Novel MRI Contrast Agent from Magnetotactic Bacteria Enables In Vivo Tracking of iPSC-derived Cardiomyocytes
OPEN
R A
P
Morteza Mahmoudi,, AtsushiTachibana, Andrew B. Goldstone, Y. JosephWoo, Papia Chakraborty, Kayla R. Lee, Chandler S. Foote, Stephanie Piecewicz,Joyce C. Barrozo, AbdulWakeel, BradleyW. Rice, Caleb B. Bell III & Phillip C.Yang
Therapeutic delivery of human induced pluripotent stem cell (iPSC)-derived cardiomyocytes (iCMs) represents a novel clinical approach to regenerate the injured myocardium. However, methods for robust and accurate in vivo monitoring of the iCMs are still lacking. Although superparamagnetic iron oxide nanoparticles (SPIOs) are recognized as a promising tool for in vivo tracking of stem cells using magnetic resonance imaging (MRI), their signal persists in the heart even weeks after the disappearance of the injected cells. This limitation highlights the inability of SPIOs to distinguish stem cell viability.
In order to overcome this shortcoming, we demonstrate the use of a living contrast agent, magneto-endosymbionts (MEs) derived from magnetotactic bacteria for the labeling of iCMs. The ME-labeled iCMs were injected into the infarcted area of murine heart and probed by MRI and bioluminescence agents to track iCMs in an in vivo murine model. We show that the MEs clear within one week of cell translation of in vivo MRI monitoring of transplanted stem cell at high spatial resolution and sensitivity.
Cardiac ischemia initiates a cascade of irreversible cell damage leading to cell death, regional contractile dys-function, and progressive replacement by scar tissue. During this disease process, cardiac progenitor cells (CPCs) have been reported to migrate to the injured site, dierentiate into cardiomyocytes, and eventually regenerate the myocardium14. However, the native population of CPCs is extremely limited and decreases signicantly during the aging process5, compromising the myocardial repair potential. In order to compensate for the lack of CPCs in the injured site, therapeutic delivery of autologous patient-specic human induced pluripotent stem cell (iPSC)-derived cardiomyocytes (iCMs) has been proposed, generating promising outcomes in pre-clinical studies611.
Although intense eorts are made to track the fate of the transplanted stem cells, the inability to visualize the precise spatial location and viability of the delivered cells in the heart is recognized as one of the major limitations for clinical translation of cell therapy12,13. Such information is vital to determining the engrament of iCMs and assess their therapeutic efficacy in vivo. Thus, it is essential to develop the novel imaging techniques to conduct translational investigation of the iCMs14,15. An ideal, non-invasive imaging platform should demonstrate high sensitivity, strong tissue contrast, and high spatial and temporal resolution. It is strongly preferred for imaging agents to be retained in the cells for longitudinal visualization of live cell specicity to conrm the engrament of the delivered cells within the host myocardium. Optical reporters, requiring uorescent or bioluminescent protein expression, are commonly used to label cells and can be eective in pre-clinical models. However, these methods are restricted by limited depth penetration and genetic modication of cells, preventing clinical translation. MR imaging has demonstrated exquisite capability to detect labeled cells in the myocardium without the ionizing radiation associated with positron emission tomography (PET) and single-photon emission computed
Division of Cardiovascular Medicine, Stanford University, Stanford, CA, USA. Nanotechnology Research Center, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran. Department of Cardiothoracic Surgery, Stanford University, Stanford, CA, USA. requests for materials should be addressed to P.C.Y. (email: [email protected])
SCIENTIFIC REPORTS
1
www.nature.com/scientificreports/
Figure 1. (A) TEM image showing the magnetosome structure within MEs; (B) uorescent images of the unlabeled (le panel) and ME labeled (right panel) iCMs stained with ME antibody in red, phalloidin in green and DAPI in blue, showing internalization of MEs in the iCMs; and (C) viability assessment of unlabeled (le panel) and ME labeled (right panel) iCMs using PI assay, dead cells are shown with a red signal while blue Hoescht staining corresponds to the total cell population.
tomography (SPECT) techniques1520. The most commonly used MRI contrast agents for tracking transplanted stem cells, in vivo, are superparamagnetic iron oxide nanoparticles (SPIO). The limitation of SPIO cell labeling is the persistence of in vivo signal even aer death of the transplanted cells where the MRI signal does not correlate with the viability of the stem cells21. For example, Ferumoxide (commercial SPIO) labeled stem cells were shown to persist in the heart muscle weeks aer disappearance of concomitant beta-galactosidase or BLI signal, indicating labeling of dead cells or macrophages at the site of inammation21,22. Another consideration is the dilution of the SPIO signal as the stem cells divide caused by nanoparticles being re-distributed among the dividing cells, making it difficult to track the biology of delivered cells in longitudinal studies23.
