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			<titleStmt><title level='a'>Single-nanometer iron oxide nanoparticles as tissue-permeable MRI contrast agents</title></titleStmt>
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				<publisher></publisher>
				<date>10/19/2021</date>
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				<bibl> 
					<idno type="par_id">10319086</idno>
					<idno type="doi">10.1073/pnas.2102340118</idno>
					<title level='j'>Proceedings of the National Academy of Sciences</title>
<idno>0027-8424</idno>
<biblScope unit="volume">118</biblScope>
<biblScope unit="issue">42</biblScope>					

					<author>He Wei</author><author>Agata Wiśniowska</author><author>Jingxuan Fan</author><author>Peter Harvey</author><author>Yuanyuan Li</author><author>Victoria Wu</author><author>Eric C. Hansen</author><author>Juanye Zhang</author><author>Michael G. Kaul</author><author>Abigail M Frey</author><author>Gerhard Adam</author><author>Anatoly I. Frenkel</author><author>Moungi G. Bawendi</author><author>Alan Jasanoff</author>
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			<abstract><ab><![CDATA[Magnetic nanoparticles are robust contrast agents for MRI and often produce particularly strong signal changes per particle. Leveraging these effects to probe cellular- and molecular-level phenomena in tissue can, however, be hindered by the large sizes of typical nanoparticle contrast agents. To address this limitation, we introduce single-nanometer iron oxide (SNIO) particles that exhibit superparamagnetic properties in conjunction with hydrodynamic diameters comparable to small, highly diffusible imaging agents. These particles efficiently brighten the signal in              T              1              -weighted MRI, producing per-molecule longitudinal relaxation enhancements over 10 times greater than conventional gadolinium-based contrast agents. We show that SNIOs permeate biological tissue effectively following injection into brain parenchyma or cerebrospinal fluid. We also demonstrate that SNIOs readily enter the brain following ultrasound-induced blood–brain barrier disruption, emulating the performance of a gadolinium agent and providing a basis for future biomedical applications. These results thus demonstrate a platform for MRI probe development that combines advantages of small-molecule imaging agents with the potency of nanoscale materials.]]></ab></abstract>
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<div xmlns="http://www.tei-c.org/ns/1.0"><head>Main Text</head></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Introduction</head><p>Magnetic nanoparticles can dramatically shorten longitudinal and transverse relaxation times (T1 and T2) in magnetic resonance imaging (MRI), and they consequently produce strong contrast in relaxation-weighted MRI scans <ref type="bibr">(1,</ref><ref type="bibr">2)</ref>. There has been considerable interest in harnessing these effects for noninvasive assessment of physiological parameters in living subjects. Magnetic nanoparticles <ref type="bibr">(3)</ref> have been functionalized to bind or sense a variety of biologically interesting targets <ref type="bibr">(4)</ref>, but the large size of most nanoparticles limits their ability to access and probe cellular-level phenomena in tissue. To address this problem, we undertook to create magnetic nanoparticles small enough to effectively permeate parenchyma while still exhibiting high magnetic moments with respect to traditional gadolinium-based MRI contrast agents. We reasoned that such particles could function as an attractive platform for molecular and cellular imaging applications.</p><p>To facilitate tissue permeability, nanoparticles should have a size comparable to paramagnetic agents like gadolinium diethylenetriaminepentaacetic acid (Gd-DTPA), which has a molecular diameter of about one nanometer. This would require synthesizing iron oxide-based contrast agents with diameters considerably lower than the smallest previously reported species <ref type="bibr">(5,</ref><ref type="bibr">6)</ref>. To accomplish this, we sought to create single-nanometer magnetic iron oxide (SNIO) contrast agents by improving our recently reported magnetic nanoparticle synthesis procedures <ref type="bibr">(6)</ref>.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Results</head><p>SNIO cores were produced from the thermal decomposition of Fe(oleate)3 in the presence of oleic acid (Fig. <ref type="figure">1A</ref>). The procedure was implemented in optimized mixtures of 1-tetradecene and 1-hexadecene, using a thermal decomposition temperature of 260 &#176;C that allows the nucleation of organometallic precursors but suppresses the growth of large crystals via Ostwald ripening <ref type="bibr">(7)</ref>. This was followed by a controlled oxidation with trimethylamine N-oxide, which ensures that the particles adopt a relatively stable maghemite structure <ref type="bibr">(8)</ref>.</p><p>The local structure surrounding the iron atoms of the SNIOs was analyzed using extended Xray absorption fine structure (EXAFS) analysis. The radial distribution function computed from the Fourier transform of the SNIO EXAFS spectrum resembles those of maghemite and magnetite, but is dissimilar to data from iron foil and hematite (Fig. <ref type="figure">1B</ref>), suggesting that SNIOs have an inverse spinel crystal structure like maghemite. The position and shape of the SNIO peak between 2.5 and 3.5 &#197; are particularly similar to characteristics of the corresponding maghemite peak. The EXAFS data were further analyzed to determine the ratio of octahedral sites to tetrahedral sites in SNIOs (See SI Appendix, Fig. <ref type="figure">S1</ref>). Results demonstrate that octahedral sites dominate, consistent again with a maghemite-like structure, but that the mean-squared deviations in the Fe-O and Fe-Fe pair distances are larger for SNIOs than for the magnetite and maghemite references (Table <ref type="table">S1</ref>), indicating the presence of lattice distortions in the SNIO mineral. An X-ray absorption near edge structure (XANES) spectrum of SNIOs was also obtained (See SI Appendix, Fig. <ref type="figure">S2</ref>), and could be modeled as a linear combination of the XANES spectra of maghemite (53%) and magnetite (47%). This is again consistent with the conclusion that SNIOs resemble maghemite, albeit with lattice distortions likely arising from the abundance of surface iron atoms.