Abstract
The aim of this study was to investigate the feasibility of nuclear molecular imaging using the human sodium iodide symporter (hNIS) as a reporter gene to monitor macrophage migration toward the inflammatory foci. Methods: A stable macrophage cell line coexpressing hNIS and green fluorescent protein (GFP) genes (RAW264.7/hNIS-GFP and RNIS cell) was established from an immortalized macrophage cell line (RAW264.7 cells). 125I uptake was determined (for hNIS protein functional activity), and flow cytometry analysis (to examine GFP gene expression), a cell proliferation assay, a cytokine assay, and a phagocytic activity assay were performed. 99mTc-pertechnetate images were acquired at 1 d after subcutaneous inoculation of RNIS cells in nude mice. Chemical inflammation was induced for in vivo imaging in the thigh of nude mice by turpentine oil injection. Small-animal PET with 18F-FDG and 124I was performed with an intravenous administration of RAW264.7 or RNIS cells in inflammation-induced animals. Results: The expression of hNIS and GFP genes was confirmed in RNIS cells by flow cytometry and immunofluorescent staining. 125I uptake was about 67 times higher in RNIS cells than in RAW264.7 cells. No significant difference was observed in cell proliferation, cytokine production, and phagocytic activity between RAW264.7 and RNIS cells. 99mTc-pertechnetate imaging revealed increased tracer uptake at the inoculation site. PET with 124I demonstrated a donut-shaped uptake, correlating with uptake shown by the 18F-FDG PET images, at the inflammation site of mice administered RNIS cells. 124I uptake (percentage injected dose per gram) was about 2.12 times higher at the inflammation site in the RNIS mice than in RAW264.7 mice. By immunohistochemistry, the migration of macrophages was further confirmed by positive staining for GFP and hNIS at the inflammation site of RNIS mice. Conclusion: These data support the feasibility of hNIS reporter gene imaging to monitor the macrophage migration toward an inflammatory lesion. Macrophages expressing hNIS may provide a new strategy to investigate the cellular behavior seen with inflammatory response in a preclinical model.
Macrophages are important immune cells implicated in onset, progression, and manifestation of various pathologic processes, such as growth and spread of malignant tumors, and chronic inflammatory diseases (1). Macrophages act as hosts and reservoirs for pathogens and produce proinflammatory or proangiogenic mediators (2–4). Various attempts have been made to visualize the macrophage-mediated inflammatory process in vivo, but specific visualization of these cells in the inflammatory process remains a considerable task with the currently available imaging modalities, such as radionuclide imaging or MRI, which are considered appropriate to visualize the inflammatory changes in tissue (5). Nuclear methods such as PET and SPECT exhibit relatively poor spatial resolution, but their good sensitivity is considered a powerful feature in molecular imaging (6). Development of molecular imaging with PET has been made much easier as assays in cell culture and small-animal models are first validated and then the same tracer used in those procedures is used in established clinical PET sites (7). Therefore PET-based molecular–genetic imaging has developed rapidly in the past decade.
Most current molecular–genetic imaging strategies are based on a reporter gene and a complementary reporter probe. The reporter gene is constitutively expressed, and reporter imaging is used to track gene therapy vectors or transduced cells in the body (8). One such example of a reporter gene system is the sodium iodide symporter (NIS). NIS reporter gene imaging has the advantages of using known radiotracers such as 99mTc-pertechnetate and radioiodine. Additional benefits are that NIS is nonimmunogenic, with no observed adverse effects on cell viability and function (9), and this technique does not require a complex probe synthesis.
The aim of this study was to investigate the feasibility of nuclear molecular imaging using the human sodium iodide symporter (hNIS) as a reporter gene that functions to monitor macrophage migration toward a chemically induced inflammatory lesion. An immortalized macrophage cell line coexpressing hNIS and green fluorescent protein (GFP) genes (RAW264.7/hNIS-GFP and RNIS cells) was established. 125I uptake was determined, and flow cytometry analysis, a cell proliferation assay, a cytokine assay, and a phagocytic activity assay were performed. Small-animal PET with 18F-FDG and 124I was performed with an intravenous administration of RAW264.7 or RNIS cells in inflammation-induced animals.
