Preclinical Application of CEST MRI to Detect Early and Regional Tumor Response to Local Brain Tumor Treatment

Treating glioblastoma and monitoring treatment response non-invasively remain challenging. Here, we developed a robust approach using a drug-loaded liposomal hydrogel that is mechanically compatible with the brain, and, simultaneously, we successfully monitored early tumor response using Chemical Ex...

Full description

Bibliographic Details
Main Authors: Se-Weon Park, Joseph H. C. Lai, Xiongqi Han, Vivian W. M. Leung, Peng Xiao, Jianpan Huang, Kannie W. Y. Chan
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/16/1/101
_version_ 1797342709084585984
author Se-Weon Park
Joseph H. C. Lai
Xiongqi Han
Vivian W. M. Leung
Peng Xiao
Jianpan Huang
Kannie W. Y. Chan
author_facet Se-Weon Park
Joseph H. C. Lai
Xiongqi Han
Vivian W. M. Leung
Peng Xiao
Jianpan Huang
Kannie W. Y. Chan
author_sort Se-Weon Park
collection DOAJ
description Treating glioblastoma and monitoring treatment response non-invasively remain challenging. Here, we developed a robust approach using a drug-loaded liposomal hydrogel that is mechanically compatible with the brain, and, simultaneously, we successfully monitored early tumor response using Chemical Exchange Saturation Transfer (CEST) MRI. This CEST-detectable liposomal hydrogel was optimized based on a sustainable drug release and a soft hydrogel for the brain tumor, which is unfavorable for tumor cell proliferation. After injecting the hydrogel next to the tumor, three distinctive CEST contrasts enabled the monitoring of tumor response and drug release longitudinally at 3T. As a result, a continuous tumor volume decrease was observed in the treatment group along with a significant decrease in CEST contrasts relating to the tumor response at 3.5 ppm (Amide Proton Transfer; APT) and at −3.5 ppm (relayed Nuclear Overhauser Effect; rNOE) when compared to the control group (<i>p</i> < 0.05). Interestingly, the molecular change at 3.5 ppm on day 3 (<i>p</i> < 0.05) was found to be prior to the significant decrease in tumor volume on day 5. An APT signal also showed a strong correlation with the number of proliferating cells in the tumors. This demonstrated that APT detected a distinctive decrease in mobile proteins and peptides in tumors before the change in tumor morphology. Moreover, the APT signal showed a regional response to the treatment, associated with proliferating and apoptotic cells, which allowed an in-depth evaluation and prediction of the tumor treatment response. This newly developed liposomal hydrogel allows image-guided brain tumor treatment to address clinical needs using CEST MRI.
first_indexed 2024-03-08T10:37:13Z
format Article
id doaj.art-2e7832c1b6b1453aaca3fffeeccd41ab
institution Directory Open Access Journal
issn 1999-4923
language English
last_indexed 2024-03-08T10:37:13Z
publishDate 2024-01-01
publisher MDPI AG
record_format Article
series Pharmaceutics
spelling doaj.art-2e7832c1b6b1453aaca3fffeeccd41ab2024-01-26T18:07:35ZengMDPI AGPharmaceutics1999-49232024-01-0116110110.3390/pharmaceutics16010101Preclinical Application of CEST MRI to Detect Early and Regional Tumor Response to Local Brain Tumor TreatmentSe-Weon Park0Joseph H. C. Lai1Xiongqi Han2Vivian W. M. Leung3Peng Xiao4Jianpan Huang5Kannie W. Y. Chan6Department of Biomedical Engineering, City University of Hong Kong, Hong Kong, ChinaDepartment of Biomedical Engineering, City University of Hong Kong, Hong Kong, ChinaDepartment of Biomedical Engineering, City University of Hong Kong, Hong Kong, ChinaDepartment of Biomedical Engineering, City University of Hong Kong, Hong Kong, ChinaDepartment of Biomedical Engineering, City University of Hong Kong, Hong Kong, ChinaDepartment of Diagnostic Radiology, The University of Hong Kong, Hong