</p><p>Due to their small size, we could not clearly visualize SNIOs by transmission electron microscopy (TEM), but we were able to measure their core diameters using small-angle X-ray scattering (SAXS). SAXS results were well approximated (chi-square goodness of fit test &#967; 2 = 165) by a single population of dense spheres of 1.0 &#177; 0.5 nm (mean &#177; polydispersity) diameter (Fig. <ref type="figure">1C</ref>). The SNIO core size was also independently estimated from magnetization data recorded using a superconducting quantum interference device (SQUID) operated at room temperature (Fig. <ref type="figure">1D</ref>). Data from superparamagnetic iron oxide nanoparticles (SPIONs) with TEM-determined core sizes of 2, 3, and 6 nm were first fit to the Langevin function <ref type="bibr">(9)</ref>; this resulted in computed diameters of 3.7, 4.4, and 7.5 nm, respectively, implying a mean scaling factor of 1.5 relating the two measures. When magnetometry data from SNIOs was fit and scaled using the same factor, an estimated diameter of 1.3 nm was obtained, consistent with the SAXS results and with the conclusion that SNIOs do indeed possess a mean core size of about one nanometer.</p><p>The SNIO magnetization data also predict how these particles will behave in MRI. The absence of hysteresis near zero field, combined with the slightly saturating profile of the M-H curve, indicates that the particles are weakly superparamagnetic. At the same time, the specific magnetization of SNIOs, measured to be 9.5 &#177; 0.5 emu/(g iron oxide) at 6 T, is much lower than that of 6 nm iron oxide particles <ref type="bibr">(10)</ref>, 65.6 &#177; 0.2 emu/(g iron oxide), and only somewhat higher than that of paramagnetic Gd-DTPA, 6.4 &#177; 0.0 emu/(g Gd). The similarity between magnetic properties of SNIO and Gd-DTPA suggests that the two compounds should exhibit similar relaxation properties in MRI <ref type="bibr">(11)</ref>, as reflected by their longitudinal relaxivity (slope of 1/T1 vs. concentration, r1) and transverse relaxivity (slope of 1/T2 vs. concentration, r2).</p><p>To measure SNIO relaxivity under biologically relevant conditions, the particles were first solubilized in aqueous medium by exchanging oleic acid for a hydrophilic zwitterionic dopamine sulfonate (ZDS) coating (Fig. <ref type="figure">1A</ref>) <ref type="bibr">(12)</ref>. Prior results have demonstrated that this coating preserves magnetic properties, offers long-term stability over a variety of pH and salinity conditions, and minimizes nonspecific interactions with biological components in vitro and in vivo <ref type="bibr">(13)</ref>. Gel filtration chromatography of ZDS-coated SNIOs reveals an average hydrodynamic diameter (Dh) of 3.1 &#177; 0.1 nm (See SI Appendix, Fig. <ref type="figure">S3</ref>), indicating that the coating is less than 1 nm thick and adds less than 2 nm to the overall diameter of these particles, consistent with previous studies <ref type="bibr">(12,</ref><ref type="bibr">13)</ref>. Longitudinal optical studies of the particles indicate their stability in suspension over a period of weeks (See SI Appendix, Fig. <ref type="figure">S4</ref>).</p><p>When measured at 1.5 T, the solubilized SNIOs display an r1 of 3.0 &#177; 0.2 (mM Fe) -1 s -1 and an r2 of 3.4 &#177; 0.1 (mM Fe) -1 s -1 (Table <ref type="table">1</ref> and Table <ref type="table">S2</ref>). The consequent ratio of r2/r1 near unity is similar to that of Gd-DTPA and reflective of unsaturated magnetically active compounds that most effectively enhance contrast in T1-weighted MRI. Across a range of fields, values of r1 for SNIO per metal ion are 20-30% lower than r1 values obtained for Gd-DTPA. This is to be expected, given the lower spin number of iron vs. gadolinium atoms and the possibility that ZDS-coated SNIO cores may not offer as many first or second sphere sites for water relaxation per metal atom as Gd-DTPA does. Because SNIO particles contain ~20 iron atoms each, however, their per-particle r1 values of ~60 (mM particle) -1 s -1 are approximately 13 times higher than the Gd-DTPA value of 4.8 mM -1 s -1 . Because ZDS-coated SNIOs have about twice the diameter of Gd-DTPA, their greater relaxivity also corresponds to a substantially higher T1-weighted MRI effect per unit of volume occupied by the contrast agent <ref type="bibr">(14)</ref>, approximately equal to 3.8 mM -1 s -1 nm -3 for SNIO vs. 1.6 mM -1 s -1 nm -3 for Gd-DTPA.</p><p>The small size of SNIO contrast agents enables them to permeate effectively through tissue. As an initial demonstration of this capability, we began by comparing the convective spreading of SNIOs with that of larger, previously reported lipid-coated iron oxide (LCIO) contrast agents <ref type="bibr">(15)</ref> with mean Dh = 35 &#177; 1 nm. The extent of spreading was determined by computing the full width at half maximum (FWHM) of MRI signal changes induced by intraparenchymal injection of 7.2 &#181;L of each agent, based on images that display both T2 contrast from the LCIO particles and T1 contrast from the SNIO agents simultaneously (Fig. <ref type="figure">2A</ref>). The results reveal FWHM values of 1.9 &#177; 0.1 mm and 1.2 &#177; 0.2 mm for SNIO and LCIO nanoparticles, respectively (Fig. <ref type="figure">2B</ref>), indicating that brain tissue is significantly more permeable (t-test p = 0.02, n = 3) to the smaller particles.