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Superparamagnetic Iron Oxide Labeling and Transplantation of Adipose-Derived Stem Cells in Middle Cerebral Artery Occlusion-Injured Mice

Henry E. Rice1, Edward W. Hsu2, Huaxin Sheng3, Debra A. Evenson1, Alex J. Freemerman1, Kristine M. Safford1, James M. Provenzale4, David S. Warner3 and G. Allan Johnson4

1 Department of Surgery, Duke University Medical Center, Box 3815, Durham, NC 27710.
2 Department of Biomedical Engineering, Duke University Medical Center, Durham, NC.
3 Department of Anesthesiology, Duke University Medical Center, Durham, NC.
4 Department of Radiology, Duke University Medical Center, Durham, NC.


Figure 1
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Fig. 1 —Graph shows effect of poly-L-lysine (PLL) concentration on adipose-derived stem cell viability ({diamondsuit}) and percentage iron staining ({blacksquare}) in presence of ferumoxide (12.5 µg/mL of elemental iron). Error bars represent SE. Increasing concentration of PLL resulted in both increased iron staining and decreased cell viability. These data showed PLL concentration of 0.375 µg/mL as providing acceptable level of iron staining with minimal loss of cell viability. Findings led to choice of this concentration for future experiments.

 

Figure 2
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Fig. 2 —Graph shows effect of ferumoxide-poly-L-lysine (PLL) labeling on proliferation of adipose-derived stem cells over 7 days in culture. Cell proliferation was assessed with 3-(4,5-dimethyl-thiazol-2-yl)-2,5-diphenyl-tetrazolium bromide assay in duplicate cultures of adipose-derived stem cells grown in control media ({blacksquare}), PLL ({blacktriangleup}), ferumoxide ({blacktriangledown}), and PLL-ferumoxide complex (bullet). Results show initial decrease in proliferation of cells grown with PLL-ferumoxide complex, although within 7 days, all experimental groups showed proliferation equivalent to that of control cells.

 

Figure 3
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Fig. 3A —Phantoms of various numbers of ferumoxide-poly-L-lysine (PLL) labeled adipose-derived stem cells implanted in agar in Petri dish, which was placed on top of 3.0-cm-diameter radiofrequency surface coil. Series of multislice T2-weighted and T2*-weighted 7-T MR images (TR/TE, 250/10-40 in increments of 5 milliseconds; matrix size, 128 x 128; field of view, 4.0 cm; slice thickness, 1 mm) were acquired with standard spin-echo sequences. T2-weighted images reveal clear differences in signal intensity between area without cells (A) and areas with increasing number of superparamagnetic iron oxide (SPIO)-labeled adipose-derived stem cells. Numbers of SPIO-labeled adipose-derived stem cells correlated well with decrease in MR signal intensity. Low signal intensity at all cell numbers greater than 10 cells suggests MRI can depict at least as few as 10 labeled adipose-derived stem cells with nominal pixels. Number of cells, 0.

 

Figure 4
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Fig. 3B —Phantoms of various numbers of ferumoxide-poly-L-lysine (PLL) labeled adipose-derived stem cells implanted in agar in Petri dish, which was placed on top of 3.0-cm-diameter radiofrequency surface coil. Series of multislice T2-weighted and T2*-weighted 7-T MR images (TR/TE, 250/10-40 in increments of 5 milliseconds; matrix size, 128 x 128; field of view, 4.0 cm; slice thickness, 1 mm) were acquired with standard spin-echo sequences. T2-weighted images reveal clear differences in signal intensity between area without cells (A) and areas with increasing number of superparamagnetic iron oxide (SPIO)-labeled adipose-derived stem cells. Numbers of SPIO-labeled adipose-derived stem cells correlated well with decrease in MR signal intensity. Low signal intensity at all cell numbers greater than 10 cells suggests MRI can depict at least as few as 10 labeled adipose-derived stem cells with nominal pixels. Number of cells, 10.

 

Figure 5
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Fig. 3C —Phantoms of various numbers of ferumoxide-poly-L-lysine (PLL) labeled adipose-derived stem cells implanted in agar in Petri dish, which was placed on top of 3.0-cm-diameter radiofrequency surface coil. Series of multislice T2-weighted and T2*-weighted 7-T MR images (TR/TE, 250/10-40 in increments of 5 milliseconds; matrix size, 128 x 128; field of view, 4.0 cm; slice thickness, 1 mm) were acquired with standard spin-echo sequences. T2-weighted images reveal clear differences in signal intensity between area without cells (A) and areas with increasing number of superparamagnetic iron oxide (SPIO)-labeled adipose-derived stem cells. Numbers of SPIO-labeled adipose-derived stem cells correlated well with decrease in MR signal intensity. Low signal intensity at all cell numbers greater than 10 cells suggests MRI can depict at least as few as 10 labeled adipose-derived stem cells with nominal pixels. Number of cells, 100.

 

Figure 6
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Fig. 3D —Phantoms of various numbers of ferumoxide-poly-L-lysine (PLL) labeled adipose-derived stem cells implanted in agar in Petri dish, which was placed on top of 3.0-cm-diameter radiofrequency surface coil. Series of multislice T2-weighted and T2*-weighted 7-T MR images (TR/TE, 250/10-40 in increments of 5 milliseconds; matrix size, 128 x 128; field of view, 4.0 cm; slice thickness, 1 mm) were acquired with standard spin-echo sequences. T2-weighted images reveal clear differences in signal intensity between area without cells (A) and areas with increasing number of superparamagnetic iron oxide (SPIO)-labeled adipose-derived stem cells. Numbers of SPIO-labeled adipose-derived stem cells correlated well with decrease in MR signal intensity. Low signal intensity at all cell numbers greater than 10 cells suggests MRI can depict at least as few as 10 labeled adipose-derived stem cells with nominal pixels. Number of cells, 500.

