RT Journal Article T1 Tropoelastin: A novel marker for plaque progression and instability A1 Phinikaridou, Alkystis A1 Lacerda, Sara A1 Lavín Plaza, Begoña A1 Andia, Marcelo E. A1 Smith, Alberto A1 Saha, Prakash A1 Botnar, René AB Background: Elastolysis and ineffective elastogenesis favor the accumulation of tropoelastin, rather than cross-linked elastin, in atherosclerotic plaques. We developed gadolinium-labeled tropoelastin-specific magnetic resonance contrast agents (Gd-TESMAs) for tropoelastin imaging in animal models. Methods and Results: Two peptides, VVGSPSAQDEASPLS and YPDHVQYTHY were selected to target tropoelastin. In vitro binding, relaxivity, and biodistribution experiments enabled characterization of the probes and selecting the best candidate for in vivo MRI. MRI was performed in atherosclerotic apolipoprotein E-deficient (ApoE-/-) mice and New Zealand white rabbits with stable and rupture-prone plaques using Gd-TESMA. Additionally, human carotid endarterectomy specimens were imaged ex vivo. The VVGSPSAQDEASPLS-based probe discriminated between tropoelastin and cross-linked elastin (64±7% vs 1±2%, P=0.001), had high in vitro relaxivity in solution (r1-free=11.7±0.6mM-1s-1, r1-bound to tropoelastin = 44±1mM-1s-1) and favorable pharmacokinetics. In vivo mice vascular enhancement (4wks=0.13±0.007mm2, 8wks=0.22±0.01mm2, 12wks=0.33±0.01mm2, P<0.001) and R1 relaxation rate (4wks=0.90±0.01 s-1, 8wks=1.40±0.03 s-1, 12wks=1.87±0.04s-1, P[removed] PB Wolters Kluwer Health SN 1941-9651 YR 2018 FD 2018 LK https://hdl.handle.net/20.500.14352/98949 UL https://hdl.handle.net/20.500.14352/98949 LA eng NO Phinikaridou, Alkystis, et al. «Tropoelastin: A Novel Marker for Plaque Progression and Instability». Circulation: Cardiovascular Imaging, vol. 11, n.o 8, agosto de 2018, p. e007303. https://doi.org/10.1161/CIRCIMAGING.117.007303. NO British Heart Foundation NO Chilean Agency of Technology and Science NO European Commission NO Engineering & Physical Sciences Research Council (Reino Unido) DS Docta Complutense RD 8 abr 2025