</p><p>As a further demonstration of the ability of SNIO contrast agents to spread effectively throughout the brain, we infused a 50 &#181;L volume of SNIOs at 50 mM Fe concentration into the cisterna magna <ref type="bibr">(16)</ref>, a prominent cerebrospinal fluid reservoir behind the cerebellum, and measured resulting changes in the T1-weighted MRI signal (Fig. <ref type="figure">3A</ref>) and longitudinal relaxation rates (R1 = 1/T1) at each voxel in sagittal brain slices of 3 rats (Fig. <ref type="figure">3B</ref>). This analysis showed that 85 &#177; 6% of brain pixels experienced R1 increases of 10% or more and 71 &#177; 6% experienced increases of 25% or more (Fig. <ref type="figure">3C</ref>), indicating that virtually the entire brain can be labeled to some extent using this procedure. To determine further whether SNIOs infused via the cisterna magna spread on a microscopic scale, we analyzed postmortem brain sections from injected animals by Prussian blue histology (Fig. <ref type="figure">3D</ref>). The results demonstrate that SNIO particles can permeate parenchymal tissue far from cerebrospinal fluid reservoirs in both cortical and subcortical regions of the brain.</p><p>Comparison of the SNIO r1 value of 66 (mM particle) -1 s -1 at 9.4 T to the noise level of the R1 maps of Fig. <ref type="figure">3</ref> permits an estimation of the limit of detection for SNIOs under the acquisition conditions applied here. The mean standard deviation of cortical R1 measurements across three animals is 0.031 s -1 , implying that a minimum concentration of about 0.9 &#181;M SNIO particles could be detected with statistical significance of p &#8804; 0.05 in a Z-test based on R1. Because signal-to-noise ratio can easily be improved through averaging or resolution adjustment, detection of yet lower SNIO levels in R1 maps or T1-weighted MRI could be attained straightforwardly with adjusted acquisition parameters. The SNIOs are not as readily detectable in R2 maps, however. Under acquisition conditions closely analogous to those in Fig. <ref type="figure">3</ref>, R2 values are measured with an average standard deviation of 1.6 s -1 (n = 3), implying that a concentration of more than 20 &#181;M SNIO particles would be required for statistically significant detection based on their r2 values.</p><p>One of the most common applications of small molecule MRI contrast agents in neurology involves their application for assessment of blood-brain barrier (BBB) integrity in conditions such as stroke and traumatic brain injury. In such applications, contrast agents are injected intravenously; in areas where the BBB is compromised, the agents leak into the brain and accumulate, allowing subsequent detection by T1-weighted imaging. The small size and permeability of SNIOs in brain tissue suggests that these contrast agents could also provide such indications of BBB disruption. To test this idea, we first determined the ability of SNIOs to persist in the vasculature by measuring their circulation time in pilot experiments in mice (See SI Appendix, Fig. <ref type="figure">S5</ref>). These experiments demonstrated vascular contrast enhancement of SNIO with a blood half-life of about two minutes; this is somewhat lower than analogous half-lives reported for Gd-DTPA in rodents <ref type="bibr">(17,</ref><ref type="bibr">18)</ref>, and of possible advantage when trying to distinguish cerebral contrast enhancement from residual contrast changes in blood. Biodistribution analysis (See SI Appendix, Fig. <ref type="figure">S6</ref>) shows that the IV-injected SNIOs exhibit half-lives of about 2 minutes in heart and 19 minutes in liver and kidney. According to allometric scaling principles, these values in mice correspond to predicted half-lives of 11 and 95 minutes in rats <ref type="bibr">(19)</ref>. Contrast returned to baseline in the heart, liver, and kidney within one hour but continued developing in the bladder over time, again indicating efficient renal clearance of SNIOs.</p><p>To probe the ability of SNIO nanoparticles to assess compromised BBB function, we used unfocused transcranial ultrasound <ref type="bibr">(20,</ref><ref type="bibr">21)</ref> to create widespread BBB disruptions targeted to the right hemisphere of rat brains and compared the visualization of these disruptions using SNIO and Gd-DTPA contrast agents (Fig. <ref type="figure">4A</ref>). Sonication was applied following intravenous infusion of microbubbles to induce transient BBB opening. Subsequently, there was a roughly one-hour time window of BBB opening during which agents were injected at equivalent intravascular doses (1 mL containing 50 mM Fe or Gd). This procedure produced contrast changes consistent with placement of the ultrasound transducer and its effective focal width of 5 mm (Fig. <ref type="figure">4B</ref>). When comparing MRI scans obtained five minutes before versus 15-20 minutes after contrast agent infusion, mean image signal enhancements could be observed throughout much of the brain in cohorts of sonicated animals injected with SNIOs or Gd-DTPA, but less so in unsonicated animals injected with SNIOs (Fig. <ref type="figure">4C</ref>, all n = 4). Maps of mean signal change observed during the 20 minutes after the end of the contrast agent infusion period show even starker discrepancies between sonicated versus unsonicated animals (See SI Appendix, Fig. <ref type="figure">S7</ref>), likely due to reduced contributions from intravascular concentration changes during this period. Histological analysis indicates little disruption to the tissue following sonication and SNIO delivery (See SI Appendix, Fig. <ref type="figure">S8</ref>), suggesting that neither the particles nor the delivery procedure are acutely toxic.</p><p>The volume of cerebral MRI contrast enhancement detected using SNIOs was similar to that detected using Gd-DTPA (Fig. <ref type="figure">4D</ref>). The average magnitude of signal changes measured using gadolinium was about twice as high, however, with mean enhancements of 49 &#177; 3% and 28 &#177; 2% observed for Gd-DTPA and SNIO, respectively (Fig. <ref type="figure">4E</ref>). When scaled by the relaxivities of the two agents, the difference between results is still not fully accounted for. This suggests that SNIOs are somewhat less effective at crossing lesioned BBB areas, probably due to their somewhat larger Dh compared with the reported value of 1.8 nm for Gd-DTPA <ref type="bibr">(22)</ref>, which is presumably more favorable for BBB permeation. With respect to their molecular concentrations, however, SNIOs are roughly ten times more effective than Gd-DTPA at producing brain contrast changes following ultrasoundmediated BBB opening, with observed mean signal enhancements of about 11% per mM of injected SNIO particles vs. ~1% per mM of Gd-DTPA molecules injected. These results show how the small size and high relaxivity of SNIO nanoparticles facilitates effective trans-BBB permeation and detection of BBB disruptions using T1-weighted MRI in living animals.