In order to overcome these issues, we evaluated the novel magneto-endosymbiont (ME) contrast agent (Magnelle reagents Bell Biosystems, Inc., CA), which was derived from the magnetotactic bacteria
Magnetospirillum magneticum strain AMB-1 (AMB-1). AMB-1 coordinates over 100 genes to synthesize membrane enclosed magnetic nanoparticles, (magnetosomes), which are highly eective MRI contrast agents24. In metastatic breast cancer cells, ME-labeled cells show strong contrast with as few at 100 ME-labeled cells, demonstrating high sensitivity for detection25. More importantly, the MEs do not appear to persist long-term in macrophages, eliminating any confounding MRI signal of cell viability. MEs are digested in the macrophages and cleared from the tissue, leading to rapid removal of non-specic dephasing MRI contrast. Thus, the MEs will persist only in the viable cells to provide accurate longitudinal engrament signal of the transplanted stem cells.
Results
Cell Labeling with Contrast Agents. The morphology of the magnetic nanoparticle (magnetosome) chains inside the Magnelle was evaluated by transmission electron microscopy (TEM) as shown in Fig.1A. Using the TEM images, the magnetosomes were measured and found to have an average diameter of 53nm with about 31 magnetosomes per chain within a single Magnelle. Assuming the magnetosomes are 100% magnetite, we
SCIENTIFIC REPORTS
2
www.nature.com/scientificreports/
calculate 11.75fg of iron per Magnelle using this particle counting method. Inductively coupled emission spectroscopy (ICP) measurements conrmed similar iron content per ME.
MEs were then added at dierent concentrations to label iCMs. Immunocytochemistry, using a ME specic antibody to measure the ME concentration, showed the labeling efficiencies of the iCMs as demonstrated in Fig.1B. For this condition, ICP measurements showed an average of 5.07pg of Fe per cell, which was equivalent to about 400 MEs per cell. In order to evaluate potential adverse eects of MEs on the cell viability, we employed propidium iodide (PI) staining assay. As PI is a membrane impermeable dye, it cannot enter viable cells with intact membranes. In the case where iCMs membranes are perturbed due to the death of the cell, the PI is integrated in the DNA resulting in a red signal. As demonstrated by the PI staining in Fig.1C, there was no signicant dierence between control unlabeled cells, which had a viability of 88% 2 and ME labeled cells which had 93% 3 cell viability (p > 0.05), showing no decrease in viability of cells aer labeling with MEs. Additionally, the ME labeled cells maintained spontaneous contractility and exhibited positive staining for sarcomeric protein (i.e., cardiac troponin T). This nding demonstrated that the MEs do not aect the short-term cardiac properties of the cells aer labeling (Fig.2A).
In vitro BLI and MRI evaluation of the labeled cells. In order to assess the contrast of the iCMs labeled with MEs, we performed in vitro MRI on days 1, 7, and 14 and compared this signal to the Molday ION labeled iCMs. The phantom experiment in Fig.2B showed strong T2* signal of the labeled cells (with both Molday IONs and MEs) on days 7 and 14 aer labeling as seen by the dark pellets. Viability of the cells at dierent time points was monitored by BLI. The bioluminescent signals, exhibited in the right panels of Fig.2B, demonstrated existence of healthy cells in the plates aer labeling with both Molday ION and MEs, even aer prolonged exposure.
Evaluations of ME toxicity in animal model. Overall no external clinical signs were observed post-ME injection. Serum analysis of multiple markers assessing malfunction of vital organs such as the liver, kidney, spleen, heart and pancreas were performed for each group. The markers evaluated were alanine aminotransferase (ALT), creatinine, creatine phosphokinase, albumin, total protein, glucose, alkaline phosphatase (ALP), aminotransferase (AST), cholesterol, potassium, sodium, triglycerides, blood urea nitrogen (BUN), total bilirubin, calcium, total protein and chloride (see Fig.3). All blood markers seemed normal indicating no malfunction of vital organs. Also, key markers of infection such as the white blood cells, red blood cells and platelet count did not seem to be altered in ME injected rats, suggesting that MEs probably do not trigger an immune response in vivo.
Pathological evaluation of tissue samples did not show signicant dierences in histopathology scores for the brain, kidney and heart. However, the intravenous (IV) injected rats showed signs of liver inammation and both the intramuscular (IM) and IV injected groups showed signicant spleen lymphoid hyperplasia (see supplementary Fig. S1). These symptoms are common during particulate material clearance by these tissues and the dose used in this study was 10-fold higher that the working dose of MEs. Together, the data from these studies demonstrated that MEs were most likely not immunogenic and, therefore, feasible for in vivo studies.
