Imaging Atherosclerotic Plaque Inflammation via Folate Receptor Targeting Using a Novel F-Folate Radiotracer

Folate receptor β (FR-β) is overexpressed on activated, but not resting, macrophages involved in a variety of inflammatory and autoimmune diseases. A pivotal step in atherogenesis is the subendothelial accumulation of macrophages. In nascent lesions, they coordinate the scavenging of lipids and cell...

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Main Authors: Adrienne Müller, Katharina Beck, Zoran Rancic, Cristina Müller, Cindy R. Fischer, Thomas Betzel, Philipp A. Kaufmann, Roger Schibli, Stefanie D. Kramer, Simon M. Ametamey
Format: Article
Language:English
Published: SAGE Publishing 2014-03-01
Series:Molecular Imaging
Online Access:https://doi.org/10.2310/7290.2013.00074
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author Adrienne Müller
Katharina Beck
Zoran Rancic
Cristina Müller
Cindy R. Fischer
Thomas Betzel
Philipp A. Kaufmann
Roger Schibli
Stefanie D. Kramer
Simon M. Ametamey
author_facet Adrienne Müller
Katharina Beck
Zoran Rancic
Cristina Müller
Cindy R. Fischer
Thomas Betzel
Philipp A. Kaufmann
Roger Schibli
Stefanie D. Kramer
Simon M. Ametamey
author_sort Adrienne Müller
collection DOAJ
description Folate receptor β (FR-β) is overexpressed on activated, but not resting, macrophages involved in a variety of inflammatory and autoimmune diseases. A pivotal step in atherogenesis is the subendothelial accumulation of macrophages. In nascent lesions, they coordinate the scavenging of lipids and cellular debris to define the likelihood of plaque inflammation and eventually rupture. In this study, we determined the presence of FR-β-expressing macrophages in atherosclerotic lesions by the use of a fluorine-18-labeled folate-based radiotracer. Human endarterectomized specimens were used to measure gene expression levels of FR-β and CD68. Increased FR-β and CD68 levels were found in atherosclerotic plaques compared to normal artery walls by quantitative real-time polymerase chain reaction. Western blotting and immunohistochemistry demonstrated prominent FR-β protein levels in plaques. FR- β-positive cells colocalized with activated macrophages (CD68) in plaque tissue. Carotid sections incubated with 3′-aza-2′- [ 18 F]fluorofolic acid displayed increased accumulation in atherosclerotic plaques through in vitro autoradiography. Specific binding of the radiotracer correlated with FR-β-expressing macrophages. These results demonstrate high FR-β expression in atherosclerotic lesions of human carotid tissue correlating with CD68-positive macrophages. Areas of high 3′-aza-2′-[ 18 F]fluorofolic acid binding within the lesions represented FR-β-expressing macrophages. Selectively targeting FR-β-positive macrophages through folate-based radiopharmaceuticals may be useful for noninvasive imaging of plaque inflammation.
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spelling doaj-art-13c6c2694b534b779505b9ad78f298fc2025-01-03T00:12:13ZengSAGE PublishingMolecular Imaging1536-01212014-03-011310.2310/7290.2013.0007410.2310_7290.2013.00074Imaging Atherosclerotic Plaque Inflammation via Folate Receptor Targeting Using a Novel F-Folate RadiotracerAdrienne MüllerKatharina BeckZoran RancicCristina MüllerCindy R. FischerThomas BetzelPhilipp A. KaufmannRoger SchibliStefanie D. KramerSimon M. AmetameyFolate receptor β (FR-β) is overexpressed on activated, but not resting, macrophages involved in a variety of inflammatory and autoimmune diseases. A pivotal step in atherogenesis is the subendothelial accumulation of macrophages. In nascent lesions, they coordinate the scavenging of lipids and cellular debris to define the likelihood of plaque inflammation and eventually rupture. In this study, we determined the presence of FR-β-expressing macrophages in atherosclerotic lesions by the use of a fluorine-18-labeled folate-based radiotracer. Human endarterectomized specimens were used to measure gene expression levels of FR-β and CD68. Increased FR-β and CD68 levels were found in atherosclerotic plaques compared to normal artery walls by quantitative real-time polymerase chain reaction. Western blotting and immunohistochemistry demonstrated prominent FR-β protein levels in plaques. FR- β-positive cells colocalized with activated macrophages (CD68) in plaque tissue. Carotid sections incubated with 3′-aza-2′- [ 18 F]fluorofolic acid displayed increased accumulation in atherosclerotic plaques through in vitro autoradiography. Specific binding of the radiotracer correlated with FR-β-expressing macrophages. These results demonstrate high FR-β expression in atherosclerotic lesions of human carotid tissue correlating with CD68-positive macrophages. Areas of high 3′-aza-2′-[ 18 F]fluorofolic acid binding within the lesions represented FR-β-expressing macrophages. Selectively targeting FR-β-positive macrophages through folate-based radiopharmaceuticals may be useful for noninvasive imaging of plaque inflammation.https://doi.org/10.2310/7290.2013.00074
spellingShingle Adrienne Müller
Katharina Beck
Zoran Rancic
Cristina Müller
Cindy R. Fischer
Thomas Betzel
Philipp A. Kaufmann
Roger Schibli
Stefanie D. Kramer
Simon M. Ametamey
Imaging Atherosclerotic Plaque Inflammation via Folate Receptor Targeting Using a Novel F-Folate Radiotracer
Molecular Imaging
title Imaging Atherosclerotic Plaque Inflammation via Folate Receptor Targeting Using a Novel F-Folate Radiotracer
title_full Imaging Atherosclerotic Plaque Inflammation via Folate Receptor Targeting Using a Novel F-Folate Radiotracer
title_fullStr Imaging Atherosclerotic Plaque Inflammation via Folate Receptor Targeting Using a Novel F-Folate Radiotracer
title_full_unstemmed Imaging Atherosclerotic Plaque Inflammation via Folate Receptor Targeting Using a Novel F-Folate Radiotracer
title_short Imaging Atherosclerotic Plaque Inflammation via Folate Receptor Targeting Using a Novel F-Folate Radiotracer
title_sort imaging atherosclerotic plaque inflammation via folate receptor targeting using a novel f folate radiotracer
url https://doi.org/10.2310/7290.2013.00074
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