MATERIALS AND METHODS
Cells and Animals
Specific pathogen-free 6-wk-old female BALB/c nude mice (n = 20) were obtained from SLC Inc. All animal experiment protocols were approved by the Committee for the Handling and Use of Animals, Kyungpook National University. The murine macrophage RAW264.7 cell line was kindly provided by Dr. Chul Woo Kim (Seoul National University).
Establishment of Stable Macrophage Cell Line Coexpressing hNIS and GFP Genes
To produce the lentivirus coexpressing hNIS and GFP genes, human embryonic kidney 293 cells were plated at 5 × 106 cells in a 100-cm tissue culture plate, and cells were cotransfected with replication-incompetent lentiviral vector (pLenti/PGK-hNIS-IRES-GFP), vesicular stomatitis virus glycoprotein, and dR8.74 using a calcium phosphate transfection kit and reagents as described by the manufacturer (Invitrogen). Growth medium was changed at 24 h, and lentivirus-containing supernatant was harvested at 48 h. Harvested supernatant was centrifuged at 4°C, 3,000 rpm, for 15 min and stored at −80°C.
To establish a stable macrophage cell line coexpressing hNIS and GFP, RAW264.7 cells were transduced by adding 1 mL of lentivirus-containing supernatant and 10 μg of polybrene per milliliter. After 48 h, GFP-positive cells were enriched using FACSaria (BD Biosciences). The selection procedure was performed twice for 6 wk.
Immunofluorescent Staining
RAW264.7 or RNIS cells were seeded at a density of 4 × 104 cells per well on collagen-precoated chamber slides (Nunc) and grown for 24 h. The hNIS-specific immunostaining was performed with a Cytofix/cytoperm kit (BD Pharmingen). The cells were washed twice with phosphate-buffered saline (PBS). The washed cells were fixed and permeabilized with buffer (eBioscience) for 20 min at 4°C. After that, the cells were washed with 1X BD Perm/Wash buffer (BD Bioscience) and stained with anti-hNIS antibody (Milipore) diluted with 1X BD Perm/Wash buffer for 1 h at room temperature. After the cells were washed 3 times with 1X BD Perm/Wash buffer, Alexa Fluor 568–conjugated secondary antibody (Molecular Probes, Inc.) was applied for 40 min at room temperature. The cells were washed 3 times with 1X BD Perm/Wash buffer. The slides were mounted with Vectashield mounting medium (Vector Laboratories), covered with glass cover slips, and examined using a laser confocal scanning system (TCS SP2; Leica).
Radioiodide Uptake Assays
Parental RAW264.7 cells and RNIS cells (5 × 104, 1 × 105, 3 × 105, and 5 × 105) were plated in 24-well plates and cultured with Dulbecco's modified Eagle's medium containing 10% fetal bovine serum for 24 h. 125I uptake was determined by incubating the cells with 500 μL of Hank's balanced salt solution (bHBSS) (GibcoBRL Co.) containing 3.7 kBq (0.1 μCi) of carrier-free 125I-NaI and 10 μM NaI at 37°C for 30 min. After incubation, the cells were quickly washed twice with bHBSS and detached using 500 μL of trypsin. Radioactivity was measured using a γ-counter.
Iodide uptake was measured at various times points. Cells (200,000) were plated and incubated with 500 μL of bHBSS containing 3.7 kBq (0.1 μCi) of carrier-free 125I-NaI and 10 μM NaI at different times (1, 5, 15, 30, 45, and 60 min). For the blocking study, cells were incubated in 125I-NaI medium either with or without 100 μM of potassium perchlorate.
For the iodide efflux study, cells were incubated with 10 μM NaI and 3.7 kBq (0.1 μCi) of carrier-free 125I-NaI in 500 μL of bHBSS incubation buffer at 37°C for 30 min. Cells were then washed twice and incubated with bHBSS at 37°C. bHBSS was removed at different times (0, 1, 3, 6, 9, 12, 15, 18, 21, 24, 27, and 30 min), and its radioactivity was measured. Cells were collected after the last time, and residual radioactivity was determined as counts per minute. All data are expressed as the percentage remaining for the total activity.