In vivo BLI and MRI evaluation of labeled cells. Aer the injection of labeled iCMs into a live mouse heart as shown in Fig.4, both bioluminescence and MRI signal from the injected cells could be easily detected seven days aer cell injection. Over time a diminished BLI signal is observed in all mice models, mainly due to cell death and removal by the immune system26. Mice #2 and #3 show BLI signal clearance aer a week while mouse #1 retains BLI signal through 2 wks. This variability in stem cell survival is typically seen when using a murine model of myocardial injury.
Importantly, the Molday ION labeled cells indicated no BLI signal by day 14; however, the cells continued to show dephasing MRI signal consistent with the persistence of the nanoparticle signal in the murine heart. This nding demonstrated the lack of live cell specicity with the inert, non-biological properties of Molday ION. In contrast to the Molday ION labeled cells, the ME labeled iCMs demonstrated signicant correlation between BLI and MRI signals in vivo. In the mice with BLI signal at day 14 (mouse #1) post-cell injection, we could detect their corresponding MRI signals in Fig.4B. However, in those mice with no BLI signal, there was no/negligible corresponding dephasing signal in the MRI scans as well as shown in Fig.4C. The results were further conrmed by the evaluation of the cellular signal intensity (SI) as shown in Fig.4D. While further validation is necessary, the correlation of the in vivo MRI signal with the engraed iCMs may enable longitudinal evaluation of the survival and engrament kinetics of the stem cells at exquisite spatial and temporal resolution with high sensitivity and tissue contrast.
Discussion
Innovative technologies to evaluate stem cell engrament is required for clinical translation of cell therapies. Evaluation of stem cell engraftment in the myocardium characterizes the most fundamental process of post-transplantation stem cell biology. With the potential emergence of cell therapy for a failing heart, accurate in vivo evaluation of stem cell engrament and the resultant changes in the myocardial viability may represent a critical measure of therapeutic efficacy. The stem cells at the very least must survive to restore the injured myocardium2730. Therefore, cell engrament monitoring holds physiologic relevance as it has been associated with myocardial restoration3133. Reliable and precise cell tracking technique represents one of the key issues in advancing the eld of cardiovascular cell therapy. However, there are no reliable in vivo imaging methods to conrm denitively that this fundamental post-transplantation biology contributes to cardiac function due to two technical considerations: (1) sensitive detection of the cell engrament signal and (2) high spatial and temporal resolution imaging of the myocardial function and morphology. MRI combines the chemical sensitivity of nuclear magnetic resonance with high spatial and temporal resolution. It routinely oers sub-millimeter spatial resolution, millisecond range temporal resolution, and intrinsically superior contrast mechanism. These specications provide
SCIENTIFIC REPORTS
3
www.nature.com/scientificreports/
Figure 2. (A) Fluorescent images of the ME-labeled iCMs used for the evaluation of potential ME eects on cardiac marker, ME staining in green, cardiac troponin T in red, and nuclei are counterstained with DAPI in blue and (B) MRI images (T2*) of the bottom of Eppendorf tubes of Molday ION labeled iCMs, ME-labeled iCMs, and PBS only control sample at dierent time points (days 1, 7, and 14 aer labeling); the bottom panel shows the replicate MRI images for Molday ION and ME labeled cells. Right panel shows the corresponding BLI signal, indicating viability of the Molday ION and ME-labeled iCMs at days 1, 7, and 14 post labeling (the BLI experiments were performed in triplicate).
optimal technical characteristics to assess myocardial physiology. However, MRI lacks the sensitivity to detect the transplanted cells. Despite the high sensitivity provided by the magnetic nanoparticles for cell tracking applications, in vivo monitoring of the cell viability in the heart tissue has not been possible due to the confounding signal of the nanoparticles in the tissue or the macrophages aer the death of transplanted stem cells34,35. In order to address this major limitation, we employed a novel MRI contrast agent, MEs, an endosymbiotic bacterium which synthesizes magnetosomes.
SCIENTIFIC REPORTS
4
www.nature.com/scientificreports/
Figure 3. Relative concentrations liver and spleen enzymes and as well as key indices of infection and toxicity in blood did not changes in the highest doses of MEs (5.0E+ 09) injected by both IV (A) and IM (B) routes.