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Discussion</head><p>We have demonstrated that iron oxide nanoparticles with diameters of about 1 nm can be synthesized using modified thermal decomposition methods and that they display superparamagnetic qualities and maghemite-like crystal morphology, despite their small size. The resulting SNIO species act as effective contrast agents for MRI, where they combine the small size and tissue permeability of small paramagnetic MRI agents with per-molecule T1 relaxivity over an order of magnitude higher than conventional contrast agents <ref type="bibr">(23)</ref>. The SNIO particles were shown to spread effectively following intracranial injection into brain parenchyma or cerebrospinal fluid, bypassing one of the principal limitations of larger nanoparticle imaging agents. SNIOs also permeate the brain from the vasculature following ultrasound-mediated BBB disruption, a model of BBB dysfunction in various neurological conditions <ref type="bibr">(24)</ref> and a clinically applicable technique for noninvasive delivery of exogenous agents to the brain <ref type="bibr">(25)</ref>. Our results therefore introduce a nanostructured material with potential utility across a range of biomedical MRI applications.</p><p>Although iron oxide contrast agents are not generally known for displaying high T1 contrast in MRI, SNIOs accomplish this effectively because of their low magnetic saturation at relevant imaging field strengths. This enables SNIOs to exhibit relatively high r1 values, as well as r2/r1 ratios near unity, similar to small mononuclear complexes of gadolinium, manganese, and iron <ref type="bibr">(26)</ref>. Because SNIOs contain many metal atoms per particle, their per-molecule longitudinal relaxivities are substantially greater, however; each SNIO particle exhibits 13-fold and 24-fold higher r1 than each molecule of Gd-DTPA at 1.5 T and 7 T, respectively (Table <ref type="table">1</ref>). This allows SNIOs to be detected at concentrations over an order of magnitude lower than typical paramagnetic contrast agents. Whereas paramagnetic agents are rarely detectable in vivo below 10 &#181;M levels <ref type="bibr">(27)</ref>, SNIOs should be detectable at submicromolar concentrations, comparable to those of potential molecular imaging targets such as signaling molecules <ref type="bibr">(28,</ref><ref type="bibr">29)</ref>. Larger iron oxide nanoparticles can be detected at even lower particle concentrations, but they predominantly produce negative T2-dependent contrast that is considered disadvantageous in some contexts <ref type="bibr">(30)</ref>. Larger SPIONs also display poor permeability in biological tissue <ref type="bibr">(31)</ref>, restricting their capabilities for targeted molecular imaging applications. Compared with most SPION molecular imaging agents, the high tissue permeability and brain delivery capabilities we demonstrated for SNIOs therefore provide potentially crucial advantages because they can help these particles reach analytes in any part of the body.</p><p>Although we did not target SNIO agents to specific molecules here, such applications could be implemented by modifying the particle surface to permit conjugation to binding or sensing moieties <ref type="bibr">(32)</ref>. In our prior studies, a polyethylene glycol (PEG)-modified catechol ligand containing a thiol group was mixed with ZDS ligands to coat 8 nm SPIONs, followed by conjugation to streptavidinmaleimide and subsequent labeling of biotinylated targets <ref type="bibr">(12)</ref>. Although the specific PEGylated catechol we used is also expected to bind SNIO cores, its 600 Da PEG chain would add substantially to the Dh of solubilized SNIOs, compromising some of the benefits that come from the small size of these particles. For future work, more compact catechol derivatives containing thiols or other reactive groups (33) could be used instead. Functionalized SNIOs could then be conjugated to species such as peptides, aptamers, or antibodies <ref type="bibr">(34)</ref><ref type="bibr">(35)</ref><ref type="bibr">(36)</ref> to enable a variety of targeted MRI applications in the brain or peripheral organs. Conjugation could alter SNIO relaxivity, though it is difficult to anticipate what specific effects would be observed. SNIOs functionalized with large macromolecules would also exhibit higher Dh values and generally lower tissue permeability than the unmodified particles studied here. Even for larger conjugates, however, the small size of SNIOs could prove advantageous for molecular imaging applications because the particles would cause minimal disruption to the binding properties of the molecules used to modify or target them.