Evidence map›Paper›PMID 41415408›Full record

ArticlebioRxiv : the preprint server for biology2025

In vivo imaging of reactive oxygen species after myocardial ischemia-reperfusion injury: a large animal multimodal imaging and transcriptomic study.

Sophia Swago, Chiara Camillo, Marina Awad, Evan Gallagher, Elizabeth W Thompson, Estibaliz Castillero, Ting Peng, Liming Pei, Zhiliang Cheng, Andrew Tsourkas and 9 more

Abstract readPreprint
In one paragraph

Article in bioRxiv : the preprint server for biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Sophia SwagoDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States.
Chiara CamilloDepartment of Surgery, Columbia University, New York City, NY, United States.
Marina AwadDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States.
Evan GallagherCenter for Mitochondrial and Epigenomic Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Elizabeth W ThompsonDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States.
Estibaliz CastilleroDepartment of Surgery, Columbia University, New York City, NY, United States.
Ting PengCenter for Mitochondrial and Epigenomic Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Liming PeiCenter for Mitochondrial and Epigenomic Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Zhiliang ChengDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States.
Andrew TsourkasDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States.
Robert GormanDepartment of Surgery, University of Pennsylvania, Philadelphia, PA, United States.
Victor A FerrariDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States.
Meagan McManusCenter for Mitochondrial and Epigenomic Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Robert H MachDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, United States.
Joel S KarpDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, United States.
Cory TschabrunnDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, United States.
Giovanni FerrariDepartment of Surgery, Columbia University, New York City, NY, United States.
Walter R WitscheyDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, United States.
Paco E BravoDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, United States.ORCID 0000-0002-0022-4376

Funding

Organ Specific Project - HeartU54HL165442 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI PEI, LIMING · 2022 to 2025
$7.6M
Non-invasive imaging of reactive oxygen species in reperfusion injury myocardial infarctionR01HL169378 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PACO E. BRAVO, Walter R.T. Witschey · 2023 to 2026
$3.0M
Cardiac MR imaging of hemorrhagic reperfusion injury after myocardial infarctionR01HL137984 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI WITSCHEY, WALTER R.T. · 2018 to 2022
$2.8M
Novel biological insights by utilizing mitochondrial genome information from HuBMAP resourcesU01HL166058 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI PEI, LIMING, WALLACE, DOUGLAS C · 2022 to 2025
$2.1M
Cardiac 1H MRS assessment of NAD+ after Tetralogy of Fallot repairF31HL158217 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI SWAGO, SOPHIA · 2021 to 2023
$140k
NHLBI NIH HHS F31 HL158217NHLBI NIH HHS R01 HL137984NHLBI NIH HHS R01 HL169378NHLBI NIH HHS U01 HL166058NHLBI NIH HHS U54 HL165442
6 · The paper itself

Abstract

Background: Reactive oxygen species (ROS) contribute to myocardial ischemia-reperfusion injury (IRI), but in-vivo data on the spatial myocardial distribution and systemic effects of ROS after IRI remain limited. This multimodal CMR and PET/CT study aimed to non-invasively image ROS activity in a clinically-relevant swine model of IRI using [18F]ROStrace, a fluorine-18-labeled analogue of dihydroethidium (DHE), and to investigate regional changes in ROS activity in the infarcted myocardium during the subacute post-IRI phase. Methods: IRI was induced by percutaneous occlusion of the left anterior descending artery for 90 minutes in swine (N=9). CMR and whole-body PET/CT imaging with [18F]ROStrace were performed before myocardial infarction (MI) and 3-5 days post-MI to assess ROS in non-infarct myocardium, lungs, bone marrow, spleen and skeletal muscle. Late gadolinium enhanced CMR was performed to structurally characterize infarct regions. Post-MI, in vivo [18F]ROStrace signal in infarcted myocardium was compared with remote, non-infarcted myocardium and validated via ex vivo DHE fluorescent imaging. Bulk RNA-sequencing (RNA-seq) and Gene Ontology pathway analysis were conducted on biopsies from infarct and remote myocardial tissue to identify differentially expressed genes and pathways connected to oxidative stress. Results: During the subacute phase following MI, [18F]ROStrace fractional uptake rate (FUR; min-1) was significantly increased in skeletal muscle, compared to baseline (0.011±0.003 vs 0.016±0.005, p=0.04), with a trend toward increased FUR in bone marrow (0.046±0.009 vs 0.056±0.011, p=0.12) and the left ventricular free wall (0.067±0.007 vs 0.073±0.010, p=0.15). Within the myocardium, [18F]ROStrace FUR ((min-1)/(mL/min/g)) was significantly higher in infarcted compared to non-infarcted myocardium regions (0.110±0.034, vs 0.148±0.035, p=0.0005). DHE staining confirmed elevated ROS levels in the infarcted myocardium. RNA-seq identified 8,707 differentially expressed genes between infarct and remote myocardium, with downregulated pathways in the infarct associated with mitochondrial function, cellular respiration, and metabolic adaptation. Conclusion: This study demonstrated MI ROS imaging using [18F]ROStrace using a whole-body PET/CT scanner and structural assessment with CMR. Systemic and myocardial increases in ROS activity were observed post-MI, accompanied by substantial molecular alterations in infarcted tissue. These findings show potential imaging strategies to evaluate therapeutic targets that can mitigate oxidative stress after MI.

Indexed as

CMRPETReperfusion InjuryROS

Identifiers

PMID41415408
PMCPMC12710758

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.