 

Figure 7
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Fig. 3E —Phantoms of various numbers of ferumoxide-poly-L-lysine (PLL) labeled adipose-derived stem cells implanted in agar in Petri dish, which was placed on top of 3.0-cm-diameter radiofrequency surface coil. Series of multislice T2-weighted and T2*-weighted 7-T MR images (TR/TE, 250/10-40 in increments of 5 milliseconds; matrix size, 128 x 128; field of view, 4.0 cm; slice thickness, 1 mm) were acquired with standard spin-echo sequences. T2-weighted images reveal clear differences in signal intensity between area without cells (A) and areas with increasing number of superparamagnetic iron oxide (SPIO)-labeled adipose-derived stem cells. Numbers of SPIO-labeled adipose-derived stem cells correlated well with decrease in MR signal intensity. Low signal intensity at all cell numbers greater than 10 cells suggests MRI can depict at least as few as 10 labeled adipose-derived stem cells with nominal pixels. Number of cells, 1,000.

 

Figure 8
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Fig. 3F —Phantoms of various numbers of ferumoxide-poly-L-lysine (PLL) labeled adipose-derived stem cells implanted in agar in Petri dish, which was placed on top of 3.0-cm-diameter radiofrequency surface coil. Series of multislice T2-weighted and T2*-weighted 7-T MR images (TR/TE, 250/10-40 in increments of 5 milliseconds; matrix size, 128 x 128; field of view, 4.0 cm; slice thickness, 1 mm) were acquired with standard spin-echo sequences. T2-weighted images reveal clear differences in signal intensity between area without cells (A) and areas with increasing number of superparamagnetic iron oxide (SPIO)-labeled adipose-derived stem cells. Numbers of SPIO-labeled adipose-derived stem cells correlated well with decrease in MR signal intensity. Low signal intensity at all cell numbers greater than 10 cells suggests MRI can depict at least as few as 10 labeled adipose-derived stem cells with nominal pixels. Number of cells, 5,000.

 

Figure 9
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Fig. 4 —Mouse 2 weeks after middle cerebral artery occlusion-induced infarction. In vivo 7-T T2*-weighted MR image of mouse head placed above 1.0-cm-diameter surface coil. Multislice spin-echo images (TR/TE, 1/35; matrix size, 256 x 256; field of view, 2.5 cm; resolution, 98 µm; thickness of interleaved consecutive slices, 1.0 mm; number of signals averaged, 2) were obtained in anatomic coronal orientation. All sequences were performed within 40-60 minutes per mouse. Infarct (arrow) is evident within right cortex. Adipose-derived stem cells were transplanted into ipsilateral hippocampus.

 

Figure 10
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Fig. 5 —Middle cerebral artery occlusion-injured mouse sacrificed 24 hours after transplantation of 1,000 ferumoxide-poly-L-lysine-labeled adipose-derived stem cells. High-resolution ex vivo coronal 9.4-T proton density MR image of mouse brain perfused with 10% buffered formalin/5% gadoteridol shows areas of infarction (solid arrow) and low signal intensity (dashed arrow) corresponding to donor cell implantation.

 

Figure 11
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Fig. 6A —Middle cerebral artery occlusion-injured mouse sacrificed 24 hours after receiving transplant of 1,000 superparamagnetic iron oxide (SPIO)-labeled green fluorescent protein (GFP)-positive adipose-derived stem cells into hippocampus. Coronal MR image shows hypointense region in area of transplantation. Annular hyperintense ring is thought to represent artifact from SPIO intensity given absence of corresponding abnormality on histologic sections in B-E.

 

Figure 12
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Fig. 6B —Middle cerebral artery occlusion-injured mouse sacrificed 24 hours after receiving transplant of 1,000 superparamagnetic iron oxide (SPIO)-labeled green fluorescent protein (GFP)-positive adipose-derived stem cells into hippocampus. Low-magnification Nissl stain of brain section similar to that in A shows donor cell deposit (box).

 

Figure 13
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Fig. 6C —Middle cerebral artery occlusion-injured mouse sacrificed 24 hours after receiving transplant of 1,000 superparamagnetic iron oxide (SPIO)-labeled green fluorescent protein (GFP)-positive adipose-derived stem cells into hippocampus. High-magnification Prussian blue stain of section adjacent to B shows cell deposit.

 

Figure 14
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Fig. 6D —Middle cerebral artery occlusion-injured mouse sacrificed 24 hours after receiving transplant of 1,000 superparamagnetic iron oxide (SPIO)-labeled green fluorescent protein (GFP)-positive adipose-derived stem cells into hippocampus. Immunohistochemical results with use of anti-GFP antibody and 3,3'-diaminobenzidine conjugate of adjacent section show brown staining of donor cells.

 

Figure 15
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Fig. 6E —Middle cerebral artery occlusion-injured mouse sacrificed 24 hours after receiving transplant of 1,000 superparamagnetic iron oxide (SPIO)-labeled green fluorescent protein (GFP)-positive adipose-derived stem cells into hippocampus. High-magnification Nissl stain shows iron-laden donor cells within CA3 region of hippocampus.

 

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