</p><p>SNIO contrast agents could also provide advantages for applications that do not involve molecular-level targeting. In particular, SNIOs could be used as alternatives to paramagnetic T1weighted MRI agents in contexts where heavy metal toxicity induced by conventional agents might otherwise be problematic. SNIOs would not contribute to pathologies associated with some gadolinium-based agents, such as nephrogenic systemic fibrosis <ref type="bibr">(37)</ref> and Gd-deposition in the human brain <ref type="bibr">(38,</ref><ref type="bibr">39)</ref>. Although we have not formally studied the toxicity profile of SNIOs yet, other iron oxide contrast agents are known to be well-tolerated <ref type="bibr">(40)</ref>, and we expect that SNIOs will behave similarly; our own results moreover demonstrated absence of acute toxicity following brain delivery. The comparatively short half-life of SNIOs in the bloodstream reduces exposure to the agents after injection and could be advantageous for reducing potential toxicity as well. The small size and chemical features of SNIOs could enable them to undergo biodistribution patterns conducive to applications in multiple parts of the body. Notably, we have already demonstrated the ability of SNIOs to substitute for Gd-DTPA in the detection of BBB lesions, an important clinical use case for gadolinium-based agents. This example begins to illustrate how the attractive physical, biochemical, and pharmacokinetic characteristics of SNIO imaging agents could lead to diagnostic utility across a broad range of contexts.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Materials and Methods</head><p>Synthesis of iron oxide nanoparticles. 900 mg of Fe(oleate)3 was added to a mixture of 4 mL 1tetradecene and 1 mL 1-hexadecene, in the presence of 190 &#956;L oleic acid at room temperature. This reaction mixture was then degassed at 100 &#176;C under vacuum for 1 hour. Afterwards, the reaction mixture was rapidly heated to 260 &#176;C for thermal decomposition of Fe(oleate)3 and incubated at this temperature for 40 min. Upon completion of the reaction, the mixture was allowed to cool down to room temperature, and 113 mg of (CH3)3NO oxidizing agent was added. The temperature was then elevated to 130 &#176;C for the oxidation process to complete. After the mixture was cooled to room temperature, an acetone and ethanol solvent mixture (5:3, v/v) was added and the resulting solution was centrifuged at 10,000g for 10 min. Finally, the supernatant was discarded and the SNIO pellets were dispersed and stored in 3 mL hexane. The native oleic acid ligand of SNIOs was then exchanged by 2-[2-(2-methoxyethoxy)ethoxy]acetic acid in methanol solvent at 70 &#176;C for 5 hrs, and next by zwitterionic dopamine sulfonate (ZDS) in the solvent mixture of dimethylformamide/water (2:1, v/v) at 70 &#176;C for 12 hrs <ref type="bibr">(12)</ref>. Solution stability of the resulting particles was verified by comparing optical absorbance measurements from a ~0.65 &#181;M concentration of SNIO particles in phosphate buffered saline monitored by ultraviolet-visible spectroscopy using a Varian Cary 5000 UV-Vis-NIR (now part of Agilent Technologies, Santa Clara, CA) spectrophotometer <ref type="bibr">(12)</ref>.</p><p>Larger iron oxide nanoparticles with diameters of 2 nm and 3 nm were prepared by similar methods in long-chain fatty acids at slightly higher temperatures <ref type="bibr">(6)</ref>. 6 nm iron oxide nanoparticles were obtained as a commercial preparation (Ferumoxytol, AMAG Pharmaceuticals, Inc., Waltham, MA). Lipid-coated iron oxide (LCIO) nanoparticles were prepared by mixing commercial 12 nm iron oxide nanoparticles (Ocean NanoTech, San Diego, CA), L-&#945;-phosphatidylcholine (Avanti Polar Lipids, Alabaster, AL), and L-&#945;-phosphatidylserine (Avanti Polar Lipids), followed by sonication.</p><p>X-ray scattering analysis. Small-angle X-ray scattering (SAXS) data were collected in a scattering vector (q) range from 0.009 to 0.50 &#197; -1 in transmission mode, using incident X-rays corresponding to the Cu K&#945; emission wavelength at 1.5418 &#197; on a SAXSLAB system (Skovlunde, Denmark) comprising a Rigaku 002 Microfocus X-ray source (Rigaku Corporation, Tokyo, Japan), an Osmic staggered parabolic multilayer optics (Rigaku Corporation), and a Dectris PILATUS3 R 300K detector (Dectris USA, Inc., Philadelphia, PA). SNIO cores in hexane were loaded into 1.5 mm quartz capillaries (Hampton Research, Aliso Viejo, CA), which were then sealed with wax. Background signal from hexane was also collected and subtracted from the SNIO data.</p><p>Scattering intensity (I) vs. q data were processed on SasView5 software (<ref type="url">https://www.sasview.org/</ref>) and fit to a scattering model in which scattering objects (i.e. SNIO particles) are treated as dense spheres with a uniform scattering length density, in conjunction with a fractal function for the low q range that reflects the contribution of interparticle interactions among adjacent SNIOs in a dense population <ref type="bibr">(41,</ref><ref type="bibr">42)</ref>:</p><p>&#119868; fractal (&#119902;) = &#120593;&#119881;(&#8710;&#120588;) 2 &#119875;(&#119902;)&#119878;(&#119902;) (Eq. 2)</p><p>&#119868; total (&#119902;) = &#119868; sphere (&#119902;) + &#119868; fractal (&#119902;) + &#119887;&#119886;&#119888;&#119896;&#119892;&#119903;&#119900;&#119906;&#119899;&#119889; (Eq. 3)</p><p>Here the scale is a unitless volume fraction, V is the volume of each spherical scattering object (&#197; 3 ), r is the radius of the sphere (&#197;), &#916;&#961; is the difference between the scattering length densities of the maghemite sample (38.5 x 10 -6 &#197; -2 ) and hexane solvent (6.5 x 10 -6 &#197; -2 ), &#120593; is the volume fraction of the spherical particles, P(q) is the scattering from spherical particles that are randomly distributed, S(q) is the interference from particles organized in fractal-like clusters, and background refers to the background intensity level of measurement (cm -1 sr -1 ). A log-normal distribution was then introduced to describe the distribution of particle radius <ref type="bibr">(43)</ref>:</p><p>where Norm is a normalization constant, r is the radius of the spherical particles, and &#120590; denotes the sample's polydispersity. This log-normal distribution gives rise to a mean radius value of &#119890; (&#120583;+&#120590; 2 )/2 , which is used to determine the mean diameter reported in the main text.