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In vivo NMR imaging evaluation of efficiency and toxicity of gene electrotransfer in rat muscle

Abstract

In vivo gene electrotransfer (ET) is a simple method of gene delivery in various tissues relying on the injection of plasmid DNA followed by application of electric pulses. Noninvasive tools are needed to evaluate the ET efficiency and the resulting tissue damages. In this study, we performed ET of rat tibialis muscle after injection of either a plasmid coding for luciferase or a contrast agent (CA) detected by using magnetic resonance imaging (MRI). Plasmid expression and CA intracellular trapped quantity were compared throughout the electric field intensity range 0–300 V/cm. Although the CA trapped quantity reflects only the electropermeabilization step, both measurements were correlated. MRI measurements gave easy access to tridimensional visualization of the labelled zones where the CA has been injected and the applied electric field had a value allowing permeabilization. We also performed MRI measurements of the water transverse relaxation time T2 as an indicator of tissue modification, and tested whether another CA specific for necrosis could be used to detect muscle necrosis at high electric field intensity. In conclusion, MRI measurements may bring multiparametric information upon the efficiency and tissue toxicity of an ET protocol by using a simple and safe CA.

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Acknowledgements

This work was funded by a grant of the Association Française contre les Myopathies. We thank Dr JM Caillaud (Biodoxis, Paris, France) for performing the histological analysis.

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Appendix I: Quantification of the CA trapped quantity

Appendix I: Quantification of the CA trapped quantity

In normal untreated muscle, the mean muscle signal intensity in the absence of Gd-DOTA trapped quantity depends on the muscle water relaxation times T1o and T2o and on time intervals in the measurement sequence, TR and TE,22 according to:

where T1o, T2o are respectively the longitudinal and transverse relaxation times of muscle water, and So is the asymptotic value of signal at very long value of time TR and very short value of time TE, reflecting tissue water content. Sm (mean value of signal in untreated muscle) is measured in the reference untreated ROI of the slice of interest.

The increased signal intensity in the labelled muscle ROI with CA concentration C is Si. Signal increase is related to the shortening of longitudinal relaxation time, with actual value T1, by

T1 shortening is related to the tissue CA concentration C by 1/T1=1/T1o+KC, where K is the relaxivity of the CA.

T2 shortening induced by the CA, calculated from a similar equation, is negligible, with variation under 1 ms in the range of Gd-DOTA concentration for these experiments.

The relation between signal and local concentration is based upon an estimation of Gd-DOTA relaxivity in muscle cells. We assume the relaxivity of Gd-DOTA K to be 2.7/s/mM, deduced from Gd-DOTA relaxivity in water, and from experimental data obtained by Rozijn et al26 in rat muscle and in water solution, for the similar agent Gd-DTPA. The signal intensity is determined experimentally in water from a phantom with calibrated concentrations of Gd-DOTA, in acquisition conditions identical to those used in vivo. From the measurements obtained in the water phantom and from muscle relaxation times, the equation linking the signal increase R=(Si−Sm)/Sm to the concentration of Gd-DOTA C is

We here assume that So is not modified, and that the influence of T2 variation can be neglected since TE value is short. This is an acceptable approximation at value of electric field under 200 V/cm where T2 and T1 variations induced by oedema are weak. At higher electric field, the reference region is taken in a neighbouring muscle, also submitted to ET but not to injection, so that T2 variations linked to oedema do not interfere with determination of C. In case of increased T2, overestimation of C and then of Q would follow from this approximation.

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Leroy-Willig, A., Bureau, M., Scherman, D. et al. In vivo NMR imaging evaluation of efficiency and toxicity of gene electrotransfer in rat muscle. Gene Ther 12, 1434–1443 (2005). https://doi.org/10.1038/sj.gt.3302541

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