Purpose
To evaluate the expression level of integrin α
v
β
3
on activated hepatic stellate cells (HSCs) at different stages of liver fibrosis induced by carbon tetrachloride (CCl
4
) in rat model and the feasibility to stage liver fibrosis by using molecular magnetic resonance imaging (MRI) with arginine-glycine-aspartic acid (RGD) peptide modified ultrasmall superparamagnetic iron oxide nanoparticle (USPIO) specifically targeting integrin α
v
β
3
.
Materials and methods
All experiments received approval from our Institutional Animal Care and Use Committee. Thirty-six rats were randomly divided into three groups of 12 subjects each, and intraperitoneally injected with CCl
4
for either 3, 6, or 9 weeks. Controls (n=10) received pure olive oil. The change in T2* relaxation rate (ΔR2*) pre- and postintravenous administration of RGD-USPIO or naked USPIO was measured by 3.0T clinical MRI and compared by one-way analysis of variance or the Student’s
t
-test. The relationship between expression level of integrin α
v
β
3
and liver fibrotic degree was evaluated by Spearman’s ranked correlation.
Results
Activated HSCs were confirmed to be the main cell types expressing integrin α
v
β
3
during liver fibrogenesis. The protein level of integrin α
v
and β
3
subunit expressed on activated HSCs was upregulated and correlated well with the progression of liver fibrosis (
r
=0.954,
P
<0.001;
r
=0.931,
P
<0.001, respectively). After injection of RGD-USPIO, there is significant difference in ΔR2* among rats treated with 0, 3, 6, and 9 weeks of CCl
4
(
P
<0.001). The accumulation of iron particles in fibrotic liver specimen is significantly greater for RGD-USPIO than naked USPIO after being injected with equal dose of iron.
Conclusion
Molecular MRI of integrin α
v
β
3
expressed on activated HSCs by using RGD-USPIO may distinguish different liver fibrotic stages in CCl
4
rat model and shows promising to noninvasively monitor the progression of the liver fibrosis and therapeutic response to antifibrotic treatment.