</p><p>X-ray absorption analysis. Extended X-ray absorption fine structure (EXAFS) data at the Fe Kedge were obtained at beamline 7-BM (QAS) at the National Synchrotron Light Source II, Brookhaven National Laboratory. The storage ring was operated at an energy of 3.0 GeV and a current of 500 mA. The synchrotron radiation was monochromatized by a channel-cut (111) Si monochromator. The higher harmonics were eliminated by detuning the second monochromator crystal. EXAFS spectra of the sample and references (bulk Fe, hematite, magnetite, and maghemite) were collected in transmission mode. For the measurements, the powders were spread onto adhesive tape which was then folded and mounted to the sample stage. XANES data from SNIOs were fit to a linear combination of reference data from maghemite and magnetite to estimate their relative contents. EXAFS analysis was performed as follows: First, the amplitude factor (S0 2 ) was obtained by fitting magnetite (Fe3O4) and maghemite (&#947;-Fe2O3) data. Both magnetite and maghemite take inverse spinel structure, in which octahedral Fe sites and tetrahedral Fe sites coexist. In magnetite structure, there are 2/3 octahedral sites and 1/3 tetrahedral sties. In maghemite structure, there are 5/8 octahedral sites and 3/8 tetrahedral sites. At octahedral iron sites, the Fe ion coordinates with six O atoms at the first shell, six octahedral Fe centers at the second shell, and six tetrahedral Fe centers at the third shell. At tetrahedral iron sites, the Fe ion coordinates with four O atoms at the first shell, twelve octahedral Fe centers at the second shell, and four tetrahedral Fe centers at the third shell. The following parameters were varied in the fit: a single correction to the photoelectron energy origin (&#8710;E0) for all photoelectron paths, distances (R) and their mean square disorder (&#963; 2 ) values for Fe-O (unique set of these variables for the octahedrally and tetrahedrally coordinated Fe ions were used) and Fe-Fe (octahedral-octahedral, octahedral-tetrahedral and tetrahedral-tetrahedral). Coordination numbers were fixed, as dictated by the inverse spinel structure. For analysis of the SNIO sample, the amplitude factor was fixed to the value obtained for the analysis of magnetite and maghemite data. The coordination numbers were fixed to those expected for the octahedral and tetrahedral sites, but their mixing fractions were now variables, constrained by a requirement that they add up to one. The fitting k range was 2-12 &#197; -1 and the R range was 1-4 &#197;. The fitting k weight was 3.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Gel filtration chromatography.</head><p>Gel-filtration chromatography calibration and measurements were performed using a Superose 6 (GE Healthcare, Marlborough, MA) size-exclusion column. The sizeexclusion column was calibrated by protein standards (Bio-Rad, Hercules, CA) including &#947;-globulin (hydrodynamic diameter, Dh = 11.1 nm), ovalbumin (Dh = 6.1 nm), myoglobin (Dh = 3.8 nm), and vitamin B12 (Dh = 1.67 nm). The relationship between retention time (t, min) and Dh (nm) on this column is found to be: Dh = 68.043 -2.944 &#215; t + 0.0326 &#215; t 2 , with uncertainty &#916;Dh = &#177;|8.4516 -0.4833 &#215; t + 0.00678 &#215; t 2 |. The peak retention time of 38.4 min for SNIOs thus corresponds to a Dh of 3.1 &#177; 0.1 nm. SQUID magnetometry. Magnetic moments (M) were measured on MPMS superconducting quantum interference devices (SQUID) magnetometer (Quantum Design, San Diego, CA), using the direct current scanning mode. Sample temperature was kept at 298K and the magnetic field (H) was swept for 2 cycles between -6 and 6 T; values of M were measured at each H value.</p><p>The M-H curve measured by SQUID for superparamagnetic nanoparticles is expected to follow the Langevin function:</p><p>where MS is the saturation magnetization, H is the field strength, &#181;p is the magnetic moment per nanoparticle, kB is the Boltzmann constant, and T is the absolute temperature, all in SI units. For spherical nanoparticles, the magnetic moment per nanoparticle is computed using the following formula:</p><p>where mp is the mass, &#961; is the density, and D is the diameter of nanoparticle. These equations were fit to the M-H curves from each nanoparticle and used to estimate the core diameters of each species.</p><p>Relaxivity measurements. Longitudinal and transverse relaxivities (r1 and r2) were measured using a 1.5 T benchtop relaxometer (Minispec mq60, Bruker, Ettlingen, Germany), and using measurements acquired on 7 T Bruker MRI scanners. For measurements at 7 T, a rapid acquisition with refocused echoes (RARE factor 2) pulse sequence was used (echo time TE = 10, 30, 50, 70, and 90 ms, repetition time TR = 120, 150, 250, 500, 1000, 1500, 3000, and 5000 ms). Data obtained at 7 T were fit to an equation of the form</p><p>where S is the MRI signal, k is a constant of proportionality, and T1 and T2 are the longitudinal and transverse relaxation times, respectively. Relaxivity values were then obtained by linear fitting to graphs of relaxation rates as a function of contrast agent concentration ( c) over a range from 0.2-1.7 &#181;M Fe, according to the equation 1/Ti = 1/Ti0 + ri c, where i = 1,2 and Ti0 denotes relaxation rates in the absence of contrast agent. Curve fitting was performed using custom scripts in MATLAB (Mathworks, Natick, MA).</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Animal procedures.</head><p>At MIT, all animal procedures were conducted in accordance with National Institutes of Health guidelines and with the approval of the MIT Committee on Animal Care. All experiments were performed with male Sprague-Dawley rats, age 5-6 weeks, supplied by Charles River Laboratories (Wilmington, MA). In the University Medical Center Hamburg-Eppendorf, all mice were also studied in accordance with approved institutional protocols.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Biokinetic experiments.</head><p>Prior to the administration of contrast agent, mice were anesthetized by inhalation of a mixture of oxygen and isoflurane and monitored by MRI using a 7 T scanner (Bruker) over a 10 min. baseline period. Then a bolus of 100 &#181;L SNIO solution at a concentration of 50 mM Fe was injected through the tail vein into mice, during continuous scanning. Pulse sequence and scanning parameters followed previously established conditions <ref type="bibr">(6)</ref>. Regions of interest (ROIs) were drawn on the heart, liver, kidney, and bladder. Mean MRI signal intensities in these ROIs were extracted at each time point and converted to units of percent signal change with respect to baseline, yielding the data of Fig. <ref type="figure">S6</ref> (See SI Appendix). Approximate t1/2 were reported as half-times needed for returning to the baseline following SNIO injection.