabe Hereditary Hypercholesterolemic rabbit after SPIO injection H&E staining Macrophage staining Iron staining Iron particles
  • 14. Hypercholesterolemic Rabbit, Aorta, 4 days after SPIO injection Perls’ Staining H&E Staining X40 X40
  • 15. Electron Microscopy Evidence of Intracellular SPIO in the Rabbit Aorta Endothelial cell, x7500 Foamy cell, x4000
  • 16. 0 10 20 30 40 50 60 0 10 20 30 40 50 60 70 macrophage (foam cell) density SPIOpositivecell-Iron staining Series1 R=0.956 Correlation Between Iron Positive Cells in Iron Staining and Foam Cell Density in H&E Staining in Rabbit Atherosclerotic Aorta.
  • 17. Plaque Iron in ApoE k/o mousePlaque Iron in ApoE k/o mouse after SPIOafter SPIO H&E IRON STAIN
  • 18. Plaque Iron in Cytokine-TreatedPlaque Iron in Cytokine-Treated Mice after SPIOMice after SPIO H&E stain Iron stain
  • 19. Plaque Iron in Cytokine–Treated MicePlaque Iron in Cytokine–Treated Mice after SPIOafter SPIO Overlying plaques Plaque-free area
  • 20. Conclusion: 1) SPIO nanoparticles actively accumulate in superficial areas of atherosclerotic lesions in rabbits and mice. 2) There is a strong correlation between areas of foamy cells infiltration and SPIO uptake in mice and rabbit plaques. 3) Cytokines markedly increase the SPIO uptake by atherosclerotic plaques, thus providing a method for quantifying recruitment of monocytes. 4) MRI has the potential for non-invasively assessing monocyte homing into atherosclerotic plaque.
  • 21. Center for Vulnerable Plaque ResearchCenter for Vulnerable Plaque Research Houston, TexasHouston, Texas