Our cytotoxicity evaluation demonstrated no sign of cell toxicity in the ME labeled iCMs. Furthermore, the toxicity studies in the rat models, which underwent ME injection, showed minimal eects in the relevant dose levels. The signal generated from the in vitro and in vivo BLI and MRI studies showed corresponding evidence of robust contrast to track the iCMs. Seven days following cell injections, both ME and Molday ION labeled cells showed signicant MRI and corresponding BLI signal in the murine myocardium (Fig.4A,B). By day 14, the Molday ION labeled cells did not express BLI signal demonstrating cell death. Yet, these mice exhibited strong MRI signal, demonstrating the major limitation of synthetic iron oxide nanoparticles for precise in vivo monitoring of live cells in the heart muscle as demonstrated in our and other publications21,22,30. However, in the ME mice with no iCM survival as shown by the absence of BLI signals, no/negligible MRI signal was detected, conrming the rapid removal of magnetosomes aer cell death (Fig.4C,D). The main reason for the fast removal of the ME signal, aer the death of the labeled cells, may be attributed to their interactions with immune system. It has been shown that the magnetic particles (obtained from magnetotactic bacteria) were eliminated from the circulation by the immune system following their administration into the vascular system of rat model36,37. Based on previous studies by Sun et al.36, and Liu et al.27, this live cell sensitivity (LCS) emerged through a macrophage mediated mechanism. The studies with MTB and puried magnetosomes suggested that both lysosomal digestion and clearance mediated by the reticuloendothelial system targeted the magnetosomes into the free iron pool or eliminate them into the feces. The reticuloendothelial system mediated ME clearance may be signicantly expedited by the antigenic nature of the MEs in comparison to the IONs, which have an inert coating and precipitate in the tissue post cell death. Histological examination of the major organs showed the existence of a large portion of magnetotactic bacteria derived nanoparticles in liver with increased numbers of vacuoles37. Researchers revealed that the existence of biological impurities (particularly proteins, nuclei acids, and polysaccharides), which was exposed aer the death of the stem cells, led to rapid extraction of the magnetotactic bacteria and their associated magnetic particles by the immune system36,37.
SCIENTIFIC REPORTS
5
www.nature.com/scientificreports/
Figure 4. Representative BLI images of the mice injected with ME and Molday ION labeled reporter gene-transduced iCMs or PBS control aer (A) 7 days; (B) 14 days following cell injections (top) and their corresponding in vivo MRI images of the murine hearts (bottom). Red arrows show the signal from the injected labeled cells; (C) representative in vivo BLI images of the selected mice with dead cardiomyocytes at day 14 of ME labeled cells and the corresponding in vivo MRI images; (D) signal intensity (SI) for Molday ION (dark signal) and ME (with no signal). A signicant absence of signal of ME* labeled dead cells compared to other samples with positive signal (p<0.05).
Our study showed for the rst time the use of MEs, to track the iCMs in vivo by MRI. Recent advances in regenerative medicine demonstrated the vast potential of cell therapies for a wide range of therapeutic areas such as neurodegenerative disease, myocardial infarction, oncology, immunology and spinal cord injury. However, the methods to track these cells aer delivery had been a limiting factor for rapid clinical translation. Here we showed a novel contrast agent for MRI-based cell tracking that allows longitudinal visualization of the cells in a murine model. Most importantly, the use of the ME suggested LCS, which may allow signicant advantage over commercially available IONs such as the Molday IONs as shown here. This novel technology may allow researchers to eectively track live cells in vivo to monitor their engrament and distribution, which is critical to assess their functionality and therapeutic eect. It is noteworthy that the experiments should be applied in larger animals such as a porcine model to study the feasibility of clinical translation. Specic issues, including the sensitivity of MRI and dosing limitation of ME, should be investigated to optimize the dose for reliable and precise signal for cell tracking applications. In conclusion, this study demonstrated an innovative and necessary stem cell tracking technology to advance the eld of regenerative medicine.
Materials and Methods
Preparation of iCMs from RG-transduced iPSCs. Zinc nger nuclease (ZFN) technology (Sangamo, Inc., Richmond, CA) was used to integrate a double fusion reporter gene, containing rey luciferase (BLI) and herpes simplex virus thymidine kinase, under the regulation of a cardiac-specic CCAG promoter, into the AAVS1 locus (chromosome 19) of iPSCs38. The iPSC monoclonal lines were then dierentiated into iCMs. Dierentiation into iCMs was performed under chemically dened conditions using small molecules, CHIR (4M
SCIENTIFIC REPORTS
6
www.nature.com/scientificreports/
for 2 days) and C59 (2M for 2 days), to modulate Wnt pathway activity6,39. The cells were then treated with basal media (RPMI + B27) for another 6 days to reach the beating state. The purication of iCMs were performed by treating the cells with low glucose media (as previously described)39.