</p><p>Intraparenchymal infusion experiments. 33G metal injection cannulae (PlasticsOne) were bilaterally targeted to the striatum 1 mm anterior, 3 mm lateral, and 5.5 mm ventral to bregma. SNIO and lipid-coated iron oxide (LCIO) suspensions, both 1 mM in Fe, were infused into opposite hemispheres at a rate of 0.12 &#181;L/min for 60 min with a remote infuse/withdraw dual-syringe pump. Upon the completion of infusion, cannulae were removed and each rat was placed in a custom animal holder with a four-channel surface coil mounted over the animal's head. The animal was then transferred into a 9.4 T Biospec MRI scanner (Bruker) equipped with a birdcage volume coil (Bruker) for radiofrequency transmission. High resolution anatomical scans of each animal (n = 3 rats) were obtained using a fast low angle shot (FLASH) pulse sequence with TE = 4 ms, TR = 188 ms, spatial resolution 100 &#181;m &#215; 100 &#181;m &#215; 1 mm, and matrix size 300 &#215; 175 with twelve slices. Images were visualized in MATLAB and a rat brain atlas was used as a reference to determine the depth at which nanoparticles were injected. Lines of interest was then drawn across the images at the level of injection. The intensity of pixels along this line was plotted, permitting comparison of the effect of LCIO nanoparticles on the left side of the brain to SNIO nanoparticles on the right side of the brain. Full widths at half maxima for each injection site were then computed and plotted.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Cisterna magna infusion experiments.</head><p>A 1-mm incision was made on the atlanto-occipital membrane between the skull and C1 vertebrae to gain access to the cisterna magna. The incision was washed 4 times with sterile Gibco DPBS 1X (Thermo Fischer, Waltham, MA) to remove excess blood and CSF. 28G plastic injection cannula (PlasticsOne) was implanted through the incision and secured by tissue glue. A remote infuse/withdraw dual syringe pump was used to infuse SNIO (50 mM Fe) fluid at a rate of 5 &#181;L/min for 10 min at a depth of 1 mm. Upon the completion of infusion, the canula was left in place for an additional 5 min before removal. The incision was closed using tissue glue and tissue cement. The rats were recovered under 1.5% isoflurane for ~30 min, and then they were placed in a custom animal holder with a four-channel surface coil mounted over the animal's head. The rat was next transferred into a 9.4 T Biospec MRI scanner (Bruker) equipped with a birdcage volume coil (Bruker) radiofrequency transmission. As shown in Fig. <ref type="figure">S2</ref> (See SI Appendix), high resolution anatomical scans of each animal (n = 3 rats) before and after cannula implantation and SNIO injection were obtained separately using a FLASH pulse sequence with TE = 4 ms, TR = 171 ms, spatial resolution 100 &#181;m &#215; 100 &#181;m &#215; 1 mm, and matrix size 300 &#215; 175 with eight slices.</p><p>A high-resolution T1 map of each animal (n = 3 rats) was obtained using a RARE pulse sequence with TE = 10 ms, TR = 120, 150, 250, 500, 1000, 1500, 3000, and 5000 ms, RARE factor 2, spatial resolution 200 &#181;m &#215; 200 &#181;m &#215; 1 mm, and matrix size 150 &#215; 75 with one slice. Analogous R2 maps were obtained from an identical acquisition, but with TR = 3000 ms and TE = 10, 30, 50, 70, 90, 110, 130, and 150 ms. Data obtained before and after SNIO injection were imported from the Bruker Paravision software and then converted into R1 maps using MATLAB. Brain tissue was manually segmented away from non-brain areas, and analysis of relaxation rates in the brain voxels was performed using image processing routines in MATLAB. Limits of detection under T1-or T2weighted imaging were estimated by computing the mean standard deviation of per-voxel signal among three animals and determining the concentration of SNIO agents required to achieve a R1 or R2 change of 1.96 times the mean standard deviation. Such concentrations would be detectable as significant differences (p &#8804; 0.05) under Z-tests of relaxation rates with respect to baseline. These calculations were based on r1 and r2 values of 3.3 (mM Fe) -1 s -1 and 7.1 (mM Fe) -1 s -1 , respectively, measured for SNIOs at 9.4 T and room temperature.</p><p>Prussian blue staining. To visualize contrast agent distribution after cisterna magna injection, animals were transcardially perfused with PBS followed by 4% paraformaldehyde in PBS. Brains were extracted, post-fixed overnight at 4 &#176;C, and sectioned within a week. Sections were incubated in Prussian blue working solution (5% potassium ferrocyanide and 2% hydrochloric acid, 1:1 v/v) for 30 mins. Tissue was then removed from the stain and rinsed with water and 100% ethanol in succession. Treated brain sections were then mounted onto glass slides and imaged by bright-field microscopy.</p><p>Ultrasound-mediated BBB disruption. Rats were anesthetized with 2% isoflurane and then underwent the placement of the tail vein catheter for microbubble injection and contrast agent delivery in the MRI scanner. The tail vein was visualized by application of alcohol to the skin of the tail, and a catheter (24G Surflo, Terumo, Somerset, NJ) was slowly inserted into the vein until obvious blood back-flow was observed. The catheter was secured to the tail by placing a tongue depressor (Puritan, Guilford, ME) underneath the tail and taping the tail and the tongue depressor together using surgical tape. The catheter was flushed with 0.5% heparin in phosphate buffered saline (PBS) to prevent clotting and secured with a stopper prior to contrast agent infusion.