Cell Proliferation Assay
Parental RAW264.7 cells and RNIS cell cells were plated at 2 × 104 per well in 96-well plates. Two days later, a 10-μL cell count solution (CCK-8; Dojindo) was added to the culture medium of cells, and plates were incubated at 37°C for 4 h. Absorbance was measured at a wavelength of 450 nm using a microplate reader (Bio-Rad Laboratories).
Cytokine Assay
To assess the functionality of macrophages, cytokine production was measured. Parental RAW264.7 and RNIS cells were stimulated with 1 μg of lipopolysaccharide per milliliter. After 24 h, supernatants were harvested and analyzed for IL-12p70 and tumor necrosis factor (TNF)-α by enzyme-linked immunosorbent assay using commercially available kits (BD Pharmingen). Cytokine concentrations were quantified using a microplate reader.
Phagocytic Activity Assay
To determine the effects of virus infection on phagocytosis of macrophage cells, we determined phagocytic activity of RAW264.7 and RNIS cells using 7-aminoactinomycin D (7-AAD; BD Biosciences Pharmingen)–stained Escherichia coli and fluorescent-activated cell sorter (FACS) analysis (10–13). E. coli (1 × 108) in 1 mL of PBS was incubated at 60°C for 1 h for sterilization, and 1 mL of sterilized E. coli was further coincubated with 50 μL of 7-AAD for 2 h at room temperature. For opsonization of E. coli to allow phagocytosis by macrophages, 5 μL of 7-AAD–stainined E. coli were incubated with 1 μL of human serum for 20 min at room temperature. Opsonized E. coli stained with 7-AAD was cocultured with 2.5 × 105 RAW264.7 and RNIS cells, which were incubated in 50 μL of RPMI 1640 culture medium (Hyclone) containing 10% fetal bovine serum for 1 h at either 4°C or 37°C. At 1 h after incubation, the samples were washed with cold PBS twice, and fluorescence activities were analyzed using a FACS Calibur (BD Bioscience). The phagocytic activity of each cell was expressed as increases in the percentage of 7-AAD–positive RAW264.7 or RNIS cells, compared with those treated with nonstained E. coli.
Nuclear Imaging with 99mTc-Pertechnetate
RNIS cells, 8 × 106 and 2 × 107, were subcutaneously implanted in a volume of 0.1 mL into the right and left thighs, respectively, of specific pathogen-free BALB/c nude mice (6-wk-old female, n = 3). Twenty-four hours after inoculation, 18.5 MBq (500 μCi) of 99mTc-pertechnetate in 100 μL of PBS was injected intravenously, and a whole-body scan was obtained at 30 min after injection using a γ-camera equipped with a pinhole collimator (Infinia II; GE Healthcare).
Small-Animal PET with 18F-FDG and 124I in Inflammation Animal Model
The animal experimental procedure is demonstrated schematically in Supplemental Figure 1 (supplemental materials are available online only at http://jnm.snmjournals.org). Turpentine oil (50 μL/mouse) was intramuscularly injected into the right thigh of nude mice (5 mice/group). Lipopolysaccharide (1 μg/mL) was injected to promote the inflammatory process. Inflammation was confirmed 7 d later, and parental RAW264.7 cells or RNIS cells (3 × 106/mouse) were intravenously injected into inflammation-induced mice. Seven days after macrophage injection, 3.7 MBq (100 μCi) of 124I was administered into mice. After 1 h, mice were placed prone on the bed of the small-animal PET scanner. 18F-FDG PET was performed after intravenous injection of 11.1 MBq (300 μCi) of 18F-FDG in mice under general anesthesia with 1%–2% isoflurane in 100% O2 during injection and imaging. The images were reconstructed with a 2-dimensional ordered-subsets expectation maximization algorithm. Corrections were not done for attenuation or scattering. Accumulation of 124I in the inflamed tissue was quantitatively determined from small-animal PET images by placing a region of interest on the inflamed tissue visualized in coronal 124I images and expressed as percentage injected dose per gram.
