2区 · 医学
ArticleOA
作者: Chollet, Lucas ; Zheng, Kang H ; Aid-Launais, Rachida ; Bonafé, Roberta ; Cabella, Claudia ; Rolland, Lydia ; Letourneur, Didier ; Rouzet, François ; Bussi, Simona ; Chaubet, Frédéric ; Chahid, Youssef ; Chauvierre, Cédric ; Fülöp, Tamas ; Szebeni, Janos ; Rossi, Silvia ; Dézsi, Laszlo ; Stroes, Erik S G ; Le Guludec, Dominique ; Maire, Murielle ; Aerts, Joël
The adhesion molecule P-selectin is present on the cell surface of both activated endothelium and activated platelets. The present study describes the pharmaceutical development, safety evaluation, and preclinical efficacy of a micro-dosed radiotracer. The macromolecular nanoscale assembly consisted of a natural compound made of a sulfated fucose-rich polysaccharides (fucoidan) and a radionuclide (technetium-99m) for the detection of P-selectin expression in cardiovascular diseases. After extraction and fractionation from brown seaweeds, the good manufacturing practice (GMP) production of a low molecular weight (LMW) fucoidan of 7 kDa was achieved and full physicochemical characterization was performed. The regulatory toxicology study in rats of the GMP batch of LMW fucoidan revealed no adverse effects up to 400 μg/kg (×500 higher than the expected human dose) and pseudoallergy was not seen as well. In a myocardial ischemia-reperfusion model in rats, the GMP-grade LMW fucoidan labeled with technetium-99m detected P-selectin upregulation in vivo. The present study supports the potential of using 99mTc-fucoidan as an imaging agent to detect activated endothelium in humans.