Cell Labeling with MEs and Molday ION. MEs (Magnelle cell tracking solution, Bell Biosystems, San
Francisco, CA, USA) and Molday ION Rhodamine B (Biopal Inc, Worceshter, MA, USA) were used to label iCMs. Molday ION was used at a concentration of 25ug[Fe]/ml and MEs were added at a ratio of 2500 MEs per iCM cell. The cells were labeled by overnight incubation in a MagTag-6 system (Bell Biosystems, San Francisco, CA, USA) at 37 C with 5% CO2 and 5% O2. The MagTag-6 system utilizes an array of 6 strong permanent magnets to pull the MEs against the host cell surface, thus improving uptake. The following day the cells were washed and treated with a 1:1000 dilution gentamycin sulfate, 50mg/ml (EMD Millipore) to kill extracellular MEs (additional information described elsewhere)40.
Magnelle labeled iCMs were xed with 4% paraformaldyhyde and permeabilized with 0.25% tritonX. Samples were stained with a rabbit polyclonal anti-Magnelle primary antibody (Bell Biosystems, San Francisco, CA, USA) and an Alexa Fluor 488 or 594 conjugated donkey anti-rabbit IgG (Invitrogen) secondary antibody. Alexa Fluor 488 Phalloidin was used to stain actin and VECTASHIELD mounting media with DAPI was used to mark for nucleic acid staining (additional information described elsewhere)40. The cardiac marker troponin T (ThermoFisher) primary antibody was used for iCMs to assess cell fate post labeling. Cell viability was assessed with a Propidium Iodide (PI) Solution (Biolegend) to label dead cells and a Hoescht 333482 counterstain was used nuclei and give the total cell population. Percent viability was calculated by dividing the live cell count (total minus the PI positive count) by the total number of cells. All immunouorescence was imaged using a Nikon ECLIPSE Ti-s (Tokyo, Japan) microscope.
Inductively coupled emission spectroscopy (ICP) Measurements. Following labeling, TrypLE was used to dislodge cells from the plate. Cells were washed with PBS by centrifugation and then counted. For ICP measurments, cells or MEs alone were pelleted and resuspended in 65% nitric acid and heated at 95 C for 20min. Once cooled the volume was brought up to 2 mL with sterile DI water. Samples were sent to the Center for Applied Isotope Studies at the University of Georgia for intracellular iron quantication.
Evaluation of ME toxicity in animal model. Although MEs are derived from non-pathogenic bacteria, there were concerns regarding their toxicity when released from the cells aer injection into an animal. To address this issue, acute toxicity studies were performed in immune competent rats. ME reagents alone were injected at varying doses (low, medium and high with the highest does being two logs over the working dose) through various routes. For comparison, typical cell tracking in small animals would have 104 to 108 Magnelle reagents per animal as the number of Magnelle reagents per cell ranges from tens in small cells to thousands in very large cells. Therefore in this study the highest doses were: 1) Intravenous (IV) 5.0109 MEs in 500L, 2) Intramuscular (IM) 5.0109 MEs in 300L and 3) Intrathecal (IT) 5.0108 in 50uL. Rats (n= 5, per condition) were monitored for body weight and clinical signs were recorded thrice per week. At day 5-post injection, rats were euthanized and whole blood was collected via a terminal cardiac puncture for serum analysis. Also, tissue samples of vital organs such as the brain, heart, kidney, liver and spleen were xed in formalin for pathological evaluation.
Intramyocardial delivery of iCMs. Animal care and interventions were performed in accordance with the Laboratory Animal Welfare Act, and all animals received humane care and treatment in accordance with the Guide for the Care and Use of Laboratory Animals (www.nap.edu/catalog/5140.html). All experimental protocols were approved by Administrative Panel on Laboratory Animal Care (APLAC) at Stanford School of Medicine. Immunotolerant SCID-beige male mice (6 weeks old; Charles River Laboratories, Inc, MA, USA) were anesthetized in an isouorane inhalational chamber and endotracheally intubated with a 20-gauge angiocatheter (Becton, Dickinson and Co., NJ, USA). Ventilation was maintained with a MicroVent rodent ventilator (Hallowell EMC, MA, USA). A blinded surgeon injected 40l of dispersed labeled cells (500,000 cells) in PBS into the myocardium of the anterolateral wall of the heart via a le anterior thoracotomy.
