VCAM-1-Functionalized Iron Oxide Nanoclusters for Targeted MRI-Based Diagnosis of Atherosclerosis

Lina Papadimitriou , Maria Graigkioti , Eirini Koutsouroubi , Konstantinos Pagonidis , Yannis Papaharilaou , Anthi Ranella , Alexandros Lappas

MEDCOMM - Biomaterials and Applications ›› 2025, Vol. 4 ›› Issue (4) : e70030

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MEDCOMM - Biomaterials and Applications ›› 2025, Vol. 4 ›› Issue (4) : e70030 DOI: 10.1002/mba2.70030
ORIGINAL ARTICLE

VCAM-1-Functionalized Iron Oxide Nanoclusters for Targeted MRI-Based Diagnosis of Atherosclerosis

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Abstract

This study explores the development and characterization of iron oxide nanoclusters (NCs) functionalized with vascular cell adhesion molecule 1 (VCAM-1) for targeted magnetic resonance imaging (MRI) of early atherosclerotic lesions. The NCs were synthesized via a high-temperature polyol method and functionalized using 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide/N-hydroxysuccinimide (EDC/NHS) chemistry to enable conjugation with VCAM-1 antibodies. Dynamic light scattering and transmission electron microscopy TEM confirmed controlled growth of NCs with a size ranging from 40 nm, in the parent to 110 nm post-functionalization, maintaining though colloidal stability in aqueous media. Cytotoxicity assays using mesenchymal stem cells (MSCs) demonstrated high biocompatibility. Confocal and electron microscopy confirmed specific binding of VCAM-1-NCs to VCAM-1-overexpressing MSCs under inflammatory conditions, with internalization through the endolysosomal pathway. The functionalized NCs remained bound under shear stress in an orbital flow model, mimicking early atherosclerotic conditions. MRI phantom analysis demonstrated preserved contrast capability despite increased T2* relaxation times following antibody conjugation. These findings highlight the potential of VCAM-1-NCs as noninvasive imaging agents for early-stage atherosclerosis and vascular inflammation. Although this study is limited by the lack of in vivo validation and therapeutic evaluation, it provides a strong foundation for future translational research.

Keywords

diagnosis of atherosclerosis / iron oxide nanoclusters / MRI targeted contrast agents / multicore nanoparticles / theranostic nanoparticles / VCAM-1-functionalised vehicles

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Lina Papadimitriou, Maria Graigkioti, Eirini Koutsouroubi, Konstantinos Pagonidis, Yannis Papaharilaou, Anthi Ranella, Alexandros Lappas. VCAM-1-Functionalized Iron Oxide Nanoclusters for Targeted MRI-Based Diagnosis of Atherosclerosis. MEDCOMM - Biomaterials and Applications, 2025, 4(4): e70030 DOI:10.1002/mba2.70030

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