</p><p>Eight rats subsequently underwent ultrasound-mediated BBB disruption. Animals were maintained under 2% isoflurane anesthesia. Heads were shaved and cleaned with alcohol and povidone-iodine prep pads for easy access to the skull. The skin over the skull was retracted and the skull cleaned to visualize the coronal and sagittal sutures. Ultrasound transmission gel (Parker Aquasonic, Fairfield, NJ) was applied to the exposed skull.</p><p>An ultrasound transducer housing was then positioned in contact with the gel, with its center 1 mm above the skull, 2 mm lateral and 3 mm posterior to bregma. The housing was filled with circulating degassed and deionized water and was affixed to a custom transducer with 25 mm diameter and 500 kHz peak operating frequency (Sonic Concepts, Bothwell, WA). Ultrasound waveforms were generated using a 25 MHz function generator (BK Precision, Yorba Linda, CA) using the following settings: 500 kHz driving frequency, 0.2 V amplitude, 5,000 burst count, and 1 s burst rate. Waveforms were amplified using an ENI model 550L radiofrequency power amplifier (Bell Electronics, Renton, WA) conditioned through an impedance matching network (Sonic Concepts) connected to the transducer itself.</p><p>Sonication was applied to each animal for 5 min. Immediately the sonication was initiated, 50 &#181;L of Optison microbubble ultrasound contrast agent (GE Healthcare, Chicago, IL) was injected through the tail vein catheter and flushed with 0.2 mL of 0.5% heparin in PBS. After sonication was completed, the skin was glued together using tissue glue and the animal was immediately transferred to the MRI scanner for imaging.</p><p>Delivery and imaging of contrast agents after BBB disruption. Immediately after preparation, twelve rats (eight sonicated plus four unsonicated controls) were imaged during IV infusion of contrast agents. Each animal was maintained on 2% isoflurane in oxygen-enhanced air and placed into a custom built cradle with a four channel phased array coil (Bruker) fitting snugly over its head. Tail vein catheters were connected to tubing prefilled with SNIO or gadolinium diethylenetriaminepentaacetic acid solutions, each 50 mM in metal ion concentration. Animals were then inserted into a 9.4 T MRI scanner (Bruker) equipped with a birdcage volume transmission coil (Bruker).</p><p>High resolution T2-weighted anatomical scans of each animal were obtained using RARE pulse sequence with TE = 56 ms, TR = 5,000 ms, RARE factor 8, spatial resolution 156 &#181;m &#215; 156 &#181;m &#215; 1 mm, and matrix size 128 &#215; 128 with six slices. T1-weighted time series were then acquired using a RARE pulse sequence with TE = 8.5 ms, TR = 680 ms, spatial resolution 400 &#181;m &#215; 400 &#181;m &#215; 1 mm, and matrix size 50 &#215; 50 with six slices. Five minutes of baseline measurement with 30 s per time point were acquired before contrast agent infusion. MRI acquisition then continued at the same frame rate over a five minute period during which contrast agent was infused at a rate of 0.2 mL/min; this was followed by 20 min of continuing acquisition after infusion was completed. The estimated time between sonication and contrast agent delivery was 45-60 minutes.</p><p>The resulting MRI data were processed and analyzed using MATLAB and AFNI (National Institute of Mental Health, Bethesda, MD) software packages. Brain data were segmented, aligned to a reference anatomical image, and normalized by setting each voxel's mean pre-injection intensity to 100%. For calculating group-level signal change maps, voxels with significant delivery were identified as those whose T1-weighted MRI signal was significantly above baseline during the 20minute period after contrast agent infusion was completed; significance was judged using a Student's t-test over animals, with an uncorrected threshold of p = 0.05. Maps of mean signal change magnitude in these significant voxels were overlaid on anatomical MRI data. The signal change magnitudes were computed by comparing images obtained at 0-5 minutes (i.e. before contrast agent injection) vs. 25-30 minutes for Fig. <ref type="figure">4C</ref> and by comparing images at 10-15 minutes (i.e. immediately post-injection) vs. 25-30 minutes for Fig. <ref type="figure">S5</ref> (See SI Appendix). For purposes of judging mean contrast-enhanced volumes, voxels that experienced 1.5% signal change or greater from the minute 10 to minute 30 time points were included. Time courses of signal change were generated by averaging percent signal changes over 0.8 mm-radius spherical regions of interest defined around peak signal change areas in the group dataset. Standard errors were calculated over animals.</p><p>Histopathology analysis. To evaluate cytotoxicity after ultrasound-assisted SNIO brain delivery, animals were transcardially perfused with PBS followed by 4% paraformaldehyde in PBS. Brains were extracted, post-fixed overnight at 4 &#176;C, and sectioned within a week. Tissue was rinsed with water and 100% ethanol in succession. Sections were then mounted onto glass slides and incubated in haematoxylin and eosin working solutions consecutively. Treated brain sections on glass slides were finally imaged by bright-field microscopy.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Figures and Tables</head><p>Figure <ref type="figure">1</ref>. Synthesis and characterization of SNIOs. (A) Synthesis of ZDS-coated SNIOs. The 3,4dihydroxyl groups of ZDS ligand bind to SNIO surface, exposing the hydrophilic zwitterionic sidechain to solution and contributing to particle stability in suspension. (B) EXAFS scattering data from SNIOs and other iron-containing minerals (Fe data scaled by 50%). (C) SAXS data obtained from a sample of SNIOs over the scattering vector (q) range from 0.009 to 0.5 &#197; -1 . The dashed curve shows the results of fitting to a spherical scattering model, as described in the text; inset shows the particle diameter distribution corresponding to this fitted curve. (D) M-H curves of SNIO and 2-6 nm iron oxide core nanoparticles measured by SQUID magnetometry. Dots indicate experimental measurements and curves represent Langevin functions fit to the data.    </p></div></body>
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