In vivo magnetic resonance imaging (MRI). Cardiac MRI (Signa 3 T HDx, General Electric Medical Systems, WI, USA) was performed using a dedicated mouse coil (Rapid MR International, Germany). Mice were imaged at days 1, 7, and 14 aer cell injection. Mice were anesthetized with 1-2% isourane at 2L/min oxygen and placed in the supine position. Electrocardiographic gating was obtained with two subcutaneous precordial leads and body temperature was monitored with a rectal probe throughout the scan (SA Instruments, Inc, NY, USA). Le ventricular function was evaluated with electrocardiographically triggered fast spoiled gradient-recalled echo (FSPGR) sequence (TR 24ms, TE 10ms, FA 45, eld of view (FOV) 6cm2, matrix 256 256, slice gap 0mm, slice thickness 1mm, NEX 4, 2 excitations, and 20 cardiac phases). In order to dene the relationship of signal intensity dierences between the Molday ION and MEs regions, scaled to image noise, we measured the signals from Molday ION and MEs region (using OsiriX soware) and divided them to the noise signal. It is noteworthy that the measurements were performed 5 times and the regions of interests size remained constant.
In vitro magnetic resonance imaging. In-vitro cell scans were performed with gradient echo (GRE) sequence (TR 100ms, TE 10ms, FA 30, eld of view (FOV) 6cm2, matrix 192 160, slice gap 0mm, slice thickness 1.3mm, NEX 4).
Optical Bioluminescence Imaging (BLI). Optical BLI was performed 15-25minutes aer d-luciferin IP injection (400 mg/kg; PerkinElmer, MA, USA) with 3-5 minute acquisition scans on a charge-coupled device
SCIENTIFIC REPORTS
7
www.nature.com/scientificreports/
camera (IVIS 200; PerkinElmer). Peak signal from a xed region of interest was evaluated with Living Image 3.2 soware (PerkinElmer). For in vitro BLI, luciferin (16.6mg/ml) was mixed with cell media in the tissue culture dish (10minutes before imaging) and imaged.
References
1. Urbanek, K. et al. Cardiac stem cells possess growth factor-receptor systems that after activation regenerate the infarcted myocardium, improving ventricular function and long-term survival. Circulation research 97, 663673 (2005).
2. Urbanek, K. et al. Myocardial regeneration by activation of multipotent cardiac stem cells in ischemic heart failure. Proceedings of the National Academy of Sciences of the United States of America 102, 86928697 (2005).
3. van Berlo, J. H. et al. c-kit+ cells minimally contribute cardiomyocytes to the heart. Nature 509, 337341 (2014).4. van Berlo, J. H. & Molkentin, J. D. An emerging consensus on cardiac regeneration. Nature medicine 20, 13861393 (2014).5. Amir, G. et al. Dynamics of human myocardial progenitor cell populations in the neonatal period. The Annals of thoracic surgery 86, 13111319 (2008).
6. Rulifson, E. et al. In Vivo Molecular Imaging of Human Pluripotent Stem Cell-derived Cardiomyocytes in a Murine Myocardial Injury Model via a Safe Harbor Integration of a Reporter Gene. Circulation 130, A19831A19831 (2014).
7. Zhang, J. et al. Functional cardiomyocytes derived from human induced pluripotent stem cells. Circulation research 104, e30e41 (2009).8. Yeh, E. T. et al. Transdierentiation of human peripheral blood CD34+ -enriched cell population into cardiomyocytes, endothelial cells, and smooth muscle cells in vivo. Circulation 108, 20702073 (2003).
9. Li, R.-K. et al. Natural history of fetal rat cardiomyocytes transplanted into adult rat myocardial scar tissue. Circulation 96, II-179-186; discussion 186177 (1997).
10. Li, R.-K., Mickle, D. A., Weisel, R. D., Zhang, J. & Mohabeer, M. K. In vivo survival and function of transplanted rat cardiomyocytes. Circulation research 78, 283288 (1996).
11. Ye, L. et al. Cardiac Repair in a Porcine Model of Acute Myocardial Infarction with Human Induced Pluripotent Stem Cell-Derived Cardiovascular Cells. Cell stem cell 15, 750761 (2014).
12. Passier, R. & van Laake, L. W. & Mummery, C. L. Stem-cell-based therapy and lessons from the heart. Nature 453, 322329 (2008).13. Hung, T.-C. et al. Multimodality evaluation of the viability of stem cells delivered into dierent zones of myocardial infarction. Circulation: Cardiovascular Imaging 1, 613 (2008).
14. Shari, S. et al. Superparamagnetic iron oxide nanoparticles for in vivo molecular and cellular imaging. Contrast media & molecular imaging In press (doi: 10.1002/cmmi.1638) (2015).
15. Shari, S. et al. Superparamagnetic iron oxide nanoparticles for in vivo molecular and cellular imaging. Contrast media & molecular imaging 10, 329355 (2015).
