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Enhancing the in vivo detection of cancer by manipulating magnetic fields applied to tumor targeting superparamagnetic iron oxide nanoparticles 1865 Todor Karaulanov, Giulio Paciotti*, Erika C. Vreeland, Andrew Gomez, Kayla E. Minser, Caroline L. Weldon, William H. Anderson, and Christopher Nettles Imagion Biosystems, Inc., Albuquerque, NM *[email protected] Proof–of-Concept SPMR specific cancer detection • Reduce the influence of off-target signals B. 60nJ/T 60 50 40 30 p < 0.03 20 Competitive binding of anti-HER2 conjugated NPs to MCF7/HER2-18 cells as measured by A. the MagSense™ instrument and confirmed by B. digital photography. 0 Liver 5 10 MagSenseTM nanoparticles BT-474 MCF-7 The strength of the magnetic dipole generated by the MagSense-Anti-HER2 particles is dependent on the level of HER2 expression on the cell surface. NPs Q-tip phantoms at 60 Gauss Instrument 3 2 1 Magnetic Field Pulse ~1 s 60 Gauss In Vitro Cell Specificity In Vivo Cell Competition 400 600 800 1000 4-fold Improvement on the lower limit of in vitro detection from 250 ng to 62.5 ng of Fe 6-fold reduction of the Liver signal from 3.3x102 to 0.56x102 nJ/T Reached, in vitro sensitivity to 5, 000 BT474 targeted cells (5x104 nps/cell (achieved) at 3x109 nps/μg of Fe3O4) Projected, 10-fold reduction of liver signal with a better coil design Resolving a Tumor of 10% of a liver at 2cm away from the liver [slow and detectable] Time SPMR ONLY DETECTS NPs BOUND TO CANCER CELLS/TISSUES 60 Magnetic Dipole Moment (nJ/T) [fast and undetectable] • Néel relaxation of NPs bound to cells Projected, in vivo sensitivity at 100, 000 cancer cells (e.g., in lymph nodes at 100% delivery at 3-cm depth) 7 Magnetic dipole moment (nJ/T) Magnetization In vivo SPMR Cancer Detection 3. NPs relax to their equilibrium states • Brownian motion of unbound NPs Relaxometry Measurement ~2 sec 200 70 1. Inject mAb conjugated NPs 2. Apply small magnetizing pulse Detector dead time (~20ms) 1 cm 4.1(2) pJ/T per ng 0 Iron Content (ng) SPMR Background Bound particles relax slowly by Néel relaxation Tumor 4 0 Unbound particles relax quickly by Brownian motion The Problem: SPMR signals at off-target sites (liver and spleen) influence tumor detection Solution: Generate a field of opposite polarity to cancel Eddy currents 70 <1nJ/T MagSenseTM Improving tumor detectability The Problem: The magnetization pulse induces non-specific magnetic fields (Eddy currents in the conductive environment), that increase instrument dead time, limit dynamic range, and lower the sensitivity. Magnetic Dipole moment (nJ/T) A. Competed • Improve the lower limit of SPMR Cancer detection Reducing the influence of the environmental background Solution: Compensate the magnetic field at off-target sites Non-Competed • Current efforts are focused to: In Vivo Cell Specificity Magnetic Moment (pJ/T/mg tumor ) • Proof of concept demonstrates specific detection of HER-2 positive breast cancer cells in vitro and in vivo. In Vitro Cell Competition Competed • The MagSenseTM platform consists of superconducting quantum interference devices (SQUIDs) to detect tumor targeted iron oxide nanoparticles (NPs) that are specifically bound to cancer cells. The detection relies on SQUIDs high sensitivity to magnetic field produced by the superparamagnetic relaxation (SPMR) of the NPs. Non-Competed Introduction 50 40 30 20 10 0 6 Projected, detection in vivo tumor size of 2.5 mm3 (at 4% tumor delivery at 3-cm depth, e.g., breast cancer) 5 4 3 Summary and Conclusion 2 1 0 MCF-7 HER-2/18 NC MCF-7 HER-2/18 C MCF-7 Parental NC MCF-7 Parental C Non-Compete Compete Binding Condition ( NC - non-compete; C- compete) Competitive binding of anti-HER2 conjugated NPs can be correlated to the expression of HER2 on cells. MagSense™ measurements of MCF7/HER2-18 and parental MCF7cells. In vivo competition study showed ~4X magnetic dipole signal in non-compete mouse vs. compete mouse. We presented the proof-of-concept SPMR specific cancer detection in vivo and in vitro Demonstrated improvement in tumor detectability in vitro by reducing signals at off-target sites An improvement of the lower limit of detection to 5,000 BT474 cells in vitro was presented We project sensitivity to 100,000 cells (100% delivery) and 2.5 mm3 tumor size (at 4% delivery) at 3-cm depth - primary breast tumors and sentinel lymph nodes detection Future work: Improvements on MagSenseTM Instrument and NPs to allow for detection at larger depth