Abstract | OBJECTIVE: Advancing the understanding and management of thromboembolic stroke requires simple and robust new methods that would be useful for the in vivo assessment of thrombus burden/distribution and for characterizing its evolution in a prompt and quantitative manner. METHODS: RESULTS: Nanoparticles accumulated in the thrombus, allowing computed tomography visualization of both the presence and extent of primary and recurrent thrombi in mouse carotid arteries without a single failure of detection. Nanoparticle thrombus imaging was also effective in monitoring the therapeutic efficacy of thrombolysis (n=118 tissue plasminogen activator [tPA] therapies). Thrombus evolution (either spontaneous or post-tPA) could be mapped at high resolution in both space and time. Due to a long circulating half-life, GC-AuNPs remain available for entrapment into fibrin matrix for an extended period of time (up to 3 weeks), allowing repetition or ongoing monitoring of thrombogenesis and thrombolysis. INTERPRETATION: This is the first report on a hyperacute direct thrombus imaging technique using thrombus-seeking AuNPs and computed tomography. When translated into stroke practice, the thrombus imaging may allow us to advance to personalized thrombolytic therapy by demonstrating thrombus burden, distribution, and character in a prompt and quantitative manner. Further study into this area is indicated.
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Authors | Dong-Eog Kim, Jeong-Yeon Kim, In-Cheol Sun, Dawid Schellingerhout, Su-Kyoung Lee, Cheol-Hee Ahn, Ick Chan Kwon, Kwangmeyung Kim |
Journal | Annals of neurology
(Ann Neurol)
Vol. 73
Issue 5
Pg. 617-25
(May 2013)
ISSN: 1531-8249 [Electronic] United States |
PMID | 23495101
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2013 American Neurological Association. |
Chemical References |
- Anticholesteremic Agents
- Gold
- Chitosan
- Tissue Plasminogen Activator
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Topics |
- Animals
- Animals, Newborn
- Anticholesteremic Agents
(therapeutic use)
- Brain Mapping
- Chitosan
(therapeutic use)
- Disease Models, Animal
- Gold
(therapeutic use)
- Magnetic Resonance Imaging
- Mice
- Mice, Inbred C57BL
- Nanoparticles
- Thrombosis
(diagnostic imaging, drug therapy)
- Time Factors
- Tissue Plasminogen Activator
(therapeutic use)
- Tomography, X-Ray Computed
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