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Web Date: September 24, 2012

All-Organic MRI Contrast Agent Tested In Mice

Medical Diagnostics: Hindered nitroxide radicals appended to dendrimers produce comparable image enhancement to standard gadolinium agents
Department: Science & Technology | Collection: Life Sciences
News Channels: Analytical SCENE, Biological SCENE, JACS In C&EN, Materials SCENE
Keywords: magnetic resonance imaging, MRI, contrast agent, gadolinium, nitroxide radical, dendrimers
Organic Contrast
A polypropylenimine dendrimer decorated with hindered nitroxide radicals (red dots) and polyethylene glycol chains (blue squiggles) could prove to be an alternative to gadolinium-based MRI contrast agents.
Credit: J. Am. Chem. Soc.
Organic Contrast
A polypropylenimine dendrimer decorated with hindered nitroxide radicals (red dots) and polyethylene glycol chains (blue squiggles) could prove to be an alternative to gadolinium-based MRI contrast agents.
Credit: J. Am. Chem. Soc.

To produce sharper images of organs through magnetic resonance imaging, doctors and researchers often inject patients with so-called contrast agents. The most commonly used agents contain the metal gadolinium. Researchers are looking for all-organic alternatives, in part, because the gadolinium compounds can cause serious adverse reactions in patients with kidney disease. Now scientists have designed a new practical organic contrast agent based on nitroxide radicals and demonstrated its use in living mice (J. Am. Chem. Soc., DOI: 10.1021/ja3079829).

Like gadolinium, nitroxide radicals are paramagnetic. Because of this similarity, researchers have long thought the radicals could serve as organic contrast agents. But research in this area has run into problems, says Murali C. Krishna, of the National Cancer Institute. Conditions inside the body quickly reduce nitroxides to hydroxyl amines, which are not paramagnetic. Also, compared to gadolinium, the radicals have low relaxivities. Relaxivity is a measure of the effect that a contrast agent has on nuclei in nearby molecules, typically water. These magnetic effects enhance the MRI signal.

To overcome the low relaxivity problem, a few groups had conjugated multiple copies of commercially available nitroxide radicals to dendrimers. Unfortunately, these scientists have only tested these dendrimers in limited applications, such as imaging tissue samples of cartilage, instead of whole, living organisms.

Andrzej Rajca of the University of Nebraska, Lincoln, and his colleagues saw an opportunity to develop improved organic radical contrast agents. Before building the contrast agents, the team synthesized nitroxide molecules with bulky spirocyclohexyl groups to make the radicals less reactive and give them longer lifetimes inside the body. In preliminary tests in water solutions, Rajca’s team found that an ascorbate reducing agent reacts with these more hindered molecules half as fast as with less hindered nitroxides.

They attached the hindered nitroxides to dendrimers, but soon discovered that the resulting polymers were nearly insoluble in water. To make the dendrimers more soluble, they decorated the dendrimers with hydrophilic polyethylene glycol polymers.

The resulting organic contrast agents have relaxivities that are comparable to gadolinium. When the team injected the dendrimers into the bloodstreams of mice, the agents lasted for at least 90 minutes, which is a useful lifetime for imaging, Rajca says.

Krishna, who was not involved in the research, says the researchers next need to study the toxicology of their contrast agents. But if those studies show no cause for concern, these agents could eventually represent an alternative to gadolinium in the clinic, he says.

Krishna also points out that gadolinium is a rare metal used in other applications, such as optics and magnetic memory. An all-organic agent, he says, would make more gadolinium available for these competing applications.

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Brian Sommers RT (MR) (Thu Aug 06 08:21:59 EDT 2015)
I have worked as an ACR certified MRI tech for 13 years and mri contrast does NOT produce sharper images of organs, what contrast does do is highlight any pathology that has a large blood supply to it such as tumors and infections, nothing more. Many doctors order mri contrast and have no idea why they are ordering it, making many patients go through a completely unnecessary iv procedure. All contrast decisions should be up to the reading radiologist.
Cindy Arbogast Royer (Thu Oct 01 06:01:49 EDT 2015)
My brain doctor ordered another MRI plus a MRA and a MRV after the first MRI showed a lesion in my left brain. I am extremely apprehensive about the gadolinium. My daughter, a nurse says it's only iodine but that is not what I see. Did they used to use iodine? Is there an alternative? My tests are coming up.
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