Salicylic acid analogues as chemical exchange saturation transfer MRI contrast agents for the assessment of brain perfusion territory and blood-brain barrier opening after intra-arterial infusion

J Cereb Blood Flow Metab. 2016 Jul;36(7):1186-94. doi: 10.1177/0271678X16637882. Epub 2016 Mar 15.

Abstract

The blood-brain barrier (BBB) is a major obstacle for drug delivery to the brain. Predicted, focal opening of the BBB through intra-arterial infusion of hyperosmolar mannitol is feasible, but there is a need to facilitate imaging techniques (e.g. MRI) to guide interventional procedures and assess the outcomes. Here, we show that salicylic acid analogues (SAA) can depict the brain territory supplied by the catheter and detect the BBB opening, through chemical exchange saturation transfer (CEST) MRI. Hyperosmolar SAA solutions themselves are also capable of opening the BBB, and, when multiple SAA agents were co-injected, their locoregional perfusion could be differentiated.

Keywords: BBB opening; CEST MRI; Salicylic acid analogues; perfusion territory.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood-Brain Barrier / diagnostic imaging*
  • Blood-Brain Barrier / metabolism
  • Brain / blood supply
  • Brain / diagnostic imaging
  • Contrast Media / administration & dosage
  • Contrast Media / chemistry*
  • Hydroxybenzoates / administration & dosage
  • Hydroxybenzoates / chemistry
  • Infusions, Intra-Arterial
  • Magnetic Resonance Imaging, Interventional / methods*
  • Osmolar Concentration
  • Perfusion
  • Perfusion Imaging / methods*
  • Phthalic Acids / administration & dosage
  • Phthalic Acids / chemistry
  • Rats, Sprague-Dawley
  • Salicylic Acid / administration & dosage
  • Salicylic Acid / chemistry*
  • Sodium Salicylate / administration & dosage
  • Sodium Salicylate / chemistry
  • Solutions

Substances

  • 2,5-dihydroxyterephthalic acid
  • Contrast Media
  • Hydroxybenzoates
  • Phthalic Acids
  • Solutions
  • beta-resorcylic acid
  • Salicylic Acid
  • Sodium Salicylate