Histopathologic Analysis
Tissues that showed inflammation were removed from mice and preserved in 10% formalin until required. All inflammatory tissues were embedded in paraffin and sectioned at 5 μm. For immunohistologic analysis of hNIS and GFP expression, the paraffin sections were incubated for 1 h with anti-hNIS or anti-GFP antibodies at 1:100, respectively. Sections were then incubated for 30 min with a goat antirabbit secondary antibody conjugated to peroxidase (Immunotech).
RESULTS
Assessment of hNIS and GFP Gene Expression in RAW264.7 and RNIS Cells
Flow cytometric studies demonstrated the enriched GFP-positive cell fraction (92.5%) in RNIS cells but not in parental RAW264.7 cells (Supplemental Fig. 2). hNIS-specific immunoreactivity was also observed in RNIS cells by immunofluorescent staining (Fig. 1). In contrast, parental RAW264.7 cells were not specifically stained with anti-hNIS antibody. Isotype control did not show the hNIS-specific immunoreactivity in RNIS cells.
Radioiodide Uptake Assays in RNIS cells
125I uptake increased proportionally with increases in cell number for RNIS cells but not for parental RAW264.7 cells (Fig. 2A, top). Iodide uptake by RNIS cells was about 75-fold higher than that of RAW264.7 cells. The efflux of 125I was relatively rapid and the half-time was around 5 min (Fig. 2A, bottom).
Effects of Viral Infection on Cell Proliferation and Cytokine Production of Macrophages
Cell proliferation assay showed that there was no significant difference in cell proliferation activity between parental RAW264.7 cells and RNIS cells (Supplemental Fig. 3). In the absence of lipopolysaccharide, the levels of proinflammatory cytokine, such as TNF-α and IL-12p70, were not different between parental RAW264.7 cells and RNIS cells (Fig. 3). Lipopolysaccharide treatment resulted in about 2-fold increases of proinflammatory cytokine production in both cell lines, but there was no difference in cytokine production between RAW264.7 and RNIS cells.
Measurement of Phagocytic Activity
The phagocytic activity of RNIS cells was assayed with FACS analysis of RNIS cells engulfing 7-AAD–stained E. coli, and data were compared with those of RAW264.7 cells (Supplemental Fig. 4). The phagocytic activity assay demonstrated that the uptake of 7-AAD–stained E. coli was increased in both RAW264.7 and RNIS cells at 37°C, but there were no significant differences between the 2 cell lines (RAW264.7 and RNIS cells, 32.1% ± 0.8% and 32.74% ± 0.98%, respectively). As shown in Supplemental Figure 4B, phagocytic activity of the macrophages was markedly reduced with incubation at 4°C both in RAW264.7 and in RNIS cells but not significantly different (12.01% ± 0.3% and 11.55% ± 0.10).
γ-Camera Imaging of RNIS Cells
99mTc-pertechnetate γ-camera images of the mice acquired after inoculation of 8 × 106 and 2 × 107 RNIS cells revealed focal tracer accumulations in the right and left thighs of mice injected with RNIS cells (Fig. 2B), and the uptake of tracer by the hNIS-expressing macrophage (RNIS) was increased proportionally with the increase in cell numbers (8 × 106 and 2 × 107 RNIS cells, 2.83 ± 1.14-fold and 4.56 ± 1.04-fold, respectively).
Small-Animal PET of Macrophage Migration to Inflammation Site
As shown in Figure 4A, turpentine oil was administered intramuscularly into the right thigh of nude mice to induce the inflammation, and a focal inflammatory lesion was confirmed. After skinning the inflammation tissue, the inflamed area was more clearly observed by visual inspection (Fig. 4A).
18F-FDG PET demonstrated a donut-shaped hot spot at the inflammation site of mice administered RAW264.7 cells or RNIS cells (Fig. 4B, left). Small-animal PET with 124I also clearly demonstrated the donut-shaped focal uptake at the corresponding inflammation site of mice administered RNIS cells (Fig. 4B, right, bottom). The hot-spot area on 124I PET images was compatible with that on 18F-FDG PET images, which corresponds to the area of focal inflammation by microscopic examination of mice administered RNIS cells. But the 124I uptake was not detected at the inflammation site of mice injected with parental RAW264.7 cells (Fig. 4B, right, upper). The percentage injected dose per gram in the region of interest drawn on the inflammation site was 2.12 times higher in mice injected with RNIS cells than in mice injected with parental RAW264.7 cells (5.32 ± 0.58 vs. 2.51 ± 0.35, P = 0.027; Fig. 4C).
