title: Experimental study of USPIO-enhanced MRI in the detection of atherosclerotic plaque and the intervention of atorvastatin.
abstract: Ultrasmall superparamagnetic iron oxide (USPIO) can identify atherosclerotic vulnerable plaque and atorvastatin can stabilize vulnerable plaque by inhibiting the inflammatory response. Using balloon injury in rabbit abdominal aortic endothelial cells and p53 gene transfecting the local plaque, we established an atherosclerotic vulnerable plaque model. In the treatment group, animals were treated with atorvastatin for 8 weeks. At the end of week 16, the animals in each group underwent medication trigger. USPIO-enhanced MRI was utilized to detect vulnerable plaque formation and the transformation of stable plaque in the treatment group. Pathological and serological studies were conducted in animal sera and tissues. The images from the USPIO-enhanced MRI, and the vulnerable plaque showed low signal, especially on T2*-weighted sequences (T2*WI). Plaque signal strength reached a negative enhancement peak at 96 h. Compared with the other groups, lipids, cell adhesion molecule-1 and vascular cell adhesion molecule-1 levels were significantly lower (P<0.05) in the treatment group. In conclusion, USPIO-enhanced MRI can identify vulnerable plaque formation by deposition in macrophages, while atorvastatin is able to inhibit the progression of atherosclerosis and promote plaque transformation to the stable form.
authors.affiliation: Institute of Cardiovascular Diseases, Xuzhou Medical College, Xuzhou, Jiangsu 221002, P.R. China.
authors.forename: Ting
authors.initials: T
authors.lastname: Sha
authors.affiliation: The Second Affiliated Hospital, Xuzhou Medical College, Xuzhou, Jiangsu 221000, P.R. China.
authors.forename: Chunmei
authors.initials: C
authors.lastname: Qi
authors.affiliation: Institute of Cardiovascular Diseases, Xuzhou Medical College, Xuzhou, Jiangsu 221002, P.R. China.
authors.forename: Wei
authors.initials: W
authors.lastname: Fu
authors.affiliation: The Second Affiliated Hospital, Xuzhou Medical College, Xuzhou, Jiangsu 221000, P.R. China.
authors.forename: J I
authors.initials: JI
authors.lastname: Hao
authors.affiliation: The Second Affiliated Hospital, Xuzhou Medical College, Xuzhou, Jiangsu 221000, P.R. China.
authors.forename: Lei
authors.initials: L
authors.lastname: Gong
authors.affiliation: The Second Affiliated Hospital, Xuzhou Medical College, Xuzhou, Jiangsu 221000, P.R. China.
authors.forename: Hao
authors.initials: H
authors.lastname: Wu
authors.affiliation: The Second Affiliated Hospital, Xuzhou Medical College, Xuzhou, Jiangsu 221000, P.R. China.
authors.forename: Qingdui
authors.initials: Q
authors.lastname: Zhang
keywords: atherosclerotic plaque; cell adhesion molecule-1; superparamagnetic iron oxide