Kong, ChinaDepartment of Biomedical Engineering, City University of Hong Kong, Hong Kong, ChinaTreating glioblastoma and monitoring treatment response non-invasively remain challenging. Here, we developed a robust approach using a drug-loaded liposomal hydrogel that is mechanically compatible with the brain, and, simultaneously, we successfully monitored early tumor response using Chemical Exchange Saturation Transfer (CEST) MRI. This CEST-detectable liposomal hydrogel was optimized based on a sustainable drug release and a soft hydrogel for the brain tumor, which is unfavorable for tumor cell proliferation. After injecting the hydrogel next to the tumor, three distinctive CEST contrasts enabled the monitoring of tumor response and drug release longitudinally at 3T. As a result, a continuous tumor volume decrease was observed in the treatment group along with a significant decrease in CEST contrasts relating to the tumor response at 3.5 ppm (Amide Proton Transfer; APT) and at −3.5 ppm (relayed Nuclear Overhauser Effect; rNOE) when compared to the control group (<i>p</i> < 0.05). Interestingly, the molecular change at 3.5 ppm on day 3 (<i>p</i> < 0.05) was found to be prior to the significant decrease in tumor volume on day 5. An APT signal also showed a strong correlation with the number of proliferating cells in the tumors. This demonstrated that APT detected a distinctive decrease in mobile proteins and peptides in tumors before the change in tumor morphology. Moreover, the APT signal showed a regional response to the treatment, associated with proliferating and apoptotic cells, which allowed an in-depth evaluation and prediction of the tumor treatment response. This newly developed liposomal hydrogel allows image-guided brain tumor treatment to address clinical needs using CEST MRI.https://www.mdpi.com/1999-4923/16/1/101glioblastomaCEST MRIliposomehydrogeltreatment
spellingShingle Se-Weon Park
Joseph H. C. Lai
Xiongqi Han
Vivian W. M. Leung
Peng Xiao
Jianpan Huang
Kannie W. Y. Chan
Preclinical Application of CEST MRI to Detect Early and Regional Tumor Response to Local Brain Tumor Treatment
Pharmaceutics
glioblastoma
CEST MRI
liposome
hydrogel
treatment
title Preclinical Application of CEST MRI to Detect Early and Regional Tumor Response to Local Brain Tumor Treatment
title_full Preclinical Application of CEST MRI to Detect Early and Regional Tumor Response to Local Brain Tumor Treatment
title_fullStr Preclinical Application of CEST MRI to Detect Early and Regional Tumor Response to Local Brain Tumor Treatment
title_full_unstemmed Preclinical Application of CEST MRI to Detect Early and Regional Tumor Response to Local Brain Tumor Treatment
title_short Preclinical Application of CEST MRI to Detect Early and Regional Tumor Response to Local Brain Tumor Treatment
title_sort preclinical application of cest mri to detect early and regional tumor response to local brain tumor treatment
topic glioblastoma
CEST MRI
liposome
hydrogel
treatment
url https://www.mdpi.com/1999-4923/16/1/101
work_keys_str_mv AT seweonpark preclinicalapplicationofcestmritodetectearlyandregionaltumorresponsetolocalbraintumortreatment
AT josephhclai preclinicalapplicationofcestmritodetectearlyandregionaltumorresponsetolocalbraintumortreatment
AT xiongqihan preclinicalapplicationofcestmritodetectearlyandregionaltumorresponsetolocalbraintumortreatment
AT vivianwmleung preclinicalapplicationofcestmritodetectearlyandregionaltumorresponsetolocalbraintumortreatment
AT pengxiao preclinicalapplicationofcestmritodetectearlyandregionaltumorresponsetolocalbraintumortreatment
AT jianpanhuang preclinicalapplicationofcestmritodetectearlyandregionaltumorresponsetolocalbraintumortreatment
AT kanniewychan preclinicalapplicationofcestmritodetectearlyandregionaltumorresponsetolocalbraintumortreatment