Immunohistochemistry
Histopathologic examinations revealed extensive coagulation necrosis at the site of turpentine oil injection and viable foamy macrophages in surrounding necrotic foci of inflamed skeletal muscle administered RAW264.7 cells. As shown in Figure 5, immunohistochemical staining did not show any reactivity for GFP and hNIS at the inflammation site of the mice injected with parental RAW264.7 cells. On the other hand, at the inflammation site of mice administered RNIS cells, the cells showed diffuse and strong positive staining for GFP with cytoplasmic pattern. The macrophages accumulated in the lesion showed diffuse and strong positivity for hNIS with cytoplasmic membrane pattern.
DISCUSSION
We have successfully demonstrated the migration of macrophages to inflamed tissue in an animal model by hNIS gene transfection and 124I small-animal PET.
Early attempts were made to visualize the macrophages in vivo, using radionuclides such as 111In and 125I (14–16). In the era of molecular imaging, optical imaging using enhanced GFP and Fluc genes (17,18) and 1,1-dioctadecyl-3,3,3,3-tetramethylindotricarbocyanine iodide cell tracker dyes (19), MRI using superparamagnetic iron oxide (20,21), and CT using a nanoparticulate contrast agent (22) also have been applied for macrophage trafficking.
Although nuclear medicine imaging with reporter gene technology has been widely accepted in various fields, it has not yet been successfully applied for trafficking macrophage migration in vivo. In a recent study, Ren et al. have successfully transfected a murine macrophage cell line RAW264.7 with a bioluminescent reporter gene and demonstrated sequential noninvasive imaging in vivo using bioluminescence (18). However, the delivery of recombinant genetic constructs into macrophages is generally known to be difficult, which limits the use of powerful molecular approaches to the studies of the macrophage biology. It is known that the widely accepted transfection methods using synthetic carriers to deliver naked plasmid DNA are inefficient in primary macrophages (23). Only a few monocyte or macrophage cell lines, such as THP-1 or RAW264.7, can be efficiently transfected by plasmid DNA. Recombinant vectors based on adenovirus and lentivirus had been used to deliver genetic constructs into macrophages much more efficiently (24). Ex vivo manipulation, genetically (e.g., using gene coding for activating cytokines such as interferon-α) or by treatment with activating agents such as cytokines or lipopolysaccharide, can enhance the ability of adoptively transferred macrophages to migrate into diseased tissues and enables them to carry DNA constructs into such sites (1). Previous studies that focused on macrophage homing have found the presence of labeled macrophages at tumor or wound sites to persist for only about 6–7 d after systemic administration in cases of primary macrophages (15,25). Meanwhile, if stable transduction of the gene has been achieved, reporter gene–encoding products will be continuously expressed as long as the cell is viable, even after cell division (26). Stable transduction is obtained by ex vivo transfer using retroviral or lentiviral vectors, which result in incorporation of the reporter gene into the cell genome (9). Thus, the immortalized macrophage cell line RAW264.7 and lentiviral vectors were chosen as an integrating system to obtain stable expression of the hNIS protein in this study.