16. Hofmann, M. et al. Monitoring of bone marrow cell homing into the infarcted human myocardium. Circulation 111, 21982202 (2005).17. Ray, P. et al. In Seminars in nuclear medicine. 312320 (2001).18. Mahmoudi, M. et al. Protein nanoparticle interactions: opportunities and challenges. Chemical reviews 111, 56105637 (2011).19. Chen, I. Y. et al. MicroPositron Emission Tomography Imaging of Cardiac Gene Expression in Rats Using Bicistronic Adenoviral Vector-Mediated Gene Delivery. Circulation 109, 14151420 (2004).
20. Cromer Berman, S. M., Walczak, P. & Bulte, J. W. Tracking stem cells using magnetic nanoparticles. Wiley Interdisciplinary Reviews: Nanomedicine and Nanobiotechnology 3, 343355 (2011).
21. Chen, I. Y. et al. Comparison of optical bioluminescence reporter gene and superparamagnetic iron oxide MR contrast agent as cell markers for noninvasive imaging of cardiac cell transplantation. Molecular Imaging and Biology 11, 178187 (2009).
22. Terrovitis, J. et al. Magnetic resonance imaging overestimates ferumoxide-labeled stem cell survival aer transplantation in the heart. Circulation 117, 15551562 (2008).
23. Kim, J. A., berg, C., Salvati, A. & Dawson, K. A. Role of cell cycle on the cellular uptake and dilution of nanoparticles in a cell population. Nature nanotechnology 7, 6268 (2012).
24. Komeili, A. Molecular mechanisms of compartmentalization and biomineralization in magnetotactic bacteria. FEMS microbiology reviews 36, 232255 (2012).
25. Brewer, K. D. Characterization of Magneto-Endosymbionts as MRI Cell Labeling and Tracking Agents. Molecular Imaging and Biology in press (2016).
26. Kim, P. J. et al. Direct Evaluation of Myocardial Viability and Stem Cell Engraftment Demonstrates Salvage of the Injured Myocardium. Circulation research 116, e40e50 (2015).
27. Liu, R.-t. et al. Heating effect and biocompatibility of bacterial magnetosomes as potential materials used in magnetic fluid hyperthermia. Progress in Natural Science: Materials International 22, 3139 (2012).
28. Balchandani, P., Yamada, M., Pauly, J., Yang, P. & Spielman, D. Selfrefocused spatialspectral pulse for positive contrast imaging of cells labeled with SPIO nanoparticles. Magnetic Resonance in Medicine 62, 183192 (2009).
29. ukur, T., Yamada, M., Overall, W. R., Yang, P. & Nishimura, D. G. Positive contrast with alternating repetition time SSFP (PARTS): A fast imaging technique for SPIOlabeled cells. Magnetic Resonance in Medicine 63, 427437 (2010).
30. Suzuki, Y. et al. In vivo serial evaluation of superparamagnetic ironoxide labeled stem cells by oresonance positive contrast. Magnetic Resonance in Medicine 60, 12691275 (2008).
31. Templin, C. et al. Transplantation and Tracking of Human-Induced Pluripotent Stem Cells in a Pig Model of Myocardial Infarction Assessment of Cell Survival, Engrament, and Distribution by Hybrid Single Photon Emission Computed Tomography/Computed Tomography of Sodium Iodide Symporter Transgene Expression. Circulation 126, 430439 (2012).
32. Yang, P. C. Is reliable in vivo detection of stem cell viability possible in a large animal model of myocardial injury? Circulation 126, 388390 (2012).
33. Nguyen, P. K., Lan, F., Wang, Y. & Wu, J. C. Imaging Guiding the Clinical Translation of Cardiac Stem Cell Therapy. Circulation research 109, 962979 (2011).
34. Shari, S. et al. Superparamagnetic iron oxide nanoparticles for in vivo molecular and cellular imaging. Contrast Media & Molecular Imaging, n/a-n/a, doi: 10.1002/cmmi.1638 (2015).
35. Mahmoudi, M. et al. Magnetic Resonance Imaging Tracking of Stem Cells in Vivo Using Iron Oxide Nanoparticles as a Tool for the Advancement of Clinical Regenerative Medicine. Chemical Reviews 111, 253280, doi: 10.1021/cr1001832 (2011).
36. Sun, J.-B. et al. Targeted distribution of bacterial magnetosomes isolated from Magnetospirillum gryphiswaldense MSR-1 in healthy Sprague-Dawley rats. Journal of nanoscience and nanotechnology 9, 18811885 (2009).
37. Sun, J. et al. Biocompatibility of bacterial magnetosomes: acute toxicity, immunotoxicity and cytotoxicity. Nanotoxicology 4, 271283 (2010).