In the current study, both hNIS and GFP genes were transduced into RAW264.7 cells via the lentiviral vector system. GFP is a widely used, convenient marker for assessing in vitro and in vivo gene transduction, because its expression can be readily detected in live cells and tissues by flow cytometry or fluorescent microscopy. In addition, hNIS has the benefit of being able to image with easily available radiotracers such as 99mTc-pertechnate and radioiodine and nuclear imaging instruments, thus potentiating its clinical application. Coexpression of hNIS and GFP genes was confirmed by flow cytometric study and immunofluorescent staining. The blue fluorescent nuclei and red fluorescent membranes were clearly demonstrated with the confocal microscopic analysis using 4′-6-diamidino-2-phenylindole and anti-hNIS stain. Also, significant increases in iodine uptake in RNIS cells, compared with parent cells, were observed, and the degree of uptake was proportional to the cell numbers. Functional expression of the hNIS gene in RNIS cells was also verified in vivo by nuclear imaging with 99mTc-pertechnetate of mice with subcutaneously implanted RNIS cells. The cell proliferation and proinflammatory cytokine production activity were not altered by the transduction of the dual reporter gene system, suggesting that the cell growth and cytokine production needed in the inflammatory process are preserved as in the parent cells. In addition, the phagocytic activity, which is the most important function of the macrophage, was not affected, when assessed with incorporated 7-AAD measurement, using a method for phagocytic activity measurement reported previously (10–13).
For in vivo imaging to assess macrophage migration, soft-tissue inflammation was induced by intramuscular inoculation of turpentine oil into the right thigh of the nude mice because this local inflammation model had been validated in previous studies (27,28). RNIS cells were injected at 7 d after the induction of local inflammation, which minimizes the acute inflammatory reaction and reflects mainly the effect of chronic inflammation characterized by mononuclear cell infiltration. Imaging of the inflammation animal model was performed on the seventh day after RNIS cell injection; day 7 was chosen for imaging in this study on the basis of the results of an optical imaging study that used reporter RAW264.7 stable cell lines, in which the authors reported that significantly higher bioluminescent signals were emitted from day 6 onward (18). Injected macrophages were seen to be distributed in the lung for the first day, then circulated and migrated to the liver, spleen, and finally to the site of inflamed tissue for the next few days. Likewise, 7 d after macrophage injection, 124I PET demonstrated a donut-shaped pattern of tracer accumulations along the rim of the inflammatory tissue in mice injected with RNIS cells. Similarly, intense 18F-FDG uptake reflected the active inflammation that was observed along the rim of the inflammatory tissue, with a central photon-deficient area corresponding to coagulation necrosis along with core turpentine oil. On the other hand, no 124I uptake was shown at the inflammation site of the mice injected with parental RAW264.7 cells. The findings of histologic examination confirmed the migration of RNIS cells to the inflammation site. The macrophages showing strong positive staining for GFP and hNIS were recruited around the inflammation site in the skeletal muscle of the mice.
After we successfully localized the NIS-transfected macrophages in inflammation lesions with nuclear imaging, animals were sacrificed for further verification of the localized macrophage cells with immunohistochemical staining. Thus, an image of the long-term trafficking of microphage migration from early (2 and 4 d after cell injection) to late times was not provided in this study. To extend the macrophage migration study, visualization of the macrophage migration using a dual-reporter gene, such as firefly luciferase and hNIS gene, would be helpful. We presume that dual-reporter genes expressing macrophages may show the macrophage migration and proliferation in superficial or deep tissue from early to late times.
This could be the first study to implement nuclear reporter gene imaging using hNIS genes to monitor macrophage migration toward inflamed tissue. The current study offers the possibility of developing immune cell trafficking imaging using reporter genes. Immune cells such as macrophages and dendritic cells may be used in extensive research on inflammatory processes, immune systems, or tumor pathology through nuclear molecular imaging.
CONCLUSION
Immortalized macrophage RAW264.7 cells were successfully transduced with hNIS genes for trafficking. Macrophage migration to the local inflammation site was demonstrated by in vivo imaging using 124I and also by histopathologic examination. These data support the feasibility of reporter gene imaging using hNIS to monitor macrophage migration toward inflamed tissue. Macrophages expressing hNIS may provide a new strategy to investigate the inflammatory response in preclinical models.
Acknowledgments
This work was supported by the Basic Atomic Energy Research Institute (BAERI, 2010-0017515) and BK21 (2009) and the Korean Ministry of Education, Science and Technology (The Regional Core Research Program/Medical Convergence Technology Development Consortium for Anti-aging and Well-being).
Footnotes
↵* Contributed equally to this work.
- © 2010 by Society of Nuclear Medicine
REFERENCES
- Received for publication April 7, 2010.
- Accepted for publication July 14, 2010.