38. Kim, Paul J., et al. Direct Evaluation of Myocardial Viability and Stem Cell Engrament Demonstrates Salvage of the Injured Myocardium. Circulation Research 116, e40e5 (2015).
39. Burridge, P. W. et al. Chemically dened generation of human cardiomyocytes. Nature methods 11, 855860 (2014).40. Lee, K. R. Companion Assays to Evaluate Cell Labeling of Magneto-Endosymbionts. Molecular Imaging and Biology 8, 12371240 (2006).
SCIENTIFIC REPORTS
8
www.nature.com/scientificreports/
Author Contributions
M.M., A.T., P.C., K.R.M., C.S.F., S.P., J.C.B. and A.W.: conceived and designed the experiments, performed the experiments, analyzed the data, contributed reagents/materials/analysis tools and wrote the paper; A.B.G.: performed the surgeries, analyzed the data, and contributed reagents/materials/analysis tools; Y.J.W.: conceived and designed the experiments, contributed reagents/materials/analysis tools and wrote the paper; B.W.R., C.B.B. and P.C.Y.: conceived and designed the experiments, analyzed the data, contributed reagents/materials/analysis tools and wrote the paper.
Additional Information
Supplementary information accompanies this paper at http://www.nature.com/srep
Competing nancial interests: The authors declare no competing nancial interests.
How to cite this article: Mahmoudi, M. et al. Novel MRI Contrast Agent from Magnetotactic Bacteria Enables
In Vivo Tracking of iPSC-derived Cardiomyocytes. Sci. Rep. 6, 26960; doi: 10.1038/srep26960 (2016).
This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the articles Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
SCIENTIFIC REPORTS
9
You have requested "on-the-fly" machine translation of selected content from our databases. This functionality is provided solely for your convenience and is in no way intended to replace human translation. Show full disclaimer
Neither ProQuest nor its licensors make any representations or warranties with respect to the translations. The translations are automatically generated "AS IS" and "AS AVAILABLE" and are not retained in our systems. PROQUEST AND ITS LICENSORS SPECIFICALLY DISCLAIM ANY AND ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTIES FOR AVAILABILITY, ACCURACY, TIMELINESS, COMPLETENESS, NON-INFRINGMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Your use of the translations is subject to all use restrictions contained in your Electronic Products License Agreement and by using the translation functionality you agree to forgo any and all claims against ProQuest or its licensors for your use of the translation functionality and any output derived there from. Hide full disclaimer
Copyright Nature Publishing Group Jun 2016
Abstract
Therapeutic delivery of human induced pluripotent stem cell (iPSC)-derived cardiomyocytes (iCMs) represents a novel clinical approach to regenerate the injured myocardium. However, methods for robust and accurate in vivo monitoring of the iCMs are still lacking. Although superparamagnetic iron oxide nanoparticles (SPIOs) are recognized as a promising tool for in vivo tracking of stem cells using magnetic resonance imaging (MRI), their signal persists in the heart even weeks after the disappearance of the injected cells. This limitation highlights the inability of SPIOs to distinguish stem cell viability. In order to overcome this shortcoming, we demonstrate the use of a living contrast agent, magneto-endosymbionts (MEs) derived from magnetotactic bacteria for the labeling of iCMs. The ME-labeled iCMs were injected into the infarcted area of murine heart and probed by MRI and bioluminescence imaging (BLI). Our findings demonstrate that the MEs are robust and effective biological contrast agents to track iCMs in an in vivo murine model. We show that the MEs clear within one week of cell death whereas the SPIOs remain over 2 weeks after cell death. These findings will accelerate the clinical translation of in vivo MRI monitoring of transplanted stem cell at high spatial resolution and sensitivity.
You have requested "on-the-fly" machine translation of selected content from our databases. This functionality is provided solely for your convenience and is in no way intended to replace human translation. Show full disclaimer
Neither ProQuest nor its licensors make any representations or warranties with respect to the translations. The translations are automatically generated "AS IS" and "AS AVAILABLE" and are not retained in our systems. PROQUEST AND ITS LICENSORS SPECIFICALLY DISCLAIM ANY AND ALL EXPRESS OR IMPLIED WARRANTIES, INCLUDING WITHOUT LIMITATION, ANY WARRANTIES FOR AVAILABILITY, ACCURACY, TIMELINESS, COMPLETENESS, NON-INFRINGMENT, MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Your use of the translations is subject to all use restrictions contained in your Electronic Products License Agreement and by using the translation functionality you agree to forgo any and all claims against ProQuest or its licensors for your use of the translation functionality and any output derived there from. Hide full disclaimer